OBJECTIVES: This study investigates educational inequalities in the perception of need for seeking health care in 24 European countries belonging to five different welfare regimes (Scandinavian, Anglo-Saxon, Bismarckian, Eastern and Southern). METHODS: Based on the European Social Survey Round 2 (N = 38,122), associations between years of education and intended doctor consultation in case of four hypothetical symptoms (backache, sore throat, sleeping problems and headache) are analysed by multiple logistic regressions. RESULTS: People with less years of education tend to be more likely to consult a doctor compared to people with more education years after adjustment for age and gender. Associations are significant in all welfare regimes, except for the Southern. CONCLUSION: Educational inequalities in the perception of need for seeking health care can be found in different welfare regimes.