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Spain · visa health insurance

How much is health insurance in Spain?

By Covered Abroad Research Desk · Last verified July 2026

Health insurance in Spain starts at $392 a year for an 18 year old on Essential cover, rising with age and tier. But price is the easy part: most international policies fail Spain's authorized-insurer rule at the consulate. Confirm the Spain-compliant arrangement on your quote call before you rely on it.

Visa-ready plans from $721 per adult, billed annually · see your exact price by age.

The rule in writing

“Spain requires health insurance “contracted with an insurance entity authorized to operate in Spain” for the non-lucrative and digital-nomad visas — with no deductible, no copayment, no waiting period and no coverage limit. Most international policies fail this rule on registration grounds.”

Official source: Consulates General of Spain (Los Angeles & London) — official visa requirements — Last verified:

The honest price answer for Spain

Regency prices by rate region, and all eight destinations we cover, including Spain and Portugal, sit in the same EU region. So the Spain from-price for an 18 year old starts at $392 a year for Essential, rising through $721 for Major Medical, $1,133 for Standard and $1,525 for Comprehensive, up to $1,906 a year for Fully Comprehensive.

That part is straightforward. The harder part is that Spain's non-lucrative and digital nomad visas require an insurer authorized to operate in Spain, with no deductible, no copayment, no waiting period and no coverage limit. Most international policies fail on registration grounds, and travel insurance is refused outright. Price and compliance have to be answered together, not separately.

Real examples by age

Here is what three real applicant ages pay across all five tiers, shown as the annual price with the insurer's real monthly-billing installment beside it.

AgeEssentialMajor MedicalStandardComprehensiveFully Comprehensive
40$589/yr ($57/mo)$1,081/yr ($104/mo)$1,804/yr ($174/mo)$2,475/yr ($239/mo)$3,094/yr ($299/mo)
55$926/yr ($90/mo)$1,701/yr ($164/mo)$3,199/yr ($309/mo)$4,334/yr ($419/mo)$5,418/yr ($524/mo)
65$1,731/yr ($167/mo)$3,180/yr ($307/mo)$5,367/yr ($519/mo)$6,917/yr ($669/mo)$8,646/yr ($836/mo)

Essential is available to age 80. Every other tier is available to age 70. Confirm the Spain-compliant arrangement on your quote call before you rely on it.

Family pricing for children

Children aged 0 to 17 are not priced by exact age. Each child is charged one flat annual rate per tier, added on top of each adult's age-based price.

TierFlat annual rate per child
Essential$308/yr
Major Medical$566/yr
Standard$853/yr
Comprehensive$1,151/yr
Fully Comprehensive$1,439/yr

For a family, the fastest way to see a real total is the pricing calculator, which computes your exact household price by each member's age and applies these household rules automatically.

Annual vs monthly billing and your next step

Annual billing is always the cheapest way to pay. The monthly figures on this page are the insurer's real monthly-billing installments, with loading built in, not the annual price divided by twelve.

We arrange cover through a Spain-compliant arrangement confirmed by our underwriting partner (confirmed July 2026); a person checks the certificate wording against your consulate's checklist before you buy. Confirm the Spain-compliant arrangement on your quote call before you rely on it.

See your exact number on the pricing calculator, compare tiers on the comparison page, or confirm the right cover on a quote call.

Honest limits: Cover is worldwide but excludes treatment in the United States. Pre-existing conditions are excluded, including conditions you did not know about. We disclose this before you request a quote. Consulates keep discretion, and requirements can change. We show the published rule and its source; the final decision is the consulate’s.

Cover levels that meet the rule

Benefits are public, and so are the 2026 prices: your exact rate depends on age.

Standard

From $1,133/yearabout $94/mo billed annuallyChildren 0–17: flat $853/yr

Adds everyday outpatient care — GP and specialist visits, prescriptions, and tests — to hospital cover.

