MINISTERIO
DE EMPLEO
Y SEGURIDAD SOCIAL

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Beneficiaries / Protected Situations



  • Workers included in the General Scheme, who are affiliated and have active or assimilated contributor status. To the effects of this benefit, they are considered as fully affiliated, although the employer does not meet his obligations.
  • Family members or those assimilated dependent on the above right holders:
    • The spouse.
    • Separated and divorced persons who receive a legally awarded compensatory pension from the entitlement holder.
    • 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:

    • Living with and being dependent on the entitlement holder (except separated and divorced persons).
    • Not carrying out any paid work, or receiving income from property or pensions that is greater than two times the IPREM.
    • Not having the right to this benefit for a different reason.

Other entitlement holders/beneficiaries:

  • Absolute orphans and descendants and siblings of workers or pensioners, when having been the holders of an orphanhood pension or pension in favour of family members, respectively, it has expired due to reaching the age, lack of means of subsistence and not covered by a person who is the holder of the right to this benefit.
  • Spanish citizens who have returned to live in Spain and Spanish pensioners who reside abroad and have temporarily returned to Spin.
  • Spanish emigrants who, during their temporary stay in Spain or definitive return, sign a health care agreement, as they do not have the right to the same for any other concept.
  • Other collectives integrated into the General Scheme to the effects of health assistance are:
    • Disabled veterans from the Republican Zone.
    • Persons who, during the Spanish Civil War, formed part of the Armed Forces, Public Order Forces and Military Police Corps of the Republic.
    • People with insufficient economic resources.
    • Holders of pensions caused by acts of terrorism.
    • The beneficiaries of widowhood pensions, orphanhood pensions and pensions in favour of family members, granted to Spanish citizens who died as a consequence of or during the course of the Civil War.
  • Foreign citizens residing in Spain (with a residence card or permit), who are entitled to receive health care from the Social Security under the same terms as Spanish citizens, in accordance with the provisions of Article 14.1 of Organic Law 4/2000, of 11 January, on Rights and Freedoms of Foreign Citizens and their Social Integration.
  • Citizens from other member states of the European Union and those who are within the scope of application of EU rules, will be governed by European Union law. In the case of citizens from countries with which Spain has signed treaties, agreements or international instruments, these shall prevail over national laws.

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  • Common or occupational disease.
  • Work-related or non-work-related injury.
  • Maternity.
  • Risk during pregnancy.
  • Risk during breastfeeding.

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