During September of 2009 important changes were implemented for foreigners resident in Spain. It is therefore important to understand the effects these changes have had on us all.
Spains public health system offers health care free or at a low cost so long as you are either paying social security here or are in receipt of a UK state pension.
However, as with many other countries the public health service has waiting lists to see specialists and for non-urgent operations.
How the system will work for you
As a contribution based economy Spain will provide free medical treatment to British nationals whilst on holiday. However when you take up residence you have to pay the Spanish National Insurance, currently €260 per month.
As Spain is part of the EU you are entitled to free care if you receive a British pension.
Please note that as from September 2009, any foreigner who is not in one of the above mentioned categories will not receive free medical assistance.
Getting tougher on who can use their health system
It was recently reported that because Spain cannot afford to look after it’s own people under the system, they have decided to stop all treatment to foreigners. If you don’t contribute, you don’t get the benefits.
The E111 is ONLY for use whilst on holiday and new systems in operation from September will ensure that this is the case! The EHIC/E111 allows reciprocal emergency health care during temporary visits to other EU countries. Strictly speaking it is not a permanent entitlement nor a full entitlement to all treatments available under each nations state health care systems.
Why have private health insurance Spain?
If you do not qualify for public health care then it is essential that you have private health insurance. No insurance will mean no treatment. Everyone hopes they will never need to use any kind of health professional, however accidents and emergencies do happen. For that reason alone, not to mention pure peace of mind, it’s worth investigating your options.
Even if you are under the public health care system it is still advisable to have private health insurance as well in order to skip the waiting lists and receive treatment quickly, when needed.
For more information about health insurance click here.



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