- How to obtain your 'Número de Utente' as a resident
- The role of the Family Doctor and local Health Centers
- Hospital locations and the emergency evacuation system
- Public vs. Private healthcare options for expats
General, independent information, not legal or tax advice. Rules and amounts change: confirm with the official sources at the end of the page.
The Regional Health Service (SRS)
The Azores operates under the Serviço Regional de Saúde (SRS), which is the regional branch of the Portuguese national health system. It is a tax-funded system designed to provide universal coverage to all residents, regardless of their economic status.
While the system is robust, it is important to understand that the geographical isolation of the islands shapes how care is delivered. Most specialized services are concentrated in the three main hospitals, while smaller islands rely on a network of health centers.
Healthcare in the Azores is completely free for everyone at all times.
While heavily subsidised, residents may pay small 'taxas moderadoras' (user fees) for appointments and exams, unless they fall into an exempt category based on income or health status.
The regional system ensures that even the most remote islander has a pathway to specialized hospital care when needed.
Registering for the User Number (Número de Utente)
To access the public system, you must be registered at your local Centro de Saúde. This registration generates your 'Número de Utente', which is your unique identifier within the health system.
- Gather your residency permit (Título de Residência) and proof of address.
- Ensure you have your Portuguese tax number (NIF) ready.
- Visit the administrative desk of the Health Center in your area of residence.
- Request the registration and wait for the issuance of your health card or number.
- Confirm if you are eligible for any fee exemptions at the time of registration.
Primary Care and the Family Doctor
The Centro de Saúde is your first point of contact for non-emergencies. This is where you will find your Médico de Família (Family Doctor), who manages your long-term health and referrals to specialists.
In many areas, there is a shortage of family doctors. If you are not assigned one immediately, you will be placed on a waiting list and can still access care through the 'consulta aberta' (open clinic) for urgent but non-life-threatening issues.
Hospitals and Emergency Services
There are three main reference hospitals in the archipelago. These facilities handle surgeries, specialized consultations, and major emergencies.
| Hospital Name | Location | Specialisation |
|---|---|---|
| Hospital Divino Espírito Santo | Ponta Delgada (São Miguel) | Largest facility, most specialties |
| Hospital de Santo Espírito | Angra (Terceira) | Reference for the Central Group |
| Hospital da Horta | Horta (Faial) | Reference for the Western Group |
For residents on islands without a hospital (like Santa Maria, Graciosa, São Jorge, Pico, Flores, or Corvo), the local health center provides 24-hour basic emergency care. If a situation exceeds their capacity, an emergency evacuation is triggered.
Evacuations are typically carried out by SATA Air Açores or the Portuguese Air Force. This system is highly organized and ensures patients reach the necessary level of care on a larger island or the mainland.
Private Healthcare and Insurance
Private healthcare is an increasingly popular option, particularly on São Miguel and Terceira. It allows for faster access to specialists and elective procedures that may have long waiting lists in the public system.
Many expats choose to maintain private health insurance. Common providers in Portugal include Multicare, Médis, and AdvanceCare. Costs vary significantly based on age and coverage; confirm current premiums with the providers.
Frequently asked questions
What is the emergency number in the Azores?
The emergency number is 112. This connects you to police, fire, and medical services across all islands.
Can I use my EHIC card in the Azores?
Yes, citizens of the EU, EEA, and Switzerland can use the European Health Insurance Card for necessary public healthcare during a temporary stay.
Are pharmacies easy to find?
Yes, every island has at least one pharmacy (Farmácia). They operate on a rotation system (serviço de permanência) for night and weekend coverage.
Is the water safe to drink?
Tap water in the Azores is generally safe and meets high quality standards, though the taste may vary due to mineral content.
How long does it take to get a family doctor?
The waiting time varies greatly by island and parish. Some residents get one immediately, while others may wait months or longer; confirm the current status at your local health center.
Do doctors speak English?
Many doctors and medical staff in the Azores speak English, especially in the main hospitals and private clinics, but it is not guaranteed in smaller health centers.
The Azorean healthcare system offers a reliable safety net through the SRS, supported by a unique evacuation network. While the public system can be slow for non-urgent matters, combining it with private insurance often provides the best balance of care and speed for new residents.