{"id":440,"date":"2026-09-10T19:55:40","date_gmt":"2026-09-10T19:55:40","guid":{"rendered":"https:\/\/litora.es\/?p=440"},"modified":"2026-09-10T20:42:55","modified_gmt":"2026-09-10T20:42:55","slug":"healthcare-in-spain","status":"publish","type":"post","link":"https:\/\/litora.es\/pl\/healthcare-in-spain\/","title":{"rendered":"Opieka zdrowotna w Hiszpanii \u2013 co warto wiedzie\u0107 o publicznej s\u0142u\u017cbie zdrowia"},"content":{"rendered":"<p class=\"wp-block-paragraph\">Podczas pobytu w Hiszpanii warto zapozna\u0107 si\u0119 z us\u0142ugami publicznymi dost\u0119pnymi dla mieszka\u0144c\u00f3w. Do najwa\u017cniejszych i ciesz\u0105cych si\u0119 najwi\u0119kszym zainteresowaniem us\u0142ug nale\u017c\u0105: opieka zdrowotna, ubezpieczenia spo\u0142eczne i \u015bwiadczenia socjalne, us\u0142ugi rynku pracy, pomoc spo\u0142eczna oraz kwestie dost\u0119pu i procedur administracyjnych.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Skupi\u0142abym si\u0119 tutaj przede wszystkim na opiece zdrowotnej, poniewa\u017c us\u0142uga ta dotyczy ka\u017cdego, niezale\u017cnie od wieku czy statusu zawodowego. Narodowy System Opieki Zdrowotnej (Sistema Nacional de Salud) zapewnia powszechn\u0105, publiczn\u0105 opiek\u0119 medyczn\u0105, zarz\u0105dzan\u0105 w du\u017cej mierze przez regionalne s\u0142u\u017cby zdrowia. System ten jest finansowany g\u0142\u00f3wnie z podatk\u00f3w oraz sk\u0142adek na ubezpieczenie spo\u0142eczne, a osoby legalnie zamieszkuj\u0105ce dany kraj korzystaj\u0105 z bezp\u0142atnej lub taniej opieki medycznej.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Jak my to zrobili\u015bmy<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/litora.es\/pl\/how-to-obtain-a-residence-permit-in-spain\/\" data-type=\"post\" data-id=\"435\">As mentioned in the post regarding my husband\u2019s residency,<\/a> it was required of us to provide proof of some kind of health insurance. As neither of us was working at that time, we were not allowed to apply for public healthcare in Spain, therefore we bought private health insurance for all members of our family. We decided to go with DKV which was recommended to us through our gestor. We were paying 235 euros per month and this was no co-payment insurance. In order to set up our policy, we were asked to provide a few personal details for everyone in the family:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Pomiary wzrostu i masy cia\u0142a<\/li>\n\n\n\n<li>Historia choroby, w tym przebyte operacje, choroby przewlek\u0142e lub powa\u017cne problemy zdrowotne (z wy\u0142\u0105czeniem drobnych dolegliwo\u015bci, takich jak przezi\u0119bienie)<\/li>\n\n\n\n<li>Szczeg\u00f3\u0142y dotycz\u0105ce wzroku, w szczeg\u00f3lno\u015bci informacja, czy dana osoba nosi okulary, oraz dok\u0142adna liczba dioptrii dla ka\u017cdego oka.<\/li>\n\n\n\n<li>Og\u00f3lne informacje dotycz\u0105ce stylu \u017cycia, takie jak nawyki i cz\u0119stotliwo\u015b\u0107 palenia tytoniu czy spo\u017cywania alkoholu.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Takie polisy cz\u0119sto obowi\u0105zuj\u0105 w cyklu rocznym, wi\u0119c nasza wygas\u0142aby w grudniu 2025 roku, a aby j\u0105 wypowiedzie\u0107, musieliby\u015bmy powiadomi\u0107 ubezpieczyciela z co najmniej miesi\u0119cznym wyprzedzeniem przed ko\u0144cem okresu jej obowi\u0105zywania.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Gdy si\u0119 o tym dowiedzieli\u015bmy, postanowili\u015bmy zrezygnowa\u0107 z prywatnego ubezpieczenia, poniewa\u017c polisa mia\u0142a si\u0119 odnowi\u0107 w styczniu. Uznali\u015bmy, \u017ce skoro i tak op\u0142acam sk\u0142adki i mog\u0119 obj\u0105\u0107 ubezpieczeniem wszystkich cz\u0142onk\u00f3w rodziny, to po co p\u0142aci\u0107 podw\u00f3jnie? Oczywi\u015bcie nie wzi\u0119li\u015bmy pod uwag\u0119 tego, \u017ce hiszpa\u0144ski system dzia\u0142a powoli i \u017ce procedura dopisania wszystkich uprawnionych os\u00f3b sk\u0142ada si\u0119 z wielu etap\u00f3w. Min\u0119\u0142y miesi\u0105ce, zanim otrzymali\u015bmy za\u015bwiadczenie potwierdzaj\u0105ce, \u017ce m\u00f3j m\u0105\u017c i c\u00f3rki zostali zarejestrowani w systemie.