Puerto de la Cruz

15 Expats Talk about Health Insurance and Healthcare in Spain

By Joshua Wood, LPC

Last updated on Aug 05, 2025

Summary:

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How are healthcare services Spain?

When we asked expats and global nomads about the quality of medical care in Spain, they replied:

"Healthcare services in Spain are provided by both public and private institutions. The public healthcare system is funded by the government and is available to all Spanish citizens and legal residents. The quality of public healthcare is generally good, with a wide range of services available, including primary care, specialist care, hospital care, and preventive care. Foreign residents in Spain are also eligible to use the public healthcare system, provided they have a valid residence permit. Expats in Spain 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 Spanish citizens, including free or discounted medical care," wrote one expat.

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What are medical services in Spain like?

When we asked expats and global nomads about the quality of medical care in Spain, they replied:

"One time I developed a very sore tooth. I was able to make an appointment for that same day, the dentist was very efficient (and spoke English). And the cost was about 12% compared to the same procedure in the U.S. I was impressed," wrote an expat living in Tenerife.

"In Spain, medical services are generally of a high quality. The country has a well-developed public healthcare system, which is free for Spanish citizens and legal residents. Private healthcare is also available, and is often of a higher standard than the public system. Doctors in Spain are highly trained and experienced, and the country has a wide range of modern medical facilities," said an expat in Spain.

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Are healthcare and health insurance expensive in Spain?

"My policy costs 1017 Euros or about $1109 annually. It can also be paid monthly through a bank deduction. There is no co-pay, which is the requirement for the Spanish visa, so most treatment is included, but not prescriptions or outside consultation," commented one expat living in Altea, Spain.

"Healthcare in Spain is generally considered to be of a high quality and is available to all citizens and legal residents. The cost of healthcare in Spain is largely dependent on the type of insurance coverage that is chosen. Public health insurance is available to all citizens and legal residents and is generally quite affordable. Private health insurance is also available and can be more expensive, but it often provides more comprehensive coverage. In general, health insurance in Spain is not overly expensive, but it is important to compare different plans to find the best coverage for your needs," wrote one expat.

"We have a private health insurance with Sanitas and are happy with them. It’s acceptable at our nearest hospital. Sanitas was most well known health insurance among expats. They will take payments without a Spanish bank account, which we find very convenient because we didn’t have a Spanish bank account last year before we moved to Spain," commented one expat who moved to Granada.

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What are emergency services like in Spain?

When we asked about emergency services, members in Spain wrote:

"On my plan, there are two large private clinics/hospitals in Benidorm which is about a 45 minute bus ride or 20 minute car ride. I have heard and experienced both good treatment at these facilities, and also poor treatment, like a man I know who had surgery for a broken leg after being struck by a car. They botched it and he had to have multiple surgeries to correct it. I had to make multiple trips for assessment and feedback. ," remarked one expat in Altea.

"Emergency services in Spain are generally reliable and efficient. In the event of an emergency, you can call 112 to request an ambulance. The operator will ask for your location and the nature of the emergency, and will then dispatch an ambulance to your location. In some cases, the operator may also provide medical advice over the phone," remarked one expat living in Spain.

"We are about one kilometer from our hospital “Vithas”. It is a very good private hospital. We received excellent care during our emergency visit last year. We were in and out under two hours, which is unheard of in the US. We would call our insurance Sanitas emergency line or dial 112 for emergency," said one expat living in Granada.

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It's impossible to confuse citizenM with any other hotel. We don't look or sound like anyone else. Bold, vibrant, and artistic - that's us. Our rooms cater to modern travelers - enormous ultra-comfortable beds, unlimited free Wi-Fi and 24/7 food and drinks always waiting at canteenM. And best of all, our ambassadors are every guest's best friend.

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It's impossible to confuse citizenM with any other hotel. We don't look or sound like anyone else. Bold, vibrant, and artistic - that's us. Our rooms cater to modern travelers - enormous ultra-comfortable beds, unlimited free Wi-Fi and 24/7 food and drinks always waiting at canteenM. And best of all, our ambassadors are every guest's best friend.

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Will I need to travel to see a specialist?

"The cities of Barcelona, Madrid, and Valencia all have a wide selection of different levels of specialists. In addition, the region of Andalusia is renowned for having some of the top medical professionals in the country. Major cities within Andalusia such as Seville and Granada are especially known as excellent locations to find highly specialized care. Other regions of Spain that are home to excellent medical professionals include the Basque Country, Galicia, and the Balearic Islands," wrote one expat.

"I would not return to my home country (US) for medical care. I would stay in Spain to receive the care, it’s excellent in Spain," commented one expat who moved to Granada.

"I have not had serious health problems, but did seek out a podiatry specialist for alternative treatment for foot pain from Freiberg's. The IMED doctor told me I need to have part of the second and third bone in my foot cut out. The podiatrist (who has multiple locations in this area of the Costa Blanca) used laser and made me custom orthotics and gave me exercises which helped immensely," said one expat.

