Do foreigners pay for healthcare in Spain?

Costs of the Spanish Healthcare System for Expats There are no co-pays for any kind of doctor visit in Spain. As well, most tests, services, and procedures are included in the public system. However, there are modest fees associated with ambulance usage should the service be deemed non-life-threatening.



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Care at private centres will always be charged. We recommend always travelling with international medical insurance, especially if you are not a citizen of the European Union, Switzerland, Norway, Iceland, Lichtenstein or a country with a bilateral healthcare agreement with Spain that covers assistance.

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Overview of the SNS, the Spanish Healthcare System Through the SNS, all basic medical services are free. However, if you have surgery, an overnight hospital visit, or certain diagnostic tests there might be a small fee.

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Hospitals in Spain For scheduled hospital appointments and treatment, patients have to ask their GP for a referral. In an emergency, patients can go directly to A&E (accident and emergency) at the nearest hospital, without a referral.

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