Spain's Healthcare System: Facilities and Services

By Kirsty
Last Updated 17 Oct 2024
Spain's Healthcare System: Facilities and Services
Image illustration of relocation to Spain

Healthcare facilities in Spain: Universal healthcare system coverage. Public and private hospitals available. Access primary care services locally. Public healthcare primarily in Spanish. European Health Insurance Card applicable. Pharmacy networks with extended hours. Specialist referrals from primary doctor. Co-payment required for some prescriptions. Private health insurance options. Multilingual healthcare professionals presence.

Universal healthcare system coverage

Spain's healthcare system, known as the Sistema Nacional de Salud (SNS), provides virtually universal coverage, funded mainly through taxes, and offers comprehensive services including preventive, primary, specialized, and hospital care, all predominantly free of charge at the point of delivery. The system is managed by the 17 autonomous communities, with the Ministry of Health overseeing overall coordination, ensuring high-quality and accessible healthcare to all residents. For a detailed examination of Spain's healthcare structure, you can explore the Spain Health System Review published by the European Observatory on Health Systems and Policies.

Public and private hospitals available

In Spain, the healthcare system is divided between 421 public hospitals and 411 private hospitals, with an additional 19 hospitals offering both public and private healthcare services. The public sector, managed by the 17 autonomous communities, provides comprehensive and largely free healthcare, ensuring accessibility to all residents. Conversely, private hospitals offer quicker access to medical services and often provide more specialized care. For more detailed information on the healthcare services available, visit the article on Healthcare Services in Spain to explore the options and intricacies of hospital care in the country.

Access primary care services locally

In Spain, primary care services are accessible through the public healthcare system, where residents can register with a local family doctor and access a range of services including preventive care, pediatric care, and referrals to specialists, all generally free or at a low cost. To access these services, individuals need to register as residents and obtain the Individual Health Card (Tarjeta Sanitaria Individual or TSI), which allows them to book appointments with their general practitioner and receive necessary medical care.

Public healthcare primarily in Spanish

El Sistema de Salud Pública en España, conocido como el Sistema Nacional de Salud (SNS), ofrece cobertura casi universal a más del 99% de la población, con financiación principalmente a través de impuestos públicos. La atención primaria es proporcionada por centros de salud y médicos de cabecera, mientras que los hospitales públicos ofrecen tratamiento gratuito, y la gestión se descentraliza a las 17 Comunidades Autónomas. Para obtener más información sobre este tema crucial, puedes visitar el sitio web de Expatica.

European Health Insurance Card applicable

With a European Health Insurance Card (EHIC), you can access free medical treatment in Spain's public healthcare system. This includes primary care, hospital treatment, and emergency services, provided you visit healthcare providers that are part of the public system and present your EHIC upon admission. For more details on how to use the card effectively during your stay, you can visit the European Health Insurance Card official guide, which offers comprehensive information about regulations and benefits.

Pharmacy networks with extended hours

In Spain, pharmacies operate on a rotational basis to ensure that at least one pharmacy in each municipality is open 24 hours a day, providing continuous access to medications outside normal hours. This system is crucial for both locals and tourists who may find themselves in need of medical supplies or prescriptions during off-hours. If you're looking to learn more about this topic, Grandes Villas offers detailed insights into how this system functions across the country. This service is a testament to Spain's commitment to healthcare accessibility, ensuring that no one is left without the necessary medical care any time of the day.

Specialist referrals from primary doctor

In Spain, to see a specialist, it is essential to first obtain a referral from your assigned Family Doctor (GP) under the public healthcare system. Without this referral, your insurance may not cover the costs, and the specialist may not treat you, except in emergency situations. To understand this process and more about healthcare procedures in Spain, you can visit the Get Golden Visa website to get detailed guidance and information.

Co-payment required for some prescriptions

In Spain, a co-payment system requires individuals to pay a percentage of their prescription costs, with the percentage varying based on income and status. For example, pensioners typically pay 10%, while working-age individuals might pay between 40-60%. However, there are exemptions for certain groups, such as pensioners with low incomes and those with significant disabilities. For more detailed information about these prescription charges, you can visit the Health Plan Spain website.

Private health insurance options

Private health insurance in Spain, offered by providers like Adeslas, Sanitas, and DKV, provides flexible, affordable, and comprehensive coverage, including quicker access to specialists, multilingual customer service, and worldwide travel insurance, making it an ideal option for expats and those seeking to avoid public system delays. For those interested in exploring these options further, the Best Health Insurance for Expats in Spain blog offers invaluable insights into selecting the right plan tailored to individual needs, ensuring peace of mind and swift medical attention. Whether newly arrived or decades into residency, having private health insurance significantly enhances the healthcare experience in Spain.

Multilingual healthcare professionals presence

In Spain, healthcare facilities, particularly those associated with private health insurance companies like ASSSA, often have multilingual staff and medical teams to cater to international citizens, ensuring fluid and friendly communication and personalized care in multiple languages. Public hospitals may not always have English-speaking staff, but interpreters can be provided, especially in tourist areas, and private hospitals are more likely to have English-speaking doctors.



Last Updated 17 Oct 2024
Having helped hundreds of families transition smoothly to their new homes, Kirsty understands the intricacies and emotional challenges involved in relocation. Her insider knowledge and practical advice make her an invaluable resource for anyone looking to simplify the moving process.

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