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Are common prescription medications available in Spain?

"Prescription is inexpensive and available at the local pharmacy. There are many pharmacies at every corner of the town," said one expat.

"Most medications are available at pharmacies without a prescription. Bring old medication bottle or written info with name and dosage. They may have a different name. I always check via internet to make sure what I got is the correct medication and dosage. Certain prescriptions like antibiotics require a prescription. Most medications are extremely inexpensive. ," remarked one expat in Altea.

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Do you have anything more to add about local medical facilities in Spain?

"Medical facilities and medical care in Spain are generally of a high quality. The country has a well-developed healthcare system, with many top-class hospitals and medical centers. Doctors and nurses are highly trained and experienced, and there are a range of specialist services available. The healthcare system is free at the point of care and a range of private services are also offered. The Spanish government also offers a number of preventative healthcare programs that promote public health," wrote one expat.

"I'm 0.5 kilometers from the hospital. It's a very good private hospital. The quality is very good. There are both public and private hospitals. I used the emergency service once and I'm very impressed at the speed and quality of care I received. It's much better than in the US," commented one expat who moved to Granada.

"Haven't used, but hear they are fine. Private insurance first year (about $80 per month with NO deductible), after that can get on state medical for free," said one expat.

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As a foreigner living in Spain, will I have access to public healthcare? What is it like?

"Yes, as a foreigner living in Spain, you will have access to public healthcare. The public healthcare system in Spain is known for its high quality and is free for all citizens and legal residents. It is funded by the government and is available to everyone regardless of their income level. The public healthcare system in Spain is comprehensive and includes primary care, specialist care, hospital care, and preventive care. It also covers prescription drugs, medical tests, and treatments," said an expat in Spain.

"No, not yet. We just moved to Granada eight months ago. My understanding is that after a year, we can join the public health system. Expats in my area are typically enrolled in private health insurance. We have Sanitas private health insurance and we are happy with them, It’s not difficult to enroll, We paid about €188 per month for two people with a full coverage with no copay and no deductible. There are public hospitals in our area but we have never used them because we are not yet eligible to join until after living in Spain for a year.. We used the private hospital Vithas and are very happy with them," commented one expat living in Granada, Spain.

What have your experiences during the pandemic with the local healthcare system been like?

We asked expats in Spain if they have access to public healthcare in Spain. And, if they do have access, what is it like. They wrote...

"The pandemic has had a major impact on the healthcare system in Spain. During the pandemic, the healthcare system has been stretched to its limits, with hospitals and medical centers struggling to cope with the influx of patients. The government has implemented strict measures to try to contain the spread of the virus, including the closure of non-essential services and the introduction of a nationwide lockdown. Despite these measures, the healthcare system has been overwhelmed by the number of cases, leading to long waiting times for appointments and delays in treatment. Additionally, the pandemic has caused a shortage of medical supplies, such as masks and gloves, which has further hindered the healthcare system's ability to provide adequate care," wrote an expat living in Spain.

"While in the U.S. I very intentionally "self-isolated" in a remote section of southern Missouri. But, I received my 2nd Covid-19 vaccination last week, so now feel MUCH safer about traveling and moving about in the world," said an expat in Tenerife.

What advice do you have for expats having a baby in Spain?

We asked expat moms who gave birth in Spain about their experiences and advice they have for other moms to be. They said:

"For expats expecting a baby in Spain, it is important to plan in advance to ensure a smooth and stress-free experience. Research Spanish childbirth and parenting practices and familiarize yourself with the local healthcare system and policies. Make sure you understand the language and cultural differences, so you are aware of the potential challenges and how to manage them. Where possible, connect with other mothers and expats who have given birth in Spain and seek their advice. Be sure to register with a healthcare provider and procure the necessary documents such as a European Health Insurance Card (EHIC) and insurance policies. Additionally, build a close relationship with a doctor or midwife and be aware of the birthing options available to you," wrote a person living in Spain.

"If you think you are progressing faster than they do, speak up! Also don't be afraid to ask for anything you need," explained one expat living in Barcelona.

Are healthcare services good in Spain?

We asked people if they have access to good medical care in Spain. They wrote:

"Healthcare services in Spain are generally very good; the country has some of the best healthcare systems in the world, ranking highly on various health indices. The country offers largely free healthcare for its citizens and residents, with most services provided by the public healthcare system. Patients have free access to general practitioners, hospitals and clinics, and most specialists, tests and treatments are either heavily subsidised or free. Outpatient services are also available, including expert diagnosis and treatment, advice and education. Most medical centres offer comprehensive medical equipment and skilled personnel, and they also provide mental health services and home care. Additionally, Spain offers an extensive range of private healthcare options, and insurance companies in the country often offer incentives for those wanting to invest in private health care," explained one expat.

"Yes. When we were applying for our visa we purchased insurance with Sanitas Health. It costs 150 euros ($165) a month. We have only used our insurance to refill our American prescriptions," said one person in Salamanca.

About the Author

Joshua Wood 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.

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