Health Card

All citizens have the right to health protection and health care, with or without public funds.

It will be charged to public funds when all the requirements established in articles 3 and 3ter of the 16 / 2003, of May 28, of cohesion and quality of the National Health System, provided that they have effective residence (accredited by registration) and habitual residence in Spain.

• Foreigners with recognition of the right by the INSS (National Institute of Social Security) and their beneficiaries.
• Foreigners with non-legal residence (in an irregular situation).
• Applicants for international protection whose stay in Spain has been authorized for this reason as long as they find this situation (fourth additional provision).
• Victims of trafficking in human beings whose temporary stay in Spain has been authorized (fifth additional provision).

The National Institute of Social Security (INSS) is the competent body to recognize the right to assistance charged to public funds, based on the regulations of application (article 3). It is obtained in the CAISS-INSS (Social Security Information and Attention Centers).

If you are in a regular situation and are required to have health insurance, you will not be able to obtain recognition of this right.

Once the INSS has recognized this right, you must go to the health center that corresponds to you according to your customer's home (in principle, the closest to your home), to request your health card.

If you are in a regular situation and are required to have health insurance, you will not be able to obtain recognition of this right.

In order to apply for the Health Card, it is mandatory to prior recognition of the right to health care charged to public funds by the National Institute of Social Security (INSS).

Once the INSS has recognized this right, you must go to the health center that corresponds to you, according to your customer's home, to request your health card.

You can obtain the health benefit by paying the corresponding fee derived from the subscription of a special agreement provision of health care with the Madrid Health Service. With this agreement you can receive health care throughout Spain. It is not valid outside of Spain.

Subscribing to it does not entail the issuance of a health card.

Requirements:

  - Be registered in Spain for a period of 90 or more days. Be registered in the Community of Madrid at the time of the application.

  - Not having a valid residence permit or entry visa.

  - Not be linked to the Spanish Social Security in any way.

  - Not having or not being able to obtain the European Health Card or other document (from the European Union, Chile or Andorra) entitled to public health care.

NO. If you gain access to care from public funds, you will be issued a Document for Healthcare Assistance (GIVE), with the same effects as TSI. This document is only valid in Spain. You will have to present it whenever you go to a health center and at pharmacies. 

It is the supporting document for access to health care of the National Health System, issued by the Community of Madrid, for foreigners in an irregular situation.

NO, You will be given access to the National Health System through accreditation of assistance from your country, European Health Card (TSE) or other European document for community citizens) or bilateral agreement, if you come from Andorra or Chile.

To all benefits of the National Health System, including medical prescriptions, with a contribution of 40% of their price.

In the Processing Units authorized by the Madrid Health Service -SERMAS-, after requesting an appointment at your health center.

You can also request it through the Electronic Administration service of the Community of Madrid or through any of the forms provided in article 16.4. of the Law 39/2015, of October 1, on Administrative Procedure.

• El application form, completed in all its terms and signed.
• Your valid identity document (passport: original and copy of all completed pages).
• Recent registration certificate -issued less than 3 months ago- proving your current residence in the Community of Madrid.

The minimum time of registration in Spain to prove is 3 months. If you have previously resided in another autonomous community, you must accredit it with the corresponding registration form.

In case of manifest impossibility of registration or delay in its issuance, a report issued by a social worker of the Public Administration (City Hall, public Social Services Units and Centers, Primary Care centers, etc.) may be provided stating the reason for the lack or delay in the issuance of the Padrón and the date of entry into Spain.

• Certificate of not being able to export the right to health care from your country of origin, if it comes from a community country, from Andorra or Chile, issued by the Social Security office of your country.

Two years, renewable as long as you continue to meet the required requirements.

The procedure, requirements and documentation for the renewal of the DASE are the same as those used when it was requested for the first time.

Newborns in Spain, children of parents in a situation irregular, are entitled to public assistance, given their irregular situation at that time.

Children of parents in a situation regular They have the same right to assistance as their parents. If any of the parents is registered with Social Security, she must apply to the INSS for the recognition of the right assistance from public funds such as beneficiary, and, once obtained, process the health card at their health center.

Yes, while you are in the situation of applicant for international protection (asylum) may be entitled to public healthcare.

No, only foreigners with legal residence in Spain who have the recognition of the right to health care issued by the INSS can have a Health Card (TS).

If you gain access to assistance from public funds as an asylum seeker, you will be issued a Document for Health Assistance (DASPI), with the same effects as the Health Card.

It is the supporting document for access to health care of the National Health System, issued by the Community of Madrid, for foreigners applicants of international protection (asylum or stateless persons), valid while they are in this situation of applicant.

This document is only valid in Spain. You will have to present it whenever you go to a public health center and at pharmacies. 

To all benefits of the National Health System, including prescriptions, with a contribution of 40% of its price.

In the Processing Units authorized by the Madrid Health Service -SERMAS-, after requesting an appointment at your health center.

You can also request it through the Electronic Administration service of the Community of Madrid or through any of the forms provided in article 16.4. of the Law 39/2015, of October 1, on Administrative Procedure.

• El application form, completed in all its terms and signed.
• Document proving your status as an asylum seeker (Red card o white receipt for submitting the application) in force.
• Valid identification document (passport: original and photocopy of all completed pages)
• Updated registration certificate -issued less than 3 months ago- that proves your current residence in the Community of Madrid.

In case of manifest impossibility of registration, a report issued by a social worker of the Public Administration (City Hall, public Social Services Units and Centers, primary care centers, etc.) may be provided stating the reason for the lack of the Register and the date of entry into Spain.

The same validity as your red card or white receipt of the asylum application.

The procedure, requirements and documentation necessary to renew the DASPI are the same as those to request it for the first time.

When obtaining residence authorization, as a result of international protection, the assistance provided for asylum seekers and the DASPI cannot be applied. You must apply to the INSS for the recognition of the right to assistance charged to public funds and, once obtained, process the health card at their health center.

Yes. When you get the residence permit for subsidiary protection The assistance provided for asylum seekers and the DASPI cannot be applied. You must apply to the INSS for the recognition of the right to assistance charged to public funds and, once obtained, process a health card at their health center.

Yes. When you get the temporary residence permit for exceptional circumstances (humanitarian reasons) the assistance provided for asylum seekers and the DASPI no longer apply. You must apply to the INSS for the recognition of the right to assistance charged to public funds and, once obtained, process a health card at their health center.

Yes, as long as it proves compliance with all the requirements demanded by the regulations of application (article 3ter) relative to foreigners without legal residence in Spain.