Understanding Healthcare in Spain: What Expats Need to Know

Dec 16, 2025By Влад Денесюк
Влад Денесюк

Relocating to Spain offers an exciting new chapter filled with rich culture, beautiful landscapes, and a vibrant lifestyle. However, understanding the healthcare system is crucial for expats planning to move. Spain boasts a high-quality healthcare system, but knowing how to navigate it is essential for accessing the care you need.

spanish healthcare

The Spanish Healthcare System

Spain’s healthcare system is among the best in the world, providing both public and private options. The public healthcare system, known as the Sistema Nacional de Salud (SNS), offers universal coverage to all residents, including expats. This system is funded through social security contributions, ensuring that essential services are accessible to everyone.

While most services under the SNS are free, some treatments may require a minimal fee. It’s important to note that the public system covers a wide range of services, from general practitioner visits to specialist care and hospital stays.

Registering for Public Healthcare

To access public healthcare, expats must register with their local town hall to obtain a residence certificate. This process includes registering for a social security number. Once registered, you can apply for a health card, or Tarjeta Sanitaria Individual (TSI), which allows you access to public health services.

register healthcare

Private Healthcare Options

In addition to the public system, Spain offers a robust private healthcare sector. Many expats choose private insurance for shorter wait times and access to a broader range of services. Private healthcare is particularly popular in urban areas, offering services in multiple languages.

Private insurance plans vary in coverage and cost, so it’s essential to research and compare options to find the best fit for your needs. Consider factors such as coverage limits, the list of affiliated hospitals, and whether dental and vision care are included.

Pharmacy and Prescription Services

Pharmacies are widespread across Spain and are easily recognizable by the green cross sign. They offer a range of over-the-counter medications and can fulfill prescriptions from your doctor. Prescription medications are often subsidized under the public system, reducing their cost significantly for residents.

pharmacy spain

Emergency Services

In case of an emergency, Spain provides efficient emergency healthcare services. You can dial 112 for immediate assistance, which will connect you to operators who speak multiple languages. Emergency services are covered under the public system, ensuring that anyone can receive urgent care when needed.

Understanding these aspects of the Spanish healthcare system can ease your transition and ensure you have access to the necessary medical care. Whether you choose public or private healthcare, Spain provides comprehensive options to ensure your wellbeing.