In Portugal, there are three healthcare systems that work together:
- The National Health Service (SNS) and the health subsystems: This is a universal system funded by taxes. It represents the public sector and provides free primary healthcare in health centers which are spread throughout the country, as well as specialized healthcare in public hospitals for Portuguese residents and citizens. Medicines prescribed by SNS doctors are also available at a reduced price for patients.
- Health insurance plans based on membership of an occupational group or a company
- Voluntary private health insurance: Private healthcare in Portugal is funded by insurance companies and the patients themselves. It is provided by private clinics and hospitals, which offer services at a higher cost than the SNS. Patients may choose to use private services to avoid waiting times or to receive more specialized healthcare.
Non-residents and temporary visitors to Portugal must take out private health insurance to cover their stay. However, short-term residents from the European Union (EU), the European Economic Area (EEA) and Switzerland can access public healthcare in Portugal using their European Health Insurance Card (EHIC).
In general, the Portuguese system is considered to be of good quality, with a high level of healthcare available to patients. However, there are concerns about waiting times in public hospitals, which can be long for some specialized treatments. In addition, the COVID-19 pandemic has put a heavy strain on the Portuguese healthcare system, with significant pressure on healthcare resources and personnel.