{"id":23009,"date":"2025-07-16T20:51:10","date_gmt":"2025-07-16T12:51:10","guid":{"rendered":"https:\/\/www.pacificprime.com\/blog\/?p=23009"},"modified":"2025-07-16T20:51:10","modified_gmt":"2025-07-16T12:51:10","slug":"spain-healthcare-for-expats","status":"publish","type":"post","link":"https:\/\/www.pacificprime.com\/blog\/spain-healthcare-for-expats.html","title":{"rendered":"Spain Healthcare for Expats"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Spain\u2019s healthcare system is consistently ranked among the best in the world, offering a combination of public and private services. This gives expats several options for accessing care depending on their residency status, employment, and insurance coverage.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In this guide, we break down everything you need to know about healthcare in Spain as an expat, from eligibility and registration to <\/span><a href=\"https:\/\/www.pacificprime.com\/country\/europe\/spain-health-insurance-pacific-prime-international\/\"><span style=\"font-weight: 400;\">international private health insurance<\/span><\/a><span style=\"font-weight: 400;\"> and family care.<\/span><\/p>\n<p><span data-sheets-root=\"1\"><div class='code-block code-block-72' style='margin: 8px 0; clear: both;'>\n<link rel='stylesheet' href='https:\/\/www.pacificprime.com\/blog\/wp-content\/themes\/readable-child\/blog-banner\/compare-box\/css\/compare-72-new.css?v1.47' type='text\/css' media='all'\/>\n<a href=\"https:\/\/www.pacificprime.com\/compare-quotes\/step-one-name\/?campSource=PP-Blog&utm_campaign=Blog\" class=\"inserter-72-link CompareNowbutton\">\n        <div class=\"inserter-72-new\">\n            <h3>Start by Comparing <br>Insurance Plans Online<\/h3>\n            <div class=\"inserter-img-box\">\n                <img decoding=\"async\" src=\"https:\/\/www.pacificprime.com\/blog\/wp-content\/themes\/readable-child\/blog-banner\/compare-box\/img\/desktop.png\" alt=\" \">\n            <\/div>\n            <div class=\"inserter-compare-box\">\n                <p>Browse and Compare 50,000+ <br>International Health Plans<\/p>\n                <button>Compare NOW<\/button>\n            <\/div>\n        <\/div>\n    <\/a><\/div>\n<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Understanding Spain\u2019s Healthcare System<\/span><\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-23014 aligncenter\" src=\"https:\/\/www.pacificprime.com\/blog\/wp-content\/uploads\/medical-staff-assisting-patient-into-mri-scanner-at-modern-clinic.webp\" alt=\"Image of Medical Staff Assisting Patient Into Mri Scanner At Modern Clinic with text overlay of &quot;Spain\u2019s Healthcare System&quot;\" width=\"1280\" height=\"720\" srcset=\"https:\/\/www.pacificprime.com\/blog\/wp-content\/uploads\/medical-staff-assisting-patient-into-mri-scanner-at-modern-clinic.webp 1280w, https:\/\/www.pacificprime.com\/blog\/wp-content\/uploads\/medical-staff-assisting-patient-into-mri-scanner-at-modern-clinic-300x169.webp 300w, https:\/\/www.pacificprime.com\/blog\/wp-content\/uploads\/medical-staff-assisting-patient-into-mri-scanner-at-modern-clinic-600x338.webp 600w, https:\/\/www.pacificprime.com\/blog\/wp-content\/uploads\/medical-staff-assisting-patient-into-mri-scanner-at-modern-clinic-768x432.webp 768w, https:\/\/www.pacificprime.com\/blog\/wp-content\/uploads\/medical-staff-assisting-patient-into-mri-scanner-at-modern-clinic-150x84.webp 150w\" sizes=\"auto, (max-width: 1280px) 100vw, 1280px\" \/><\/p>\n<p><span style=\"font-weight: 400;\">Spain operates a <\/span><a href=\"https:\/\/www.pacificprime.com\/blog\/how-healthcare-works-in-spain.html\"><span style=\"font-weight: 400;\">universal healthcare system<\/span><\/a><span style=\"font-weight: 400;\"> as the <\/span><a href=\"https:\/\/www.sanidad.gob.es\/en\/organizacion\/sns\/home.htm\"><span style=\"font-weight: 400;\">Sistema Nacional de Salud (SNS)<\/span><\/a><span style=\"font-weight: 400;\">. Funded primarily through taxes and managed at the regional level, the SNS provides free and low-cost healthcare to residents who contribute to the country\u2019s social security system.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The public system covers a wide range of services like general practitioner visits, specialist consultations, emergency care, hospitalization, maternity services, and pediatric care. However, there are limitations, which is why many expats also consider private or international health insurance.