Social Security & Health Benefits
The National Institute of Social Security (better known to everyone as the INSS) is the body that recognizes the right to Social Security Health Care. They have a network of offices throughout Spain that are denominated CAISS (Centres of Attention and Information of the Social Security). Their telephones and addresses can be found in the official web page: www.seg-social.es.
When a pensioner from the European Union decides to move permanently to Spain, they should apply for form E-121 for themselves and their family members before leaving their home country. When arriving to Spain, they have to apply for their Certificate of Registration of Residence at the National Police Station closest to where they live and on obtaining this they have to go to one of the CAISS offices to apply for the registration as a foreign pensioner living in Spain. They should take two copies of the form E-121, the Certificate of Registration of Residence and passport or ID card along with photocopies. These documents will be sent to the head office in Malaga where they will be registered. In approximately one month they will receive a letter with the social security reference number on it. They then have to go to their nearest health centre and register.
If they have not yet reached the condition of pensioner in their home country, or are employees working abroad or unemployed persons, they should ask for form E-106. On arrival, they should contact the closest CAISS office and have the form stamped. If family members also require health care, take the documentation to proof the relation (i.e. marriage certificate, birth certificate, etc.). This procedure is immediate.
To register for health care, take a photocopy of the form to the nearest Health Centre with a copy of your passport. Always keep the original document while staying in Spain. In Spain, prescribed medicine is free for all pensioners and for everyone else it is subsidized by 60%, the remaining 40 % having to be paid by the user.
If a foreign pensioner who is a resident in Spain wishes to travel abroad, they will have to obtain the European Health Card from the CAISS office. This will cover emergency
And chronic treatment. If payment is required for any of the treatment, keep the bills and ask for a refund when arriving back to Spain at the CAISS office.
REMEMBER THAT IF YOU GO TO ANOTHER COUNTRY FOR MEDICAL PURPOSES FOR AN OPERATION OF SPECIFIC TREATMENT, THIS HAS TO BE PREVIOUSLY AUTHORIZED BY SPANISH HEALTH AUTHORITIES WITH FORM E-112. THE EUROPEAN HEALTH CARD IS NOT SUFFICIENT FOR THIS PURPOSE.
When coming to Spain on holiday for short periods of time, it is necessary to obtain a European Health Card issued from your home country. If not, payment will have to be made for any health treatment received. To receive treatment, you have to go to your nearest health centre to register, taking the card and passport or ID.