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Sanitas Health Insurance for Your Visa, non-lucrative and NIE

For the non-lucrative visa, residency or the NIE (Foreigner ID Number), consulates ask for health insurance from an insurer authorised in Spain, with no copays and no waiting periods, full coverage and a 12-month term. At Sanitas that policy is Residents Visado, and Sanitas issues the certificate for your application. We arrange it for you at the office, in person or remotely, in 8 languages.

  • Meets the insurance requirements consulates and Extranjería ask for
  • Sanitas certificate for your application in under 24 hours, guaranteed (up to 48 h with pre-existing conditions or payment by bank transfer)
  • Application support in 8 languages
5.0 on Google · 420+ reviews

Airplane wing above the clouds at sunset
€1,562.91/year for one person aged 35 in Madrid (annual payment)

Sanitas rates of April 2026 · reviewed 6 Oct 2026

Exclusive Sanitas agent · DGSFP C0320B67816207View certificate

Key Highlights

Why get Visas & NIE here

The key details of this plan, explained as we would in our office: no hidden fine print.

Certificate in under 24 hours

Issued and signed by Sanitas with everything your consulate or the Immigration Office (Extranjería) requires: under 24 hours guaranteed, and up to 48 h with pre-existing conditions or bank-transfer payment.

No copays, no waiting periods

The two most common reasons for rejection are ruled out: full coverage from day one and zero payments per medical visit.

Coverage across all of Spain

Valid nationwide with Sanitas' full network of doctors, equivalent to the service portfolio of the public healthcare system.

Repatriation included

Medical and remains repatriation as required by your visa type, another clause consulates scrutinize closely.

Support in 8 languages

We explain your policy, certificate and application requirements in Spanish, English, German, French, Italian, Portuguese, Russian or Chinese, and review the consulate's checklist together with you.

Renewals without surprises

To renew your NIE or TIE (Foreigner Identity Card) you need to prove continuous insurance. We notify you before it expires and issue the new certificate.

Coverage in detail

What the policy covers (and what it doesn't)

Indicative coverage based on the general terms. Our office team provides the complete policy terms before you sign anything.

Valid for these procedures

  • Non-lucrative residence visa
  • Student visa and permit (Type D) (via Sanitas International Students, ages 14 to 35)
  • Digital nomad and remote work visa
  • Family reunification

Complete health coverage

  • General medicine, specialists and pediatrics with no waiting
  • Hospitalization and procedures with no limit on days
  • 24-hour emergency care across Spain
  • Diagnostic tests, including high-complexity procedures

Application documentation

  • Sanitas certificate in Spanish (and in English if required)
  • Receipt for the paid annual premium, required by most consulates
  • Policy terms with an explicit statement of "no copays and no waiting periods"

What is not covered

  • Does not replace Schengen travel insurance for tourist stays under 90 days
  • Serious pre-existing conditions not declared on the health questionnaire
  • Treatment outside Spain (except emergencies, depending on plan)

Key terms

Copays
No copays (Immigration requirement)
Waiting periods
None (Immigration requirement)
Payment method
Annual (most consulates require the annual premium paid in full)
Certificate issuance
Under 24 hours guaranteed (up to 48 h with pre-existing conditions to assess or bank-transfer payment)
Coverage area
All of Spain
Renewal
Annual · new certificate required to renew NIE/TIE

Insurance requirements for the non-lucrative visa

Spain's Immigration Regulation requires health insurance for non-lucrative residence, and the Immigration Office and consulates spell out what it must include. There are six points, each with the public page where you can check it:

  1. Insurer authorized to operate in Spain

    The policy must be issued by an insurer authorized in Spain. Residents Visado is a policy of Sanitas, S.A. de Seguros, based in Madrid.

    Sources: Spanish Immigration Office, information sheet 6 (opens in a new tab) · BOE, Royal Decree 1155/2024, art. 61 (opens in a new tab)

  2. Coverage equivalent to public healthcare

    It must cover everything Spain's National Health System covers: general practice, specialists, emergencies, tests and hospitalization, throughout Spain.

