As a Pensioner non resident but spending a great deal of time here. Can I register with a doctor/

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28 Apr 2012 7:52 PM by tigress Star rating. 4 posts Send private message

I am a pensioner who now spends as much time as possible in Spain but does not wish to take up residency. Can I register with a doctor. I ask this in particular because I have a number of serious health issues,and am concerned that I may need to see a doctor or go to hospital in an emergency at some point, and do not have an up to date SIP. At present I am renting in Spain for a 6 month exstendible period, but have to return to the UK approx every 3 months for hospital appointments. I do have a current European Health card, and have been isued with short term SIPs in the past when visiting Spain for shorter periods and having to seek doctors help. Can anyone tell me where I stand as a non resident please!!!!





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28 Apr 2012 8:02 PM by fly380 Star rating in Las Filipinas, Orihu.... 253 posts Send private message

My guess is NO. You need residencia and the form from Newcastle whatever it is called now.





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28 Apr 2012 10:47 PM by johnzx Star rating in Spain. 5242 posts Send private message

 
 
TIGRESS
 
If you spend 183 days or more here in any 12 months then you are tax resident in Spain and thus should be registered on the EU citizen register, in which case you are resident in Spain for your health service requirements too.





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29 Apr 2012 8:58 AM by Karensun Star rating in Orihuela Costa. 1474 posts Send private message

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tigress does not wish to take up residency so will not be entitled to Health Care except for that provided with the EHC.

Yes, because she spends more that 183 days here in any one year she should register but if she does not she is not entitled and Spain is much less inclined to hand out sip cards to those who do not qualify now.



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29 Apr 2012 9:49 AM by elaineG Star rating in Spain . 409 posts Send private message

Karen, I don’t how you can say Tigress does not want to be resident as she says she wants to spend as much time as possible here.
 
As John says, after 183 days she is tax resident whether she has registered or not, therefore,  must make tax returns in Spain and pay her tax here (allowing for the exceptions which I know, you know well).   By doing that she would  be telling the UK Tax Office that she is not resident in UK.
 
  Again, from what she says she is entitled to transfer her medical cover to Spain and that is what she should do and maybe what she would like to do but has not realised/understood that she can.
 





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29 Apr 2012 1:57 PM by Roberto Star rating in Torremolinos. 4552 posts Send private message

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Karen says she (Tigress) doesn't want to be resident in Spain because that's what she clearly said herself, although technically she is whether she likes it or not. She probably doesn't "want" to register as a resident because she doesn't want to lose her UK health entitlement, which she will, if she applies in the proper way for full cover in Spain as a resident EU pensioner. Although in her circumstances one would think it's a reasonable thing to expect in our united states of Europe, to be able to visit a doctor for non-urgent consultations anywhere in the EU, it's not (technically) possible, as you only get this service in your country of residence, and you can only be (officially) resident in one country. The solution in this case I guess is to either wing it and try to get a health card here without going through the correct procedure of obtaining an S1 from Newcastle, and hope to get away with it (although plans to clamp down on this type of thing have just been announced) or go private.



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29 Apr 2012 1:57 PM by bobaol Star rating. 2253 posts Send private message

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 I think Karensun can say tigress doesn't want to be a resident as she says so in the very first line of her post.

Some areas of Spain (Valencia region for one) allows you to obtain a provisional SIP card once you have signed on the padron.  This card is valid for 6 months at a time and you can renew it up to 4 times by signing on the padron again.  You need to show your EHIC to get one and this will allow you access to a GP.  It will not, however, allow you access to secondary care so the GP can't refer you to a specialist.  You also have to pay for prescriptions with the same discount as those who have not registered with their S1.  You must show the provisional SIP card and your EHIC every time you consult with a GP.  The only way to get a permanent SIP with access to GP, specialists and free prescriptions (for now) is to register your S1 from UK.





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29 Apr 2012 2:18 PM by Karensun Star rating in Orihuela Costa. 1474 posts Send private message

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Thanks Roberto and bobaol..................................................

Here it is..............................

tigress

28 Apr 2012 19:52
 

I am a pensioner who now spends as much time as possible in Spain but does not wish to take up residency.

 

basically you should be resident here if you live here for more that 183 days and really you should not have medical care in two different countries for free ( except in an emergency ).

 



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29 Apr 2012 2:45 PM by Julianx Star rating in Spain. 61 posts Send private message

Seems pretty a simple question for Tigress.
 
Decide where you want to live and abide by the law. 
 
The Spanish Administration is in the throws of preventing ‘Health Tourism’ (fiddling the system) which is giving us law abiding foreigners a bad name as we are being grouped in with them





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29 Apr 2012 6:19 PM by bobaol Star rating. 2253 posts Send private message

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 As an update, the new proposals going to government are clamping down on "health tourism" as said.  It may be that getting a provisional health card just by signing on the padron could be a thing of the past.





