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Updated: 10/2020

Document that identifies and accredits individuals as users of the public healthcare system (CatSalut in Catalonia)

Vocabulary
  • What do you need to know?
  • What do you need to do?

It is FREE

It expires on the exact DATE indicated on the CARD

It can be applied for once EU registration or the identity card for foreign nationals (TIE) has been obtained

It is applied for IN PERSON or ONLINE 

What is it?

It is an identity card and allows free access to:

  • The centres and services of the public healthcare system.
  • Prescriptions subsidised by CatSalut.

Important information

It is individual, personal and non-transferable and, therefore, each family member must have his or her own individual healthcare card, regardless of age.

In Catalonia, with the individual healthcare card, everyone is guaranteed healthcare if they meet the necessary requirements.

However, if you do not meet the requirements, there are countries with which agreements are in place in terms of healthcare and other benefits. This may be of particular interest to students. In this case, go to the offices of the Spanish National Social Security Institute (INSS) to find out your status.

You can also consult the CatSalut website (available in Catalan and Spanish) and the official website for obtaining the card (available in English, Catalan and Spanish).

Why is this formality important?

It is important to obtain this card, since it is necessary to be able to go to a public healthcare centre or hospital, and to be able to access subsidised prescriptions, independently of having private medical insurance. Since it is considered one of the best public healthcare systems in the world, having access to it makes it all the more worthwhile.

It is important for your daily life to have this card, as if you fall ill and have to take sick leave, the public healthcare system doctor is the only person authorised to accredit it by means of a medical certificate.

Who does it apply to?

It applies to all individuals registered in the city’s municipal register of residents who have actual and authorised residence in Spain and have the right to access public healthcare. In some cases they must have the certificate of recognition of the right to access public healthcare.

Who should apply for it?

The application must be submitted by the individual in person or by means of a duly accredited representative. However, it should be borne in mind that the application for the first individual healthcare card must be signed by the person applying for it.

What requirements must be met?
  • The individual healthcare card can be requested by individuals who meet any of the following requirements:
    • They are able to prove their status as an insured individual
    • They are beneficiaries of access to social security healthcare obtained by applying for the status of and recognition as an insured individual or beneficiary of social security healthcare 
    • They are foreign and are not included in the two groups above, but meet the following requirements:
      • They are registered in any municipality of Catalonia, for a continuous period of at least three months, immediately prior to submitting the request for access to healthcare.
      • Can prove that they have an income lower than the minimum insertion income, except in the case of individuals who are considered to be in a special situation, in which case they will not have to prove this.
      • Those considered to be in a special situation are:
        • Pregnant women
        • Minors
        • Those seeking international protection
        • Victims of human trafficking
        • Others
Which body is responsible for the formality?

CatSalut (Generalitat de Catalunya - Government of Catalonia)

What advice and suggestions could help you?
  • In order to request medical certification to be absent from work due to illness and to return to work after illness, you must present your individual healthcare card at your primary healthcare centre.
  • It is important that the information on your individual healthcare card is correct. Therefore, if, when you first receive your individual healthcare card, you see an error in your personal details, you must report it.
  • If you have any queries and you are in Catalonia, you can call 061 (CatSalut Respon). If you are calling from abroad, you must call 933 038 158, where they will also help you in English.
  • The card is individual, personal and non-transferable, and each family member must have his or her own individual healthcare card, regardless of age.
  • If you go to the accident and emergency department, you do not have to present your individual healthcare card. However, the card must be presented subsequently in order to prevent the service being billed to the user.
  • While this formality is free of charge, bear in mind that having the card reissued (duplicate) costs € 10.
What other linked formalities should you know about?

What do you need to do?

Online
In person

Anyone resident in Catalonia can apply for their initial individual healthcare card (TSI) without having to travel to their primary healthcare centre (CAP), though they will have to meet the basic requirement of being a registered resident of a Catalan municipality to be able to receive their permanent physical TSI or proof of application for the TSI. 

