Management, Granting of Entitlement and Control
Recognition and control of their status as insured or a beneficiary is, in general, the responsibility of the National Social Security Institute (INSS) or, where appropriate, the Social Marine Institute (ISM), through their provincial departments, and will be done automatically in the circumstances provided for in article 3, section 2 of Law 16/2003, of 28 May.
In the cases of medical assistance for people with disabilities, foreigners who are not registered or authorised as residents in Spain, applicants for international protection, victims of human trafficking in a period of recovery and reflection, as well as in the case of individuals covered by a special agreement on medical assistance who do not have the status of insured or beneficiaries of the SNS as laid down in |R.D. 576/2013, of 26 July, the Autonomous Communities (ACs) are responsible for recognising the right to medical assistance.
Once insured or beneficiary status has been recognised, the entitlement to health care shall be implemented by the competent health authorities, who will give individuals access to medical assistance by issuing individual health insurance cards, through the Health Centres of the CAs.
The competent bodies that deal with foreign citizens can inform the INSS (or the ISM), without the consent of the interested party, of the necessary information in order to verify that the requirements set out in sections 3 and 4 of article 3 of Law 16/2003, of 28 May, have been met.
Likewise, the INSS (or the ISM) can process the information contained in the files of the Social Security managing bodies and common services or the competent civil service departments, which is necessary in order to verify insured or beneficiary status. Providing this information to the INSS (or the ISM) does not require the consent of the interested party.
The INSS (or the ISM) will process the information referred to in the previous two paragraphs in order to provide the competent health authorities with the necessary information to verify that they meet the necessary requirements and conditions for entitlement to health care, without requiring the interested party´s consent. Any change or modification reported by the INSS (or the ISM) shall have the applicable effect on the individual health insurance card.