Unlocking healthcare in Spain: A guide to the Convenio Especial for non-EU residents

©HC Marbella International Hospital
©HC Marbella International Hospital

Navigating the Spanish healthcare system can be tricky for non-EU residents, especially those on a Non-Lucrative Visa. Enter the Convenio Especial Spain: a gateway to public healthcare that offers peace of mind when it matters most. This programme ensures that U.S. citizens and others without access to the traditional social security system can secure essential medical services. Discover how this vital scheme works, who qualifies, and what it covers in our comprehensive guide.

What is the convenio especial?

The Convenio Especial is a voluntary public healthcare programme designed specifically for non-EU residents living in Spain. It provides a path to access the comprehensive Spanish healthcare system for a monthly fee. While it covers most medical services, it’s important to note that certain treatments and prescriptions may not be included.

Who is eligible?

To qualify for the Convenio Especial, applicants must meet specific criteria. Non-EU citizens, such as U.S. nationals, need to have resided legally in Spain for at least 12 months. Those on student visas may also apply after completing one year of residency, transitioning to this option from private insurance. Importantly, the programme is tailored for individuals not employed in Spain, as those who contribute to the Social Security system automatically gain public healthcare access.

Another benefit of the Convenio Especial is its acceptance of pre-existing conditions, allowing individuals to receive medical care without exclusions. However, it’s crucial to understand that every individual must apply separately, including dependents.

What services are covered?

The Convenio Especial offers access to a wide range of services provided by Spain’s public healthcare system. These services include:

*Primary care consultations

*Specialist visits

*Hospitalisation and surgeries

*Emergency medical services

However, there are some limitations. Prescription medications and dental care are not covered under this programme, so individuals should consider private insurance for these needs.

Costs and tax considerations

The cost of the Convenio Especial varies based on age. Individuals under 65 can expect to pay around €60 per month, while those aged 65 and older may pay approximately €157. It’s essential to keep in mind that contributions to this programme do not affect Social Security benefits and are not tax-deductible in Spain.

For U.S. citizens, healthcare costs may be deductible on tax returns, depending on IRS guidelines. UK citizens should be aware of their own tax implications, which can vary based on personal circumstances.

For further details on how the Convenio Especial works and additional insights into eligibility and coverage, read more about this healthcare programme here.

About the Author

Originally from Argentina, Constanza holds Italian nationality and is fluent in Spanish and English. She studied Social Communication at Universidad Austral and earned diplomas in Digital Marketing, Sustainable Business (Cambridge), Neuro-Linguistic Programming, and Graphology.

Constanza Llompart Laigle
Copywriter Constanza Llompart Laigle +34 951 177 318 [email protected]
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