In most cases too, applicants will have to appear as contributors to or beneficiaries of the National Institute of Social Security (INSS) or the corresponding mutual society (MUFACE, MUGEJU or ISFAS) in the case of Spanish or foreign nationals registered as employees or self-employed, pensioners, recipients of periodic social security benefits or similar situations and their beneficiaries (minors, spouses, newborn children). 

What steps do you need to follow to apply for an individual healthcare card? 

1
2
3
4
Register with the Barcelona's municipal register of residents

You can apply for an individual healthcare card once you are registered with the city's municipal register of residents. 

To find out the procedure for registering with the municipal register of residents, you can access information that provides you with all the details on it. 

Next
Fill in the online application form

Fill in the online application form (only in Catalan). 

You may not be entitled to an individual healthcare card. To check this, enter the social security website or go in person to the Spanish National Institute of Social Security (INSS), to request the document that specifies your status. 

Next
Receive an emailed provisional receipt with a personal identification code

By sending your TSI application you are authorising the Catalan Health Service to consult data from other authorities or public organisations for administrative purposes. 

You will be emailed a provisional receipt with an assigned personal identification code (CIP), which will enable you to access the public healthcare system's centres and services. 

Next
Receive the individual healthcare card

The card will be sent to your home address by ordinary mail within two to three weeks. 

You or a duly accredited representative can carry out the formality in person by going to the primary healthcare centre for the place where you live.

Remember that if you do not know which primary healthcare centre you need to go to, you can call 061 or consult the "Centres" section on the CatSalut website.

What steps must you take to apply for the individual healthcare card?

1
2
3
4
Register in the municipal register of residents of the city of Barcelona

In order to apply for an individual healthcare card, you must first register in the city’s municipal register of residents.

In order to find out how to register in the municipal register, access the information on that formality, which contains all the details of how to go about it.

Next
Fill in the application form and gather the required documentation

You must print the form, fill it out and sign it. 

You may not be entitled to an individual healthcare card. To check this, go to the Social Security website or go to the Spanish National Social Security Institute (INSS), to request the document that specifies your status.

If you wish, instead of downloading the form, you can ask for it, fill it in and sign it when you go directly to the primary healthcare centre, if you are going in person to apply for your individual healthcare card.

In addition, you must consult and prepare the documentation that will be required at the primary healthcare centre to carry out the procedure.

Documentation

You can authorise CatSalut to consult your information, held by other bodies, online, or bring the following documents:

  • Completed and signed application form.
  • Specific documentation for insured individuals and beneficiaries of social security who are entitled to all the public benefits and cover offered by CatSalut
    • Identity document (Spanish national identity document (DNI), identity number for foreign nationals (NIE) or passport).
    • Certificate of registration in the municipal register or "empadronamiento" with an issue date of less than three months before.
      • There are councils that offer online consultation, but if your council does not offer this service, you must bring the original certificate.
    • A photocopy of the document proving membership of a social security scheme (INSS), MUFACE, MUGEJU or ISFAS, if the holder.
  • Specific documentation for foreign nationals who cannot be accredited as insured or beneficiaries of social security
    • Document issued by the Spanish National Social Security Institute (INSS) that proves that you do not have the status of an insured individual or beneficiary of social security.
    • Identity document (identity number for foreign nationals (NIE) or passport).
    • Family register or birth certificate, if necessary.
    • Certificate or sworn declaration attesting that your income is less than the minimum insertion income (it is not necessary for people in special situations to present these documents).
Next
Go to the relevant primary healthcare centre and submit the documentation required

You must go to the primary healthcare centre for the place where you live and submit the required documentation. The documentation necessary is detailed in the third section of the procedure ("3. Fill in and sign the application form and gather the required documentation > Documentation").

Remember that you can check which centre you have to go to by consulting the "Centres" section on the CatSalut website.

Next
Receive the individual healthcare card

The card will be sent to your home address by ordinary mail within two to three weeks.

Important information

Formalities tend to change fairly frequently. That is why it is only the regulations in force that apply when you carry out the formality in question.