Health Insurance Comparison

Find the Right Health Insurance for Your Move to Spain

Whether you need coverage for a visa application, want access to private healthcare, or are looking for the most affordable option—we'll help you choose.

Compare Your Options

The right choice depends on your visa type, age, health needs, and budget.

If eligible

Spanish Public Healthcare

Free –€100/mo

Via employment or convenio especial

  • Full hospital coverage
  • Prescriptions heavily subsidized
  • Covers pre-existing conditions
  • Longer wait times for specialists
  • Not accepted for visa applications
Best for:

Employed residents, EU citizens with S1 form, those who qualify for convenio especial

Most Popular for Expats
Spanish providers

Private Health Insurance

€50 –€200/mo

Varies by age, coverage level

  • Accepted for all visa types
  • Fast access to specialists
  • English-speaking doctors available
  • Private hospital rooms
  • Pre-existing condition waiting periods
Best for:

Visa applicants, long-term residents, anyone wanting private care access

Global coverage

International Health Insurance

€100 –€400/mo

Worldwide coverage options

  • Coverage in multiple countries
  • Medical evacuation included
  • Ideal for frequent travelers
  • More expensive than local options
  • May not meet visa requirements
Best for:

Digital nomads, frequent travelers, those splitting time between countries

Top Providers for Expats in Spain

These insurers are known for accepting expats and providing English-language support.

1 Spanish Private Insurers Visa-Compliant

Sanitas

Part of Bupa global network

From €45/mo
Age 30-40

One of Spain's largest private insurers. Extensive network of clinics and hospitals. Popular with expats for English support and international claims experience.

No copays option Dental included Mental health
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Adeslas

Largest network in Spain

From €40/mo
Age 30-40

Spain's most extensive provider network with over 44,000 medical professionals. Good for those living outside major cities.

Largest network Rural coverage 24/7 helpline
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Mapfre

Spanish insurance giant

From €35/mo
Age 30-40

Competitive pricing with solid coverage. Good option for budget-conscious expats who want a reputable Spanish insurer.

Budget-friendly Established brand Online portal
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Asisa

No waiting periods option

From €50/mo
Age 30-40

Known for accepting pre-existing conditions with shorter waiting periods. Good choice if you have health history concerns.

Pre-existing friendly Flexible plans Repatriation
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2 International Insurers Global Coverage

Cigna Global

Premium international coverage

From €150/mo
Varies by plan

Comprehensive worldwide coverage with excellent customer service. Ideal for high-income expats who travel frequently.

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Allianz Care

Flexible international plans

From €120/mo
Varies by plan

Modular plans let you customize coverage. Strong in Europe with good Spain-specific options.

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SafetyWing

Popular with digital nomads

From €45/mo
Subscription model

Affordable travel medical insurance designed for remote workers. Easy online signup, flexible monthly billing.

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World Nomads

Adventure travel coverage

From €60/mo
Trip-based

Good for short-term stays and adventure activities. Can extend while abroad. Not ideal for long-term residency.

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Insurance Requirements by Visa Type

Digital Nomad Visa

Requires private health insurance valid in Spain with no copays or deductibles for the visa application. Spanish private insurers (Sanitas, Adeslas) are safest. Some consulates accept international plans.

Recommended: Spanish private insurance with "sin copago" (no copay) plan

Non-Lucrative Visa (Retirees)

Must have comprehensive private health insurance that covers all medical expenses. No deductibles or copays. Coverage must be valid for the visa duration (minimum 1 year).

Recommended: Spanish private insurance with full coverage, or Cigna Global for those who travel frequently

EU Citizens

Can use EHIC for temporary coverage. For permanent residence, must either work (social security) or buy private insurance to register. S1 form transfers home country coverage.

Recommended: Register for Spanish social security through employment, or buy affordable Spanish private plan

Work Visa / Employed

Employment automatically enrolls you in Spanish social security (public healthcare). Private insurance is optional but many expats add it for faster specialist access.

Recommended: Public healthcare is sufficient; add private for convenience if budget allows

Need Help Choosing?

Get personalized recommendations based on your visa type, age, and healthcare needs.