Moving to Portugal and Worried About Healthcare? Here’s the Truth About the SNS
If you’re planning to move to Portugal — whether for retirement, remote work, or the D7 visa — one of the biggest questions that comes up is: what’s the healthcare system really like?
You’ll find plenty of myths online, often painting Portugal’s public system as slow, bureaucratic or confusing. Having now gone through it ourselves — from registering with a local GP to surgery and ongoing care — we can confidently say it’s far better than its reputation.
Understanding Portugal’s Public Healthcare System (SNS)
Portugal’s healthcare is delivered through the Serviço Nacional de Saúde (SNS), a tax-funded public system available to all legal residents. Once you have your residence certificate and NIF, you can register at your local centro de saúde (health centre) and receive a Número de Utente — your public health number.
The SNS isn’t completely free: small co-payments, known as taxas moderadoras, apply for GP visits or emergency care. But major treatments, hospital stays and surgery are fully covered by the state.
One of the most efficient aspects of the system is that the SNS partners with private clinics and laboratories for diagnostic tests, scans and some specialist consultations. You book these appointments yourself — often within days — and the government pays the provider. It’s a clever hybrid model that blends public funding with private-sector efficiency.
Shelley - the morning after surgery!
Digital Tools That Actually Work
Portugal’s healthcare has gone digital faster than many expect. The SNS 24 helpline and app let you book urgent appointments, get triage advice, and even renew prescriptions. Most hospitals also have their own apps where you can check results and upcoming appointments — no paper letters or waiting by the phone.
When the System Is Slow… and When It’s Not
Like any public service, waiting times vary. But the SNS has a built-in guarantee: if you’re scheduled for surgery and it hasn’t been carried out within six months, you receive a voucher for private treatment at no extra cost. That’s a policy many newcomers are unaware of — and it’s one reason satisfaction among residents is surprisingly high.
Should You Still Have Private Health Insurance?
We recommend keeping a basic private policy alongside public cover. It allows you to choose your own specialists, skip waiting lists for minor issues and access English-speaking doctors if language is a concern. Plans start from around €20 a month, so even budget-minded D7 visa holders can comfortably maintain one.
Our Verdict
Portugal’s public healthcare combines compassion, affordability and a growing level of digital convenience. It isn’t perfect — no national system is — but once you’re registered, it works remarkably well.
If you’re considering living in Portugal, make sure healthcare is on your checklist early:
Register for your Número de Utente as soon as you have residency.
Download the SNS 24 app.
Keep a small private policy as backup.
That’s a balanced, reliable setup for peace of mind when starting your new life here.
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