Spain’s Public & Private Healthcare Landscape
Public Healthcare (SNS — Sistema Nacional de Salud)
- Spain operates a universal public healthcare system (SNS), funded through social security and managed regionally.
- Those who legally work or reside and contribute to social security are eligible for public health coverage.
- Under the public system, many doctor visits, hospital treatments, and emergency services are covered, although waiting times for specialists and elective procedures can be long.
- Some services are excluded or subsidized only partially: for instance, most dental care (beyond emergencies) is not included, and certain medications require co-payments.
- EU/EEA citizens can often use their EHIC / GHIC during short stays; for longer residence, registration with SNS or supplementary insurance is needed.
Private Health Insurance (Supplementary / Expat Insurance)
- Many expats opt for private health insurance to reduce wait times, access more provider choices, and cover services not fully offered by SNS.
- Insurers like Cigna offer private plans in Spain, often tailored for foreign residents or those in transition.
- For visa or residency applications (e.g. non-lucrative visa, digital nomad visa), Spanish authorities often require health insurance that meets certain standards (local coverage, no waiting periods, adequate benefits).
- Private insurance plans vary in cost depending on age, health status, coverage level, and whether dental/optical coverage is included.
How Dogpay Can Help with Health Insurance & Related Payments
When navigating health insurance or medical payments involving cross-border elements, Dogpay can reduce friction, provide transparency, and ensure funds arrive properly. Here’s how Dogpay adds value:
- Paying Insurance Premiums from Abroad If your insurer is based outside Spain or you’re still located elsewhere, Dogpay lets you transmit your premium payments in foreign currency with clear exchange rates and minimal hidden fees.
- Upfront Insurance for Visa / Permit Requirements Applicants often need to submit proof of health insurance when applying for certain visas or residency permits. Dogpay helps you pay the required policy premium in advance to meet those administrative requirements.
- Medical / Hospital Payments Outside SNS If you choose or must use private clinics (e.g. to bypass waiting lines), Dogpay allows you to pay those bills in a precise, traceable manner without overpaying due to poor exchange rates.
- Drug / Medical Supplies / Specialist Services not Fully Covered For medications, dental work, or specialized treatment not fully covered by SNS, Dogpay helps you remit payment when providers or suppliers require foreign payment.
- Receipt & Audit Trail for Claims / Reimbursements / Tax When you need to present proof of payments (for insurance claims, tax deductions, visa renewal), Dogpay’s detailed transaction logs, timestamps, and receipts serve as strong documentation.
- Reducing Hidden Bank / Intermediary Markups Traditional cross-border transfers often involve hidden fees or poor currency exchange spreads. Dogpay helps minimize those “leakages,” so more of your money actually goes toward medical or insurance costs.













