Gibraltar & The Treaty — The Reading RoomGibraltar and the treaty, in plain wordsThe English texts come from the official English versions published by the European Union (EU) on EUR-Lex, the United Kingdom (UK) on GOV.UK and UK Parliament, and Gibraltar (the Acts and legal notices that change Gibraltar's law for the treaty, from Gibraltar Laws and the Gibraltar Gazette, and Gibraltar Parliament records: Hansard, Bills and Command Papers), plus HM Government of Gibraltar and European Commission press releases where a statement is quoted. Where a text exists only in Spanish (BOE), we quote it in Spanish and say so, and any translation beside it is ours.
Last checked: 29 October 2026
No official text we hold gives Gibraltar residents or visitors a health card that works in Spanish public hospitals. Workers who live in Spain and work in Gibraltar, and their families, are covered by the treaty's social security rules and are entitled to care in the place where they live once registered there. Planned treatment for Gibraltar patients in Spanish hospitals goes through the Gibraltar Health Authority (GHA), and the Gibraltar Government runs a scheme for emergency treatment in Andalucía for some older residents.
The Gibraltar Government's 2020 notice said that, unless an agreement said otherwise, European Health Insurance Cards issued in Gibraltar would stop being valid in EU countries, including Spain, from 1 January 2021 for state-provided healthcare, including emergency care, during a temporary stay. It advised the public to have travel insurance with medical cover for any trip to the EU, including Spain. That notice was written before the 2026 treaty and we hold no later Government notice on this.
On 4 March 2026 the Chief Minister told the Gibraltar Parliament that no deal on the E111 had been negotiated because the EU did not want one, and referred to a bilateral health care agreement between Gibraltar and Spain as "a post-treaty thing to do" that is "on our list of things to do" and that Spain have said they are interested in. The printed record reads "We are not going to look at the possibility of a" in the clause just before that passage, which sits oddly with the rest; we quote it and do not interpret it. An Opposition Member said in the same debate that the UK Global Health Insurance Card (GHIC) arrangements were not extended to Gibraltar; that is a Member's statement, not a Government finding.
Spanish side: Spain's 2020 decree-law set a temporary regime under which people entitled to care in the UK or in Gibraltar received care from the Spanish National Health System on the same terms as before 1 January 2021, as long as the UK gave reciprocal care to people entitled to care from Spain and reimbursed Spain's costs; the text we hold shows it was extended for Gibraltar, the last extension running to 30 June 2022 (Order PCM/1482/2021), and says the measures stop applying if an EU-UK agreement on Gibraltar that includes access to health care in its scope enters into force. We hold no later Spanish text on whether it was extended beyond 30 June 2022, or on its status now: no official source found.
Whether the treaty gives Gibraltar residents in general a health card or cover in Spanish public hospitals: we searched the treaty text we hold for the words EHIC, GHIC and health insurance and found none (the frontier workers block below covers the one group the protocol does cover): no official source found for any other group.
Some referrals for specialist (tertiary) care are delivered in the National Health Service (NHS) in the UK and in Spanish hospitals because of the proximity, according to the Government's health page. The 2020 notice says the GHA has secured individual arrangements with certain Spanish private healthcare providers so that Gibraltar patients can still be referred for planned treatment.
Two 2019 press releases name providers: Hospiten Group (medical centres in Estepona and Algeciras) and Grupo Vithas (Vithas Xanit International Hospital in Benalmádena and Vithas Parque San Antonio Hospital in Málaga). We hold no current list of the providers the GHA uses (the treaty's list of seven Spanish providers, in section 6, is for ambulance services): no official source found.
If you are a sponsored patient travelling for treatment, the GHA reminds you to have a passport with at least 6 months' validity and a valid ID card; invalid documents could delay tertiary care. Contact: the Sponsored Patients Department.
Paying for private care in Spain yourself, without a GHA referral: no official source found.
The Gibraltar Government's Travel Scheme for Eligible Elderly Resident Citizens is for elderly British citizens aged 60 to 90 who solely reside in Gibraltar and are registered with the GHA. It is only for emergency medical treatment while travelling to Andalucía, southern Spain, and the Government reimburses covered medical costs within the scheme's terms and conditions. People over 90 must apply for approval with a separate form; that approval is valid for three months from the date of approval, and over-90s must be accompanied by a family member to qualify for reimbursement. Registration is open indefinitely.
