If you are thinking of applying for Spain’s non-lucrative visa, a medical/health insurance from an insurance company accredited in Spain is one of the requirements. When searching for medical insurance, the following requirements should be met:

  • Minimum medical coverage of €30,000
  • No deductibles, co-pays, coverage limits or grace periods for certain benefits
  • Include repatriation benefits

Apart from that, here are a few things to keep in mind:

  • Travel insurance is different, what you need is an actual medical insurance, similar to the health insurance that you have in your own country
  • Medical insurance coverage in Spain normally starts January of the current year until 31st of December
  • If your insurance coverage will start in July, for instance, you only have to pay 6 months worth of insurance premium and renew before the year ends (i.e. if your monthly premium is €75 then you will only have to pay €450 + transaction fees if applicable)
  • Don’t listen to insurance companies when they say that you have to get insured for one year immediately (unless your coverage will start in January)
  • Unless you have a Spanish bank account, monthly payments are not possible so you will have to pay in full either with a credit card or bank transfer
  • Contact several insurance companies and compare premiums. Don’t settle immediately on the first company that will reply to you. And if you must, also read customer reviews. Given that insurance companies rarely get positive reviews, go with the one that has lesser bad reviews.

When I was doing my research, I compared 3 insurance companies and, in the end, I went with ASISA. There are more insurance companies but not all have English speaking sales rep, some would even require a Spanish mobile number and bank account, and a few didn’t respond at all. 

These 3 insurance companies are able to complete the transaction online from enquiry to payment, meet all the requirements, and have a sales rep that speaks English.

1) Sanitas Expat

This is probably the most popular for Spain’s non-lucrative visa applicants because every article I read online is recommending this company. Given all the recommendations, this was the first I sent an enquiry to. They are very responsive and persistent, they always answer questions that I have, and they already have experience processing insurance policies for those applying for Spain resident visas.

2 things I didn’t like about this company: 1) expensive (my premium is €77/month and I will have to pay more if I choose to live in Madrid, Barcelona, or Valencia); 2) they told me that I need to pay for one full year even if I was already applying in July, which means I will have to pay €924+.

The 2nd point, I wasn’t aware until another insurance company informed me. And it was because of the first point that I started looking for alternatives.

2) SegurCaixa Adeslas

Similar to Sanitas Expat, the sales rep from this company was responsive and answered any questions that I had. This was also the cheapest among the 3 insurance companies. They quoted me €604/year which was €300 cheaper than Sanitas Expat. I would have gone with this company for sure but it seemed too good to be true so I started searching for customer reviews about this company. And I’m glad I did because there were too many bad reviews that changed my decision.


With this company, a sales rep named Jane Priestly was the one who replied to my inquiry and she was also the one who informed me that I don’t need to pay for a full year because, again, all insurance policies in Spain end in December so it didn’t make sense that the first 2 companies were quoting me for a full year.

For the same coverage that the first 2 companies provided, I only need to pay €306.80 + transaction fees (if applicable) for my insurance policy with coverage starting August 1 until December 31, 2021 (€61.36/month)

When you look at it on a monthly premium comparison, SegurCaixa Adeslas is the cheapest but given that they have heaps of bad reviews, I would gladly pay more and go with ASISA.

At the end of the year, you can choose to renew with the same company or choose a different one, perhaps one with a cheaper premium, considering you will already have a Spanish bank account and mobile number when that time comes.