Diabetes Management in Bilbao

Healthcare in Bilbao: what visitors and residents should know

How local care works in Bilbao and across Basque Country, Spain — and where an online doctor fits alongside it.

Bilbao's public healthcare is provided by Osakidetza, the Basque Health Service, which has been run by the Basque autonomous government since 1984 and is consistently among the better-resourced regional services in Spain. Basque (Euskara) is co-official with Spanish, and Osakidetza operates bilingually — you can request to be seen in either language, though neither is English. State healthcare is run at regional level, so the rules you meet depend on where you are rather than on Spain as a whole. EU, EEA and Swiss visitors holding an EHIC (or a UK GHIC) can use public primary care and emergency departments on the same terms as residents, though you will normally be asked for the card plus photo ID at reception. Outside surgery hours, pharmacies operate a rota — the farmacia de guardia — and the duty pharmacy is posted in the window of every closed chemist. Bilbao's visitor profile is business and cultural travel rather than beach tourism, which shifts the pattern of need: short trips on tight schedules, where waiting several hours in an urgencias department is impractical, and where the complaint is more often a respiratory infection, a flare-up of an existing condition or a lost medication than a sunburn. The city's Atlantic climate is markedly wetter and cooler than Mediterranean Spain, with a longer respiratory-illness season.

• Guggenheim Museum destination
• Growing business hub
• Gastronomy tourism

Areas we cover around Bilbao and Basque Country

An online consultation is not a substitute for emergency care. If you are in Bilbao and your symptoms are severe or life-threatening, call 112 or go to the nearest emergency department.