Go Back  British Expats > Living & Moving Abroad > Europe > Portugal
Reload this Page >

NATIONAL HEALTH SERVICE CHARGES FOR EARLY RETIREES

NATIONAL HEALTH SERVICE CHARGES FOR EARLY RETIREES

Old Sep 13th 2019, 9:20 am
  #1  
Just Joined
Thread Starter
 
Joined: Sep 2019
Posts: 8
SONICYOUTH is an unknown quantity at this point
Default NATIONAL HEALTH SERVICE CHARGES FOR EARLY RETIREES

My wife and I became permanent residents in the Algarve from the UK in December 2018. We are both early retirees (early 60's) and registered with the state health system.

Following surgery in the UK last year I needed an MRI scan and was referred by my doctor at Tavira Health centre to an MRI clinic in Faro. I was charged 125 euros for the scan and 65 euros for a contrast dye. I now need a full body PET scan and was referred to a clinic in Lisbon, but only quoted 15 euros for the scan which should be more expensive than an MRI!

Should I have only been charged a nominal fee for the MRI in Faro as a state health patient? Have I been accidentally referred to a private clinic? I've been trying to clarify with both clinics but without much success so far.

Any advice appreciated.
SONICYOUTH is offline  
Old Sep 13th 2019, 10:43 am
  #2  
Just Joined
Thread Starter
 
Joined: Sep 2019
Posts: 8
SONICYOUTH is an unknown quantity at this point
Default Re: NATIONAL HEALTH SERVICE CHARGES FOR EARLY RETIREES

Looks like I have been referred to a private clinic without anyone telling me !

Does anyone know if Atomedical in Lisbon is a private or state hospital?
SONICYOUTH is offline  
Old Sep 13th 2019, 11:21 am
  #3  
BE Forum Addict
 
Ingles's Avatar
 
Joined: Nov 2009
Location: Alcobaça
Posts: 4,978
Ingles has a reputation beyond reputeIngles has a reputation beyond reputeIngles has a reputation beyond reputeIngles has a reputation beyond reputeIngles has a reputation beyond reputeIngles has a reputation beyond reputeIngles has a reputation beyond reputeIngles has a reputation beyond reputeIngles has a reputation beyond reputeIngles has a reputation beyond reputeIngles has a reputation beyond repute
Default Re: NATIONAL HEALTH SERVICE CHARGES FOR EARLY RETIREES

Originally Posted by SONICYOUTH View Post
Looks like I have been referred to a private clinic without anyone telling me !

Does anyone know if Atomedical in Lisbon is a Private or state hospital?
As above.
Ingles is offline  
Old Sep 13th 2019, 11:46 am
  #4  
Just Joined
Thread Starter
 
Joined: Sep 2019
Posts: 8
SONICYOUTH is an unknown quantity at this point
Default Re: NATIONAL HEALTH SERVICE CHARGES FOR EARLY RETIREES

Private ....as I thought - so why am I being told it's only 15 euros for a PET scan? Have they made a mistake or another price band I don't know about?
SONICYOUTH is offline  
Old Sep 13th 2019, 11:55 am
  #5  
BE Forum Addict
 
Ingles's Avatar
 
Joined: Nov 2009
Location: Alcobaça
Posts: 4,978
Ingles has a reputation beyond reputeIngles has a reputation beyond reputeIngles has a reputation beyond reputeIngles has a reputation beyond reputeIngles has a reputation beyond reputeIngles has a reputation beyond reputeIngles has a reputation beyond reputeIngles has a reputation beyond reputeIngles has a reputation beyond reputeIngles has a reputation beyond reputeIngles has a reputation beyond repute
Default Re: NATIONAL HEALTH SERVICE CHARGES FOR EARLY RETIREES

Originally Posted by SONICYOUTH View Post
Private ....as I thought - so why am I being told it's only 15 euros for a PET scan? Have they made a mistake or another price band I don't know about?
I have no idea?
https://www.arslvt.min-saude.pt/frontoffice/pages/16

This is there Contact Info :- Ask them .
Ingles is offline  
Old Sep 13th 2019, 4:19 pm
  #6  
Polished expat
 
