The Algarve, Portugal



Understanding the Health System in Portugal

By Betsy Burlingame

SJB Global
SJB Global

Summary: Discover the realities of the healthcare system in Portugal and how it may serve expats, digital nomads, retirees, and others who relocate or reside in the country.

Portugal has a public and private healthcare system, both of which are available to foreigners. The public healthcare system is called Serviço Nacional de Saúde (SNS) and is funded by taxes. It is free for Portuguese citizens and permanent residents, and foreigners can use it for a fee. Public hospitals are generally recommended for serious medical emergencies and major surgery, and the quality of care is generally good.

Portugal's Public Healthcare System

Portugal's public healthcare system, Serviço Nacional de Saúde (SNS), is funded by taxes and is free for Portuguese citizens and permanent residents. Foreigners can use the public healthcare system for a fee. Public hospitals are generally recommended for serious medical emergencies and major surgery, and the quality of care is generally good.

Portugal's Private Healthcare System

Portugal also has a private healthcare system, which is used primarily by expats and digital nomads. Private hospitals are more expensive than public hospitals, but they offer more personalized care and shorter wait times. Private hospitals are recommended for serious medical emergencies and major surgery, and the quality of care is generally excellent.

Portugal's Top Hospitals

Some of the most well-known hospitals in Portugal include:

  • Hospital de Santa Maria (public hospital in Lisbon)
  • Hospital da Luz (private hospital in Lisbon)
  • Hospital de São João (public hospital in Porto)
  • Hospital da Boavista (private hospital in Porto)
  • Hospital de São José (public hospital in Coimbra)
  • Hospital da Luz Arrábida (private hospital in Vila Nova de Gaia)

Health Insurance Companies in Portugal

The most popular private health insurers in Portugal are Seguradoras Unidas, Fidelidade, and Lusitania. Expats and digital nomads typically use these companies or specialized expat health insurance providers.

Insider Tips from Expats in Portugal: How to Navigate the Health System

"Portugal offers a wide range of healthcare services, including primary care, hospital care, mental health services, and specialized care. The public healthcare system in Portugal is funded by the government and is free for all citizens and legal residents. The quality of public healthcare in Portugal is generally good, with modern facilities and well-trained staff. Foreign residents in Portugal are also eligible to use the public healthcare system, although they may need to pay a fee for certain services. Expats in Portugal can use the public healthcare system by registering with the local health authority and obtaining a health card. This card allows them to access the same services as Portuguese citizens, including free or discounted medical care," commented one member living in Portugal.

"Connect with other expats to obtain physician references and sources of private insurance so you can benefit from their research and experience. Bring copies of your medical records with you. Quality of care can be very high in Portugal's major communities. Costs are much lower, by about half, and prescriptions range from a tenth to a half of the costs in the US," mentioned one expat living in Portugal.

"Speak to locals (especially other expats for have been around for at least a few years) to recommend health care providers, especially specialists," said an expat in Portugal.

"Emergency services in Portugal are generally reliable and efficient. In the event of an emergency, the best way to call for an ambulance is to dial 112, the national emergency number. This number is free of charge and can be dialed from any phone, including mobile phones. The operator will then connect you to the appropriate emergency service, such as an ambulance, fire brigade, or police," commented one member living in Portugal.

"ClinicaCUF is a company of health care providers, with clinics in each major town between Lisbon and Cascais, and beyond....one is never more than a couple of kilometers from a clinic if living in a major city. Hospital care at the Cascais Hospital is world-class. Both ClinicaCUF and Cascais Hospital accept private and state-insured patients. ," mentioned one expat living in Portugal.

"I'm closest to a day hospital, but I've never had to use emergency services (yet). So far, I've used only the local health clinic, which is in the public system. The private network is mostly the hospitals like CUF or Lusíadas," said an expat in Portugal.

"I don't know because we just moved here. Nearest hospital is Faro which is about 40 km," remarked one expat in Portugal.

About the Author

Betsy Burlingame Betsy Burlingame is the Founder and President of Expat Exchange and is one of the Founders of Digital Nomad Exchange. She launched Expat Exchange in 1997 as her Master's thesis project at NYU. Prior to Expat Exchange, Betsy worked at AT&T in International and Mass Market Marketing. She graduated from Ohio Wesleyan University with a BA in International Business and German.

Some of Betsy's articles include 12 Best Places to Live in Portugal, 7 Best Places to Live in Panama and 12 Things to Know Before Moving to the Dominican Republic. Betsy loves to travel and spend time with her family. Connect with Betsy on LinkedIn.


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