    Source: Consulate General of Spain in Lima (opens in a new tab)

  3. No copays

    There can be no payments for each visit, test or hospital stay: the policy must cover 100% of medical costs.

    Source: Consulate General of Spain in Buenos Aires (opens in a new tab)

  4. No waiting periods

    All cover must work from day one, with nothing to wait for.

    Source: Consulate General of Spain in Bogotá (opens in a new tab)

  5. Repatriation, if your consulate asks for it

    It is not a general requirement, and some consulates state that it is not needed, such as the Consulate General in Montreal. Residents Visado includes Sanitas repatriation cover as standard, transfer to your home country in case of death; if your consulate asks for something more specific, we check it with you before you sign up.

    Source: Consulate General of Spain in Montreal (opens in a new tab)

  6. At least one year of cover

    The initial non-lucrative residence permit lasts one year, and consulates ask for the policy to cover the first twelve months.

    Sources: Spanish Immigration Office, information sheet 6 (opens in a new tab) · Consulate General of Spain in Bogotá (opens in a new tab)

Each consulate may add its own requirements, such as the language of the certificate or how the premium is paid. Before you sign up, we go through your consulate's checklist with you. Sources checked on 6 October 2026.

Insurance with no copays and no waiting periods for the visa

No copays means you pay nothing each time you use the insurance: not at the doctor's, not for a test, not in the emergency room. Everything is included in the premium.

No waiting periods means all cover works from the policy start date. With a waiting-period policy some cover takes months to kick in; in Sanitas Más Salud, for example, hospitalization takes 10 months.

Residents Visado meets both: it is the version of Sanitas Residents with no waiting periods, no copays and repatriation included, paid every six months or yearly, in advance.

Residents Visado price by age

This is what Residents Visado costs for one person under the Sanitas rates of April 2026 in the province of Madrid. It is the version with no waiting periods, the one usually required for the visa, paid yearly or every six months.

Sanitas Residents Visado premium by age, one person, Madrid, April 2026 rates
AgeAnnual paymentHalf-yearly payment (each)
3 to 15€1,157.24€577.76
16 to 19€1,213.17€605.69
20 to 24€1,434.83€716.36
25 to 29€1,488.98€743.39
30 to 34€1,544.91€771.31
35 to 39€1,562.91€780.30
40 to 44€1,618.84€808.23
45 to 49€1,784.71€891.04
50 to 54€1,914.44€955.81
55 to 59€2,340.04€1,168.29
60 to 64€2,987.30€1,491.44
65 to 69€3,410.97€1,702.97
70 to 74€3,706.71€1,850.62
75€3,854.57€1,924.44

First-year premiums for policies starting by 31 December 2026. Annual payment: a single installment, including the surcharge of the Insurance Compensation Consortium (Consorcio de Compensación de Seguros). Half-yearly payment: two installments, and the Consortium surcharge, 0.15% of the annual premium, is added to the first one. With two or more people insured the per-person rate is lower, and children under 3 must be on the policy with another insured person. Prices vary in other provinces: the calculator on this page gives you yours.

Comparison

Why not just any insurance will do for your visa

It's the costliest mistake we see: submitting travel insurance or a policy with copays, only to be rejected months later. This table sums up what Immigration requires and what each type of insurance actually meets.

Swipe the table to see all columns

CoverageResidents VisadoResidents Platinum VisadoSanitas StudentsStandard policyTravel insurance
Valid for residency (non-lucrative, studies…)Student visas and permits onlyOnly if it has no copays or waiting periods
Age limitUp to 75 years oldUp to 64 years oldAges 14 to 35 (at 36, until the end of that month)Depends on planDepends on policy
No copaysUsually notNot applicable
No waiting periodsUsually not
Coverage equivalent to public healthcareEmergencies and limited assistance only
Repatriation includedDepends on policy
Free choice of doctors (reimbursement)Yes (90% reimbursement up to €500,000)Depends on policy
Certificate specific to the consulateUnder 24 h*Under 24 h*Under 24 h*Depends on insurer
Valid for renewing NIE/TIEYes, for studentsDepends on terms

*Guaranteed in under 24 h; up to 48 h with pre-existing conditions or payment by bank transfer. Indicative comparison prepared in June 2026 based on public information from each entity and general market conditions. Exact coverage and premiums depend on each policy and may vary: always verify current conditions with each insurer. Sanitas is a registered trademark of Sanitas, S.A. de Seguros; all other trademarks belong to their respective owners.

