Barcelona route

Doctors and medicine in Catalonia: how to connect yourself

Public medicine in Catalonia begins with the right to it, registration at the address and TSI card (targeta sangitoria individual, individual medical card) that is processed at CAP, the primary care centre, and below 15 steps: from foundation to family doctor, prescription, emergency and what to do while the cards are not available.

Short

Law
By law
Citizens and foreigners with legal and habitual residence, unless they have the obligation to be covered differently (Ley 16/2003, art. 3)
Card
TSI in CAP
First free, comes by mail; duplicate 10 I on page CatSalut
Registration
Padró
Registration certificate not exceeding three months
Unrighted by law
Conveni especial
After a year of residence and registration in Catalonia; 60 I am a month under 65 years of age, 157 I have been from 65 to CatSalut
Online
La Meva Salut
Doctor's appointment, prescription, analysis, e-mails with doctor
Phone
061 Salut Respon
Catalonia medical reference; threat to life: 112

Whose route is it?

The route for those living in Barcelona or another city of Catalonia who want to take the public medicine themselves: employees, autónomo, holders of a digital no lucrativa, and their families, a scheme common to Spain, but the card, CAP and online services are run by CatSalut, Catalonia Health Service, so the details here are Catalonia.

SituationWhat is usually a rightPrivate insurance
Employment or autónomoAlta in Seguridad SocialIf you wish
DNV (Digid Nomad)If there's an alta in Spanish Seguridad Social through itPublic or private ownership is required
No lucrativaThe obligation to cover is different, so the law does not normally applyAgency requirement
Family member of insured personAs beneficialio (beneficiario)If you wish

If the base has not yet been selected, start with General permit scheme for residence in Barcelona and Comparisons of public and private medicine.

Medicine in Catalonia: 15-step scheme

  1. Identify the basis on which public medicine is assigned to you.

    The law gives the right to foreigners with legal and habitual residence, with public funds, if they do not have the obligation to confirm the coverage in another way. Employment and autonomo give the right through Seguridad Social. For DNV, the agency requires insurance, public or private, and for no lucrativa the obligation to have insurance and is a "other way", so the right does not usually arise under the law. The CatSalut uses it to your status, and is specified in CAP.

    Where: Ley 16/2003, article 3; Llei 9/2017; CatSalutDuration: Before going to CAPCost: free of charge; conveni special 60 or 157 per month

    When assistance is needed: DNV with the employer abroad, change of base or family with different status: the right depends on the details, it is worth taking them apart with the hestor.

  2. Get the social security number (NAF, NUSS)

    NUSS, or NAF, is a number in Seguridad Social: without it, you can not write an alta and recognize the right to medicine. It is issued by TGSS, the Social Insurance Treasury; online via Importassas, you can apply at any time, with or without Cl@ve or digital certificate, using a photo of the document and selfie.

    Where: TGSS, Importasse PortalDuration: No indication on TGSS pageValue: duty not indicated on TGSS page

  3. Register at (padró)

    For TSI, you need a residence registration certificate (certificat d'empadronament) issued at least three months before the visit. Your address also depends on your CAP. In Barcelona, registration is issued by Ajuntation, City Hall.

    Where: Auntation de BarcelonaDuration: TSI certificate not exceeding 3 monthsValue: See Auntation page

    Where assistance is needed: no lease or owner against registration: the order without contract is described in article volante certificate.

  4. Put TSI in your CAP

    TSI requests a request from CAP at the registration address, and the Generalitat data show that you can also apply online. You can find your CAP at the address or check your 061. CatSalut sends a card free of charge; every family member needs his own.

    Where: Cap at CatSalutDuration: No entry on CatSalut pageCost: First card free, duplicate 10

    When you need help, Cap says you don't have a right, but you think otherwise: first check the recognition of the right in INSS (step 15), then deal with the hestor. Tarjeta Sanitaria in Catalonia.

  5. Get a family doctor and a pediatrician.

    After TSI, you are assigned to the primary care team (EAP) and the doctor, médico de Capçalara; children are observed by a paediatrician. The doctor and CAP can be selected, but not more frequently per year, except for objective reasons such as moving or changing jobs.

    Where: CAP, La Meva SalutDuration: response to change of office up to 10 working days, silence means consentCost: free of charge

  6. Connect La Meva Salut

    La Meva Salut, patient's personal office CatSalut: Cap, treatment plan and e-prescriptions, test results, vaccinations, eConsulta for doctor correspondence. Parol entry, idCAT Møbil, Cl@ve or digital certificate.

    Where: CAP, lamevasalut.gencat.catDuration: Create password in 4 daysCost: free of charge

  7. Make an appointment with the doctor by the convenient channel.

    The routine appointment is taken to La Meva Salut, via CAP, in person at the register office, or 061. It is not urgent to ask about treatment and questions via eConsulta, without visiting.

    Where: La Meva Salut, CAP, 061Duration: Depends on CAPCost: free of charge

  8. CAP, CUP, hospital, 112, 061

    If you don't understand where to go, 061 Salut Respon gives you a telephone consultation, emergency but not life threatening, decides at CAP or CUP, emergency primary care centre, and the urgíncies of hospitals go when they really need to.

