Sistema Nacional de Salud – SNS
Image Source: Ministro de Sanidad
Sistema Nacional de Salud – SNS is the spanish public care department.
Good to know
Legal Basis: Real Decreto Legislativo 8/2015
Article 169: Concept of Temporary Disability
Article 169.1.a: Describes the conditions under which temporary disability is recognized, including illness and accidents, whether work-related or not, and sets the maximum duration (365 days, extendable by 180 days).
Article 173: Commencement and Duration of the Right to Sickness Benefit
Article 173.1: Specifies that in the case of a work-related accident or occupational disease, the benefit is paid from the day following the inability to work. In the case of general illness or non-work-related accident, the benefit is paid from the fourth day of inability to work. From the fourth to the fifteenth day, the employer pays the sickness benefit.
Article 174: Amount of Sickness Benefit
Article 174.1: States that the sickness benefit is 60% of the calculation base for disability benefits from the fourth day to the twentieth day of inability to work. From the twenty-first day, the sickness benefit is 75% of the calculation base.
Summary
Day 1-3: No payment by the employer or social security. 100% loos for the employee.
Day 4-15: The employer pays 60% of the calculation base. 40% loss for employee.
From Day 16: Social security pays 75% of the calculation base. 25% loss for the employee.
Servicio Público de Empleo Estatal - SEPE
SEPE (Servicio Público de Empleo Estatal) is Spain's public employment service, responsible for managing unemployment benefits and other employment-related services. It is useful to know that SEPE provides support for job searching and offers information on unemployment insurance claims and labor market programs.
To get an overview of your Spanish contracts, visit this website!
(Certificado digital required)
You need the CIF of the company you workfor and the date when you worked for a company.
Shortcut to get your SEPE version of your employee-contract: Click here
Apply for your Tarjeta Sanitaria
You have to find the Centro de Salud in your barrio.
You can find your one here: Click here
Go there without any appointment and have the following prepared:
- green NIE or TIE
- "Padrón" (Volante) - Links to download the Volante we provide here
Empadronamiento (Census) - Certificate of your social security status
You can get it here: Click here (In case this is not valid you have to go an office first to register with your resident proof (TIE/NIE)
they give you an form. Fill the form, sign it, give it back with all the other stuff to start the process getting your card.
Last but not least you can apply for the Tarjeta Sanitaria Europea (TSE) online here: Click here
This is required to get basic emergency support in other European countries.
Important procedures
Social Security Procedures for Citizens
Social Security Procedures for Businesses
Differences and peculiarities in the public health care (GKV) in Germany?
- Longer waiting times for specialist appointments compared to Germany
- 50% copayment for medications (not as little as in Germany) (Source)
- Apart from the removal of teeth in emergencies, no dental treatments are included
- An employer can pay for private health insurance (PKV) up to 500 euros, and this amount remains tax-free for the employee up to this amount (Source1 & Source2)
- Above 500 euros, it is then considered a monetary benefit
- There is no real contribution assessment ceiling (to switch from GKV) as far as we could find
Helpful apps
miSCS
"miSCS" is an administrative management app provided by the Servicio Canario de la Salud. It is designed to facilitate access to various health services for residents of the Canary Islands, enhancing the convenience and efficiency of service delivery. The key features are:
- Administrative Services: Access and manage administrative procedures related to health services.
- Notifications: Receive updates and reminders about important health service matters.
- Document Management: View and manage health-related documents and information.
- User-Friendly Interface: Designed to ensure ease of use for all citizens.
- Free of Charge: The app is available for free, ensuring accessibility for all users.
miHistoria
"miHistoria" is a comprehensive health app designed to provide users with access to their medical history and related health services. It facilitates interaction with the Canary Islands health system. The key features are:
- Medical Records Access: View clinical data including allergies, diagnostics, and medical history.
- Appointment Management: Keep track of upcoming medical appointments.
- Electronic Prescriptions: Access and manage your medication prescriptions.
- Health Monitoring: Track personal health data like weight and blood pressure over time.
- Medical Reports: Obtain various medical reports such as discharge summaries and test results.
- Vaccination Records: View a list of received vaccinations along with associated health information.
miCita previa
The miCita previa app, developed by the Servicio Canario de la Salud, serves as a digital tool for managing healthcare appointments in the Canary Islands. It simplifies the process of scheduling, viewing, and cancelling appointments with healthcare professionals. Here are some key features:
- Schedule Appointments: Users can book new appointments with their family doctors or nurses.
- View Appointments: The app displays all upcoming appointments, allowing users to easily keep track of their schedules.
- Cancel Appointments: Provides the flexibility to cancel scheduled appointments directly through the app.
- Health Services Information: Access information about available health services and health centers.
- User Account Management: Manage personal information and health cards.
- Notifications: Receive reminders and notifications about upcoming appointments to ensure users do not miss their healthcare visits.
- Multilingual Support: Offers services in both Spanish and English, accommodating a diverse user base.
