Social Security

Who is entitled to Social Security health care?

• Persons entitled to the right, workers (affiliates, affiliated or in assimilated contributor status), pensioners and recipients of periodic benefits, including recipients of the unemployment benefit.
  
  
• Family members or those assimilated dependent on the above right holders:
  
  
  • The spouse.
  • Those separated and divorced who, on the date of the separation or divorce, appear on the spouse's card, as long as they do not have the right to health care for anything else.
  • The person who, without being the spouse of the right holder, lives in matrimony with them, at least one year before the date of the application, as well as their children.
  • Descendants (of both spouses or either of them), adopted children and siblings.
  • Exceptionally, "de facto" foster children, including foreign children fostered "de facto" and in a temporary manner by Spanish persons who are entitled to healthcare.
  • Ancestors of the holder and their spouse, as well as the spouses of these ancestors by later marriages.

All of the above have to meet the following requirements:

• Live with and be dependent on the right holder (except separated and divorced people).
• Not carrying out paid work, nor receiving patrimony or any pension greater than double the IPREM.
• Not having the right to this benefit for a different reason.
  
  
• Other groups with right to healthcare: persons without sufficient economic resources, holders of pensions resulting from acts of terrorism...

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Does the person included as a worker's beneficiary in the Social Security card have the same health care benefits as the entitlement holder?

In general, health benefits have the same content  for the entitlement holder (workers and pensioners) and the beneficiaries under their responsibility, unless the determining contingency was a work accident or occupational disease, in which case care is more complete (plastic surgery ...).

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Is it possible to include a divorced worker, who lives with their partner without being married, as a recipient in their social security card if their ex-wife remains on it because she does not work?

Generally, as long as they meet the necessary requirements, any person who, without being the spouse of the entitlement holder, currently live together as husband and wife and have done so for at least one year prior to the date of the application, has the entitlement to health care, as do the children of said person.

The inclusion of this person as a recipient, does not alter the right to healthcare of the possible ex-spouse.

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