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29 Apr 2012 6:40 PM by Julianx Star rating in Spain. 61 posts Send private message

 

This is a recent article on Health Tourism.
 
 
By Per Svensson
 
Spain is cutting costs in all areas to help reduce its chronic budget deficit. The turn has now come for the so-called health tourism, where the government expects to save 1,000 million euros on the health costs of European citizens, and another 500 million on foreign immigrants.
 
In a press conference the Minister of Health and Social Affairs, Ana Mato, has announced changes in the Law on Foreigners, so that only foreigners who really live in Spain will qualify for Spanish health services. Until now it has been sufficient to be ‘empadronada’ (registered on the town hall registry of inhabitants). The Minister wants to add ‘fiscal residency’ to the criteria (meaning those who pay taxes in Spain).
Non-resident tourists will continue to receive emergency assistant in the event of accidents or illnesses contracted during their stay.
 
Also, the Government in the Region of Valencia has declared an ‘end to the health tourism’ by imposing ‘mechanisms of direct billing for foreign patients’ to create a yearly income of 10 million euros.
 
Confusion and cheap arguments
 
Over the years the Spanish law makers have created much confusion by not differentiating correctly between the various groups of foreigners (EU citizens resident in Spain, resident citizens from other countries with agreements with Spain on health services, legal immigrants working in Spain and their direct family and ordinary tourists). We have all been lumped together as ‘foreigners’ and collectively given the blame for the deficits in the Spanish health system.
 
Demagogic regional politicians have on several occasions used this confusion to place the blame on the ‘foreigners’ for the empty coffers in their treasuries, whilst at the same time going on promotion tours to the north to encourage the sale of dwellings.
 
There have been, and certainly still are, non-Spanish citizens exploiting the good Spanish public health centres, hospitals and medical staff. I have on several occasions attacked this cheating.
 
But the exploitation was only possible because the laws and rules were vague and imprecise. We have over several years been proposing to the national government improvements to the registration and documentation of foreigners in Spain, but without getting much response from the powers that be.
 
 
 
Law abiding majority
 
The great majority of the EU-citizens living in Spain are law abiding people, paying their taxes and charges of all kind, and trying to comply with the ever changing rules of residency and registration. Their health costs in Spain are paid for by private insurances or the bills are sent to the health administration in UK, Germany, Holland, Norway, Sweden, Denmark or other Northern European countries, and are paid more promptly than the regional governments pay their providers in the health sector.
 
In a period where there are a million dwellings in Spain which promoters and banks sorely need to sell, and almost no new buyers, it is not advisable for the politicians to lump this large majority of Northern Europeans into the big sack labelled ‘foreigners’. It could lead to a substantial flight of Northern Europeans from Spain.

 

 


This message was last edited by Julianx on 29/04/2012.



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30 Apr 2012 3:44 PM by Mickyfinn Star rating in Spain and France. 1833 posts Send private message

 Under the EU double taxation agreement fiscal residency does not depend on how many days you spend in any country. The critera is where your principle economic activity takes place.

So for example if you own a property in UK and your income comes from the UK then that's where you are officially fiscally resident.

The 183 days is confusing. You are supposed to register as a 'resident' if you spend more than that time in Spain but your fiscal residency (country where you pay tax) can remain in the UK under the EU agreements.

 


This message was last edited by Mickyfinn on 30/04/2012.

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30 Apr 2012 3:50 PM by Karensun Star rating in Orihuela Costa. 1474 posts Send private message

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The main thing tigress was asking about is medical care.

Unless she is resident in Spain she cannot access the medical system here except in an emergency.



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30 Apr 2012 4:00 PM by Team GB Star rating. 1245 posts Send private message

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Micky

Your post and the information it contains contradicts everything most people on this site say about tax and residencia - I however have always been a little sceptical that Resident and Tax Resident are the same thing.

It would be good if Johnx and others could come back and we could finally get to the bottom of this once and for all.



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30 Apr 2012 4:21 PM by Mickyfinn Star rating in Spain and France. 1833 posts Send private message

 You can also be 'tax resident' in two EU countries. If you have a government service pension you cannot have it taxed elsewhere. So you have to remain tax resident in UK. 

However this does not prevent any other income you may have from being taxed in Spain even though that income may originate from UK.

The affect of course is legally receiving two personal tax allowances..Nice work if you can get it.

I realise I'm off topic but  I wanted to make that point. The previous poster is correct. As a pensioner you cannot get normal medical treatment legally from the state system in Spain unless you register with a form S1.

The EIMC is for emergencies only and they are now restricting it's usage everywhere in Europe. Private medical Insurance is the only other option.



