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HEALTH

How to add a beneficiary to your social security and healthcare in Spain

If you pay into the social security system in Spain, which you will do automatically if you work or are self-employed, then you have the right to access several benefits and so do some of your family members.

How to add a beneficiary to your social security and healthcare in Spain
How to add a beneficiary to your social security in Spain. Photo: Jopwell / Pexels

Did you know that you can add beneficiaries to your social security benefits, even if they don’t work, meaning they can access healthcare too? This includes anyone who is dependent on you such as a husband, wife or your children.

Here are all the people you can legally add to your social security:

  • Your legal spouse
  • Your civil union partner (pareja de hecho)
  • Your ex-spouse or judicially separated in cases in which there is the right to receive a compensatory pension from the insured partner
  • Your children or children of a legal partner under 26 years old
  • Children older than 26 if they have a disability of over 65 percent
  • Your grandchildren under 26 years old, if they are not beneficiaries of their parents
  • Your siblings if they are under 26 years old, dependent on you and are not already beneficiaries of someone else
  • Your foster child under 18 years old

READ ALSO – GUIDE: How to register with Spain’s social security system

How do I add a beneficiary?

You can add someone to your social security with or without a digital certificate or in person, depending on what is easier for you. If you have one, it will be easier to use that and identify yourself online.

With a digital certificate or similar

The first step is to access the social security platform on the Social Security website, then log-in to your Social Security (TUSS) portal. You can identify yourself using the digital certificate, Cl@ve PIN, via a text message or a Spanish DNI number.

You need to digitally identify yourself on the Social Security website. Source: Seguridad Social

Navigate to the health care section – Asistencia Sanitaria and click on ‘Añadir un nuevo beneficiario’ or ‘Add new beneficiary’ and fill in the corresponding boxes with their information such as name, date of birth, NIE/DNI number, your relationship to them, and country of birth. Then click on ‘Continuar‘ (Continue) at the bottom of the screen and simply submit your application. 

Fill out the necessary details of the beneficiary. Source: Seguridad Social
 

Online without a digital certificate or similar

Firstly you’ll need to go to the following social security website. All you will need is to have access to an e-mail address and to be able to take a digital photo of yourself holding your ID card, this should be your TIE card if you’re from a non-EU country or your green card and passport if you’re from an EU country.

Firstly, you will need to click ‘solicante‘ if you are filling it out yourself. Next, complete your details such as name, type of document and date of birth. You will also need your support number.

Fill out your details so you can be identified without your digital certificate. Source: Seguridad Social

You will then need to upload the photo of you holding your ID, plus images of your ID card, front and back.

On the next page, you will be asked to fill out more personal information, as well as all the information of the beneficiary you want to add.

Finally, you will need to add supporting documentation such as your marriage certificate, birth certificate of your child etc, whatever officially proves your relationship with them. For children under three months old, this documentation is not necessary, since the Civil Registry automatically sends this data to social security.

Finally, click the button to give your consent. ‘Doy mi Consentimiento’ and then review all the details before submitting your application. You will then receive a code via e-mail, which you must introduce, along with your digital signature, to finalise the process.

In-person

You can also apply in person at a Social Security Assistance and Information Centre (CAISS), by appointment, or by ordinary mail to the Provincial Directorate of the INSS. You will need all the same documentation as above.

It’s a good idea to make digital photocopies of these documents, as well as bring the originals.

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For members

FOOD AND DRINK

How hard is it to eat gluten-free in Spain?

It can often be a challenge to move to another country or travel abroad when you have a gluten intolerance and it can be made even trickier if you don’t know the language. Here's what coeliacs need to know about living and travelling in Spain.

How hard is it to eat gluten-free in Spain?

Studies indicate that around 0.7 percent of the EU population suffers from coeliac disease, but many cases go unreported. Many more people are gluten or wheat-intolerant rather than being classed as coeliac.

Luckily Spain is becoming more and more aware of different dietary needs and many people here suffer from the disease or are intolerant too.

The Federation of Celiac Associations of Spain (FACE) estimates that there are between 600,000 and 900,000 people who suffer from coeliac disease in the country.

Eating out

According to the Spanish tourist office Madrid, Barcelona and Asturias are the regions in Spain with the most restaurants serving gluten-free food. Many establishments in these places will list whether a dish contains gluten or not, with a wheat symbol, the letters gf or sg (sin gluten).

