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The lifestyle and climate of Spain place the Spaniards among the world's healthiest people, with life expectancy in Spain being the highest in the European Union. In particular, the level of heart disease is among the lowest in the world; this is probably due to the diet although the relaxed way of life cannot be ruled out as a potential health benefit! In addition, the warm dry climate is recognised as being beneficial to sufferers of rheumatism and arthritis.
The quality of medical facilities in Spain is very good, as would be expected in a modern western society. Spending on health care in Spain is at the average for the EU with government-funded and private health care providers operating alongside each other to good effect. Over 90% of Spanish residents are covered by the public health system (INSALUD), including residents retired from an EU member state and in receipt of a state pension as well as for those in employment and contributing to Spanish Social Security, plus their dependants. It is normal for those who are not either paying Spanish Social security or receiving an EU state pension to have private health insurance and proof of such insurance may be required when applying for a residence permit. Before moving to Spain, you should check with your local social security offices and make sure you have completed the relevant forms for temporary or permanent residence in Spain. Spain's public health benefits include free or subsidised health care (including general and specialist care, hospital treatment, maternity care, basic dental care) and subsidised medicines.
As well as covering health care, the Spanish Social Security system also makes provision for industrial injuries, unemployment, invalidity, death and pensions. The level of contributions is around 30% of gross pay, with 5% paid by the employee and 25% by the employer. If you are working in Spain, either as an employee or self-employed you will probably have to pay social security, although for two years after moving to Spain you may be able to opt to continue paying in you EU country of origin. After two years working in Spain, you will be required to contribute to the Spanish social security system. If you are retired and are eligible to receive a state pension in the UK, you will be able to draw that pension while resident in Spain and be entitled to full health benefits on the same basis as Spanish nationals. However, you should talk to your local UK social security office and make sure you have the relevant forms correctly completed before your departure to Spain.
Further reading: Social security for migrant workers, and Your social security, health care and pension rights in the European Community, both available from the Department of Social Security, Overseas Branch, Newcastle-upon-Tyne, NE98 1YX, or go to the DSS website by
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