  • US$1,000,000 overall plan limit per year
  • GP, specialist, medication & lab tests (US$750 each)
  • Outpatient surgical to US$25,000
  • Semi-private hospital room & board
  • Pre- & post-hospitalisation cover

New applicants up to age 70.

+ everything included — hover to expand

Scope: No dental or wellbeing benefits at this level.

Choose StandardSee your price by age →

Fully Comprehensive

From $1,906/yearabout $159/mo billed annuallyChildren 0–17: flat $1,439/yr

The highest level: full-cover room, uncapped surgeon fees, routine dental, and the largest limits.

  • US$2,000,000 overall plan limit per year
  • Full-cover private room & board
  • Full surgeon, professional & outpatient cover
  • Routine & major dental (after 6-month wait)
  • Wellbeing check-ups & vaccinations to US$500

New applicants up to age 70.

+ everything included — hover to expand

Choose Fully ComprehensiveSee your price by age →

See your exact price by age →

Budget options — limited cover

Essential Health

From $392/yearabout $33/mo billed annually

A budget plan for accident and emergency care in state hospitals only. Not full private health cover.

  • US$100,000 maximum plan limit per year
  • Unforeseen accident & emergency care only

Scope: State hospitals only, accident/emergency only. No outpatient, dental, or wellbeing cover. Not a substitute for full private health insurance on a visa application.

Choose Essential Health →

Major Medical

From $721/yearabout $60/mo billed annually

Hospital-focused cover: inpatient treatment, surgery, and emergencies, worldwide outside the US.

  • US$1,000,000 overall plan limit per year
  • Semi-private hospital room & board
  • Theatre, ICU, and emergency-room cover (full)

Scope: No outpatient, dental, or wellbeing benefits at this level.

Choose Major Medical →
  • Treatment is covered worldwide, excluding the United States.
  • Pre-existing conditions are excluded — including conditions you did not know about.
  • Evacuation & repatriation is an optional benefit that costs an additional premium.
  • Prices are Regency’s 2026 rates for the EU region: per person, per year, billed annually, starting at adult age 18 — your exact price depends on age. Children 0–17 pay a flat rate on every plan.
  • Plans run in 12-month terms and renew at the anniversary; the age limits shown apply to new applicants.

Common questions

How much is health insurance in Spain?

For an 18 year old, Regency's EU-region rates start at $392 a year for Essential and run to $1,906 a year for Fully Comprehensive. Price rises with age and household size, so use the pricing calculator to see your exact number.

Does Spain accept any international health insurance policy?

No policy should be assumed to pass in advance. Spain requires an insurer authorized to operate in Spain with no deductible, no copayment, no waiting period and no coverage limit, which is why most international policies and all travel insurance fail at registration. We arrange cover through a Spain-compliant arrangement confirmed by our underwriting partner (confirmed July 2026); a person checks the certificate wording against your consulate's checklist before you buy.

How much does it cost to add children to a Spain policy?

Children aged 0 to 17 are charged one flat annual rate regardless of their exact age: $308 for Essential, $566 for Major Medical, $853 for Standard, $1,151 for Comprehensive and $1,439 for Fully Comprehensive. Add each child's flat rate to the adults' age-based prices, or run the whole household through the pricing calculator.

Is it cheaper to pay monthly or annually?

Annual billing is always cheapest. The monthly figures we quote are the insurer's real monthly-billing installments, with loading included, not the annual price divided by twelve. Confirm the Spain-compliant arrangement on your quote call before you rely on it.

Get a certificate that meets the published rule

Tell us your destination, visa, and who’s moving. Our team reviews it against the current requirement and calls you with a quote — no obligation.

Cover underwritten by Regency Assurance · every rule on this site cited and dated · a person calls back within one business day.

Before you request a quote: cover is worldwide but excludes treatment in the United States, and pre-existing conditions are not covered — including conditions you did not know about. We say this up front so a quote is worth your time.

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