Healthcare in Spain for Expats – A Clear, Simple & Complete Guide
Healthcare in Spain for Expats – A Clear, Simple & Complete Guide
If you’re moving to Spain or already settling in, understanding healthcare in Spain for expats is essential for feeling confident and supported. This guide gives you a simple, practical overview of how the system works — without jargon or confusion.
Spain offers one of the world’s strongest healthcare systems. You’ll find:
- Public healthcare (SNS) – universal, tax-funded, excellent quality
- Private healthcare – faster, flexible, English-speaking professionals
- A mix of both, which is what most expats end up using
How Spain’s Healthcare System Works
Spain consistently ranks among the healthiest countries globally thanks to its emphasis on prevention, accessibility, and continuity of care.
If you want to review official information, you can also visit the Spanish Ministry of Health →
Public Healthcare in Spain (What Expats Should Know)
What the Public System Covers
The Sistema Nacional de Salud (SNS) provides:
- GP (family doctor) care
- Specialist consultations (with referral)
- Hospitalisation
- Emergency care
- Pregnancy & maternity care
- Basic paediatric services
What’s not included
- Most dental care
- Eyeglasses or vision care
- Extended mental health services
- Long-term therapy
- Many elective procedures
Who can access the public system?
You generally need:
- Residency in Spain
- A Social Security number
- Active contributions OR a special agreement (Convenio Especial)
- Spanish health card (Tarjeta Sanitaria)
Once registered, you’re assigned a local doctor and can access the full network.
EU vs Non-EU Expats: Key Differences
EU / EEA Citizens (EHIC & Residency)
With an EHIC card, you may access medically necessary care for temporary stays.
For full access once living in Spain, you must register with Social Security.
Non-EU Citizens (Visa + Residency Requirements)
You do not automatically gain access.
You must:
- Become a legal resident
- Contribute to Social Security
- Or join the Convenio Especial
Until then, private health insurance is required.
The Convenio Especial Explained
A paid scheme (€60–€157/month) that grants access to the public system for residents not contributing through employment.
Private Healthcare in Spain for Expats
Private healthcare in Spain is modern, efficient and widely used by expats.
If you want a clear explanation of all private insurance options, see our full guide to health insurance for expats in Spain →
Why expats choose private care
- Faster appointments
- Shorter wait times for tests & specialists
- English-speaking doctors
- Broader mental health and dental options
- No referrals required
- Comfort and clarity when you’re new to the country
Typical Costs
€50–€200/month depending on age, coverage level and insurer.
Public vs Private Healthcare in Spain (Comparison Table)
| Feature | Public (SNS) | Private |
|---|---|---|
| Eligibility | Residents only | Anyone with a private plan |
| Cost | Free/low cost | €50–€200/month |
| Waiting Times | Long | Very fast |
| Doctor Choice | Limited | You choose |
| Language | Mostly Spanish | English-speaking |
| Dental | Not included | Included/optional |
| Visa Acceptance | Not accepted | Required |
Healthcare for Expats Moving from Abroad (USA, UK, Canada & Others)
Before You Become a Resident
You cannot access public care until you become legally resident.
Why Private Insurance Is Required
For most visas — Non-Lucrative, Digital Nomad, Student, Golden Visa — you must show proof of no-copay, full medical coverage.
Keeping Private Insurance Long-Term
Many expats keep their private plan for speed and comfort even after gaining access to the public system.
Pharmacies, Dental & Vision
- Pharmacies are accessible and efficient.
- Dental is not included in public care — private insurance helps.
- Glasses and routine eye care are private as well.
Specialized Care: Mental Health, Women, Children, Seniors
Spain provides solid public care, but wait times vary by region.
Private insurance gives faster access to:
- Psychologists & psychiatrists
- Gynaecology & fertility specialists
- Paediatricians
- Geriatric care
Frequently Asked Questions (FAQ)
Do expats get free healthcare in Spain?
Only if they’re legally resident and registered with Social Security.
Is private health insurance required for visas?
Yes — it must be full coverage, no copays.
Do I need private insurance if I have access to public care?
Many expats keep both for speed and clarity.
Need Guidance Choosing Your Healthcare Path?
If you’d like clear, human guidance choosing the right coverage for your situation, you can get a personalized expat health insurance recommendation — no pressure, just clarity.