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30 Apr 2012 5:31 PM by Poppyseed Star rating. 897 posts Send private message

Team GB  "finally get to the bottom of this once and for all ".    This is often at the discretion of the taxman, the rules are vague and ambiguous and the taxman is a law unto himself who will interpret it on the day. There was a recent case of a millionaire who had hardly stepped foot in the UK for years but he still had an expensive house there and bank accounts, they decided he was tax resident in the UK and  he had to pay milllions in back taxes even though he lived outside the UK and EU. However a friend of ours worked outside the UK for years, spent less than 90 days in the UK each year, received his salary from a UK company and had a house in UK, he completed a tax return every year and was classed as non tax  resident.


 


This message was last edited by Poppyseed on 30/04/2012.

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30 Apr 2012 6:30 PM by Julianx Star rating in Spain. 61 posts Send private message

 

 Micky. Quote
 
Under the EU double taxation agreement fiscal residency does not depend on how many days you spend in any country. The criteria is where your principle economic activity takes place.
 
Sorry, that is one test. Thus under that test even if one spends less than the 183 days one can still be tax resident, but if one spends 183 or more then they are resident regardless of the' centre of activities test.'
 
So for example if you own a property in UK and your income comes from the UK then that's where you are officially fiscally resident. 
 
Not so, if you spend 183 days or more in Spain it is in Spain. 
 
When I took early retirement in UK, I decided to live in Spain. My sole income was a Government employee pension in UK and I owned a property there (which I did not let).  The HMRC accepted I was tax resident in Spain, although I had a tax liability in UK on my Government employee pension.
 
The 183 days is confusing. You are supposed to register as a 'resident' if you spend more than that time in Spain but your fiscal residency (country where you pay tax) can remain in the UK under the EU agreements.
 
No, you must register on the EU Foreign Citizens Register if you are permanently in Spain for 3 months and then the Hacienda  say you are tax resident in Spain. They have frozen non-resident bank accounts as soon a people register.   Maybe one could sucessfully argue the case if they paid tax in say UK.
 
 
You can also be 'tax resident' in two EU countries. If you have a government service pension you cannot have it taxed elsewhere. So you have to remain tax resident in UK. 
 
I think in that case one is ‘tax liable.’       I pay on a Gov Employee  Pensionin UK,  but do not need to declare any other income. Even any arising in UK (unless it is from letting properfy there, which is also only taxable in UK).
 
The affect of course is legally receiving two personal tax allowances..Nice work if you can get it.
 
Yes its great !!!!
 
 
 
 

Poppyseed,

 

I suspect the millionare was not paying tax anywhere,  or not one which the UK Gov acknowledged and that was why he had to pay up.

 


This message was last edited by Julianx on 30/04/2012.



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30 Apr 2012 6:55 PM by Mickyfinn Star rating in Spain and France. 1833 posts Send private message

 I claim physical residency and tax residency is not the same animal. The 183 days is a guide or cut off point.There has to be one.

Howver one does not necessarily make you liable for the other. What it makes you liable for is personal residency registration, tax matters then remain to be decided, dependent on your particular situation.

Poppyseed is right in that it's for HMRC to decide on the evidence you produce. The Hacienda will not claim you’re a liable tax resident in Spain if the HMRC dispute that and insists to the contrary.

In the end you have to pay tax somewhere. It's really up to the individual to decide with the help of an accountant. We can all quote our own interpretation of the rules but in my experience once you volunteer to pay up somewhere, little will be said.

I would point out that the 3 months requirement for residency in any fiscal year can be extended to 183 days depending on the date of your official arrival in the country. In any case it's almost never challenged.


This message was last edited by Mickyfinn on 30/04/2012.


This message was last edited by Mickyfinn on 30/04/2012.

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30 Apr 2012 7:11 PM by Julianx Star rating in Spain. 61 posts Send private message

M;icky

. It's really up to the individual to decide with the help of an accountant.

 

Sorry again. it's the tax laws which dictate where one must pay.  One cannot choose.  If one gets it wrong they can end up paying tax twice and then trying to claim it back.

As I said, one MUST register after 3 month permanenlty in Spain not 183 days.  However, if one spends a total of 183, although not three months PERMANENTLY they are still Tax Resident.





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30 Apr 2012 7:12 PM by Poppyseed Star rating. 897 posts Send private message

Mickyfinn "but in my experience once you volunteer to pay up somewhere, little will be said."   That was probably true in the past, however everywhere from local councils to national governments are trying to claw in as much as they can from wherever they can so I think they will scrutinise things much more closely in the future. It will matter if you have chosen to be tax resident in a country that is more beneficial to you but another country less beneficial claims you are tax resident there. Having said that I think it's those with the megabucks who will be the first in line for such scrutiny.

I did read on a tax website a while ago that if you do actually live in more than one country but less than 183 days in each then you can choose where to be tax resident but if you don't choose the tax authorities will decide for you.


 


This message was last edited by Poppyseed on 30/04/2012.

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