Healthcare Registration in Spain
Healthcare Registration in Spain
Secure health coverage: public system via Social Security if employed, or private insurance. Health coverage is mandatory for CUE/residency.
CUE rejected; no healthcare access; no residency
Ready to start this procedure?
Use our interactive tool with form generation, document checklists, and appointment booking.
Based on Your Profile
Step-by-Step Process
Determine your healthcare path
Employed → public via employer. Self-employed → public via autónomo. Not working → private insurance.
Obtain coverage
Confirm Social Security enrollment, register as autónomo, or purchase private insurance.
Register at Centro de Salud (public)
Visit nearest Centro de Salud with NIE/CUE + Social Security number. Get assigned a doctor and receive TSI card.
Required Documents
Employer registers via TA.2. Self-employed via TA.0521.
Full coverage, no copay preferred. Must be valid in Spain.
From home country certifying entitlement to public healthcare. Request BEFORE moving — takes 2–8 weeks.
Required for public healthcare TSI card registration.
Tips & Common Pitfalls
Get health insurance BEFORE CUE appointment. It is mandatory and there is no grace period.
Barcelona: choose insurance WITHOUT copay (sin copago). Policies with copay are regularly rejected.
EHIC is for temporary visits only. It does NOT count as coverage for CUE registration.
If you lose your job, public coverage continues 90 days. After that, need private or Convenio Especial.
Sanitas and Adeslas are the most widely accepted for CUE purposes.
If retiring from EU, request S1 form BEFORE leaving — can take months.
Regional Variations
CatSalut manages healthcare. TSI requested at CAP. Apply at catsalut.gencat.cat.
SERMAS manages. Register at Centro de Salud. Tarjeta Sanitaria Virtual available.
GVA Sanitat. SIP card. Register at Centro de Salud.
SAS (Servicio Andaluz de Salud). Register at Centro de Salud.
Osakidetza. TIS card. Register at Osakidetza center.