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BREXIT

Reciprocal healthcare agreements between Spain and Gibraltar end

The Spanish government has confirmed that it will not extend its reciprocal healthcare agreements with Gibraltar, meaning that from July 1st 2022, it will come to an end.

Published: 1 July 2022 15:08 CEST
GIBRALTAR-EHIC-SPAIN
Gibraltar's government wanted the reciprocal EHIC agreement with Spain to continue. (Photo by Daniel SLIM / AFP)

When the UK left the EU on December 31st 2020, both sides agreed that the UK’s EHIC European healthcare cards could still be used until their expiry dates.

This card provided British travellers with free state-provided medical care in the EU in case of emergencies.

Beyond their five year period of validity, EHIC cards are no longer valid and travellers have to apply for the new Global Heath Insurance Card (GHIC) instead. 

Spain made a separate agreement with Gibraltar under its Royal Brexit Decree in which unilateral arrangements would be maintained in the territory and extended until June 30th 2022.

During the meeting of the Spanish Council of Ministers on Tuesday, the Spanish Government decided not to extend the agreement further, meaning that residents of Gibraltar will no longer be able to benefit from it.

In a statement the government of Gibraltar said: “It would have been HMGoG’s preference for these arrangements, which deeply affect citizens on either side of the border on matters as essential as healthcare, to have been maintained. Indeed, HMGoG was prepared to continue with them”.

“However, because reciprocity is a key element to these arrangements which cannot work without coordination and provisions for reimbursement of costs etc., HMGoG is left with no option but to discontinue them also in so far as treatment in Gibraltar is concerned,” it continued. 

What does this mean?

Gibraltar residents insured under Gibraltar’s Group Practice Medical Scheme will, after 30th June 2022, no longer be able to access free emergency healthcare in Spain during a temporary stay in the country. 

Those who are residents in Spain who travel over to Gibraltar will not have access to free healthcare on The Rock either. 

As a consequence, if a resident of Gibraltar falls ill or has an accident while over the border in Spain or the same for a Spanish resident in Gibraltar, they will have to pay for healthcare.

The government of Gibraltar is encouraging its citizens from July 1st 2022 to have appropriate travel insurance with medical cover each time they visit Spain.

This means that even those who are hopping over the border for few hours such as for a shopping trip or going out for dinner will have to make sure that they have adequate health insurance. 

“Where medical attention is required the costs incurred may be considerable, so you should ensure you have adequate insurance cover or alternatively the means to pay,” the Gibraltar government said in their statement.

  

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HEALTH

Are private health costs tax deductible in Spain?

Many expenses can be offset against taxes in Spain, but what about private health insurance and other medical costs? Can you deduct them in 'la declaración de la renta' (annual tax return)? It often depends on your circumstances and location.

Published: 2 May 2024 09:13 CEST
Are private health costs tax deductible in Spain?

Taxes are expensive in Spain, so anything that you can do to be able to make deductions or offset payments can help.

Not many people are aware that some private health costs such as health insurance can be tax deductible in Spain.

There are however certain requirements you must meet to be able to do this. It is generally only available to:

  • Self-employed workers registered as autónomo
  • Employed workers who have private medical insurance paid for by their companies
  • Companies that offer group health insurance to their employees.

This means that if you’re an employee who wants to get their own private medical insurance, unfortunately, you generally won’t be able to claim the payments back against tax.

READ ALSO – La Renta: What items can you deduct on your Spanish tax return?

Self-employed

If you run your own business or work for several different clients and are registered as autónomo in Spain, then you are able to deduct private health insurance.

Of course, you’ll already be covered by the public health system as you’ll be paying social security, but you may want to consider private health insurance too. The benefits include being able to get appointments faster and see specialists when you want.

Even though health insurance may be not completely necessary for carrying out your work, Law 35/2006 on Personal Income Tax states that it is deductible for self-employed people, provided they pay taxes through the direct estimation regime, which takes into account real annual income.  

It’s also possible to deduct private health insurance policies of your spouse and any children under 25 years old, as long as they live with you.  

  • You can deduct a maximum of €500 for each person in the family who meets these requirements, or a maximum of €1,500 if any of those people suffer from a disability.
  • Your total deduction for private health insurance as a family cannot exceed €4,500.  

It’s important to be careful when you’re taking out a private health insurance policy that you’re taking out the correct one for your circumstances, otherwise, you may not be able to claim it back. For example, if you want to be able to deduct your Sanitas expenses you have to take out the Sanitas Professional Plan only, you can’t pick and choose which you want. This means that if you want to be able to put this down as an expense you must communicate your intentions and situation with your chosen insurer first, so that they can advise you.  

READ ALSO: Record 850,000 people waiting to have an operation in Spain 

Employees who get private health insurance from their company  

If your company pays your private health insurance for you, it is considered to be a type of remuneration, but you are exempt from declaring it as work income, so are able to generate some tax savings on it.  

The limit is also €500 for each person included in the health insurance coverage. If the health insurance premiums exceed €500 per year, the rest will be taxed as a type of income.  

If you pay a portion of the health insurance yourself and your company pays the rest, you are also allowed to deduct these expenses.  

Tax-deductible medical expenses in the Canary Islands, Cantabria and Valencia

If you live in either the Canary Islands, Cantabria or Valencia, there are a set of special circumstances that allow you to offset health expenses against your taxes, no matter whether you’re self-employed or if your company pays private health insurance for you or not.  

Canary Islands  

It’s possible to deduct 12 percent of expenses and fees paid during the year for medical or health reasons including the prevention, diagnosis and treatment of diseases, dental health, pregnancy and childbirth, accidents and disability.  

Operations for aesthetic purposes are excluded unless they are intended to repair damage caused by accidents or are treatments aimed at helping those dealing with sexual identity.

It’s also possible to deduct 12 percent of the expenses paid for medical devices that compensate for physical deficiencies, such as glasses or hearing aids. 

The total amount deductible is €600 per year for individuals and €840 if joint a declaration is filed. If the taxpayer has a disability equal to or greater than 65 percent, an additional €100 deduction is added.

READ ALSO: Is it better to do a joint or separate tax declaration if you’re a couple in Spain?

Cantabria

If you live in Cantabria you are able to deduct 10 percent of private health services for illness, dental health, pregnancy, childbirth, accidents and disability. You can either claim it for yourself or your immediate family who live with you.  

The limit is €500 for individuals and €700 for joint declaration. These limits will be increased by €100 for those with a disability equal to or greater than 65 percent, and by a further €100 for each taxpayer with this disability, in the case of a joint declaration. 

Valencia

This year, the government of Valencia has also included a deduction for certain health expenses.

€100 can be deducted for the treatment and care of people affected by highly complex chronic diseases and “rare” diseases, as well as €100 for care for those diagnosed with acquired brain damage or Alzheimer’s disease. This will be extended to €150 for single-parent families.  

You can also deduct 30 percent of the expenses for:

  • Services and treatments linked to non-aesthetic oral health, with a maximum limit of €150.
  • Services related to mental health, with a maximum limit of €150.
  • Prescription glasses, contact lenses and cleaning solutions, with a maximum limit of €100.

Remember that if you live in any of these three regions and you want to be able to offset your medical expenses against taxes, you will need to pay with card and have proper invoices and receipts to prove what you have paid for.  

If you are unsure about what expenses you can claim, it’s best to contact your gestor or another tax professional to check about your specific situation beforehand. 

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