Do you pay for hospital in Spain?
All residents in Spain need to register to access healthcare. Once registered for healthcare, basic state services are free, but there are some things that patients need to pay for. For example, you usually have to pay something towards prescriptions – either a reduced price or the full price.
Medical Item | Cost in Spain |
---|---|
Average monthly medical premium for an individual | €50 |
One-day hospital stay | €200 |
Primary Care visit | €100 |
Specialist visit | €150 |
Despite this, most public healthcare in Spain remains free. Residents only need to pay a proportion of prescription charges if they are making regular public health insurance payments in Spain. They also have to pay for certain specialist medical procedures and may need additional private insurance coverage.
Being registered with the national health system means that a visit to the doctors in Spain is free, as are non-elective treatments. Without state or private cover, the costs of visiting the doctors are on average: Initial consultation: €40. Blood tests: €80.
Expect to get demands for payment from the hospital, then letters from debt collection agencies (who will put their own charges on top) then court summons with even more court fees, and if you still don't pay presumably you could be left with a criminal record in Spain which could cause problems when you try to enter ...
US citizens and tourists from other countries arriving to Spain are able to enjoy of free healthcare, at least for a short period of time or while the trip ends. However, in Spain is mandatory to acquire a private medical insurance, so in the case of an incidental or disease visitors can be treated.
Does Spain have free healthcare for tourists? Spain does not have a general policy of free healthcare for tourists, although European visitors may be able to access free or reduced medical care by presenting an European Health Insurance Card (EHIC).
Travellers should check before their trip whether their health insurance covers the costs of medical treatment in Spain. If this is the case, a doctor can be consulted in one of the state health centres. However, some Spanish health centres will still require a cash payment.
Residents normally access the Spanish national health system in one of these ways: As a permanent resident if they've lived in Spain for 5 years. If residents are employed or self-employed in Spain. Paying directly into the public health insurance scheme according to a special agreement between countries.
In most situations, Medicare won't pay for health care or supplies you get outside the U.S. The term “outside the U.S.” means anywhere other than the 50 states of the U.S., the District of Columbia, Puerto Rico, the U.S. Virgin Islands, Guam, American Samoa, and the Northern Mariana Islands.
Where is healthcare free in the world?
Only one country offers healthcare that is free for everyone: Brazil. The constitution defines healthcare as a universal right. Anyone in the country, even short-term visitors, can get health care for free.
Non-emergency ambulance journeys will cost five euros each or up to 120 euros a year. NON-URGENT ambulance transport will attract charges for the patient ranging from five euros a trip through to anything between 20 and 120 euros a year, according to Spain's ministry of health.

Triay Medical Centre is an English-speaking private medical centre with 24 hour emergency call out based in San Pedro de Alcantara, Malaga.
Spain's national health care system (el Sistema Nacional de Salud) is funded by social security (income tax) contributions known as Tesorería General de la Seguridad Social (TGSS ). Therefore, state health care is free at the point of use for anyone living and working in Spain.
Be aware that you will likely have to pay out of pocket for any medical treatment, even if your insurance company provides international health care coverage. A visit to the emergency room can be free or cost only a nominal fee, or it can be expensive, depending on where you are and what treatment you need.