5 Common Misconceptions About Expat Insurance in Spain

Feb 14, 2026

Understanding Expat Insurance in Spain

Moving to Spain as an expat is an exciting adventure filled with new experiences and opportunities. However, navigating the world of expat insurance can be daunting, especially with various misconceptions floating around. To ensure you're adequately covered, it's crucial to separate fact from fiction.

expat in spain

Misconception 1: Spanish Healthcare is Free for Everyone

One of the most common misconceptions is that all healthcare services in Spain are free. While Spain does have a robust public healthcare system, it's primarily available to residents and citizens who contribute to social security. Expats may not automatically qualify for free healthcare and may need private insurance to cover medical expenses.

For those not eligible for public healthcare, having private insurance ensures access to a wide range of medical services without unexpected costs. It's important to verify your eligibility and explore available insurance options tailored for expats.

Misconception 2: All Expat Insurance Plans Are the Same

Another misconception is that all expat insurance plans offer identical coverage. In reality, insurance policies can vary significantly in terms of services, coverage limits, and costs. Some may cover routine check-ups and emergency care, while others might include dental and vision care.

insurance policy

It's essential to research and compare different plans to find one that best suits your specific needs and lifestyle. Consider factors such as your health condition, family size, and travel habits when choosing an insurance plan.

Misconception 3: Travel Insurance Is Sufficient for Expats

Many expats mistakenly believe that travel insurance is enough to cover their healthcare needs while living abroad. However, travel insurance is designed for short-term stays and typically covers emergencies and unforeseen events rather than routine or ongoing medical care.

For a long-term stay in Spain, it's advisable to invest in a comprehensive expat insurance plan that includes regular medical check-ups, chronic condition management, and other necessary healthcare services.

expat travel insurance

Misconception 4: You Can Only Buy Insurance Locally

Some expats think they can only purchase insurance from providers within Spain. While local insurers often offer plans tailored to the Spanish healthcare system, many international insurance companies provide expat-specific policies that can be purchased before arrival or even while residing in Spain.

These international plans often offer flexibility and coverage that extends beyond Spain, which can be beneficial for those who frequently travel or plan to relocate again in the future.

Misconception 5: Pre-Existing Conditions Are Always Covered

Assuming that all pre-existing medical conditions are covered by expat insurance can lead to unpleasant surprises. Not all policies automatically cover pre-existing conditions, and some may require additional premiums or impose waiting periods before coverage begins.

Before selecting an insurance plan, carefully review the terms and conditions regarding pre-existing conditions to avoid unexpected out-of-pocket expenses.

healthcare costs

In conclusion, understanding expat insurance in Spain is crucial for ensuring adequate healthcare coverage. By dispelling these common misconceptions, you can make informed decisions and enjoy a worry-free expat experience in this beautiful country.