Health Insurance in Spain for UK Citizens: Your Post-Brexit Guide

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Navigating health insurance in a foreign country can be a daunting task, especially in the post-Brexit era where regulations and agreements have undergone significant changes. For UK citizens moving to or living in Spain, understanding the health insurance requirements can be particularly challenging. This comprehensive guide aims to answer all your concerns and questions about health insurance in Spain, ensuring you have the information needed to make informed decisions and secure the necessary coverage.

Spanish Healthcare System Explained

Spain has a high-quality healthcare system, which is divided into public and private sectors. The public healthcare system, known as the "Sistema Nacional de Salud" (SNS), provides universal coverage funded by taxes. However, the extent of access to public healthcare for UK citizens has changed due to Brexit, making private health insurance a crucial consideration for many.

Public Healthcare Access for UK Citizens

According to information from Gov.uk, all residents in Spain need to register to access healthcare. Once registered for healthcare, basic state services are free, but there are some costs that patients need to cover, such as prescription charges, which may require partial or full payment.

UK nationals usually access the Spanish national health system in one of these ways:

- Through Employment: If they are employed or self-employed and make social security contributions in Spain.

- Using an S1 Form: By registering a UK-issued S1 form with the social security office.

- Permanent Residency: Through entitlement to healthcare as a permanent resident if they’ve lived in Spain for 5 years.

- Convenio Especial: By paying directly into the public health insurance scheme.

- EHIC/GHIC: Using a European Health Insurance Card (EHIC) or Global Health Insurance Card (GHIC) for temporary stays.

Healthcare for Residents and Workers

If you plan to stay in Spain for more than three months, you must register as a resident or apply for the appropriate visa. This process includes showing proof of healthcare cover, which is usually achieved through social security contributions as an employee, private insurance, or by paying voluntary contributions to the "Convenio Especial."

For those working or self-employed in Spain, entitlement to state healthcare is on the same basis as Spanish workers, and this also extends to dependants. To register, visit your local health centre with your social security number, which can be obtained from your local National Social Security Institute (TGSS) office.

How to Choose the Best Private Health Insurance for UK Citizens

Given the complexities and potential limitations of accessing public healthcare, many UK citizens opt for private health insurance. Here are the key points to consider:

1. Comprehensive Coverage: Private health insurance typically offers more comprehensive coverage, including access to private hospitals, shorter waiting times, and a broader choice of specialists.

2. Cost: The cost of private health insurance varies depending on age, medical history, and the level of coverage. It’s advisable to compare different providers and plans to find the best fit for your needs.

3. Providers: Several international and local insurers offer private health insurance plans in Spain. Some of the well-known providers include Asisa, DKV, Feather, ASSSA and Safety Wing. Many of these companies offer English-speaking customer service and tailored plans for expatriates.

4. Pre-Existing Conditions: Confirm how pre-existing conditions are handled. Some plans may not cover these conditions, or they may require an additional premium.

5. Visa and Residence Permit Requirements: When applying for any Spanish visa or the NIE/TIE (residence permit), it is essential to purchase health insurance that meets specific criteria:

- No Coverage Limit: The insurance should have no coverage limit to ensure full protection.

- No Co-Payments: There should be no co-payments required for services.

- No Deductibles: The plan should not have any deductibles.

- No Waiting Period: Ensure the insurance has no waiting period for accessing services.

6. Additional Benefits: Look for additional benefits such as dental care, mental health services, and prescription medication coverage.

Best Private Health Insurance Providers for UK Citizens

For UK citizens seeking private health insurance in Spain, the following providers are highly recommended due to their comprehensive coverage and expatriate-friendly services:

1. Asisa

Known for its extensive network of hospitals and clinics, Asisa offers a range of plans that cater to different needs, including those that meet visa and residency requirements.

2. DKV

DKV is a popular choice due to its wide array of health insurance products, excellent customer service, and extensive network of healthcare providers.

3. Feather

Feather provides user-friendly health insurance plans tailored specifically for expatriates, ensuring hassle-free access to healthcare services without hidden costs.

4. ASSSA

ASSSA specializes in health insurance for expat, offering plans with no co-payments, no waiting periods, and comprehensive coverage that meets Spanish visa requirements.

5. SafetyWing

Ideal for digital nomads and travelers, SafetyWing offers flexible and affordable health insurance plans that cover a wide range of medical services and are suitable for long-term stays in Spain.

Securing adequate health insurance is a vital part of living in Spain for UK citizens. Whether you rely on public healthcare or opt for private insurance, understanding your options and the processes involved will ensure you have access to the necessary medical services. By taking the time to research and choose the right health insurance plan, you can enjoy peace of mind and focus on embracing your new life in Spain.

Remember to stay updated on any changes in healthcare agreements between the UK and Spain, especially in the post-Brexit landscape, as these can impact your healthcare access and insurance requirements.

For more detailed and updated information, please refer to the guidance on the Gov.uk website regarding healthcare for UK nationals living in Spain.

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Laetitia woue

Laetitia is the author of Coming to Spain and has been living in Spain for over six years. She is passionate about traveling throughout Spain and helping others overcome their limiting beliefs to achieve their dream of moving to Spain. Through her writing and resources, she provides practical advice and insights to support and guide individuals in making their dream of living in Spain a reality.