In fact, the Asturian village of Cangas del Narcea has been named as Spain’s first ever gluten-free destination, which also celebrates National Coeliac Day every year on May 27th. You can find out more about it here

Extremadura is also becoming a coeliac-friendly destination thanks to the Gluten-Free Extremadura project, which raises awareness and promotes establishments that have gluten-free menus.

Naked & Sated is a chain of gluten-free restaurants that have establishments in Madrid, Valencia, Bilbao, Málaga and Pozuelo de Alarcón. They serve gluten-free pizzas, burger buns, toast, cakes, and French galettes, among others.

The Association Coeliacs of Catalonia has a list of some of the best gluten-free restaurants in the region and The Association of Coeliacs of Madrid has the same. 

READ ALSO: ‘I pay €15 for a few potatoes’ – What it’s like being a vegetarian in Spain

Supermarkets

If you’re cooking for yourself, it’s very easy nowadays to find gluten-free food in the major supermarkets. National chains with good free-from sections include Mercadona, Carrefour, Alcampo and El Corte Inglés.

All these places sell everyday items such as gluten-free pasta, bread, pizza bases, crackers, biscuits, pastry, alternative flours and more.

The bad news is that gluten-free options in supermarkets are a lot more expensive than their wheat-based counterparts. The Federation of Coeliac Associations of Spain (FACE) prepared a ‘Price Report’ on specific gluten-free products and estimated that the difference in spending is an extra €1,087.72 per year.

The investigation also noted a significant increase in the price of gluten-free products of €167.57 when compared with 2023.

Spanish gluten-free food

Spaniards eat a lot of bread, that’s true, but when it comes to main dishes you’ll find that lots of Spanish food is naturally gluten-free anyway.

Paellas, meat and seafood stews, grilled fish, pisto (similar to ratatouille), and tortilla (Spanish omelette) are all made without gluten and the good news is that dishes rarely contain pastry – it’s more about the rice and the potatoes here. The main thing you’ll need to make sure is that the sauces aren’t thickened with flour.

A lot of tapas can be gluten-free too, including patatas bravas (potatoes with spicy tomato sauce) or aioli (garlic mayonnaise), pimientos de Padrón (fried green peppers), anchovies, ham and cheeses.

You can even eat a lot of the desserts that are not baked such as flan (like creme caramel), arroz con leche (rice pudding), ice cream and turrón (almond nougat)

Some classic dishes you need to watch out for are gazpacho and salmorejo (cold tomato-based soups) which contain bread, and croquetas which have bechamel sauce and breadcrumbs.

Many beers are also gluten-free in Spain, simply ask for cerveza sin gluten when you order.

READ ALSO: The best vegan and vegetarian Spanish dishes

Vocabulary

While some people are intolerant to just wheat, others can’t eat anything containing any form of gluten, so it’s important to be aware of the vocab so you can ensure what you’re eating is safe for you.

The most important words and phrases to learn are sin gluten (gluten-free) Soy celiaco (I’m a ceoliac).

Wheat – Trigo
Barley – Cebada
Oats – Avena 
Rye – Centeno

Help for coeliacs who live in Spain

If you suffer from the disease and you live in Spain, there is actually financial aid that you can apply for in order to help with the extra cost of your shopping.

One option for aid is from the General Mutuality of State Civil Officials (MUFACE), which amounts to up to €400. Beneficiaries must be part of MUFACE and can apply for aid until December 31st, 2024. At the time of application, applicants must prove they suffer from the disease.  

There are also different regions that provide extra help for coeliacs. These include Ceuta, Melilla, Extremadura, the Basque Country, Navarra and the Canaries.

In Ceuta, depending on your family income, aid can go up to €400 per year. In Melilla, the maximum figure amounts to €780 per year per person and €1,500 per year per family unit.

The government of Extremadura and the Provincial Council of Cáceres, together with the Celiac Association of Extremadura (ACEX), provide food packages for low-income families.

The Basque Country, the Provincial Council of Vizcaya has allocated €100,000 annually in aid, which is €80 per applicant.

Navarra has allocated a total of €30,000 in aid, with a maximum of €90 per month.

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