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EHIC - European Health Insurance Card |
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Health care for EU citizens in Spain.
EHIC - European Health Insurance Card (Tarjeta Sanitaria Europea)
Medical treatment for visitors to Spain from EEA countries, which are countries in the European Union (EU) countries and Iceland, Liechtenstein Norway and Switzerland, is covered by the European Health Insurance card (EHIC) which was introduced in January 2006.

The European Health Insurance card (EHIC), also called European Health Card (ECH), is the replacement for the old E111 medical form, which is no longer valid.
A European Health Insurance Card (EHIC) entitles holders to reduced-cost, sometimes free, medical treatment that becomes necessary while you’re in a European Economic Area (EEA) country or Switzerland.
So if you are a visitor to Spain from the EEA list of countries (see full list below) you should bring the EHIC card which you were issued in your home country or country of residence.
Click here to open a new window with the official European Union website for the European health insurance card
Click here to open a UK goverment page that tells you what medical treatment you will get in Spain if you have a EHIC (TSE) card.
Remember that the European Health Card is not valid if the reason for travelling to another country is to receive specific medical treatment
This is the full list of countries covered by the EHIC card:
Austria Belgium Cyprus (but not Northern Cyprus) Czech Republic Denmark Estonia Finland France Germany Greece Hungary Iceland Ireland Italy Latvia Liechtenstein Lithuania Luxembourg Malta Netherlands Norway Poland Portugal Slovakia Slovenia Spain Sweden Switzerland
Click here to open a new window that shows what the EHIC cards look like in the countries listed above
Getting a EHIC card if you live in Spain.
In Spain the EHIC card is called the TSE, Tarjeta Sanitaria Europea and it is issued by the Seguridad Social, the Spanish Social security.
Click here to open a new window with more information on the Spanish Social security website.
If you live in Barcelona permanently and want to get an TSE card, so that you can get medical treatment, when you travel in the countries mentioned above, then you must go to one of the Service and Information Centres of the National Social Security Institute in Barcelona.
They are called Centros de Atención e Información de la Seguridad Social (CAISS)
Click here to open a new window with the list of the Service, and Information Centres (CAISS) of the National Social Security Institute in Barcelona.
At these centres you can apply for the TSE (EHIC) card if you are a resident in Barcelona or Spain. It will be issued immediately.
Documentation:
You need to bring copies of all the following documents:
- your passport, - your Spanish NIE number or alternatively your Spanish residency card (tarjeta de residencia), - your Spanish social security number - a permanent work contract in Spain.
If you do not have a permanent work contract, they will give you a provisional replacement certificate, which usually is valid for 3 months.
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