Spanish side: the scheme is a Gibraltar Government reimbursement scheme. We found no Spanish official text about it, including on the Andalusian regional government (Junta de Andalucía) page we hold, and we could not read the Servicio Andaluz de Salud site (it refused the request), which does not prove that no page exists: no official source found.
Who is covered. The treaty's social security protocol covers EU citizens legally living in Spain who are or were subject to Gibraltar law as frontier workers in Gibraltar, with their family members and survivors living in Spain, and UK nationals legally living in Gibraltar who are or were subject to Spanish law as frontier workers in Spain, with their families. An employed frontier worker is a covered person who works in Gibraltar or in Spain and returns at least once a week to Spain or to Gibraltar, respectively. The SEPE says the treaty has applied to all branches of social security since 15 July 2026, but only to frontier workers as it defines them.
Care where you live. A frontier worker (or detached frontier worker) subject to Gibraltar or Spanish law who lives in Spain or Gibraltar, and the family, are entitled to care in the place of residence, given by the institution of the place of residence on behalf of the competent institution, under the rules of the place of residence, as if insured there. To use it, the worker or family member must register with the institution of the place of residence, and the right is certified by a document issued by the competent institution on request of the insured person or of the institution of the place of residence. If a person is exempt from compulsory health insurance on request, the other side's institution is not responsible for the cost only because of that exemption.
Care while staying in the place of work. Frontier workers, detached frontier workers and posted workers are entitled to care while staying in the place of employment; for frontier workers it is provided by the competent institution at its own expense, as though they resided there. A posted worker's entitlement is narrower: care that becomes necessary on medical grounds during the stay, not where the person travelled in order to receive it. The document is, for a worker posted to Gibraltar, a valid European Health Card (tarjeta sanitaria europea) issued by the Spanish institution together with the form certifying the applicable law; for a worker posted to Spain, a letter certificate from the Gibraltar institution with the same data.
Retired and pensioners. A frontier worker retired for old age or invalidity may continue, in the event of sickness, to receive care in the place where the person last worked, insofar as it continues a treatment that began in Gibraltar or in Spain respectively, and, if the former worker is no longer covered by the legislation of the place where the last activity was pursued, the former worker or a family member who travels there for it must show a document from the competent institution. A person who receives pensions from both sides and is entitled to care in the place of residence receives it, with the family, from and at the expense of the institution of the place of residence.
Offices. The administrative arrangement names the contact bodies: for Spain the National Social Security Institute (INSS) for all schemes and benefits except the seafarers' special scheme, the State civil-service pension regime and unemployment benefits, and for Gibraltar, among others, the Gibraltar Health Authority and, for reimbursement claims, the UK National Health Service Business Services Authority. Which Spanish health service office issues the health card in practice, and its steps: no official source found. The Spanish health pages we tried (Servicio Andaluz de Salud, Ministry of Health, Social Security portal) refused the request, did not load or had no readable terms, which does not prove that no page exists.
No official text we hold sets health cover for a visitor who needs care in a Spanish hospital: no official source found. The only official advice we hold on this, written for Gibraltar residents in 2020 and not updated, is to have travel insurance with medical cover for any trip to the EU, including Spain. The right described in the treaty for a person posted to work temporarily in the other territory is narrower (care that becomes necessary on medical grounds during the stay, not where the person travelled in order to receive it, shown with the document described in the previous section); it is not a visitor's right.
The treaty obliges the EU to allow, within its territory, emergency ambulance services run by operators established in Gibraltar under the direction of the GHA, and ambulance services for the specialist handling of serious and acute medical conditions between Gibraltar and the establishments listed in its Annex 26. The list names seven providers, in La Línea de la Concepción, Palmones, Algeciras, Benalmádena, Málaga and Jerez. This is about ambulances; it does not by itself give any person a right to treatment or say who pays.
