The NHS is composed of local health units, groups of health centers and public hospitals. In general, health care is provided by health centers (centros de saúde) and their local branches. If you need an appointment with a specialist doctor practicing in a hospital, you will be given one within 72 hours.
In case of emergency, the patient can go to the nearest permanent care service (Serviço de Atendimento Permanente, SAP) or to the hospital. When the waiting period for admission to a hospital exceeds three months, the patient has the right to go to a private clinic approved by the Ministry of Health.
Health centers are responsible for providing basic and generalized care in situations where there is no great emergency. This is where routine consultations, nursing, family planning, child care and vaccination take place, among other things. . Medical treatments are provided by the family doctor, who will be assigned to you at the time of your registration at the health center, which is usually the closest to your home. This professional is a general practitioner and serves every family member who is also registered in the same center.
If the patient has a specific problem, he or she will be examined by the family doctor (who assesses the need for further diagnosis and treatment) and referred to a specialist. The medical consultation by a specialist (paediatrician, ophthalmologist, cardiologist, urologist, gynecologist, dermatologist, etc.), which takes place in hospitals, must necessarily be prescribed by the health center and must be made at the address provided by the family doctor. In case of real emergency, the hospital is where you should go, without having to contact the health center.
According to the Constitution of the Portuguese Republic, every person who requires medical care, being on Portuguese soil, is entitled to receive it. The Ministry of Health Decree n°360/2001 states that even illegal aliens in the country cannot be denied the access to medical treatment. Therefore, the information is very important and fundamental when you are in a foreign country.
Since the beginning of this year,
we abolished the payment of medical consultations ( 5 euros) and
medical tests- so, each consultation, whether at the health center or at the hospital, has a
zero moderate rate. A multipurpose emergency service costs €18. Exceptions, there is a fee exemption in the following particular cases:
- Urgent and vital health care ;
- Communicable diseases which constitute a threat, or threat to public health (e.g. tuberculosis or AIDS) ;
- Maternal, child health care and reproductive health, including access to family planning counseling, voluntary abortion, follow-up and monitoring of pregnant women, childbirth and health care for newborns ;
- Health care for minors residing in Portugal, as defined in Legislative Decree n°67/2004 of March 25th ;
- Vaccination, according to the national vaccination program in force ;
- Foreign citizens in situations of family reunification, when someone in your household contributes to social security in a duly proven way ;
- Citizens in situation of social exclusion or in a situation of economic deprivation approved by the social security services.
In the event of an emergency, you will always be accepted in a public hospital.
If you need dental care, you have free choice among private sector specialists. You will be refunded according to the scale set by the government. For dental prostheses, you will have to advance the fees and you will be refunded up to 75% of the prices set up according to the official scale. Medications prescribed by health care providers may be purchased at any pharmacy upon presentation of the medical prescription. Depending on the type of illness, the state can contribute from 15% to 90% on the drugs included on the official list of health services. Special rules apply to certain pensioners whose benefits are low. In this case, the government participation is increased by 5% and 15%, and some generic drugs are 100% state-refunded.
Our NHS is far from from being perfect, it has many flaws, but it works.We are at top level in cancer treatment:
Champalimaud Clinical Centre| Oncological Treatment