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Eligibility for Public Healthcare<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Eligibility for Spain\u2019s public healthcare system depends on your residency status and whether you contribute to Seguridad Social (social security). Here\u2019s how it\u2019s broken down:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Employed expats:<\/b><span style=\"font-weight: 400;\"> If you work for a Spanish employer, you\u2019re automatically enrolled in the social security system, which entitles you and your dependents to public healthcare.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Self-employed expats<\/b><span style=\"font-weight: 400;\">: You must register and contribute to social security independently to access public healthcare.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>EU\/EEA citizens<\/b><span style=\"font-weight: 400;\">: You can use the <\/span><a href=\"https:\/\/employment-social-affairs.ec.europa.eu\/policies-and-activities\/moving-working-europe\/eu-social-security-coordination\/european-health-insurance-card_en\"><span style=\"font-weight: 400;\">European Health Insurance Card<\/span><\/a><span style=\"font-weight: 400;\"> (EHIC) or GHIC for temporary stays. For long-term access, you\u2019ll need to register locally.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Retirees<\/b><span style=\"font-weight: 400;\">: If you\u2019re receiving a state pension from a country with a reciprocal agreement (like the UK), you may qualify for public healthcare via the S1 form.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Non-EU expats<\/b><span style=\"font-weight: 400;\">: If you\u2019re not working or contributing to social security, you\u2019ll need private insurance to meet visa requirements and access care.<\/span><\/li>\n<\/ul>\n<p><span data-sheets-root=\"1\"><div class='code-block code-block-30' style='margin: 8px 0; clear: both;'>\n<p><button class=\"mo-modal-open\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-4633\" src=\"https:\/\/www.pacificprime.com\/blog\/wp-content\/uploads\/Blog-Banner_Europe_1.jpg\" alt=\"Blog Banner Europe 1\" width=\"1138\" height=\"493\" \/><\/button><\/p><\/div>\n<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">The Convenio Especial Program<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">If you\u2019ve lived in Spain for over a year but don\u2019t qualify for public healthcare through employment or pension, you may be eligible for the <\/span><a href=\"https:\/\/www.sanidad.gob.es\/en\/servCiudadanos\/internacional\/convenioEspecial.htm\"><span style=\"font-weight: 400;\">Convenio Especial<\/span><\/a><span style=\"font-weight: 400;\">. This is a government-run insurance scheme that provides access to the public system for a flat monthly fee.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">As of 2025, the cost is approximately \u20ac60 per month for those under 65 and \u20ac157 for those over 65. It covers most services but excludes prescriptions and dental care. It\u2019s a useful option for long-term residents who are otherwise uninsured.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">How to Register for Public Healthcare\u00a0 in Spain<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">To access public healthcare in Spain, expats must complete several administrative steps. First, apply for a <\/span><a href=\"https:\/\/www.exteriores.gob.es\/Consulados\/losangeles\/en\/ServiciosConsulares\/Paginas\/Consular\/NIE.aspx\"><span style=\"font-weight: 400;\">NIE<\/span><\/a><span style=\"font-weight: 400;\"> (N\u00famero de Identificaci\u00f3n de Extranjero), which acts as your foreigner ID. Then register your address through the empadronamiento process at your local town hall.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you&#8217;re employed or self-employed, enrollment in the social security system (Seguridad Social) is the next step. Once these are in place, visit your neighborhood health center to request a Tarjeta Sanitaria (health card).\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">With it, you\u2019ll be assigned a general practitioner and can begin using public services like doctor visits and hospital care.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">What\u2019s Covered by the Public System in Spain<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Spain\u2019s public health service, the SNS, covers general and specialist appointments, hospital treatments, emergency services, maternity care, vaccinations, and some mental health support. However, dental, vision, and a portion of prescriptions are not fully covered.