If there is no agreement to the contrary, European Health Insurance Cards issued in Gibraltar will, as from 1 January 2021, no longer be valid in EU Member States (including Spain) for the purposes of accessing state-provided healthcare (including emergency healthcare) during a temporary stay in the EU.HM Government of Gibraltar, Technical Notice (12), «European Health Insurance Cards and Healthcare», 18 November 2020 (written before the 2026 treaty), section «Emergency Healthcare in the EU»
In this scenario, the public is advised to ensure that, as from 1 January 2021, they have appropriate travel insurance with medical cover for any trip abroad to the European Union, including trips to Spain.HM Government of Gibraltar, Technical Notice (12), «European Health Insurance Cards and Healthcare», 18 November 2020 (written before the 2026 treaty), section «Emergency Healthcare in the EU»
Hasta el 30 de junio de 2021 España aplicará las siguientes reglas en materia de acceso a la asistencia sanitaria: a) Las personas con derecho a asistencia sanitaria en el Reino Unido o en Gibraltar a cargo de las entidades correspondientes, recibirán la asistencia sanitaria del Sistema Nacional de Salud español, en los mismos términos y con sujeción a las mismas condiciones establecidas con anterioridad al 1 de enero de 2021, siempre que el Reino Unido preste asistencia sanitaria a los españoles y nacionales de otros países con derecho a la asistencia sanitaria a cargo de España, en los mismos términos y condiciones establecidos con anterioridad al 1 de enero de 2021, y reembolse a España los gastos derivados de la asistencia sanitaria prestada por el Sistema Nacional de Salud español a los nacionales del Reino Unido o ciudadanos de cualquier otro país con derecho a asistencia sanitaria en el Reino Unido o Gibraltar a cargo de las entidades británicas correspondientes.Real Decreto-ley 38/2020, de 29 de diciembre (BOE-A-2020-17266), consolidated text, Article 11(1)(a)
Se prorroga el plazo de vigencia establecido en este artículo, por un período adicional de seis meses, a partir del 1 de enero de 2022 y hasta el 30 de junio de 2022, en relación con Gibraltar, por el apartado primero del Acuerdo del Consejo de Ministros de 28 de diciembre de 2021, publicado por Orden PCM/1482/2021, de 28 de diciembre.Real Decreto-ley 38/2020, de 29 de diciembre (BOE-A-2020-17266), consolidated text, Article 11, notes under the article
No obstante, las medidas contempladas dejarán de aplicarse si, con anterioridad a la fecha de finalización de su vigencia, entrase en vigor un acuerdo de la Unión Europea con el Reino Unido sobre Gibraltar que incluya el acceso a la asistencia sanitaria dentro de su ámbito de aplicación material.Real Decreto-ley 38/2020, de 29 de diciembre (BOE-A-2020-17266), consolidated text, Article 11, note under the article
the reason that we have not been able to negotiate a deal on the E111, for health care is because the European Union did not want to have it.Gibraltar Parliament, Hansard, Wednesday 4 March 2026 (afternoon), speech of the Chief Minister, Chief Minister, close of the debate
We are not going to look at the possibility of aGibraltar Parliament, Hansard, Wednesday 4 March 2026 (afternoon), speech of the Chief Minister, Chief Minister, close of the debate (the clause just before the previous passage, as printed)
bilateral health care agreement between Gibraltar and Spain that is something which is now a post-treaty thing to do it is on our list of things to do which Spain have told us they are interested in doing with us.Gibraltar Parliament, Hansard, Wednesday 4 March 2026 (afternoon), speech of the Chief Minister, Chief Minister, close of the debate
Following Brexit, the UK implemented the Global Health Insurance Card for UK residents, we will call it GHIC, but those arrangements were not extended to Gibraltar.Gibraltar Parliament, Hansard, Wednesday 4 March 2026 (morning), speech of an Opposition Member (a Member's statement, not a Government finding), Opposition Member, health
The GHA delivers Primary, Secondary and Mental Health Care in Gibraltar using a Healthcare model closely linked to the National Health Service (NHS) in the United Kingdom and for this purpose some tertiary referrals are delivered in the NHS as well as in Spanish Hospitals due to the proximity.HM Government of Gibraltar, page «Health» (undated live page, fetched 29 Oct 2026), paragraph 2