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/litora.es\/pl\/how-to-obtain-a-residence-permit-in-spain\/\" data-type=\"post\" data-id=\"435\">I had also written before that in order for me to obtain the residency permit I had to set myself up as Autonomo in Spain. <\/a>Being self-employed comes with some monthly costs; one is the payment made to the Seguridad Social (something like NI in the UK) which are your contributions to social services and pension. The second cost is the cost of doing your taxes which you can do yourself or pay your gestor to do it. When I registered I got my Social Security number and was allowed to access the public healthcare system. The benefit of paying the contributions to the Seguridad Social is that you can attach all your family members as beneficiaries under your own insurance. Once registered on the system, they obtain the right to public healthcare.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Dodawanie beneficjent\u00f3w do Seguridad Social<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/litora.es\/pl\/nie-permits-and-visas\/\" data-type=\"post\" data-id=\"372\">First of all we needed to get NIE numbers for our daughters.<\/a> My husband had already got his NIE number in the process of applying for his residency. Securing the appointment was one story, attending the appointment was completely different. It happened that our daughters went to school camp but on two different weeks so one week we had an appointment for our youngest daughter, next week for the older one. The first appointment went smoothly. At the same time I was also sorting out my blue residency card which I had laminated before (read my post about that). The police officer serving us was nice and efficient. No unnecessary questions or extra documents. 5 minutes and we left with my new residency card and my daughter\u2019s residency card with her NIE number on it.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Next week we were going in quite relaxed, it was supposed to be the same procedure. How wrong we were. We already had a bad feeling when the person in the queue in front of us let us pass. She must have known the person. So we went, sat down and the first thing we hear is that we had booked the wrong appointment. But how come it was the wrong appointment? We had the same appointment the week before I tried to explain in my broken Spanish. He rudely explains that for children you don\u2019t book a NIE appointment, you book a residency one. So I said again that we came last week with my other daughter and I pointed out the official who served us and explained that he didn\u2019t mind. No, he wasn\u2019t having it. I got so upset by that point that I started crying. In the meantime the official asked me to show him all the supporting documentation (<a href=\"https:\/\/litora.es\/pl\/nie-permits-and-visas\/\" data-type=\"post\" data-id=\"372\">I wrote about the documents needed for applying for NIE in this post<\/a>). When I handed it in he requested\u2026 Vida de laboral. There hadn\u2019t been any mention anywhere about that before. This is your work history in Spain and can be downloaded as a PDF report from Import@ss Portal provided by Social Security. You will need to identify yourself when you login using, for example, your Digital certificate but you can also be verified through SMS if your phone number is registered within Social Security. So I managed to access it online on my phone and then I had to go and print it out for him. We left the police station to look for some sort of stationary shop that would print it out. Fortunately, there was one closeby. When we returned \u201cour guy\u201d was standing outside smoking. I handed him the printout and he started his speech again &#8211; that we booked the wrong appointment. I started getting upset again and then I looked and he was handing me my daughter\u2019s passport and\u2026her Spanish residency card. We left quickly before he would start his tirade all over again.