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.
| Situation | What is usually a right | Private insurance |
|---|---|---|
| Employment or autónomo | Alta in Seguridad Social | If you wish |
| DNV (Digid Nomad) | If there's an alta in Spanish Seguridad Social through it | Public or private ownership is required |
| No lucrativa | The obligation to cover is different, so the law does not normally apply | Agency requirement |
| Family member of insured person | As 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
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.
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.
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.
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 assistance is needed: no lease or owner against registration: the order without contract is described in article volante certificate.
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.
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.
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.
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.
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.
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.
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.
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.
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.
When you need help: insurance was rejected when filing or extending: consider the ex-tranjería claims.
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.
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.
When you need help, you need a document for a formal procedure, not for a doctor, then you might need it. juror transfer.
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.
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.
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?
Is public medicine available with no lucrativa?
How much is conveni special in Catalonia?
Can you go to a doctor without TSI?
How do you change family doctors or CAP?
Do teeth treat for free?
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).
Contribution on the theme
Sources
- BOE: Ley 16/2003, articles 3, 3 bis, 3 ter, text of 31.07.2026 (open 03.10.2026)
- BOE: Llei 9/2017 Catalonia on Universal Access to Medicine (open 03.10.2026)
- CatSalut: Obtencio de la Primera TSI (documents, value) (open 03.10.2026)
- CatSalut: Conveni especial de prestació de l'assistència sanitària (open 03.10.2026)
- CatSalut: Access for minors, pregnant women and those without registration as residents (open 03.10.2026)
- Generalitat: I need to access the public health system (open 03.10.2026)
- Generalitat: Choice of a family doctor and a paediatrician, page 03.09.2026 (open 03.10.2026)
- Generalitat: password access to La Meva Salut (open 03.10.2026)
- TGSS Importass: Solicitar el número de la Seguridad Social (open 03.10.2026)
- INSS: Form 6-071, recognition of the right to medical care (open 03.10.2026)
- INSS: Legal verification and the right to public medicine (open 03.10.2026)
- Ministry de Sanidad: SNS (specialists, dentistry) (open 03.10.2026)
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.