In light of the above, the GHA has secured individual arrangements with certain Spanish private healthcare providers to allow for the continued referral of Gibraltar patients to such hospitals to receive planned treatment where necessary.HM Government of Gibraltar, Technical Notice (12), «European Health Insurance Cards and Healthcare», 18 November 2020 (written before the 2026 treaty), section «Planned Treatment in the EU»
The Gibraltar Health Authority (GHA) has entered into a contractual agreement with the Hospiten Group, an international network of private hospitals.HM Government of Gibraltar, press release 288/2019, «The GHA Enters into a Contractual Agreement with a Third, Leading Healthcare Provider», 15 April 2019, paragraph 1
The Hospiten Group have well-established medical centres in Estepona and Algeciras, both in close proximity to Gibraltar.HM Government of Gibraltar, press release 288/2019, «The GHA Enters into a Contractual Agreement with a Third, Leading Healthcare Provider», 15 April 2019, paragraph 2
The agreement will enable GHA clinicians to refer patients to Vithas Xanit International Hospital in Benalmadena (Malaga) and Vithas Parque San Antonio Hospital in Malaga.HM Government of Gibraltar, press release 731/2019, «The GHA enters into a contractual agreement with Grupo Vithas», 9 October 2019, paragraph 1
it is essential to have a passport with at least 6 months' validity, as well as a valid ID card when travelling to Spain.HM Government of Gibraltar (Gibraltar Health Authority), press release 721/2024, «GHA issues reminder on travel documents for sponsored patients», 31 October 2024, paragraph 2
Failure to provide valid travel documents could result in delays to tertiary care, which could impact the timely access to essential treatment.HM Government of Gibraltar (Gibraltar Health Authority), press release 721/2024, «GHA issues reminder on travel documents for sponsored patients», 31 October 2024, paragraph 3
For more information or assistance, please contact the Sponsored Patients Department email: sponsoredpatients@gha.gi or Tel: 20076423.HM Government of Gibraltar (Gibraltar Health Authority), press release 721/2024, «GHA issues reminder on travel documents for sponsored patients», 31 October 2024, last paragraph
This scheme is intended for elderly British citizens from 60-90 years of age solely residing in Gibraltar registered with the GHA and only intended for emergency medical treatment while traveling to Andalucía, Southern Spain. Under this government-administered scheme the Government will reimburse covered medical costs of Eligible Persons within the terms and conditions of the scheme.HM Government of Gibraltar, page «Travel Scheme for Eligible Elderly Resident Citizens» (undated live page, fetched 28 Oct 2026), paragraph 1
Eligible citizens over the age of 90 need to apply for approval by filling in this Over 90 Travel Application FormHM Government of Gibraltar, page «Travel Scheme for Eligible Elderly Resident Citizens» (undated live page, fetched 28 Oct 2026), paragraph 3
Please be advised that the over 90 application remains valid for a period of three months from the date of approval. To qualify for reimbursement under this scheme, over 90s must be accompanied by a family member.HM Government of Gibraltar, page «Travel Scheme for Eligible Elderly Resident Citizens» (undated live page, fetched 28 Oct 2026), paragraph 4
Even if you haven't registered for the travel scheme, you can still claim reimbursement if you meet all the eligibility criteria. Registration is open indefinitely. You can register at any time if you are eligible.HM Government of Gibraltar, page «Travel Scheme for Eligible Elderly Resident Citizens» (undated live page, fetched 28 Oct 2026), later paragraph
Para más información, puede contactar con las oficinas BREXIT de la Junta de Andalucía en la Línea de la Concepción (648089057) o Algeciras (956027000 - 956027002, oficina.brexit.dgob@juntadeandalucia.es).Junta de Andalucía, Consejería de Presidencia, Sanidad y Emergencias, «Relaciones con Gibraltar - Acuerdos con Gibraltar» (undated live page, fetched 29 Oct 2026), section «Más información»
Union citizens legally residing in the Kingdom of Spain who are or were subject to the legislation of the United Kingdom, in respect of Gibraltar, following the pursuance of an activity as a frontier worker in Gibraltar, as well as their family members and survivors residing in the Kingdom of Spain;UK/EU and EAEC Agreement in respect of Gibraltar, Miscellaneous No. 9 (2026), signed 14 July 2026, volume II, Protocol on Social Security Coordination, Article SSC.3 (Persons covered), point (1)
