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Andorra's Healthcare System

Andorra’s healthcare system is one of the major contributors to the principality’s high standard of living. It is home to some of the most technologically advanced hospital facilities in the whole of Europe.

Despite its small size, Andorra’s healthcare system is comparable to most major developed countries. Let’s not forget either that Andorran has one of the highest life expectancies, coming 8th in the world’s ranking.

In this article, we take a look at everything that makes Andorra’s healthcare system so dependable and how it works.

Guaranteed Healthcare

Public health insurance is guaranteed for all employed residents and linked to social contributions which are among the lowest in Europe. The amount you pay depends on your income level, but the average is 7% on the employee end and 15% on the employer end.

Andorran healthcare is available to residents who don’t earn a salary through the public welfare system. Andorran residents who are self-employed or entrepreneurs can pay into the social security system. This entitles them to the full social security benefits. Certain services and medicine have to be paid for directly.

Andorran residents are also eligible for public healthcare in France, Spain, and Portugal under the CASS insurance system. Under a special agreement, their medical bills can be sent to the respective CASS insurance body where they can claim reimbursement.

Caixa Andorrana de Seguretat Social (CASS)

The Andorran healthcare system is funded by CASS (Caixa Andorrana De Seguretat Social) – the social security system of Andorra. This system covers 92% of the Andorran population, while the rest has private insurance.

All companies in Andorra have to register their employees with CASS. Pensioners can also be registered in the CASS system and self-employed/entrepreneurs can join it by making a voluntary contribution based on their income level.

  • CASS contributions deduct 6-7% of the employee’s salary and 15% from the employer.
  • Unemployed residents can be insured in CASS for a flat fee of €200-300 per month.
  • CASS covers 90% for hospital stay expenses and 75% for medicine.

If you visit a doctor in Andorra, the doctor will issue you a receipt and a stamped voucher. This receipt and other documents have to be taken to a local CASS office (present in every town). The office will then reimburse you for the expenses via bank transfer. If you are hired by an Andorran company, you will automatically be covered by CASS.

While Andorran does not have universal healthcare, the coverage carries benefits in countries in the EU. CASS coverage extends to neighboring France, Spain, and even Portugal under a special agreement.

Similar to how Andorran citizens can reside and take up employment in these countries, they can also receive free healthcare and CASS will reimburse them for their medical bills.

Servei Andorrà d’Atenció Sanitària (SAAS)

Servei Andorrà d’Atenció Sanitària, known as SAAS, is the Andorran National Health Service. SAAS oversees and manages all the public health care facilities in Andorra and was established in December 1986.

SAAS works to coordinate the private, public, and voluntary sectors and bring them together.

Nostra Senyora de Meritxell Hospital

Nostra Senyora de Meritxell Hospital is the largest public hospital in Andorra. The hospital was named after the patron saint of Andorra and is located in Escaldes-Engordany, 1.7km (1 mile) away from the capital Andorra la Vella.

The hospital facilities are modern because it was built in 1993 and spans over 5,000 square meters (53,000 feet). The hospital has a 192 single bed capacity on 12 levels and car parking for 270 cars. The highest levels have an S-linear block and all beds have bathrooms.

All Andorran residents enrolled in the social security system have free access to this hospital. If the patients require special treatment not available in Andorra, they can be sent by helicopter to a hospital in Barcelona.

No Language Barrier in Andorra

Doctors in Andorra are English-speaking and there is no language barrier when you visit a doctor. The doctors are usually trilingual and can also converse in Spanish and French. As a resident, you can choose the main doctor who is registered with CASS. You can also hire doctors from France and Spain who are registered as practitioners in CASS.

The public clinics are staffed with experienced nurses and offer first aid, child care, nursing, rehabilitation, immunization, and other services. The working days are Monday to Friday and some are open on weekends.

Pharmacies in Andorra

Andorra has a wide network of pharmacies and one of the highest ratios of pharmacy-per-capita in Europe. You’ll always be within walking distance of a pharmacy in Andorra, even if you reside in a village. The pharmacies are licensed by the government and require special permits by the Ministry of Health to operate.

Emergency Services

Emergency care is available on an immediate basis to all residents, including those who are not insured by CASS but require emergency treatment. The phone line is “116” and is available on a 24/7 basis. Most emergency treatments in Andorra are for ski-related accidents.

If an Andorran resident requires a very specialized form of care that is not available in Andorra, there are helipads near the biggest hospitals where they can be airlifted to Barcelona or Toulouse.

Dental Services

The CASS system will cover you for visits to the dentist such as regular checkups. However, more demanding treatments such as crowns and root canals will have to be paid out of pocket. There are private dental clinics in every small town in Andorra.

Private Insurance

Private health insurance in Andorra is optional. While the public healthcare system is excellent and covers 92% of the population, more than 25% of Andorrans have private health insurance on top of their public health insurance. It is also possible to pay out of pocket in private clinics.

Private doctors can also be hired to perform surgeries and diagnostic treatments in state hospitals on an emergency basis.

High Life Expectancy

Andorra has one of the highest life expectancies in Europe. The Andorran ministry of health released a report in 2019 that stated the average life expectancy in Andorra was 81 years for men and 82 years for women – some of the highest in the world. The fresh mountain air on the Pyrenees range is ideal for residents who suffer from respiratory and rheumatic diseases, as the high altitude can reduce symptoms.

Residents of Andorra enjoy crystal clean fresh air. The government bans heavy industry which reduces pollution. There is not one large industrial factory on the entire territory of Andorra. Great news for retirees who want to preserve their health in their late years.

Want to enjoy the best healthcare and the cleanest air in Europe? Consult us for residency in Andorra and properties for sale.

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Main benefits:

  • Those responsible of the Andorran health sector comprise: the CASS (the Social Security Office), the Ministry of Health and Welfare, the SAAS (the National Health Service), and the General Council.
  • Andorra has over 50 pharmacies.
  • Andorra has a private geriatric centre with 50+ beds (the Centre Geriatric Sant Vicenc d’Enclar).
  • State-owned hospitals have 200 beds.
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