Public or Private? | The Healthcare System in Malta

Malta, a Mediterranean island nation serving a population of over 500,000 people, maintains a highly-rated healthcare system that effectively combines public and private services. The country has earned recognition for its healthcare standards, consistently ranking among the better performers in EU healthcare assessments. For expats and digital nomads considering Malta, the healthcare system offers a reassuring combination of European standards, English-speaking medical professionals, and comprehensive coverage options.

Malta's healthcare structure primarily operates through a two-tier system: a robust public healthcare service funded through taxation and social security contributions, and a parallel private sector offering additional choices and expedited access. As of 2024, Malta invests approximately 9.5% of its GDP in healthcare, focusing on maintaining high standards while ensuring accessibility for all residents.

The expat community in Malta benefits from the system's inclusive nature, with EU citizens having full access to public healthcare and non-EU residents eligible through various schemes. Many medical professionals have trained in the UK or other EU countries, ensuring familiar standards of care for international residents.

Structure of the Healthcare System in Malta

Public Healthcare

Malta's public healthcare system provides comprehensive coverage to eligible residents through a network of health centers and hospitals. The flagship facility, Mater Dei Hospital in Msida, serves as the primary public hospital, offering advanced medical care across numerous specialties. The system operates through a network of health centers providing primary care, specialist clinics offering secondary care, and tertiary care facilities for complex medical needs.

Coverage and Accessibility

The Maltese public health system offers extensive coverage including:

• Primary healthcare services through local health centers
• Hospital treatment and specialized care
• Prescription medications (with some co-payments)
• Maternity and child healthcare services
• Emergency medical services
• Preventive care programs
• Mental health services
• Rehabilitation services

Healthcare services are generally free at the point of use for those eligible, though some services may require referrals from primary care physicians.

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How to Register for Health Insurance in Malta

To access public healthcare in Malta:

1. Obtain your residence permit or work permit
2. Register with the Social Security office
3. Apply for your European Health Insurance Card (for EU citizens)
4. Register with a local health center
5. Obtain your entitlement card (Kartanzjan)

EU citizens can initially use their EHIC cards, but long-term residents should register with the local system for comprehensive coverage.

Private Healthcare in Malta

Private healthcare provides an alternative or supplement to the public system, offering shorter waiting times and more personalized service. Major private hospitals like St. James Hospital and Saint James Capua Hospital provide high-quality care with modern facilities and English-speaking staff. Private insurance costs vary but typically range from €300 to €1,000 annually depending on coverage level and age.

Pharmacy Healthcare

Pharmacies in Malta operate under strict regulations and are well-distributed across the islands. Many pharmacies offer extended hours, and emergency pharmacies operate on a rotation basis for after-hours service. Prescription medications are available through both public and private systems, with public system beneficiaries receiving subsidized rates on many medicines.

Children's Healthcare in Malta

Pediatric care in Malta is comprehensive, with services available through both public and private sectors. The public system offers free healthcare for children, including regular check-ups, vaccinations, and specialist care when needed. School health services provide additional monitoring and preventive care throughout children's education.

Mental Healthcare in Malta

Mental health services are integrated into the public healthcare system, with Mount Carmel Hospital serving as the primary mental health facility. Both inpatient and outpatient services are available, though private options may offer more immediate access to counseling and psychiatric services. The system continues to expand its mental health services to meet growing demand.

Emergency Healthcare

Emergency medical services in Malta operate efficiently, with the main emergency department at Mater Dei Hospital providing 24/7 care. Ambulance services can be accessed by calling 112, and emergency care is provided free of charge to both residents and visitors. Regional health centers also offer emergency services during specific hours.

Access and Coverage for Free Healthcare in Malta

Free public healthcare access extends to:

• Maltese citizens
• EU residents with valid documentation
• Non-EU residents with work permits
• Students with residence permits
• Those covered by reciprocal healthcare agreements

Waiting Times and Availability of Services

While emergency care is immediate, non-urgent procedures in the public system may involve waiting lists. Private healthcare typically offers faster access to specialists and elective procedures. Primary care services are readily available through local health centers, with more specialized care concentrated at major hospitals.

Quality of Healthcare in Malta

Malta maintains high healthcare standards through:

• Regular facility accreditation
• Continuous professional development requirements
• Modern medical equipment and facilities
• Strong emphasis on patient safety
• Regular quality assessments
• International healthcare partnerships

Out-of-pocket Expenditure

Regional Comparison

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Useful Resources

• GlobalPassport Malta webpage: https://www.globalpassport.ai/destinations/malta
• Malta ministry of health: https://health.gov.mt/