United Kingdom nationals legally residing in Gibraltar who are or were subject to the legislation of the Kingdom of Spain following the pursuance of an activity as a frontier worker in the Kingdom of Spain, as well as their family members and survivors residing in Gibraltar;UK/EU and EAEC Agreement in respect of Gibraltar, Miscellaneous No. 9 (2026), signed 14 July 2026, volume II, Protocol on Social Security Coordination, Article SSC.3 (Persons covered), point (2)
persons referred to in points (a) and (b) of paragraph 1 who pursue an economic activity as an employed person either in Gibraltar or in the Kingdom of Spain and who return at least once a week to the Kingdom of Spain or to Gibraltar, respectively, are employed frontier workers.UK/EU and EAEC Agreement in respect of Gibraltar, Miscellaneous No. 9 (2026), signed 14 July 2026, volume I, Article 291(2)
El pasado 14 de julio de 2026 se firmó un Acuerdo entre la Unión Europea y el Reino Unido con respecto a Gibraltar, que establece un nuevo marco regulador en todas las ramas de la Seguridad Social, incluida la protección por desempleo. Este acuerdo es aplicable a partir del 15 de julio de 2026.Servicio Público de Empleo Estatal (SEPE), «Mi prestación y el trabajo en Gibraltar: Situación de los fronterizos» (undated live page, fetched 29 Oct 2026), paragraph 2
Quedan excluidos los trabajadores no fronterizos (es decir, aquellos que permanecen fuera de su Estado de residencia durante más de una semana), los ciudadanos del Reino Unido residentes en España que trabajan en Gibraltar y los ciudadanos extracomunitarios, incluso cuando tengan la condición de trabajadores fronterizos.Servicio Público de Empleo Estatal (SEPE), «Mi prestación y el trabajo en Gibraltar: Situación de los fronterizos» (undated live page, fetched 29 Oct 2026), section «Personas trabajadoras incluidas en el Acuerdo»
Frontier workers and detached frontier workers who are subject to the legislation applicable in the United Kingdom, in respect of Gibraltar, or in the Kingdom of Spain and who reside, respectively, in the Kingdom of Spain or Gibraltar, as well as the members of their family, are entitled to benefits in kind in the place of residence provided, on behalf of the competent institution, by the institution of the place of residence, in accordance with the legislation of the place of residence, as though that person were insured under that legislation.UK/EU and EAEC Agreement in respect of Gibraltar, Miscellaneous No. 9 (2026), signed 14 July 2026, volume II, Protocol on Social Security Coordination, Article SSC.16
the frontier worker and/or members of their family shall be obliged to register with the institution of the place of residence. Their right to benefits in kind in the place of residence shall be certified by a document issued by the competent institution upon request of the insured person or upon request of the institution of the place of residence.UK/EU and EAEC Agreement in respect of Gibraltar, Miscellaneous No. 9 (2026), signed 14 July 2026, volume II, Implementing Annex to the Protocol, Article SSCI.19(1)
Cuando una persona o un grupo de personas estén exentas, previa petición, del seguro médico obligatorio y, por tanto, no estén cubiertas por ninguno de los regímenes de seguro de enfermedad a los que se aplica el Protocolo, la institución del otro Participante no será responsable, únicamente a causa de dicha exención, de sufragar los costes de las prestaciones en especie o en metálico provistas a esas personas o a miembros de sus familias en cumplimiento del título III, capítulo I, del Protocolo.Acuerdo Administrativo entre España y el Reino Unido, con respecto a Gibraltar, sobre el Protocolo relativo a la coordinación de la Seguridad Social, hecho en Madrid el 25 de junio de 2026 (BOE-A-2026-15674), Article 2 bis(1)
Frontier workers, detached frontier workers and posted workers shall be entitled to benefits in kind while staying in the place of employment or self-employment. In the case of frontier workers and detached frontier workers, these benefits in kind shall be provided by the competent institution and at its own expense, in accordance with the provisions of the legislation it applies, as though the persons concerned resided there.UK/EU and EAEC Agreement in respect of Gibraltar, Miscellaneous No. 9 (2026), signed 14 July 2026, volume II, Protocol on Social Security Coordination, Article SSC.17(1)