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Adults typically pay out of pocket for dental care, though children and vulnerable groups\u2014like pregnant women and oncology patients\u2014may receive limited public coverage for basic services.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Private Healthcare in Spain<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Spain\u2019s private healthcare network is well-developed, modern, and frequently used by locals and expats alike. Services are typically faster, more personalized, and include English-speaking medical staff, especially in major cities.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Expats often choose private care for shorter wait times, better hospital amenities, and broader access to services not covered by the public system, such as dental, vision, and physiotherapy.<\/span><\/p>\n<p><span data-sheets-root=\"1\"><div class='code-block code-block-31' style='margin: 8px 0; clear: both;'>\n<p><button class=\"mo-modal-open\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-4633\" src=\"https:\/\/www.pacificprime.com\/blog\/wp-content\/uploads\/Blog-Banner_Europe_2.jpg\" alt=\"Blog Banner Europe 2\" width=\"1138\" height=\"493\" \/><\/button><\/p><\/div>\n<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Cost of Private Health Insurance<\/span><\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-23015 aligncenter\" src=\"https:\/\/www.pacificprime.com\/blog\/wp-content\/uploads\/dentist-examining-patient-in-a-bright-modern-dental-clinic.webp\" alt=\"Image of Dentist Examining Patient In A Bright, Modern Dental Clinic with text overlay of &quot;Cost of Private Health Insurance&quot;\" width=\"1280\" height=\"720\" srcset=\"https:\/\/www.pacificprime.com\/blog\/wp-content\/uploads\/dentist-examining-patient-in-a-bright-modern-dental-clinic.webp 1280w, https:\/\/www.pacificprime.com\/blog\/wp-content\/uploads\/dentist-examining-patient-in-a-bright-modern-dental-clinic-300x169.webp 300w, https:\/\/www.pacificprime.com\/blog\/wp-content\/uploads\/dentist-examining-patient-in-a-bright-modern-dental-clinic-600x338.webp 600w, https:\/\/www.pacificprime.com\/blog\/wp-content\/uploads\/dentist-examining-patient-in-a-bright-modern-dental-clinic-768x432.webp 768w, https:\/\/www.pacificprime.com\/blog\/wp-content\/uploads\/dentist-examining-patient-in-a-bright-modern-dental-clinic-150x84.webp 150w\" sizes=\"auto, (max-width: 1280px) 100vw, 1280px\" \/><\/p>\n<p><span style=\"font-weight: 400;\">Private insurance in Spain is relatively affordable. Monthly premiums typically range between \u20ac50 and \u20ac200, depending on your age, coverage, and provider. Plans can include general medical services, maternity, mental health, dental, vision, and even international travel benefits.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Providers like <\/span><a href=\"https:\/\/www.pacificprime.com\/insurers-and-partners\/insurer-cigna\/\"><span style=\"font-weight: 400;\">Cigna<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.pacificprime.com\/insurers-and-partners\/bupa\/\"><span style=\"font-weight: 400;\">Bupa<\/span><\/a><span style=\"font-weight: 400;\">, and <\/span><a href=\"https:\/\/www.pacificprime.com\/insurers-and-partners\/now-health\/\"><span style=\"font-weight: 400;\">Now Health International<\/span><\/a><span style=\"font-weight: 400;\"> ,\u00a0 offer customizable plans suited to expat needs. International health plans are especially appealing for those who travel frequently or plan to relocate again.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Why International Health Insurance Is a Smart Choice<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">International health insurance offers seamless access to Spain\u2019s private healthcare system without the delays or restrictions of public care. It\u2019s often required for visa applications and is especially helpful for families, retirees, and remote workers.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">These plans typically include worldwide coverage, bilingual assistance, and options for maternity, child care, and global mobility. They are a smart, flexible solution for expats seeking convenience, compliance, and peace of mind.