Accessing public healthcare requires registration with the regional health service and obtaining a Tarjeta Sanitaria Individual (TSI) — the Spanish health card.
Steps to Access Public Healthcare
- Obtain your NIE (foreign ID number).
- Register your residency in Spain.
- Register with Social Security (INSS) — required for most retirees unless using an S1 form.
- Provide documentation such as:
- Passport
- Residency certificate
- Proof of Social Security entitlement or S1 form
- Visit your local health center to request your health card.
Who Can Access Public Healthcare?
According to multiple sources:
- Legal residents who work or contribute to Social Security
- EU/UK pensioners with an S1 form
- Residents enrolled in regional healthcare programs
- Some retirees through the Convenio Especial, a paid public healthcare scheme (varies by region)
Spain’s public healthcare is decentralized, so procedures vary slightly by region, but the overall process is consistent nationwide.