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European Health Insurance Card (EHIC)

The European Health Insurance Card (EHIC) is a personal and non-transferable document that is free of charge, and which certifies the holder's entitlement to receive any medically necessary health care benefits during a temporary stay in the territory of the European Economic Area, United Kingdom or Switzerland, taking into account the type of the benefits and the duration of the stay, in accordance with the legislation of the relevant country, regardless of whether the purpose of the stay is a holiday, a professional activity or for studying.

The European Health Insurance Card (EHIC) is not valid when the purpose of the trip is to receive medical treatment, in which case it is necessary for the National Social Security Institute (INSS), or the Social Marine Institute (ISM), to issue the corresponding form after receiving a favourable report from the Health Service.  Neither will the document be valid if  you change your residence  to the territory of a different member State.

In certain cases, you will have to pay a fixed amount or percentage of healthcare expenses, in line with the conditions applicable to residents in the State to which you are travelling. These amounts are not reimbursable.

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The EHIC can be requested

Entitlement holders and their dependent beneficiaries who meet the requirements in accordance with Spanish law and Social Security Community Regulations.

Application and Renewal

 Information on how to apply for the card.

You can apply for or renew your European Health Insurance Card, or that of your beneficiaries, at the Social Security e-Office. We will send it directly to your home address if your address is the same as the one you have registered in Affiliation. If you need us to send it to a different address in Spain, and you have your telephone number registered with us, it can request by having a code sent to your mobile phone. If you have an electronic certificate or cl@ve you can also apply for it here. Remember that if the European Health Insurance Card is for one of your beneficiaries, it is you who must apply for it.

 European Health Insurance Card without digital certificate

 European Health Insurance Card with SMS

 European Health Insurance Card with digital certificate

Irrespective of the EHIC application method, it will be sent to your address within 5 days. Under no circumstances will it be delivered by hand.

When the issue of the EHC is not possible, or if the travel is imminent, the EHC Card Provisional Substitute can be requested.

 Provisional Substitute Certificate (CPS)


The European Health Insurance Card (EHIC) is valid until the expiry date shown on the card. Use of the EHIC during its validity period is subject to the holder continuing to meet the requirements under which the card was issued. Otherwise, expenses incurred may be recovered as undue benefits, in accordance with the provisions of article 76 of Regulation (EC) 883/04.

It is important that you ensure that you have an EHIC and that its validity period includes the planned return date before travelling to another country in the European Economic Area (1) or Switzerland. If not, request a new EHIC to guarantee your health care cover during your stay.

(1) Countries in which the EHIC is valid:

Germany, Austria, Belgium, Bulgaria, Cyprus, Croatia, Denmark, Slovakia, Slovenia, Estonia, Finland, France, Greece, Hungary, Ireland, Iceland, Italy, Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, Norway, the Netherlands, Poland, Portugal, United Kingdom, Czech Republic, Romania, Sweden and Switzerland.

Information note for printing

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Nota informativa para imprimir Descargar documento Nota informativa para imprimir. The document will open in a new window. Descargar documento Nota informativa para imprimir. The document will open in a new window. (PDF,273 KB) 25/03/2021
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