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Types of Health Insurance in Spain

Types of policies: There are three choices on type of policy: CO-PAYMENT, NATIONAL and INTERNATIONAL cover. These vary in price and understanding your needs will direct you to the right option.

At Bsure Insurance Brokers we can advise you on the best option and which insurance provider will best suit your needs. Policies can be complex and therefore it is recommended that you use an expert in this field when choosing a policy as there is small print in each contract which needs to be explained.

Co-Payment is cover in Spain, where the insured person pays towards the consultation or medical operation. This cover includes emergencies abroad.

National Coverage covers you in Spain with no payment towards consultations or operations.  There is also a standard cover abroad for emergencies. This is usually 12000 euros of cover internationally. We always advise clients to take out a travel insurance to supplement the national cover, meaning you are 100% covered in Spain and 100% covered abroad.

International coverage is the 3rd option and covers 100% of medical costs in Spain and up to 90 % of costs incurred abroad.

Important points when choosing a Health insurance policy in Spain

Co-payment policies: These have variable Excess/Deductibles within the policy and the reason for opting for this type policy is purely price. If you do not visit the doctor and are rarely sick it makes sense to have a policy with an excess/deductible. However, if you are for example over 50, there is an increased likelihood of illness and therefore a policy with no excess would be a more prudent option.

Where you are based: If you are based in Spain full time, a national policy will be the sensible option. A travel policy can always supplement your national policy. However, if you spend six months in Spain and six months in your home country or travelling, it is very important to have a international policy. It is not possible unfortunately to have a travel policy for six months and therefore a international medical policy will cover any unforeseen medical problems you will have.

Pregnancy and Childbirth: If you are pregnant and have no policy in place it is not possible to take a private policy out to cover the birth. This is due to the fact that there is a minimum of a one month waiting period on a private insurance policy until conception period of the baby.

Pre-existing conditions: If the insurer decides a health issue that comes up during the policy is a pre-existing condition, they may deny the claim. For this reason it is important to outline your medical history when filling out the health insurance application.

In some cases, especially with chronic or terminal illnesses, medical insurers will reject your application. However, in most cases they will accept you on the policy with the condition excluded from cover. Therefore you will not have cover for that illness, however, any other condition or emergency you will have full cover.

It is rare that health insurers accept any pre-existing condition with an increased premium. However in case of travel insurance, this circumstance is very common.

Mild conditions are likely to be accepted with no exclusions. For example, a skin problem usually does not mean you will have cover excluded for that issue.

Ideally you will have no pre-existing conditions and in this case you will be accepted with no exclusions or conditions.

If you have a serious or terminal illness, we can source a company that will accept this, however certain conditions will be applied

Emergency help: All policies come with 24 hr worldwide emergency cover in relation to medical emergencies, ambulances and home visits by doctors. Even co-payment and national coverage offers this when abroad, up to a monetary limit and providing you are not out of Spain for a limited time, which is usually just over two months.

Repatriation to Spain: If when abroad and you are within the limits just explained, you will be flown or transported by land back to Spain in case of a medical emergency. If you have an international policy you will be covered 90% abroad and have the option of being repatriated back to Spain to receive 100% coverage.

Premiums and Payment options: Prices vary depending on the cover you have purchased. Discounts are given if premiums are paid up front. However, most people tend to purchase policies on a monthly basis with annual renewable contracts.

How to choose a private medical policy in Spain: Which insurer and what cover you will choose depends on many aspects and it is imperative you speak with an insurance broker to run through all your options.

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