Reviews

What our clients say on Google

Testimonials from clients of our Majadahonda office, the best-rated Sanitas office in Madrid: of the 23 Sanitas offices in Madrid, the one with the most Google reviews, 428 at 5.0 (sanitas.es office finder, 10 Oct 2026). We offer personalized advice and coverage across all of Spain. We have checked that these reviews, a selection of the ones we have on Google, come from clients of the office. Tap any of them to see it on Google Maps alongside all the others.

Fast enrollment

Get enrolled in under 12 hours

If you already know your rate and want to enroll right away, you can download the official Sanitas documents, fill them out, and send them to us. We process your enrollment directly within a guaranteed 12 hours.

See the enrolment steps
Frequently Asked Questions

Questions about non-lucrative visa and NIE insurance

The questions we get asked most often at our office, answered directly. For any others, call us or stop by to see us.

Does Sanitas Más Salud work for the non-lucrative visa?

For the non-lucrative visa we recommend Residents Visado, and the reason is waiting periods. Sanitas Más Salud is a complete policy and, in its no-copay option, has no copays, but it does have waiting periods: 10 months for hospitalization and surgery in groups III to VIII, 8 months for childbirth and 6 months for complex diagnostic tests, according to its general terms and conditions. Consulates ask for insurance with no waiting periods, and that is what the Visado version of Sanitas Residents is for: full cover with no copays, no waiting period at all from the start date, repatriation included and the certificate for your visa. Más Salud is a very good choice once you live in Spain and don't have to submit the policy for a visa application; if that's your case, we'll quote it for you too.

Can I take it out with just my passport, without an NIE?

Yes. Residents Visado is taken out with your passport as your ID document, so you don't need an NIE: it is designed for people who are still applying for their visa. It is for nationals of countries outside the European Union, the European Economic Area and Switzerland, it requires the full health questionnaire and it is paid every six months or yearly, in advance. You can take it out up to six months ahead, and as soon as the policy is issued, with the payment made, Sanitas automatically emails the visa certificate to the policyholder. We arrange it at the office or remotely, in 8 languages.

Does travel insurance work for a residence visa?

No, travel insurance does not work for a residence visa, including Schengen travel insurance. Immigration and consulates require a complete health policy, equivalent to the service portfolio of the public healthcare system, taken out with an insurer authorized to operate in Spain, and with no copays and no waiting periods. Travel insurance only covers emergencies and limited temporary assistance, so it fails that requirement from the start. In fact, submitting travel insurance is one of the most common reasons applications get rejected, and the mistake is discovered months later, after you've already paid fees and waited for a decision. The only exception is tourist stays under 90 days, where Schengen travel insurance does apply. For non-lucrative residence or studies, you need a full health policy like the one we arrange at our office. The digital nomad visa asks for health insurance, public or private, with an insurer authorized to operate in Spain, whatever your situation with Social Security; in general it doesn't have to be free of copays and waiting periods, but our immigration lawyer recommends that it is, just in case, and Residents Visado follows that recommendation. And for arraigo (social, socio-labour, socio-educational, family or second-chance), no private health insurance is required: our immigration lawyer confirms it.

Is there a cheaper option for international students?

Yes, there is a cheaper option: the dedicated Sanitas International Students policy, designed for international students aged 14 to 35. If you're applying for a Type D student visa or renewing your TIE (Foreigner Identity Card) for studies, you can choose it instead of the general visa policy and save with its reduced youth rate. It meets exactly the same Immigration requirements your application needs: no copays, no waiting periods, full coverage across Spain and repatriation included, with the certificate issued by Sanitas in under 24 hours, guaranteed (up to 48 h with pre-existing conditions or payment by bank transfer). Keep the limit in mind: it only covers student visas and permits, and you take it out between ages 14 and 35 (if you turn 36, it covers you until the end of that month); for non-lucrative residence or a digital nomad visa, the policy that fits is the general one, which covers up to age 75. At our office we confirm in five minutes which one applies to your case.