Red Eric's Avatar
 
Joined: Jul 2014
Location: Arcos de Valdevez "Onde Portugal se fez"
Posts: 15,763
Red Eric has a reputation beyond reputeRed Eric has a reputation beyond reputeRed Eric has a reputation beyond reputeRed Eric has a reputation beyond reputeRed Eric has a reputation beyond reputeRed Eric has a reputation beyond reputeRed Eric has a reputation beyond reputeRed Eric has a reputation beyond reputeRed Eric has a reputation beyond reputeRed Eric has a reputation beyond reputeRed Eric has a reputation beyond repute
Default Re: NATIONAL HEALTH SERVICE CHARGES FOR EARLY RETIREES

Originally Posted by SONICYOUTH View Post
Private ....as I thought - so why am I being told it's only 15 euros for a PET scan? Have they made a mistake or another price band I don't know about?
The public health service here has contracts with the private sector for some services or circumstances, which means that you could well be being referred to a private clinic and paying only a nominal fee (the taxa moderadora) that you would pay for the same service in a public hospital.
Red Eric is offline  
Old Sep 14th 2019, 1:06 pm
  #7  
BE Enthusiast
 
Joined: Jul 2017
Location: Algarve
Posts: 561
Pilou is a jewel in the roughPilou is a jewel in the roughPilou is a jewel in the roughPilou is a jewel in the roughPilou is a jewel in the rough
Default Re: NATIONAL HEALTH SERVICE CHARGES FOR EARLY RETIREES

I had the same thought as Red Eric.
The clinic in Faro is private and I presume they have no contract with the state health care. The clinic in Lisbon seems to be private too but acts within the state health care.
Pilou is offline  
Old Sep 14th 2019, 2:19 pm
  #8  
Just Joined
Thread Starter
 
Joined: Sep 2019
Posts: 8
SONICYOUTH is an unknown quantity at this point
Default Re: NATIONAL HEALTH SERVICE CHARGES FOR EARLY RETIREES

Thanks - advice much appreciated. It's a confusing system when encountering it for the first time. The fact that we are not being informed of potential (high) charges by the health centre doesn't help. We naively assumed that as we were residents and registered with the health centre, we would benefit from nominal charges.

As early retirees and neither in receipt of a pension nor working, we have been told we cannot get a social security number. Again, the health centre are telling us we are liable to higher charges in some cases, because we do not have a social security number. Is this correct?
SONICYOUTH is offline  
Old Sep 14th 2019, 2:28 pm
  #9  
Polished expat
 
Red Eric's Avatar
 
Joined: Jul 2014
Location: Arcos de Valdevez "Onde Portugal se fez"
Posts: 15,763
Red Eric has a reputation beyond reputeRed Eric has a reputation beyond reputeRed Eric has a reputation beyond reputeRed Eric has a reputation beyond reputeRed Eric has a reputation beyond reputeRed Eric has a reputation beyond reputeRed Eric has a reputation beyond reputeRed Eric has a reputation beyond reputeRed Eric has a reputation beyond reputeRed Eric has a reputation beyond reputeRed Eric has a reputation beyond repute
Default Re: NATIONAL HEALTH SERVICE CHARGES FOR EARLY RETIREES

Originally Posted by SONICYOUTH View Post
As early retirees and neither in receipt of a pension nor working, we have been told we cannot get a social security number. Again, the health centre are telling us we are liable to higher charges in some cases, because we do not have a social security number. Is this correct?
The first part is correct, although some on here report having been issued a SS number under those circs. It wouldn't be usual though - you'd be much more likely to be met with a refusal if you tried.

I'm puzzled by the 2nd bit though. As far as I'm aware, once enrolled in the public health system, you're entitled to all the same treatments at the same cost as any other resident.
Red Eric is offline  
Old Sep 14th 2019, 4:00 pm
  #10  
Just Joined
Thread Starter
 
Joined: Sep 2019
Posts: 8
SONICYOUTH is an unknown quantity at this point
Default Re: NATIONAL HEALTH SERVICE CHARGES FOR EARLY RETIREES

We have been told on two occasions by receptionists at Tavira Health centre that we need a social security number to fully access subsidised health care.

