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The healthcare system has improved considerably over the last few years and is now something the Spanish can be justifiably proud of. Here's a guide to insurance, doctors, dentists, pharmacies and emergency treatment.In 1998 the Sistema Sanitario Público (public health service) brought in an official mandate for both doctors and patients outlining the service to which you are entitled — plus what the health service expects from you.
In any doctor’s office you should find these rights in a leaflet entitled Carta de Derechos y Deberes (Charter of Rights and Obligations) – only minimally different, if at all, in various provinces – which tells you everything in detail. Some small practices have posters on the wall containing all the facts you would find in the leaflet, but whatever the case you are entitled to view these rights.
Health insurance
It is not necessary to have private health insurance in Spain, and although there are many such insurance companies in the country, they are used mainly by people who feel more comfortable with private health insurance.
If you have been brought over to Spain by a company you are probably provided with health insurance anyway, but there is no need for concern if you don’t have it. The public healthcare system in Spain is extremely good.
EU residents
Under a reciprocal agreement between European Union governments, residents of EU countries can receive free medical care when visiting another country. To make sure you qualify, get an E111 form, which is standard for all member states of the EU, before coming to Spain. It is usually available at post offices.
If you are receiving a benefit for a disability or as a pensioner in your home country (within the EU) you should also ask your local Social Security office for a E121 form as this will be required for you to receive free prescriptions.
Spanish medical card
The EU reciprocal agreement covers you for treatment in Spain until you get an official Medical Card (Tarjeta de SS) from your local Social Security Office (INSS – Oficina del Instuto Nacional de Seguridad Social) in Spain. The office you require for the medical card is often to be found in clinics and some hospitals. If in doubt as to where to go for this you should ask at your doctor’s office.
I was recently taken into hospital in Osuna and found to need an emergency operation. I can not fault the treatment I received. The ambulance arrived in less than 20 mins, from arrival at the hospital at approximately 7pm I had seen a consultant, had blood tests, given urine samples, had a drip tap fitted, had surgery and been returned to my room by 1.30 the next morning.I shared a room complete with ensuite bathroom with a lovely Senora, and my husband to stay by my bed. I left after 3 days. The only papers I provided was my NIE.
Before you head out to explore the new city, make sure your paperwork's all done by referring to our guide.
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This in-depth profile of Spain includes geography, people, government, economy and transnational issues.
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