How the system works
Portugal combines a public national health service (SNS), almost free of charge, with a highly developed private sector. Most French families use both: the health centre for check-ups and vaccines, the private sector for speed.
Good to know
- The SNS is open to residents: you register at the centro de saúde for your area, which provides family medicine, nursing care, child health, nutrition, psychology and local oral health services. Source
- Since 1 June 2022, user charges (taxas moderadoras) have disappeared from almost all SNS care. They remain only in hospital emergency departments, and only if you were not referred by the SNS (SNS 24 line or health centre) and are not admitted afterwards. Source
- Until your Portuguese rights open, the European Health Insurance Card issued in France covers urgent care; remember to request one for each family member before leaving. Source
- The private sector (CUF, Hospital da Luz, Lusíadas) works with local health insurance, often provided by the employer: paediatric appointments within days, private paediatric ERs, an app to manage everything. Without insurance, prices remain affordable but are paid in full.
- The SNS family doctor also looks after children; there is no direct-access community paediatrician in the public system. In very popular areas, being assigned a family doctor can take time: the health centre will still see you in an open consultation.