In the case of posted workers, these benefits in kind shall be those which become necessary on medical grounds during their stay, taking into account the nature of the benefits and expected length of the stay. These benefits in kind shall be provided on behalf of the competent institution, by the institution of the place of stay, in accordance with the legislation that it applies, as though the person were insured under the said legislation. 3. Paragraph 2 does not apply where the person concerned travelled to the Kingdom of Spain or Gibraltar, as the case may be, with the purpose of receiving the benefits in kind.UK/EU and EAEC Agreement in respect of Gibraltar, Miscellaneous No. 9 (2026), signed 14 July 2026, volume II, Protocol on Social Security Coordination, Article SSC.17(2) and (3)
En el caso de los trabajadores desplazados en Gibraltar, dicho documento será una «tarjeta sanitaria europea» (TSE) válida, expedida por la institución competente de España, junto con el formulario expedido por la institución competente de España como certificación de la legislación aplicable a efectos del Protocolo. 3. En el caso de los trabajadores desplazados en España, dicho documento consistirá en un certificado, en forma de carta, expedido por la institución competente del Reino Unido, con respecto a Gibraltar, junto con el formulario expedido por la institución competente del Reino Unido, con respecto a Gibraltar, como certificación de la legislación aplicable a efectos del Protocolo.Acuerdo Administrativo entre España y el Reino Unido, con respecto a Gibraltar, sobre el Protocolo relativo a la coordinación de la Seguridad Social, hecho en Madrid el 25 de junio de 2026 (BOE-A-2026-15674), Article 2(2) and (3)
A frontier worker who has retired because of old age or invalidity is entitled in the event of sickness to continue to receive benefits in kind in Gibraltar, if that person last pursued their activity as an employed or self-employed person there, or in the Kingdom of Spain, if that person last pursued their activity as an employed or self-employed person there, insofar as this is a continuation of treatment which began in Gibraltar or the Kingdom of Spain, respectively.UK/EU and EAEC Agreement in respect of Gibraltar, Miscellaneous No. 9 (2026), signed 14 July 2026, volume II, Protocol on Social Security Coordination, Article SSC.22
they shall submit to the institution of the place of stay a document issued by the competent institution.UK/EU and EAEC Agreement in respect of Gibraltar, Miscellaneous No. 9 (2026), signed 14 July 2026, volume II, Implementing Annex to the Protocol, Article SSCI.21
A person who receives a pension or pensions under the legislation applicable in the United Kingdom, in respect of Gibraltar, and in the Kingdom of Spain and who is entitled to benefits in kind in the place of residence shall, with the members of their family, receive such benefits in kind from and at the expense of the institution of the place of residenceUK/EU and EAEC Agreement in respect of Gibraltar, Miscellaneous No. 9 (2026), signed 14 July 2026, volume II, Protocol on Social Security Coordination, Article SSC.20
(i) el Instituto Nacional de la Seguridad Social (INSS) para todos los regímenes y prestaciones, excepto las del Régimen Especial de Trabajadores del Mar, las pensiones del Régimen de Clases Pasivas y las prestaciones de desempleo;Acuerdo Administrativo entre España y el Reino Unido, con respecto a Gibraltar, sobre el Protocolo relativo a la coordinación de la Seguridad Social, hecho en Madrid el 25 de junio de 2026 (BOE-A-2026-15674), Article 1(2)
(iv) la Autoridad Sanitaria de Gibraltar; y (v) la Autoridad de Servicios Empresariales del Servicio Nacional de Salud del Reino Unido, en relación con la tramitación de las solicitudes de reembolso de gastos de asistencia sanitaria y con la realización y recepción de los pagos correspondientes.Acuerdo Administrativo entre España y el Reino Unido, con respecto a Gibraltar, sobre el Protocolo relativo a la coordinación de la Seguridad Social, hecho en Madrid el 25 de junio de 2026 (BOE-A-2026-15674), Article 1(2)(b)
