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WESTERN FAMILIES
Healthcare in Spain for UK citizens after Brexit: the four routes.
S1, private cover, convenio especial or contributions. Which one applies depends on your age and whether you work.
FIRST, CLEAR THIS UP
Your GHIC is not healthcare cover once you live in Spain, and it will not satisfy a residency visa.
The four routes
| Route | Who | Cost |
|---|---|---|
| 1. S1 | UK State Pension recipients | None ongoing; the UK reimburses Spain |
| 2. Private insurance | Under pension age, not working | Typically a fraction of UK or US premiums |
| 3. Convenio especial | Residents with no other entitlement, usually after about a year on the padrón | A modest monthly premium, higher over 65 |
| 4. Work and contribute | Employed or autónomo in Spain | Social security contributions |
Registering once you arrive
- Padrón first, at the town hall.
- Then your health card: the SIP card in Valencia.
- Register with a local health centre.
- Prescriptions carry a co-payment, scaled by income.
Coaching and guidance only, not legal advice. Not an immigration lawyer or agent. Every pathway goes through the official channel of the destination country.
Not sure which route applies to you?
Start with a short call and leave with a clear next step for your situation.
Where to go next
Moving from the UK
Brexit, healthcare, driving and the tax questions.
Spain Non-Lucrative Visa
Live in Spain without working there.
Moving with children
Schools, healthcare and the first year.