    Where: CAP, CUP, Hospital, 112, 061Duration: ImmediatelyCost: In the right to public medicine free of charge

  9. Get your meds on the e-prescribed.

    The prescription is electronically processed, visible in the La Meva Salut treatment plan. The pharmacy shows TSI. The drug supplement depends on income and status (working or retired), and a number of people are exempt from it; the level of coverage is specified in TSI.

    Where: pharmacy, La Meva SalutDuration: for the time being, the prescription is in effectValue: share of price by regulation on the Health Department page

  10. To specialist: through direction

    In the public system, a specialist is referred to a primary doctor or on urgent statements, first to a family doctor, who decides whether or not to have a specialist.

    Where: CAP, hospital or specialist centreDuration: Depends on the professionCost: free of charge in the public system

  11. Consider whether you need private insurance in parallel.

    For DNV and no lucrativa, insurance is a requirement of the agency, and then the agency imposes its terms: a company authorized in Spain, a period of validity for the entire period; without such a requirement, private insurance remains a personal choice and the public system does not replace it.

    Where: the agency's requirements for your foundationDuration: for the duration of the authorizationCost: Depends on policy

    When you need help: insurance was rejected when filing or extending: consider the ex-tranjería claims.

  12. Dental care: what the public system gives

    The general programme covers the treatment of acute processes (infection, inflammation, trauma), dental removal and preventive examination. Orthodontics, implants and aesthetics are not included. Children, pregnant women and some other groups are covered by the MCH plan; as in Catalonia, specify in CAP.

    Where: CAP, primary dental careDuration: recordedCost: free of charge in the total programme

  13. Move the medical history

    Your old story at CatSalut isn't gonna get automatically. Get your family doctor a discharge, a list of drugs with active substances, vaccinations of children and important tests, better with a translation into Spanish or English.

    Where: CAP, translatorDuration: until first visitCost: translation is paid separately

    When you need help, you need a document for a formal procedure, not for a doctor, then you might need it. juror transfer.

  14. Change CAP when moving

    CAP depends on the address, so after moving, the registration changes first, then the address to CatSalut: to CAP or after 061, the move is considered as an objective reason and the "one shift per year" limit does not apply to it.

    Where: Auntation, CAP, 061Duration: response up to 10 working daysCost: free of charge

  15. TSI is not yet available: emergency assistance and legal aid

    The emergency in Catalonia is also without a card, but a person without a public medicine license can be billed. Children under 18 and pregnant CatSalut can be accessed by a separate application to CAP. If you already have a right through Seguridad Social, you can download a document about it (documento acreditivo) from INSS.

    Where: INSS (online, mail, CAISS on record), CAPDuration: No indication on INSS pageCost: free of charge

    When you need help, you come in with a bill for help, and you think it was a right to challenge a man or a lawyer.

Typical errors on this route

  • They come to CAP with a certificate of registration over three months: it's not accepted.
  • TSI is considered to be granted a residence permit to all holders: in no lucrativ, the obligation to have insurance usually excludes the right under general law.
  • They refuse private policy after receiving TSI, although it remains a requirement for extension.
  • They change CAP twice a year without moving and they get rejected: the limit of one shift per year.
  • They're going to the hospitals with colds, but they'd be better off at CAP or CUP.
  • Children do not get TSI: every family member needs a card.

Frequent issues

What is TSI and how much is it worth?
Targeta sangitoria individual, a personal medical card called CatSalut with a personal code CIP. It is issued to Cap, the first card is free of charge and comes by mail, and the duplicate is 10th on CatSalut.
Is public medicine available with no lucrativa?
Under general law, there is usually no obligation to have insurance in no lucrativa, and public funds are the right of those who do not have such a duty. After a year of residence and registration in Catalonia, a conveni special with CatSalut can be concluded.
How much is conveni special in Catalonia?
On CatSalut 60 a month, up to 65 years and 157 years, I have been living in Spain since I was 65 years old, and it takes a year of continuous residence, registration in Catalonia and no other public coverage. Check the amounts before delivery.
Can you go to a doctor without TSI?
The emergency is available, but without a right to public medicine, you can bill. If you already have the right through Seguridad Social, you can download the document from INSS and show it to CAP.
How do you change family doctors or CAP?
The same CAP doctor changes to La Meva Salut, Cap and the doctor together through eCAP or CAP form. Change can be made once a year, except for objective reasons like moving. The answer is given within 10 working days.
Do teeth treat for free?
Adults in general program: treatment of acute processes, removal and examination. Seals, prosthetics, orthodontics and implants are usually paid. Children and pregnant women are covered more widely, and the volume in Catalonia is specified in CAP.

To deal with your situation.

If it's not clear whether you have the right to public medicine on your basis or whether your family lives with different status, we'll take it up for consultations. First, 30 minutes free. Full individual consultation: 121 I in 45 minutes. The cost of the operation is charged separately. Insurance is not sold or collected. NEXO Relocate Center, not a law firm: legal counsel is responsible for the legal part. The tax and administrative authorities are responsible for the administration of the tax administration (gradoada social).

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Contribution on the theme

Sources

Sources were checked on October 3, 2026. CatSalut pages on TSI and conveni special were updated in 2017-2018, the amounts and documents are checked in CAP before the visit. Information material does not replace advice from a lawyer or tax and administrative specialist.

How does this apply to your situation?

Choose a first step in the short quiz or discuss your questions with the NEXO team.