The World Health Organization ranks the effectiveness of care in Portugal at number 12 in the world, well ahead of the United States, England, and Canada. Portugal also has the 10th-highest life expectancy for women in the world, at 84. Pregnant women get 120 days of paid leave at full salary and you won’t get stuck with a hefty bill if an ambulance picks you up at the scene of an accident.
If you’re on the national health scheme, you pay €5 to see the doctor and €10 for emergency care. You pay out of pocket for lab tests and x-rays, but then you can charge them back to insurance and get reimbursed 60 to 80 percent.
In general terms, you will be treated like a local in terms of the health care system. Some costs are free, while others require a token payment. Dental costs are mostly covered by taxes, plus children, pregnant women and pensioners have the right to receive dental care for free.
To choose your own doctor or hospital outside the national health care system, various insurance schemes are available at a reasonable cost. In Lisbon the care is excellent and if you ask around you’ll easily be able to find an English-speaking doctor. This also applies to tourist zones like the Algarve and larger cities such as Porto. In smaller towns you may just have a local clinic, which is fine for basic problems, but then you’ll likely want to travel to a larger city for surgery or serious tests.