Top Health Insurance Options for Expats Living in Spain

Dec 07, 2025

Understanding Health Insurance for Expats in Spain

Living as an expat in Spain offers a unique blend of culture, climate, and lifestyle. However, navigating the health insurance landscape can be challenging. It's important to understand your options to ensure you have the coverage you need.

Spain offers both public and private healthcare systems. While the public system provides comprehensive care, many expats opt for private health insurance for shorter wait times and more personalized services.

spanish healthcare

Public Healthcare System: Seguridad Social

The Spanish public healthcare system, known as Seguridad Social, is funded through social security contributions. As an expat, you might be eligible for this system if you are employed, self-employed, or retired and collecting a pension from Spain.

While the public system is renowned for its quality, it may involve longer waiting periods for certain treatments. Therefore, many expats choose to supplement it with private insurance.

Private Health Insurance Options

Private health insurance is a popular choice among expats in Spain. It provides access to a broader range of hospitals and specialists and typically offers faster service. Here are some top options:

  • Sanitas: Known for its extensive network and competitive pricing, Sanitas offers various plans catering to different needs.
  • AXA: AXA provides comprehensive coverage with flexible plans, making it ideal for families and individuals.
  • Mapfre: With a strong presence in Spain, Mapfre offers customizable plans that can be tailored to your specific requirements.
private health insurance

Choosing the Right Plan

When selecting a health insurance plan, consider factors such as coverage limits, hospital networks, and whether the plan includes dental and vision care. It's essential to compare different providers to find the best fit for your needs.

Some insurance companies offer plans specifically designed for expats, which may include additional benefits like repatriation services and international coverage.

Additional Tips for Expats

1. Research thoroughly: Understand the terms and conditions of each plan before making a decision.

2. Consider your medical history: Choose a plan that covers any pre-existing conditions you might have.

3. Evaluate family needs: If you’re moving with family, ensure your plan covers everyone adequately.

expat family healthcare

The Importance of Coverage

Having the right health insurance is crucial for peace of mind while living abroad. It ensures that you and your family have access to quality healthcare when needed, without the stress of unexpected medical expenses.

By selecting the appropriate plan, you can enjoy your time in Spain with confidence, knowing that your health needs are well taken care of.