In this scenario, the public is advised to ensure that, as from 1 January 2021, they have appropriate travel insurance with medical cover for any trip abroad to the European Union, including trips to Spain.HM Government of Gibraltar, Technical Notice (12), «European Health Insurance Cards and Healthcare», 18 November 2020 (written before the 2026 treaty), section «Emergency Healthcare in the EU»
In the case of posted workers, these benefits in kind shall be those which become necessary on medical grounds during their stay, taking into account the nature of the benefits and expected length of the stay. These benefits in kind shall be provided on behalf of the competent institution, by the institution of the place of stay, in accordance with the legislation that it applies, as though the person were insured under the said legislation. 3. Paragraph 2 does not apply where the person concerned travelled to the Kingdom of Spain or Gibraltar, as the case may be, with the purpose of receiving the benefits in kind.UK/EU and EAEC Agreement in respect of Gibraltar, Miscellaneous No. 9 (2026), signed 14 July 2026, volume II, Protocol on Social Security Coordination, Article SSC.17(2) and (3)
the person concerned must present to the health care provider in the Kingdom of Spain or Gibraltar, as the case may be, a document issued by the competent institution of the United Kingdom, in respect of Gibraltar, where the stay is in the Kingdom of Spain, or the competent institution of the Kingdom of Spain, where the stay is in Gibraltar, indicating their entitlement to benefits in kind under that provision.UK/EU and EAEC Agreement in respect of Gibraltar, Miscellaneous No. 9 (2026), signed 14 July 2026, volume II, Implementing Annex to the Protocol, Article SSCI.20(1)
En el caso de los trabajadores desplazados en Gibraltar, dicho documento será una «tarjeta sanitaria europea» (TSE) válida, expedida por la institución competente de España, junto con el formulario expedido por la institución competente de España como certificación de la legislación aplicable a efectos del Protocolo. 3. En el caso de los trabajadores desplazados en España, dicho documento consistirá en un certificado, en forma de carta, expedido por la institución competente del Reino Unido, con respecto a Gibraltar, junto con el formulario expedido por la institución competente del Reino Unido, con respecto a Gibraltar, como certificación de la legislación aplicable a efectos del Protocolo.Acuerdo Administrativo entre España y el Reino Unido, con respecto a Gibraltar, sobre el Protocolo relativo a la coordinación de la Seguridad Social, hecho en Madrid el 25 de junio de 2026 (BOE-A-2026-15674), Article 2(2) and (3)
The Union shall allow within its territory the provision of the following ambulance services necessary to protect health, by operators established in Gibraltar and acting under the direction of the GHA, subject to the requirement that this paragraph is applied in a reasonable manner that does not lead to arbitrary or unjustifiable discrimination or to a disguised restriction on trade in services: (a) emergency ambulance services; and (b) ambulance services required for the specialist handling of serious and acute medical conditions between Gibraltar and those establishments listed in Annex 26, which are contiguous to Gibraltar for public health purposes.UK/EU and EAEC Agreement in respect of Gibraltar, Miscellaneous No. 9 (2026), signed 14 July 2026, volume I, Article 276(2)
LIST OF HEALTH SERVICE PROVIDERS: 1. "Cidat", La Línea de la Concepción; 2. "Hospital Quirónsalud Campo de Gibraltar", Palmones; 3. "Scanner Sur", Algeciras; 4. "Hospital Universitario Punta de Europa", Algeciras; 5. "Vithas Xanit International Hospital", Benalmádena; 6. "Vithas Málaga Hospital", Málaga; 7. "HLA Hospital Jerez Puerta del Sur", Jerez.UK/EU and EAEC Agreement in respect of Gibraltar, Miscellaneous No. 9 (2026), signed 14 July 2026, volume II, Annex 26 (List of establishments referred to in Article 276 of the Agreement)
Texts of the Government of Gibraltar on this page (laws, legal notices, the Gazette, Hansard and press releases): © Crown copyright, Government of Gibraltar, reproduced under the Government's copyright notice with the source named and the copyright acknowledged; Hansard: © Gibraltar Parliament. Every one can be read free, in full, on this site (the texts: the Act and the Constitution; the law changes, with the Legal Notices; the statements, by sitting) or at the official source (Gibraltar Laws; Hansard on parliament.gi; press releases).
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