The CASS
Andorra’s social security system: you contribute while you work and it reimburses most of your healthcare costs.
Andorra · Healthcare
A healthcare system that works. Here’s how to use it.
Andorra combines high-quality public healthcare with fast access and agreements with Spain and France for highly specialised care. The system differs from the one you know: understanding it saves you surprises.
A mixed system that rewards those who understand it
Andorran healthcare runs on a co-payment model: the CASS —the country’s social security system— reimburses most healthcare costs and the patient pays the rest, which most people cover with top-up insurance. It differs from the Spanish or French systems, and understanding it from the outset avoids administrative surprises.
The standard of care is high and access is fast: the country relies on the Hospital Nostra Senyora de Meritxell and a close-knit network of practitioners. For highly specialised care, agreements with leading centres in Spain and France open the door to Barcelona or Toulouse with your cover in order.
Who is covered? Those who pay contributions, whether employed or self-employed, and their dependants. Residents without an economic activity provide proof of their own health cover. Fitting your situation into the system is part of setting up your residence properly.
Key points
The essentials of the system
Co-payment with reimbursement
You pay for the medical appointment and the CASS refunds its share within a few days. Your supplementary insurance covers the rest.
Designated doctor
Registering your GP organises your path through the system and improves your reimbursement rates.
Hospital and local network
Hospital Nostra Senyora de Meritxell handles hospital care, with specialists and A&E within the country.
Agreements with Spain and France
Highly specialised care is referred to leading centres in neighbouring countries, with coordinated cover.
Pharmacies and prevention
A wide network of pharmacies and public prevention programmes; the mountains also play their part.
Arrive with your healthcare sorted
We explain how your cover—and your family’s—works depending on your residence route, and we get your registrations and policies in place.
Let’s talk about your case →