Jennifer Lutz

Updated: Sat 25 Jul 2026 08:07 CET

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Most Americans The Local Spain spoke to opted into the public system when eligible and kept private insurance as well.(Photo by Simon WOHLFAHRT / AFP)

In this edition of Americans in Spain, we explain what to expect from the Spanish public and private healthcare systems, and speak to Americans already in the country about how they cover their medical needs as efficiently as possible.