How to use the European Health Card in Spain

The European Health Card (EHIC) is a document that facilitates access to health services in member countries of the European Union (EU) and some other associated states. If you are a citizen of the EU or a country that has agreements with Spain, here we explain how to use the EHIC in Spain and what services you can access.

What is the European Health Insurance Card?

The EHIC allows EU citizens to receive necessary medical care during a temporary stay in another member country, under the same conditions and at the same cost as citizens of that country. It is important to keep in mind that the EHIC does not cover all medical services, but only those that are considered necessary.

Who can apply for the TSE?

The TSE can be requested by:

EU citizens.
Citizens of the countries of the European Economic Area (EEA).
Swiss citizens.

Each country has its own rules on how to apply for the EHIC, and it is usually obtained through the corresponding health agency in the country of residence.

How to use the EHIC in Spain?

1. Present the Card at the Health Center

When you arrive in Spain and need medical attention, the first thing you should do is locate a health center or hospital. At the time of receiving care, present your EHIC to health professionals. This will allow you to access medical services at no additional cost, as long as the care is considered necessary.

2. Covered Services

The EHIC covers a variety of services, including:

Emergency medical care.
Medical consultations.
Hospital treatments.
Prescribed medications.

It is important to verify with the health center the specific services that are covered under the EHIC.

3. Additional costs

Please note that although the EHIC covers many services, there may be co-pays or additional costs, depending on the type of treatment or medications. Be sure to educate yourself about these potential costs before receiving care.

4. What to do in case of loss of the EHIC?

If you lose your European Health Card while you are in Spain, you must immediately contact the health organization in your home country to request a duplicate. It is advisable to always have a digital copy of your TSE on your mobile device.

Final recommendations

Before traveling: Make sure your TSE is current and in perfect condition.
Know your rights: Find out what services are available and what the procedure is to access them.
Additional documentation: Bring other documents with you that may be useful, such as travel insurance that complements the EHIC coverage.

Using the European Health Card in Spain is a simple process if you follow these steps and are well informed about your rights and available services.

Written by:
Javier Dominguez
Expert immigration lawyer
Publication date: November 16, 2025

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