SIP card Spain

We want to help you understand what is a SIP card in Spain, how works the Spanish healthcare system, how to get a Spanish SIP card, who is entitled to a Spanish SIP card and the different types of the card.

Before arriving in Spain, you must know how can you register in the Spanish healthcare System (NHS).  But first, you have to know how does the system works and how to register in the free healthcase system.

What is a Spanish SIP card?

A SIP card is a personal and non-transferable card. This card allows you to access the Public Healthcare System (NHS). If you have the SIP card you will receive the same services as Spanish nationals.

Who is entitled to a SIP?

If you want to move to Spain we know that have access to health care is at the top of your agenda.

We have prepared the 3 basic ways to the Spanish SIP card if you are not one of them contact us to see your particular case:


If you are Spanish Resident and old pensioner from a European country.

– Passport

– Residency

– Padron

S1 or E121 form


Employed / Self-employed

If you work in Spain you don’t need to be a resident to get your SIP card. You pay monthly a Social security tax. You will need:

– Passport

– Residency or NIE number

– Padron

– Working certificate (Vida Laboral)


Resident prior to 16th April 2012

If you are EU citizen and obtained your residency card before the 16th -04 – 12 You are entitled to aSIP card. You will need:

– Passport

– Residency 

– Padron

– UK certificate stating that you are not eligible to receive health care there.


How do you join the Spanish health system? 

If you are one of the cases above mentioned, you don’t need to pay a fee to get the Spanish SIP card. But, what happens if you are Spanish Resident, more than one year, and you have taken the early retirement or you are in one of the following situations.

  • You have never worked in Spain.
  • Don’t receive a State pension (old age pension).
  • Don’t have a spouse who meets the SIP card requirements.

If you don’t meet the SIP requirements, you can apply for a SIP card by paying a small monthly feeYou will have the same healthcare as Spanish nationals. The name in Spanish is “Convenio especial de prestación de asistencia sanitaria” You can read the Link in Spanish here.

How much does it cost to be included in the Spanish health system?

If you don’t have the Form S1, don’t work in an EU country or don’t work in Spain, to be included in the Spanish health system you must pay a fee monthly. The name in Spanish is “Convenio especial“.

The cost depends on your age. If you are under 65 years old you will pay a monthly fee of 60€ and if you are 65 years old or over the fee is 157€.

The condition to be included in the Spanish National Health System are:


  1. Have a valid passport
  2. Residency certificate
  3. Been a Spanish Resident for more than 1 year
  4. Padron
  5. Spanish bank account (To set up the direct debit)

How do I get a permanent SIP in Spain?

It is not easy to get Spanish SIP card and go to the Social Security office if you don’t speak Spanish. Most of the times they make several questions about your actual situation in Spain. That is why we are here, Advisors Costa Blanca wants to help you.

How could we help you?

Make the Social Security appointment


Fill out al the required application forms

Organize all the documents needed

Accompany you to the Social Security Office

How much does it cost to get it in Torrevieja and Alicante?


We can help you to get the Spanish SIP card for 50€ or 80€ for 2 SIP cards. If you are in Torrevieja, Orihuela Costa, San Miguel, Guardamar, Rojales, Ciudad Quesada and all the nearest areas.

Permanent SIP cards or EHIC card  

As we have explained with the SIP card you will receive the same healthcare services as Spanish Nationals, but What is the difference with the European Health Insurance Card?

The EHIC card includes basic life-saving care. This card will give you the right to access state-provided healthcare during a temporary stay (6-months max) in Spain or another European country. This card will only cover necessary medical treatment, it will not cover the ongoing treatment.

What is a temporary SIP card?

If you don’t have the conditions to obtain the permanent SIP card, you can apply for a temporary one. This card gives you a basic healthcare cover in the Valencia Community. If you need to go to Emergency, they will assist you and you don’t need to pay for it

The problem with this card is that you can’t visit a doctor in Spain, you can only access primary care . Also, this card has an expired date, and you must renew it every 6 months.

To get a temporary card you must register in the Padron and get a social security number. If you need a problem with this, please do not hesitate to contact us.



Spanish Residency

NIE number and Social Security number


Spanish SIP card / Spanish Healthcare

Spanish Tourist Licence and Rental Tax

Spanish Driving Licences


Spanish will services