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Kolejnym krokiem by\u0142o dodanie os\u00f3b uprawnionych do mojego konta w systemie ubezpiecze\u0144 spo\u0142ecznych (Social Security). W tym celu nale\u017cy zalogowa\u0107 si\u0119 na stronie \u201eTu Seguridad Social\u201d i znale\u017a\u0107 odno\u015bnik o nazwie \u201eA\u00f1adir beneficiario\u201d. Trzeba tam wprowadzi\u0107 wszystkie wymagane dane, a na drugiej stronie \u2013 do\u0142\u0105czy\u0107 odpowiednie dokumenty. W przypadku m\u0119\u017ca za\u0142\u0105czy\u0142am jego kart\u0119 TIE oraz akt ma\u0142\u017ce\u0144stwa, a w przypadku c\u00f3rek \u2013 ich hiszpa\u0144skie karty pobytu oraz polskie paszporty. Przed wys\u0142aniem zg\u0142oszenia system wymaga z\u0142o\u017cenia podpisu cyfrowego. Musz\u0119 przyzna\u0107, \u017ce nie uda\u0142o nam si\u0119 tego zrobi\u0107 na MacBooku, kt\u00f3ry ci\u0105gle wy\u015bwietla\u0142 komunikaty o b\u0142\u0119dach. Ostatecznie wype\u0142ni\u0142am wniosek na komputerze z systemem Windows.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">After around a month I received an email from Social Security with the certificate attached which listed all three of the beneficiaries. With this certificate I went to our local Centro de Salud to obtain the SIP card. The other document needed was the Empadronamiento (<a href=\"https:\/\/litora.es\/pl\/firts-days-in-spain-after-relocating\/\" data-type=\"post\" data-id=\"419\">I wrote about obtaining that in this post<\/a>) but you need to be careful as this needs to be no more than 3 months old. We are lucky because in La Eliana where we live we can go to our local Ayuntamiento and get everything the same day. I heard that getting an appointment in Ayuntamiento in Valencia can be tricky. So you need to take this into account as well when registering for public healthcare.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Jak wida\u0107, proces dopisywania os\u00f3b uprawnionych do korzystania z Twojego ubezpieczenia w ramach Seguridad Social \u2013 cho\u0107 niezbyt skomplikowany \u2013 jest czasoch\u0142onny i wymaga wielu krok\u00f3w. Czyta\u0142am i s\u0142ysza\u0142am, \u017ce hiszpa\u0144ski system opieki zdrowotnej nale\u017cy do najlepszych w Europie. Zawsze warto mie\u0107 lekarza pierwszego kontaktu, zw\u0142aszcza je\u015bli ma si\u0119 dzieci; korzystanie z us\u0142ug publicznych stanowi dobr\u0105 alternatyw\u0119, je\u015bli nie chce si\u0119 p\u0142aci\u0107 za kosztowne ubezpieczenie prywatne.<\/p>","protected":false},"excerpt":{"rendered":"<p>While living in Spain it is beneficial to get familiar with public services available for residents. The main public services of most interest include: healthcare, social security &amp; welfare, employment services, social services and access and administration.&nbsp; I would focus here mostly on healthcare as this service concerns everyone, regardless of age or employment status. &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/litora.es\/pl\/healthcare-in-spain\/\" class=\"more-link\">Read more<span class=\"screen-reader-text\"> &#8220;Healthcare in Spain &#8211; what you should know about the public service&#8221;<\/span><\/a><\/p>","protected":false},"author":1,"featured_media":441,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-440","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Healthcare in Spain - what you should know about the public service - Litora Healthcare in Spain<\/title>\n<meta name=\"description\" content=\"Healthcare in Spain is one of the main concerns for Expats planning their relocation. 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