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Portugal Health Care, Residency, And Taxes

by Kathleen Peddicord
Jul 15, 2026
in Portugal
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Beautiful view of the city of Porto on a beautiful summer day. Porto, Portugal

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Portugal is one of the world’s best-loved expat havens and it has surged in popularity with U.S. retirees in recent years…

Long a favorite with British vacationers and expats,—some 50,000 Brits make their home there—Americans have been following in their footsteps in recent years and today a reported 20,000 U.S. citizens live in Portugal.

Portugal has repeatedly featured in our annual Over­seas Retirement Index because it offers everything would-be retir­ees could want, including near-perfect weather and sunshine year-round; an established and welcoming expat community; top-notch medical facilities; an affordable cost of living for a high quality of life; First-world infrastructure; and easy access to the United States and all of Europe.

Plus, English is widely spoken here among locals as well as for­eign residents, so it’s a good choice for those who are nervous about learning another language.

Portugal’s health care system is ranked the 9th best in Eu­rope and 12th in the world. Every citizen and legal foreign resident who has registered with their local health center benefits from the national health care sys­tem, which guarantees all basic health—accidents and illness—is covered.

The hospital network has modern, well-equipped units, and at least 90% of all doctors are English-speaking. Specialty consultations at a public hospital will cost you about €8 and emergencies about €20.

Because of the long wait times in the public system, most expats supplement public care with insurance that allows them to visit pri­vate facilities. Locally, you could consider Multicare, Médis, or Liber­ty Seguros. Most private hospitals and clinics have agreements with these providers.

Health insurance isn’t expensive in Portugal depending on the plan you choose. One expat tells us they pay around €22 per month, flat rate. All specialty consultations are at least 50% covered by insurance, meaning you pay less than half the total cost of the appointment. For example, an average specialty consultation costs about €80; with insurance you’d pay only €35.

To come to Portugal as a tourist, you don’t need a visa as an Amer­ican or Canadian passport-holder. As a tourist, you can stay for a maximum of 90 days within any 180-day period.

To stay for longer than the 90 days, you’ll have to apply for a resi­dency visa. Portugal offers several residency visa types, from student visas to investor visas. They’re generally easy to qualify for and ob­tain.

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The residency visa that most Portugal expats choose is the Passive Income Earner Residence Permit, or D7 visa. As the name suggests, this is an option for people who have income or capital that allows them to support themselves in Portugal.

To qualify for the D7, you have to meet a minimum income require­ment, which is determined by the minimum wage. The immigration officer that processes your application has dis­cretionary power, however, so we recommend you have more than the minimum amount for the best chance of being accepted. About €1,500 per month should do it. For a couple, you should be able to show one-and-a-half times this amount.

The liquid assets you can use to qualify can be pensions, dividends, royalties, salary (as long as it’s not Portugal-sourced), or capital.

Portugal doesn’t impose any restrictions on foreigners looking to purchase real estate and it has double taxation treaties in place with Canada and the United States, so you’re at no risk of being taxed twice here.

Until next time,

Kathleen Peddicord Signature

Kathleen Peddicord

Kathleen Peddicord

Kathleen Peddicord has reported on opportunities for Americans to live, retire, and do business overseas for 40 years. She has traveled to more than 75 countries, invested in real estate in 24, established businesses in 7, renovated and built properties in 6, and educated her children in 5.

Kathleen has moved children, staff, enterprises, household goods, and pets from the east coast of the United States to Waterford, Ireland, then to Paris, France, and finally to Panama City, Panama, where she has based her Live And Invest Overseas business. Peddicord and her husband, Lief Simon, now divide their time between Panama and Paris.

Peddicord was a partner with Agora Publishing’s International Living group for 23 years. She opened, staffed, and operated International Living publishing and real estate marketing offices in Waterford, Ireland; Panama City, Panama; Granada, Nicaragua; Roatan, Honduras; San Miguel de Allende, Mexico; Quito, Ecuador; and Paris, France. Peddicord launched Live And Invest Overseas group in 2008 and has built it into a successful multimillion-dollar business. Today, she shares her firsthand experience of expat life with more than 500,000 readers of her publications, including Overseas Opportunity Letter and Overseas Living Letter.

Kathleen has been featured often in The New York Times, MSNBC, AARP, CNN, Bloomberg, CNBC, and more and writes monthly about expat matters, international real estate, and offshore diversification for Forbes and U.S. News.

Kathleen has written several books including the memoirs “At Home In Ireland” and “At Home At Los Islotes” and her latest title “At Home Abroad,” all published by Lahardan Books. Her best-selling "How To Retire Overseas: Everything You Need To Know To Live Well (For Less) Abroad” was published by Penguin Random House in 2018 and her “Buying Real Estate Overseas For Cash Flow (And A Better Life)” was published by Wiley in August 2020.

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