From. British Embassy in Madrid. Healthcare access & the Special Agreement Some of you have been asking about the Special Agreement recently, so here’s some further information. The scheme has a monthly fee and will give you access to state healthcare in Spain, as a resident. It may be a good option for those who have been living in Spain for a year or longer but don't have an automatic right to state healthcare (e.g. as a worker or state pensioner). It’s operated at a regional level, so for further information about how to apply and who is eligible, please contact your regional health authority. Here are some of the direct links: Andalucia: https://www.sspa.juntadeandalucia.es/servicioandaluzdesalud/ciudadania/cobertura-sanitaria/convenios-especiales-para-la-prestacion-de-asistencia-sanitaria