The rules for getting state healthcare in Portugal are different from those in the UK
The Portuguese Health System is universal and based on being resident in Portugal. For this reason, British people are entitled to receive state healthcare in Portugal by registering as a resident and then with their local health centre.
However, EU regulations state that if you are in receipt of a State Pension from one EEA member state but resident in another, your healthcare should be covered by the state that pays your pension. For example, if you are resident in Portugal but in receipt of a UK State Pension, the UK should cover your healthcare by issuing you with an S1 (previously E121).
Therefore if you reach State pension age whilst living in Portugal, it will be necessary to request the form S1 from the DWP and hand it to your nearest social security office (Posto de Atendimento da Segurança Social) so that they can change the way you are covered. For more information, please see our section on Access to Healthcare.
Please remember that if you do register with the state health system in Portugal, it is important to de-register with your GP in the UK. Likewise, if you decide to return to the UK, then you must de-register with the Portuguese authorities.