Also, we went down to the citizens office at Tavira Gran Plaza, to apply for a Portuguese EHIC card to cover us on UK visits and were told that we cannot apply at citizens offices and we couldn't get a Portuguese EHIC card anyway as we didn't have a social security number.
SONICYOUTH is offline  
Old Sep 14th 2019, 4:26 pm
  #11  
BE Forum Addict
 
Joined: Mar 2013
Location: central Portugal
Posts: 4,111
mfesharne has a reputation beyond reputemfesharne has a reputation beyond reputemfesharne has a reputation beyond reputemfesharne has a reputation beyond reputemfesharne has a reputation beyond reputemfesharne has a reputation beyond reputemfesharne has a reputation beyond reputemfesharne has a reputation beyond reputemfesharne has a reputation beyond reputemfesharne has a reputation beyond reputemfesharne has a reputation beyond repute
Default Re: NATIONAL HEALTH SERVICE CHARGES FOR EARLY RETIREES

Originally Posted by SONICYOUTH View Post
We have been told on two occasions by receptionists at Tavira Health centre that we need a social security number to fully access subsidised health care.

Also, we went down to the citizens office at Tavira Gran Plaza, to apply for a Portuguese EHIC card to cover us on UK visits and were told that we cannot apply at citizens offices and we couldn't get a Portuguese EHIC card anyway as we didn't have a social security number.
Whoever told you that info is about 5 years out of date but you'll be pleased to know that the UK Embassy has a team dedicated to sorting out the medical related bureaucracy & you can contact them via the Embassy Facebook page called Brits in Portugal but be sure you go to that exact page because there are several others with similar names & claim some kind of link to the Embassy & some even try to solicit donations.................... and they're totally unrelated to the Embassy.
mfesharne is offline  
Old Sep 14th 2019, 6:05 pm
  #12  
BE Enthusiast
 
Joined: May 2014
Location: Burgau Portugal
Posts: 462
AliceCaroline has a reputation beyond reputeAliceCaroline has a reputation beyond reputeAliceCaroline has a reputation beyond reputeAliceCaroline has a reputation beyond reputeAliceCaroline has a reputation beyond reputeAliceCaroline has a reputation beyond reputeAliceCaroline has a reputation beyond reputeAliceCaroline has a reputation beyond reputeAliceCaroline has a reputation beyond reputeAliceCaroline has a reputation beyond reputeAliceCaroline has a reputation beyond repute
Default Re: NATIONAL HEALTH SERVICE CHARGES FOR EARLY RETIREES

Originally Posted by SONICYOUTH View Post
Also, we went down to the citizens office at Tavira Gran Plaza, to apply for a Portuguese EHIC card to cover us on UK visits and were told that we cannot apply at citizens offices and we couldn't get a Portuguese EHIC card anyway as we didn't have a social security number.
For a Portuguese EHIC (Cartão Europeu de Seguro de Doença) you need to go to a Social Security office. We are also early retirees with no SS number but managed to get an EHIC card.

Within the link below it says..

"Who can apply
  • Workers who are covered by a social security scheme, non-active workers, pensioners and their families
  • Beneficiaries of public health subsystems
  • Beneficiaries of private health subsystems
  • Users of the national health service if there is no link to Social Security or a public or private health subsystem.
The CESD is a nominative and individual card, so each holder and family member who travels abroad must have his own."

Cartão Europeu de Seguro de Doença - seg-social.pt

We completed this form and took it with us...

http://www.seg-social.pt/documents/1...4-529b7d2c90f4






AliceCaroline is offline  
Old Sep 14th 2019, 6:51 pm
  #13  
Polished expat
 
Red Eric's Avatar
 
Joined: Jul 2014
Location: Arcos de Valdevez "Onde Portugal se fez"
Posts: 15,763
Red Eric has a reputation beyond reputeRed Eric has a reputation beyond reputeRed Eric has a reputation beyond reputeRed Eric has a reputation beyond reputeRed Eric has a reputation beyond reputeRed Eric has a reputation beyond reputeRed Eric has a reputation beyond reputeRed Eric has a reputation beyond reputeRed Eric has a reputation beyond reputeRed Eric has a reputation beyond reputeRed Eric has a reputation beyond repute
Default Re: NATIONAL HEALTH SERVICE CHARGES FOR EARLY RETIREES

This link explains the entitlement to registration without a Social Security number : ACCESS TO HEALTH CARE BY FOREIGN CITIZENS

And here's the relevant part :

Red Eric is offline  

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off


Contact Us - Archive - Advertising - Cookie Policy - Privacy Statement - Terms of Service - Do Not Sell or Share My Personal Information -

Copyright © 2023 MH Sub I, LLC dba Internet Brands. All rights reserved. Use of this site indicates your consent to the Terms of Use.