How to Enroll in the Public Healthcare System in Spain
Summary: A primer on how to enroll in the public healthcare system in Spain.
If you're planning to enroll in the public healthcare system in Spain, this article covers the requirements for foreigners to be able enroll in the public healthcare system, the steps involved and more.
When planning your move to Spain as an expat or digital nomad, one of the crucial aspects to consider is health insurance. Spain requires visitors who intend to stay longer than 90 days to have health insurance coverage that meets specific requirements for obtaining residency. The minimum coverage amount should be equivalent to €30,000, with no copayments or deductibles, and must cover emergency medical and hospitalization services. Additionally, the insurance policy should provide coverage for the entire duration of your stay in Spain.
Does Expat Health Insurance Meet the Requirements?
Yes, expat health insurance plans typically meet the requirements for Spanish residency, provided they include the necessary coverage mentioned above. It is essential to ensure that your policy covers emergency medical and hospitalization services and that the coverage limits meet the minimum requirement of €30,000. Additionally, make sure that the policy does not include copayments or deductibles, as these are not acceptable under the Spanish residency requirements.
Which Local Health Insurers Offer This Type of Insurance?
Several local health insurers in Spain offer insurance plans that meet the requirements for expats and digital nomads. Some of the most popular local insurers include Sanitas, Adeslas, and Asisa. These companies provide a range of health insurance plans designed to meet the needs of expats, including coverage for emergency medical and hospitalization services. It is recommended to compare the different plans and choose one that best suits your needs and budget.
Advice from Expats in Spain about Health Insurance
Expats in Spain share valuable advice regarding health insurance. They recommend choosing a policy with comprehensive coverage that includes not only emergency medical and hospitalization services but also preventive care, specialist consultations, and prescription medications. Additionally, it is crucial to ensure that the policy covers you in other European countries if you plan to travel. Lastly, consider selecting an insurance provider with a strong reputation and positive reviews from other expats, as this can indicate reliable service and support.
About the Author
Joshua Wood, LPC joined Expat Exchange in 2000 and serves as one of its Co-Presidents. He is also one of the Founders of Digital Nomad Exchange. Prior to Expat Exchange, Joshua worked for NBC Cable (MSNBC and CNBC
Primetime). Joshua has a BA from Syracuse and a Master's in Clinical and Counseling Psychology from Fairleigh Dickinson University. Mr. Wood is also a licensed counselor and psychotherapist.
Some of Joshua's articles include Pros and Cons of Living in Portugal, 10 Best Places to Live in Ireland and Pros and Cons of Living in Uruguay. Connect with Joshua on LinkedIn.
Additional Information:
- Spain Guide
- Healthcare & Health Insurance in Spain
- Members Talk about Healthcare & Health Insurance in Spain
- Best Places to Live in Spain
- Real Estate in Spain
- Guide to Real Estate in Spain
- Pros & Cons of Living in Spain
- Cost of Living in Spain
- 15 Best Places to Live in Spain
- Spain vs. Portugal
- 10 Best Places to Live on the Coast in Spain
- Understanding the Health System in Spain
- 2026 Guide to Living in Spain
- Pros and Cons of Living in Spain 2026
- 2026 Guide to Moving to Spain


