• Make a Donation
  • Ask For Advice

Invoicing Coop – Legal Way To Obtain State Healthcare?

It appears it is.

CAB Spain senior adviser Richelle can now state that the answer to this is yes. After assisting in two cases of expats paying into the system through an Invoicing Coop. The Coop pays into the Social Security on their behalf, for days worked and invoiced to clients through them. These cases were with two different cooperatives so no ‘coincidence’. Both expats have obtained accredited entitlement to state healthcare and TSE (Tarjeta Sanitaria Europea, the Spanish equivalent of EHIC) plus the entitlement to add dependants ´beneficiarios´.

If you are invoicing through a cooperative as well and would like to check if you are covered for healthcare, then first check if the contributions have indeed been paid into the system by applying for your Vida Laboral online.

If you don´t have a digital certificate installed on your computer yet, please read this information from our website on how to do so and what you can use it for.


On the second and following pages your employers are listed and the coop should be amongst them. The Vida Laboral should state ´en situación de alta o asimilada al alta´, meaning your status is either employed (the days you pay in) or legally unemployed (the days you don´t).

Once you´ve made sure the contributions are listed with the Seguridad Social, you can go to their online office and check your healthcare entitlement. Please do so on a computer, on phones the menu is different and the option ´healthcare´ didn´t bring up the desired info when we tried.


scroll down till option to log in with digital certificate appears (or use Cl@ve Pin if that´s what you have). Click, select certificate and wait till entitlements are calculated. The info that comes up starts with pension entitlement, then entitlement to widow(er) benefits, followed by ´Asistencia Sanitaria´. If you´re entitled, it will say so there. TIENES DERECHO A ASISTENCIA SANITARIA with a button to the right that you can press to obtain a certificate that accredits this entitlement. Bring up the certificate, print it and take to medical centre so you can register and they can apply for a medical card for you.

 Screenshot once accessed ´Tu Seguridad Social´online.

Please note that you will be entitled to the Tarjeta Sanitaria Europea (Spanish EHIC) as well, as the third heading on screenshot above indicates. Clicking the button to the right will lead you to online application form.

Screenshot certificate that accredits entitlement. Print and take to local health centre to register and have them order medical card for you.

Last but not least, the certificate of entitlement should serve as your ´proof of healthcare´ when you register as resident as well and once you´ve registered them as your dependants ´beneficiarios´, for a spouse and/or dependant children too.

Please note: The information provided is based upon our understanding of current legislation. It is not legal advice but is provided freely to enable you to be properly informed. We recommend that if you are considering taking action, you should seek professional advice.

How Can Citizens Advice Bureau Spain Benefit You?

As an expatriate living in Spain; do you find that the Spanish bureaucratic system can be disconcerting? Have you discovered that the simplest of transactions are difficult to conclude? Find yourself searching for answers to problems only to discover that there is nowhere where you could find a solution? I am assuming that the answer is yes and that is why should be a member of our web site if you arent already.
citizens advice spain


We use our own and third-party cookies to prepare statistical information through the analysis of your browsing, in accordance with our cookies policy. If you continue browsing, you accept its use.
view CAB cookie policy

Utilizamos cookies propias y de terceros para elaborar información estadística y mostrarte publicidad personalizada a través del análisis de tu navegación, conforme nuestra política de cookies. Si continúas navegando, aceptas su uso.
ver política de cookies de CAB

The cookie settings on this website are set to "allow cookies" to give you the best browsing experience possible. If you continue to use this website without changing your cookie settings or you click "Accept" below then you are consenting to this.