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Healthcare for Children and Families<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Spain is especially welcoming to families. Children receive free pediatric services and routine vaccinations through both public and private systems. Dental care is available under the public system up to age 16, and school health checks are commonly provided.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Maternity care is comprehensive, with regular prenatal visits and hospital births covered by the SNS. However, many expats prefer private hospitals for faster appointments, personalized attention, and a more comfortable experience overall.<\/span><\/p>\n<p><span data-sheets-root=\"1\"><div class='code-block code-block-32' style='margin: 8px 0; clear: both;'>\n<p><button class=\"mo-modal-open\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-4633\" src=\"https:\/\/www.pacificprime.com\/blog\/wp-content\/uploads\/Blog-Banner_Europe_3.jpg\" alt=\"Blog Banner Europe 3\" width=\"1138\" height=\"493\" \/><\/button><\/p><\/div>\n<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Pharmacies and Prescriptions in Spain<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Pharmacies, or <\/span><i><span style=\"font-weight: 400;\">farmacias<\/span><\/i><span style=\"font-weight: 400;\">, are widely accessible and offer both prescription and over-the-counter medicines. The SNS subsidizes prescription costs, and patients pay a copayment based on their income.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Working-age adults often pay 40\u201360% of the price, while pensioners may pay just 10% or less. Children and those with limited income may receive medications at no cost. If you have private or international insurance, it may cover all or part of your prescription expenses.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Emergency Services in Spain<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Emergency healthcare in Spain is universal and accessible to everyone. You can dial 112 for immediate medical assistance. Public hospitals operate 24\/7 emergency departments known as <\/span><i><span style=\"font-weight: 400;\">urgencias<\/span><\/i><span style=\"font-weight: 400;\">, and ambulance services are publicly funded in urgent cases.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Private hospitals also offer emergency care, though you\u2019ll either need insurance or pay out of pocket. In both systems, you\u2019ll receive care promptly for life-threatening conditions.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Regional Differences in Healthcare in Spain<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Spain\u2019s regional healthcare means service quality varies. Cities like Madrid offer better care and more English-speaking staff. Rural areas may face specialist shortages and delays. Private insurance helps with faster access and broader provider networks across regions.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Healthcare for Students and Visitors in Spain<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Students in Spain are required to have valid health insurance. EU students can use the EHIC for basic access, but long-term stays require local or private coverage. Non-EU students must have private health insurance that meets Spanish visa requirements.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Short-term visitors should obtain <\/span><a href=\"https:\/\/home-affairs.ec.europa.eu\/policies\/schengen\/visa-policy\/applying-schengen-visa_en\"><span style=\"font-weight: 400;\">Schengen-compliant<\/span><\/a><span style=\"font-weight: 400;\"> travel insurance, which includes a minimum of \u20ac30,000 in coverage for emergency care, hospitalization, and repatriation.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Digital Health and Telemedicine in Spain<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Spain is adopting more digital healthcare tools. In some regions, residents can use virtual health cards via official mobile apps.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Telemedicine is also growing, especially in the private sector, with insurers now offering 24\/7 video consultations, appointment booking apps, and digital prescription services, making access to care faster and more convenient for expats.