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Portugal – Health Insurance

Health insurance is an essential aspect of living in Portugal, and it is important for both residents and expats to have adequate coverage. In this article, we will explore the health insurance options available in Portugal, including the mandatory state health insurance system, how it works, what it covers, and how to apply. We will also discuss the advantages of international private medical insurance for expats living in Portugal.

Health Insurance Requirements in Portugal

Health insurance is mandatory for all legal residents in Portugal. The Portuguese National Health Service (SNS) provides public health care to all legal residents, including expats, who contribute to the Portuguese social security system.

State Health Insurance System in Portugal

The Portuguese National Health Service (SNS) is a state-funded public health care system that provides comprehensive health care to all legal residents in Portugal. The SNS covers a wide range of services, including consultations with general practitioners and specialists, hospital care, emergency services, prescription drugs, diagnostic tests, and laboratory services.

The SNS is funded by the Portuguese government, which means that residents who contribute to the Portuguese social security system are entitled to free or low-cost health care. However, some services may require a small co-payment.

Applying for State Health Insurance System in Portugal

To join the Portuguese National Health Service (SNS), you must be a legal resident of Portugal and registered with the Portuguese social security system. Here are the steps to apply:

  1. Obtain your social security number by registering with the Portuguese social security system (Segurança Social).
  2. Once you have your social security number, visit your local health center (Centro de Saúde) to register for the SNS.
  3. Provide your social security number, identification documents (passport or ID card), and proof of address to the registration desk.
  4. You will be issued a health user card (Cartão de Utente) that you must present at any health center or hospital when using the SNS.

Advantages of Private Medical Insurance in Portugal

While the Portuguese National Health Service (SNS) provides comprehensive health care to all legal residents, including expats, it is often recommended for expats to have additional private medical insurance. Here are some advantages of international private medical insurance for expats living in Portugal:


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1. Access to private health care facilities

Private medical insurance provides access to private health care facilities, which offer shorter waiting times, more personalized care, and a wider range of services than the public health care system. Private medical insurance can also provide access to English-speaking doctors and specialists, which can be helpful for expats who do not speak Portuguese fluently.

2. Coverage for pre-existing conditions

Portuguese National Health Service (SNS) may not cover treatment for pre-existing conditions. However, international private medical insurance may cover treatment for pre-existing conditions, which can provide peace of mind for expats who have pre-existing medical conditions.

3. Coverage for medical evacuation

In the event of a medical emergency, international private medical insurance may cover the cost of medical evacuation to a hospital in another country or repatriation to the expat’s home country. This can be especially important for expats living in remote areas of Portugal or in areas with limited medical facilities.

4. Customizable coverage

International private medical insurance allows expats to customize their coverage to meet their individual needs. This can include coverage for specific medical treatments or procedures, dental care, and vision care.

5. Comprehensive coverage for travel

International private medical insurance can provide comprehensive coverage for travel, including emergency medical treatment, medical evacuation, and trip cancellation insurance.