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Health card (regional TSI / European TSE)

Health card (regional TSI / European TSE) is filed with INSS (TSE) o Servicio de Salud autonómico (TSI). With Managora you do it 100% online: you answer a few questions, sign a digital mandato (power of representation) and we draft, sign and file your application for you. Estimated total cost: €9 to €9.

We arrange your individual health card, the TSI (issued by your region, for healthcare in Spain), or the European one, the TSE (public healthcare cover in the EU/EEA/Switzerland during temporary stays). We automatically identify the type of application (first registration, renewal, change of region, duplicate after loss) and, if you are travelling and the TSE will not arrive in time, we obtain an immediate CPS (Certificado Provisional Sustitutorio, the provisional replacement certificate). No fee.

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Estimated total cost
€9 to €9
Managora's fee
€10.89 (21% VAT incl.)
Tasa (official government fee)
No tasa payable
Processing time
TSE: up to 10 days by post. CPS: immediate (valid for 90 days). TSI: 15-30 days depending on the region.
Where it is filed
INSS (TSE) o Servicio de Salud autonómico (TSI) ↗
What you receive
Application

Cost breakdown: Our fee 9 €. No official fees: the TSI health card and the European TSE are free..

Health card (regional TSI / European TSE): how is it filed?

  1. 1Answer the questions in the chat (around 5 minutes).
  2. 2We automatically identify whether you need the TSI (regional) or the TSE (European), and whether you need a CPS because it is urgent.
  3. 3We check the NAF, your status within the SNS (the Spanish national health system), the empadronamiento (if TSI) and how long there is until your trip (if TSE).
  4. 4Payment of our fee of 9 € (there is no administrative fee).
  5. 5Signature of the mandate from your mobile.
  6. 6We complete the application for you.
  7. 7Online filing (sede.seg-social.gob.es for the TSE, the regional portal for the TSI) or in person at a CAISS (Social Security information office) if a CPS is needed urgently.
  8. 8Delivery by post (TSE 10 days, TSI varies) or immediate collection at a CAISS if it is a CPS.

Which documents do you need?

  • •DNI / NIE (Spanish national identity document / foreigner identity number).
  • •A document evidencing your NAF (vida laboral work-history report, Seguridad Social registration, INSS certificate).
  • •If TSI: an empadronamiento certificate (municipal registration) for your current region.
  • •If you are a family beneficiary: the libro de familia (family book) or the INSS decision recognising the derived entitlement.
  • •If you are a foreign national: your residence card or equivalent authorisation.
  • •If it is a duplicate after loss or theft: some regions require a police report.

Legal basis and things to bear in mind

  • Framework: Ley 16/2003 (cohesion and quality of the SNS) + RD 183/2004 (TSI) + RD 1192/2012 (insured person/beneficiary) + EU Regulation 883/2004 (TSE) + Decision no. S2 of 12 June 2009.
  • TSI vs TSE: the TSI is regional and gives access to healthcare in Spain. The TSE is European and gives access in the EU/EEA/Switzerland during temporary stays (tourism, studies, occasional work).
  • TSE validity: 2 years. CPS: 90 days (a temporary substitute when the TSE will not arrive in time).
  • Timescales: TSE up to 10 days by post, CPS immediate at a CAISS, TSI 15-30 days depending on the region.
  • The Basque Country and Navarre use their own regional bodies: Osakidetza and Osasunbidea respectively. The INSS does not issue the TSE for residents of these two regions.
  • The procedure is free (no fee). Some regions charge a symbolic fee for a duplicate TSI after loss (5-10 €).
  • Change of region: the new region issues its own TSI and the previous one is automatically invalidated. There is no formal 'transfer'.
  • For foreign nationals with limited cover (art. 3 ter Ley 16/2003): a full TSI is not issued, but a specific document for emergencies, minors and pregnant women.
  • After the TSI: a family doctor is assigned automatically and, for children, a paediatrician at the health centre serving your address.

Health card (regional TSI / European TSE): frequently asked questions

Health card (regional TSI / European TSE): how much does it cost?

The estimated total cost (our fee + official tasas and taxes) is €9 to €9: Our fee 9 €. No official fees: the TSI health card and the European TSE are free.. Managora's fee is €10.89, 21% VAT included (€9.00 net + €1.89 VAT). This procedure carries no official tasa.

Health card (regional TSI / European TSE): how long does it take?

TSE: up to 10 days by post. CPS: immediate (valid for 90 days). TSI: 15-30 days depending on the region.

Health card (regional TSI / European TSE): which documents do I need?

You need to have to hand: DNI / NIE (Spanish national identity document / foreigner identity number)., A document evidencing your NAF (vida laboral work-history report, Seguridad Social registration, INSS certificate)., If TSI: an empadronamiento certificate (municipal registration) for your current region., If you are a family beneficiary: the libro de familia (family book) or the INSS decision recognising the derived entitlement., If you are a foreign national: your residence card or equivalent authorisation., If it is a duplicate after loss or theft: some regions require a police report.. You do not upload them here: we collect the details through the guided chat.

Who files the procedure?

Managora files it in your name with INSS (TSE) o Servicio de Salud autonómico (TSI). You only provide the details through the chat and sign a mandato (power of representation); we prepare, sign and register it.

Can it be done online?

Yes. The whole process is online: you answer a few questions in the guided chat, sign a simple mandato on screen and receive the receipt and the official documents by email, with full legal validity.

Related procedures

Based on the legislation in force and on the official site of the competent authority: INSS (TSE) o Servicio de Salud autonómico (TSI) ↗.

Shall we get started with «Health card (regional TSI / European TSE)»?

We file it for you, from start to finish.

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