How good is healthcare in Spain?
- See the data table below for detailed numbers
- Check the FAQ section for common expat questions
- Use our free assessment to get personalised results
Navigating Spain's healthcare system doesn't have to be overwhelming. This guide breaks down exactly what you need as an expat.
Healthcare System Overview
| Indicator | Value |
|---|---|
| System Type | Universal Public |
| Healthcare Quality Index | 87/100 |
| Spending per Capita | €3,189 |
| Life Expectancy | 83.1 years |
How the System Works
Spain's healthcare system is classified as Universal healthcare public. The government funds healthcare primarily through taxation, providing Universal healthcare coverage to residents.
Public vs Private Healthcare
Most countries offer both public and private healthcare options:
- Public healthcare: Available to all registered residents. May have waiting lists for non-urgent procedures. Typically lower cost but less choice of provider.
- Private healthcare: Shorter wait times, choice of specialist. Higher cost but often better facilities. Many expats choose private insurance for the first year.
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Emergency Numbers
| Service | Number |
|---|---|
| Universal Emergency | 061 |
| Ambulance | 091 |
| Police | 091 |
Save these numbers in your phone before arriving in Spain. In EU countries, 112 works universally. In non-EU countries, learn the local numbers and keep them accessible.
Health Insurance for Expats
As an expat in Spain, your insurance options typically include:
- Employer-sponsored insurance: If employed locally, your employer may enrol you in the public system or provide private coverage
- International health insurance: Global plans from providers like Cigna, Allianz, or Bupa — ideal for the first year or if you plan to move again
- Local private insurance: Often cheaper than international plans but may have language barriers in claims
- Public system enrolment: Available once you have a residence permit and employment
Healthcare Quality
With a healthcare quality index of 87/100, Spain offers excellent healthcare by international standards.
Life expectancy in Spain is 83.1 years, which is above the global average.
Government healthcare spending is approximately €3189 per capita per year.
Practical Tips
- Register immediately: Sign up for health insurance within your first week of arrival
- Bring medical records: Carry translated copies of your medical history, prescriptions, and vaccination records
- Find an English-speaking doctor: Expat communities and forums often maintain lists of English-speaking practitioners
- Prescription medications: Check if your regular medications are available and legal in Spain. Bring a 3-month supply with a doctor's letter
- Dental care: Dental coverage varies widely — check what your insurance covers and consider supplemental dental insurance
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Frequently Asked Questions
What vaccinations do I need before moving to Spain?
Check the WHO and your country's travel health advisory for recommended vaccinations for Spain. Standard vaccines (MMR, tetanus, hepatitis A/B) are generally recommended. Some regions may require additional vaccines. Bring your vaccination records.
Are prescriptions from my home country valid in Spain?
Foreign prescriptions are generally not valid in Spain. Bring a translated copy of your prescriptions and a doctor's letter explaining your medication needs. Visit a local GP to get prescriptions reissued. Some medications may have different brand names or availability.
Does Spain's health insurance cover dental care?
Basic dental care (check-ups, emergency treatment) may be partially covered by public insurance in Spain. However, major dental work (crowns, implants, orthodontics) usually requires supplemental dental insurance. Many expats purchase separate dental cover.
How do I register for healthcare when I arrive in Spain?
Registration typically involves visiting a local health office or insurance provider within your first weeks. You will need your residence permit, passport, and proof of address. Your employer may handle registration if you are employed locally.
What should I do in a medical emergency in Spain?
Call the emergency number (061) immediately. In a life-threatening emergency, go directly to the nearest hospital emergency department. Carry your insurance card and a translated summary of any medical conditions or allergies. Hospital emergency departments cannot refuse treatment.