Health care in Spain, which is publicly funded through the National Health System (SNS), provides cover for people who have insured status.
Insured status is granted to people in any of the following circumstances:
- Being employed by a third party or self-employed, registered with the Social Security system as active or in an equivalent situation.
- Being a pensioner in the Social Security system.
- Being in receipt of any other periodic Social Security provision, including unemployment benefits and others of a similar nature.
- Having exhausted unemployment benefits and others of a similar nature, being unemployed, not having insured status on any other grounds and residing in Spain. This scenario will not apply to those persons mentioned in article 3 (c) of Law 16/2003 of 28 May (foreigners not registered or authorised as residents in Spain).
Individuals not covered by the preceding point or by article 3 of R.D. 1192/2012, of 3 August, who do not have mandatory health insurance by some other means and who are in any of the following situations:
Cover resulting from special mandatory insurance for health risks arising from specific activities carried out by the insured, whether arranged by that individual or through a third party, shall not be regarded as mandatory health insurance by some other means. Nor shall being a member of a mutual welfare scheme other than the regime of the Social Security system be regarded as such.
Having Spanish nationality and residing in Spanish territory.
Being nationals of a member State of the European Union, the European Economic Area or Switzerland and being registered on the Central Register of Foreign Citizens.
Being nationals of a country other than those mentioned above, or stateless, and having authorisation to reside in Spanish terrritory, for as long as that authorisation is valid in accordance with the terms provided for in its specific regulations.
Minors subject to administrative guardianship shall be regarded as insured individuals.
Temporary Scheme for accessing health care in Spain:
Individuals who, prior to the entry into force of Royal decree-law 16/2012, of 20 April, had access to medical assistance in Spain and do not have insured status in accordance with the provisions of section 2 of article 3 of Law 16/2003, of 28 May, or in accordance with EU regulations or bilateral agreements, along with their beneficiaries, may continue to access medical assistance until 31 August 2012, without the need to prove insured or beneficiary status under the terms of article 3 of Law 16/2003, of 28 May.