
Portugal has a universal healthcare system which is available to foreigners who are legal residents. The system has is a network of clinics and pharmacies in towns and villages all over the country. Usually, these health centers, “Centro de Saude” are open just a few hours a week. Ideally, there is a doctor who is available during these times, but some centers only have a nurse. The Covid situation put the Portuguese health system under great strain.
Fortunately, I enjoy good health and have had little reason to use my local health clinic. The only times I have been are few and far between. When I first arrived one of my new neighbor’s little dogs bit me and I had to get a tetanus injection. This was actually a blessing in disguise, because it obliged me to go to the main health center for my “Concelho” or municipal area, to register in the system. I had to provide identification and my residency permit and was eventually given a “numero de utente” or user’s number. This is the number you must always show when seeking to use any of the services in the Portuguese healthcare system.
The other time was when I was having some digestive issues. I went to the clinic in my local village and the nurse told me to wait. I was able to see a doctor who spoke English. He ordered a battery of tests which included bloodwork, electrocardiogram, abdominal sonogram and an endoscopy. Because I am over 65, I didn’t have to pay for the doctor visit. (People under that age usually have to pay a few euros.) I was only charged for one of the tests, and staff apologetically explained that it would cost me 15 euros!
Impact of Covid
Unfortunately, the Covid pandemic made it harder to access healthcare services during the past two years. Several hospitals had to temporarily close departments because of a lack of staff. The clinic in my local village did not have a doctor available for about a year. In order to see a doctor, you either had to go to the main municipal clinic on a Saturday morning, or go to the local hospital. Either option was about (16 kms) or 10 miles away.
Despite these drawbacks, Portugal had an efficient system for alerting people when they were eligible for a Covid vaccination or a flu shot. I received a text message on my mobile phone and sent a return text with my Utente number to confirm. I also received a letter in the mail giving me an appointment to get a mammogram at the mobile unit when it was visiting my area. No cost for the vaccinations or the mammogram!
Healthcare a draw for many
The soaring cost of medical care in the United States has made the prospect of access to quality care, at a fraction of the price, a powerful draw for many Americans who have moved or are planning to relocate to Portugal.
Legal residents of Portugal can use the tax-funded national health service, SNS (Serviçio Nacional de Saúde), a system of local clinics and regional hospitals, either free or at minimal cost.
“The public health system here is basically free. You don’t pay for appointments, surgeries, all that,” said Fernando Mendes, an insurance agent based in central Portugal.
In addition, there is a growing network of private facilities and providers, such as Hospital de Luz, CUF and HPA, available to those who pay for medical insurance.
The public and privately funded health systems have earned high recognition. The World Health Organization ranked the delivery of health care in Portugal 12th in its 2019 World Health Report.
Numerous private health insurance options are available in Portugal through companies like Fidelidade, Allianz, Advancecare, Cigna, and Medis. Coverage for pre-existing conditions is not typically available through these plans. The Association of Foreign Property Owners in Portugal (AFPOP) also offers its members special insurance rates through Medal Seguros. Their plans will cover pre-existing conditions under certain conditions. This is not the case for most private insurance plans offered in Portugal.
Navigating Portuguese Hospitals is a Facebook group that helps people navigate the Portuguese system.

































