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Understanding Spanish Healthcare: Public and Private

Published on 20 Oct 2024

Spain is renowned for its high-quality healthcare, and as a resident or someone considering living in Spain, it’s essential to understand how both public and private healthcare systems function. Spain offers both public and private healthcare systems, and combining the two can ensure you get the best care. Here’s a quick guide to help you understand how to access healthcare in Spain and why private health insurance, such as the options offered by Sanitas might be the best choice for you.

1. Public and Private Healthcare in Spain

Spain’s healthcare system is divided into public and private sectors. Public healthcare, known as the "Sistema Nacional de Salud" (SNS), provides services to Spanish citizens and legal residents who pay into the social security system. However, accessing public healthcare isn't automatic—you need to be registered, which means either working and contributing to social security, or qualifying through specific agreements like the S1 form (which applies to certain pensioners, expatriates, or people with special arrangements with other EU countries and the UK)

Private healthcare, on the other hand, operates separately, offering faster and more personalized care. Many residents, both locals and expats, choose to use private health insurance as a complement to the public system or as their primary healthcare solution, ensuring that they avoid the common delays in the public system.

2. No Automatic Access to Public Healthcare

One crucial point to remember is that you don’t automatically gain access to Spain’s public healthcare system unless you're contributing to social security or qualify via another route. For family members, such as dependents, registering with the public system can take time due to administrative processes, leaving you without immediate access to necessary care. 

This is where private health insurance becomes especially beneficial. With a provider like Sanitas, you can gain immediate access to high-quality healthcare services without the delays associated with public system registration. This is particularly important for those new to Spain or those who haven’t yet started contributing to the social security system.

3. Comprehensive Health Insurance Is Mandatory for Residency

If you're applying for legal residency in Spain, private health insurance is a mandatory requirement. For those with no access to public system, you’ll need to show proof of private health cover when applying for residency. Providers like Sanitas offer comprehensive plans that meet the legal requirements, making it easier for you to secure your residency without stress.

4. Private Healthcare: Affordable and Efficient

One of the biggest advantages of Spain’s private healthcare system is its affordability. Compared to other countries, private health insurance in Spain is very reasonably priced, making it accessible for most residents. Plans from Sanitas are known for being competitively priced while offering comprehensive coverage, including access to top medical specialists and private hospitals.

In addition to affordability, private healthcare eliminates many of the drawbacks of the public system. Long waiting times, limited availability of English-speaking doctors, and lack of flexibility in choosing your medical provider are common complaints in the public system. With Sanitas, you can enjoy faster access to specialists, the ability to choose your preferred doctor, and medical assistance in English, which is crucial for non-Spanish speakers.

5. Public Healthcare: Strong but with Limitations

Spain’s public healthcare system is well-regarded for its quality and accessibility. However, it does have limitations. Long waiting times for specialists, non-urgent procedures, and no free choice of doctors are common challenges faced by users of the public system. Additionally, for non-Spanish speakers, language barriers can be an issue, as the public system often lacks comprehensive support in English.

While the public system can handle emergencies and general care, it may fall short when it comes to specialized treatment or faster services. This is why many residents opt for private healthcare to fill these gaps.

6. The Best of Both Worlds: Public and Private Coverage

For those who want the best healthcare experience in Spain, combining public and private healthcare is often the ideal solution. The public system can handle basic medical needs, while the private sector ensures quicker access to specialists and personalized care. Private health insurance through Sanitas offers flexible, affordable plans that provide peace of mind, knowing you’ll get the best care when needed.

Conclusion: Why Sanitas Is the Smart Choice

Whether you’re a new resident in Spain or simply looking to upgrade your healthcare experience, having private health insurance is essential. The public system, while strong, has its downsides—delays, limited doctor options, and lack of English-language support. Private healthcare solves these issues, offering faster, more convenient, and tailored care.

Sanitas is one of Spain’s leading private health insurance providers, known for its extensive network of doctors, hospitals, and medical centres. With a wide diversity of insurance plans, Sanitas ensures you get the best care without the long waits or administrative hurdles, and Malaga Expat is delighted to act as Sanitas authorised agent. Contact us to explore your options and find a plan that fits your needs perfectly.

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