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Spain – Health Service

In this article, we will explore the standard of healthcare in Spain, how healthcare is paid for, the services provided by hospitals, follow-up care, and rules regarding medical treatment of foreign visitors.

Standard of Healthcare

Spain has a highly rated healthcare system, with high standards of care and access to advanced medical technologies. According to the World Health Organization’s 2020 World Health Statistics, Spain ranked 8th out of 195 countries in terms of overall health system performance.

Spain has a universal healthcare system, with public healthcare providers offering services that are largely funded by the government. The system is funded through a combination of general taxation and contributions from patients. Private healthcare providers are also available, and patients may choose to pay for healthcare services out-of-pocket or through private health insurance.

Healthcare Payment System

In Spain, healthcare is paid for through a combination of general taxation and patient contributions. Patients are required to pay a percentage of the cost of medical treatment, which varies depending on their income and the type of treatment they receive. Private health insurance is available, but it is not necessary for access to healthcare services. Private insurance may provide access to additional services, such as faster access to specialist care or elective surgery.

Foreign visitors to Spain are entitled to emergency medical treatment, but they may be required to pay for non-emergency medical treatment out-of-pocket or through private travel insurance.

Services provided by hospitals

Hospitals in Spain provide a range of medical services, including emergency care, surgery, and specialized care. Patients’ families are generally not expected to provide care for them while they are in the hospital. Instead, hospitals provide a range of support services to patients and their families, including social work, counseling, and education about the patient’s condition and treatment options.


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In addition to medical services, hospitals in Spain also provide spiritual and emotional support to patients and their families, with chaplains and counselors available to offer guidance and comfort.

Follow-up Care

After a patient has been discharged from the hospital, they may receive follow-up care from their primary care provider or a specialist. Primary care providers in Spain are typically general practitioners (GPs), who provide a range of medical services, including preventive care, diagnosis, and treatment of common health problems.

In some cases, patients may be referred to a specialist for further treatment or testing. In addition to primary care, patients may receive follow-up care from other healthcare providers, including physiotherapists, occupational therapists, and mental health professionals. The goal of follow-up care is to ensure that patients receive the best possible care and support throughout their recovery.

Medical Treatment of Foreign Visitors

Foreign visitors to Spain are entitled to emergency medical treatment, but they may be required to pay for non-emergency medical treatment out-of-pocket or through private travel insurance. Visitors from the European Union (EU) are entitled to healthcare services through the European Health Insurance Card (EHIC), which provides access to publicly funded healthcare services in EU countries, including Spain.

Visitors from outside the EU may be required to pay for medical treatment upfront and then claim reimbursement from their insurance provider later. It is important to keep all receipts and documentation related to medical treatment, as these may be needed to make a claim.

Spain’s healthcare system is highly rated, with high standards of care and access to advanced medical technologies. The country has a universal healthcare system, with public healthcare providers offering services that are largely funded by the government. While private healthcare providers are also available, patients may choose to pay for healthcare services out-of-pocket or through private health insurance. Foreign visitors to Spain are entitled to emergency medical treatment, but they may be required to pay for non-emergency medical treatment out-of-pocket or through private travel insurance. Visitors from the EU may be entitled to healthcare services through the EHIC, while visitors from outside the EU may need to pay upfront and claim reimbursement from their insurance provider.

Overall, Spain’s healthcare system provides high-quality care and support to patients and their families, with a range of medical and support services available both in hospitals and in primary care settings. With its universal healthcare system and high standards of care, Spain is a popular destination for medical tourism and is well-equipped to handle the healthcare needs of both residents and visitors.