<\/span><\/p>\n<p><span data-sheets-root=\"1\"><div class='code-block code-block-73' style='margin: 8px 0; clear: both;'>\n<link rel='stylesheet' href='https:\/\/www.pacificprime.com\/blog\/wp-content\/themes\/readable-child\/blog-banner\/compare-box\/css\/compare-73-new.css?v1.67' type='text\/css' media='all'\/>\n<a href=\"https:\/\/www.pacificprime.com\/compare-quotes\/step-one-name\/?campSource=PP-Blog&utm_campaign=Blog\" class=\"inserter-73-link CompareNowbutton\">\n  <div class=\"inserter-73-new\">\n    <div class=\"inserter-left-box\">\n        <h3>Kickstart Your Search for the Perfect Insurer<\/h3>        \n        <div class=\"inserter-compare-box\">\n            <p>Compare over <br>50,000 Plans <br>from Top Insurers<\/p>\n            <button >Compare NOW<\/button>\n        <\/div>\n    <\/div>\n    \n    \n    <div class=\"inserter-img-box\">\n        <img decoding=\"async\" src=\"https:\/\/www.pacificprime.com\/blog\/wp-content\/themes\/readable-child\/blog-banner\/compare-box\/img\/mobile.png\" alt=\" \" class=\"banner-img-mobile\">            \n    <\/div>\n  <\/div>\n<\/a>\n\n<style>\n\n.inserter-73-new .inserter-img-box amp-img {right: -31%;}\n@media (max-width: 1199px) {\n  .inserter-73-new .inserter-img-box amp-img {\n    right: -20px;\n  }\n@media (max-width: 991px) {\n  .inserter-73-new .inserter-img-box amp-img {\n    right: -10px;\n  }\n}\n@media (max-width: 768px) {\n  .inserter-73-new .inserter-img-box amp-img {\n    height: auto;\n    width: 30%;\n  }\n}\n@media (max-width: 512px) {\n  .inserter-73-new .inserter-img-box amp-img {\n    height: 200px;\n  }\n}\n<\/style>\n\n<\/div>\n<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">How Pacific Prime Can Help<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Navigating healthcare in a new country can be overwhelming, but you don\u2019t have to do it alone. At Pacific Prime, we specialize in helping expats find the right international health insurance for their needs.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">We offer expert advice, comparisons of top global insurers, tailored recommendations for individuals, couples, and families, and ongoing support from enrollment to claims. <\/span><a href=\"https:\/\/www.pacificprime.com\/contact-us\/\"><span style=\"font-weight: 400;\">Contact us<\/span><\/a><span style=\"font-weight: 400;\"> today to get a free plan comparison!<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Spain\u2019s healthcare system is consistently ranked among the best in the world, offering a combination of public and private services. This gives expats several options for accessing care depending on their residency status, employment, and insurance coverage. In this guide, we break down everything you need to know about healthcare in Spain as an expat, &#8230;<\/p>\n","protected":false},"author":93,"featured_media":23012,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[1713,570],"tags":[],"class_list":["post-23009","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-expat-insurance","category-health"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Healthcare for Expats in Spain<\/title>\n<meta name=\"description\" content=\"This guide explains how expats can access Spain\u2019s public and private healthcare, including eligibility, insurance options, and care for families.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.pacificprime.com\/blog\/spain-healthcare-for-expats.html\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Healthcare for Expats in Spain\" \/>\n<meta property=\"og:description\" content=\"This guide explains how expats can access Spain\u2019s public and private healthcare, including eligibility, insurance options, and care for families.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.pacificprime.com\/blog\/spain-healthcare-for-expats.html\" \/>\n<meta property=\"og:site_name\" content=\"Pacific Prime&#039;s Blog\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/pacificprime\" \/>\n<meta property=\"article:published_time\" content=\"2025-07-16T12:51:10+00:00\" 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class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.pacificprime.com\\\/blog\\\/spain-healthcare-for-expats.html#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.pacificprime.com\\\/blog\\\/spain-healthcare-for-expats.html\"},\"author\":{\"name\":\"Grace Dandan\",\"@id\":\"https:\\\/\\\/www.pacificprime.com\\\/blog\\\/#\\\/schema\\\/person\\\/0b827657eb8998e02e3291af29fd7340\"},\"headline\":\"Spain Healthcare for 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