What exact requirements does the consulate ask for?

With small variations by country, all consulates ask for the same things: an insurer authorized to operate in Spain, complete health coverage across the entire national territory, no copays, no waiting periods, repatriation if the consulate asks for it, and the annual premium paid in advance. That's six points, and Residents Visado meets all six; on top of that, the certificate Sanitas issues explicitly states them, with the wording "no copays and no waiting periods" that officials look for when reviewing the file. Along with the certificate, we give you the receipt for the paid annual premium and the policy terms, which is the documentation most consulates require. If yours has any particular requirement, some consulates ask for the certificate in English or extra wording, we review it with you against the consulate's checklist before requesting the certificate, so it goes into your file complete and correct.

How long does it take and how do I get the certificate?

You receive the certificate in under 24 hours from taking out the policy, guaranteed. We send it to you by email as a PDF signed by Sanitas, with every mention your consulate or Immigration Office requires: full coverage, no copays, no waiting periods, and repatriation included. If your consulate requires it on paper or in English, we handle that too; Sanitas issues the certificate in both languages. In practice it's often even faster: Antonio, one of our clients, says in his Google review that we sent it to him on the spot while he was on the phone with the office. Along with the certificate you'll receive the receipt for the paid annual premium, which most consulates request as proof of first-year coverage. If you spot any error in your details, we correct it and Sanitas reissues the document right away. There are only two cases where issuance can take up to 48 hours: if the health questionnaire includes pre-existing conditions the underwriting team needs to assess, or if you pay the premium by bank transfer (the certificate is issued once the payment clears). If your appointment is imminent, tell us when you sign up and we plan it with margin.

Can I pay for the insurance monthly?

Not in the first year: almost all consulates require proof of the annual premium paid in advance for the initial application, so the first year's premium is paid in one lump sum. This isn't a Sanitas policy quirk but a requirement of the process: they want to see full twelve-month coverage guaranteed, and the receipt for that annual premium is part of the documentation we send you along with the certificate. At renewal we also recommend annual payment, although Residents Visado, the version without waiting periods that Immigration usually asks for, can be paid semiannually or annually, never monthly or quarterly. Monthly or quarterly payment only exists in Sanitas Residents, the version with waiting periods, which may be valid for the visa in some cases, although as a rule they ask for the version without waiting periods. As a reference, Residents Visado for one person aged 35 in Madrid is €1,562.91 in a single annual payment; the Visado version has no annual-payment discount and is somewhat more expensive than the one with waiting periods, and the calculator gives you the exact price. At our office we make all of this clear before you sign up, so you can plan for the cost with no surprises.

What happens if my visa is denied?

If your visa is denied and the policy hasn't yet taken effect, we arrange the cancellation and premium refund according to Sanitas' terms. In other words, you don't lose the year of insurance you paid for over an application that didn't go through: we handle it directly with the insurer. This is, in fact, one of the reasons to work with a real office that answers the phone, rather than an online comparison site: if your application hits a snag, you have a person with a first and last name supporting you through the cancellation, reviewing what went wrong, and, if you decide to reapply, getting you a new certificate from Sanitas in under 24 hours (up to 48 h with pre-existing conditions or payment by bank transfer). Our goal is the opposite, of course: to review the consulate's checklist with you before requesting the certificate, so your file goes in complete.

Does it cover my family for family reunification?

Yes, the insurance covers your family for family reunification, with one policy per person. Immigration requires each reunified family member to prove their own insurance under the same requirements: full coverage, no copays, no waiting periods and, if the consulate asks for it, repatriation. We can include your whole family under the same policy, with the lower per-person price that the Sanitas rates apply when several people are insured, and Sanitas issues an individual certificate for each family member on the application, each one in under 24 hours guaranteed (up to 48 h with pre-existing conditions or payment by bank transfer). This also simplifies future renewals: all renewal dates stay aligned, and we notify you just once before renewing each person's NIE or TIE. Bring us everyone's details, name, date of birth and passport, and our office team will prepare the joint quote and certificates ready for the application.