Social Security Spain

Social Security Spain

Sick Leave as a Freelancer in Spain (2026): What You Get Paid and What You Keep Paying

October 7, 2026

You get ill, the doctor signs you off, and the first thing you search for is how much you’ll be paid. It’s the incomplete question. The one that decides whether you get through the sick leave without going under is different: how much keeps leaving your account while you’re paid that.

Almost everything written about sick leave for an autónomo (self-employed worker) answers the first question with a percentage and a table. Here are both together: what comes in, what keeps going out, and the gap in between. It’s the same cash-flow sum we already did for the self-employed retirement pension, applied now to sick leave.

freelancers sick leave temporary incapacity Social Security Spain cash flow forecast