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Busy Spanish beach with palm trees and colourful umbrellas - holiday travel from Spain
Travel
12 min readUpdated January 2026

Holiday Travel Insurance from Spain – Vacation Cover Abroad

Maya Kallio & Marco Elsinger
Maya Kallio & Marco ElsingerLicensed Insurance Agents · DGSFP

Planning a holiday from Spain? Whether it's a beach getaway, city break, or adventure trip, you need the right travel insurance. This guide helps you choose single-trip cover that matches your vacation plans.

Key Takeaways

Single-trip holiday insurance covers your vacation from start to finish—medical emergencies, cancellation, baggage, and delays.

  • Best for 1-2 vacations per year from Spain
  • Covers beach holidays, city breaks, adventure trips, and cruises
  • Single-trip policies are simpler and often cheaper for occasional travelers
  • Add skiing, diving, or other sports cover if your vacation includes activities
  • For frequent travelers (3+ trips/year), consider annual multi-trip instead

What Holiday Insurance from Spain Actually Covers

Core Protections

Typical policies for residents in Spain include:

Medical & Evacuation

  • • Emergency medical expenses abroad
  • • Hospital treatment and tests
  • • Medical evacuation to Spain or home country
  • • Repatriation of remains if the worst happens

Trip Protection

  • • Cancellation and interruption
  • • Travel delay benefits
  • • Missed connection cover
  • • Curtailment if you need to return early

Baggage Cover

  • • Loss, theft or damage
  • • Policy limits apply per item
  • • Delayed baggage allowance
  • • Personal money and documents

24/7 Assistance

  • • Emergency helpline access
  • • Coordination with hospitals
  • • Repatriation arrangements
  • • Multilingual support

For expats, the medical cover and repatriation pieces are especially important, as they can reach very high amounts in some countries – particularly the USA, where a hospital stay can easily cost €50,000+.

Optional Extras

You can often add:

  • Winter and adventure sports cover – skiing, diving, hiking, cycling tours
  • Higher baggage limits or cover for high-value items like cameras, laptops, and jewellery
  • Pre-existing medical conditions cover, after declaration and medical screening
  • USA/Canada packages where healthcare costs are significantly higher
  • Rental car excess waiver to cover the excess on hire car damage
  • Cancel for any reason (CFAR) – refunds a percentage if you cancel for non-listed reasons

These extras matter if you regularly ski in the Pyrenees or Alps, visit family in North America, travel with expensive equipment, or rent cars frequently during trips.

Coverage Comparison: Basic vs Standard vs Premium

Coverage FeatureBasicStandardPremium
Medical expenses€100,000€500,000€1,000,000+
Trip cancellation€1,500€3,000€6,000+
Baggage cover€1,000€2,000€3,000+
Per-item limit€200€350€500+
Travel delay (after 4h)€50€100€150+
Personal liability€500,000€1,000,000€2,000,000+
Winter sportsOptional extra
USA/Canada coverOptional extra
24/7 assistance
Typical cost (annual Europe)€80–€120€120–€180€180–€300+

Pro Tip

For expats who visit family in the USA or Canada even once per year, upgrading to a plan with worldwide cover usually makes more sense than adding it as an expensive single-trip extra. American healthcare costs can easily exceed €100,000 for serious incidents.

Single-Trip vs Annual Multi-Trip vs Premium Plans

Single-Trip Policies

Best if you:

  • Take only one or two holidays per year
  • Want simple cover for a specific trip
  • Need to cover a trip longer than typical annual policy limits (e.g., 60+ days)

They're priced per trip, depending on length, destination and age. A one-week European trip typically costs €15–€35, while a two-week USA trip might cost €60–€100.

Watch out: If you buy single-trip policies for 3+ trips per year, you're probably paying more than an annual policy would cost.

Annual Multi-Trip Cover

Ideal if you:

  • Travel several times a year (3+ trips makes it worthwhile)
  • Take regular short trips back to your home country
  • Want one policy that covers all trips up to a set number of days per trip
  • Don't want to remember to buy insurance before each trip

This often works out cheaper and easier than buying separate single-trip policies. Typical annual policies cost €80–€200 for Europe-only cover.

Key consideration: Check the maximum trip length (usually 30, 45, or 60 days per trip). If you regularly take longer trips, you may need a policy with extended trip limits.

Premium Plans

These usually add:

  • Higher medical and cancellation limits (€1M+ medical, €6K+ cancellation)
  • Better travel delay and missed connection benefits
  • Broader sports coverage and longer maximum trip durations (90+ days)
  • Worldwide cover including USA/Canada as standard
  • Rental car excess waiver included

They're worth considering if you take long-haul trips, combine business and leisure, have complex travel patterns, or want peace of mind with maximum coverage. Expect to pay €180–€350+ annually.

What Travel Insurance Costs by Destination

Destination1-Week Trip2-Week TripAnnual Multi-Trip
Europe (Schengen)€15–€30€25–€45€80–€150
UK & Ireland€15–€30€25–€45€80–€150
Worldwide (excl. USA/Canada)€30–€50€50–€80€120–€200
USA & Canada€60–€100€100–€160€200–€400
Worldwide (incl. USA/Canada)€60–€100€100–€160€200–€400

Note: Prices are indicative for healthy adults under 65. Factors that increase premiums include age over 65, pre-existing conditions, adventure sports add-ons, and higher coverage limits.

How Your Spanish Health Insurance and EHIC Fit In

Limitations to Be Aware Of

Private Health Insurance in Spain

Your private health insurance in Spain may offer some limited emergency cover abroad, but typically:

  • • Coverage is often limited to 30–90 days per trip
  • • May only cover emergencies, not routine care
  • • Doesn't include cancellation, baggage, or delays
  • • May exclude certain destinations (especially USA)

EHIC or GHIC

The European Health Insurance Card can help access state care in EU countries, but:

  • • Only covers state healthcare, not private hospitals
  • • Doesn't cover repatriation or evacuation
  • • No protection for cancellation, baggage, or delays
  • • May require co-payments in some countries

Why Holiday Insurance Matters

Holiday insurance is the product that pulls everything together, with clear assistance numbers, claim procedures and limits designed specifically for travel. It covers the gaps that EHIC and Spanish health insurance leave – including trip cancellation, baggage, delays, and comprehensive medical cover in all destinations.

What's CoveredEHIC/GHICSpanish Health InsuranceTravel Insurance
State healthcare in EU
Private hospital treatmentLimited
Medical evacuationLimited
Trip cancellation
Baggage loss/theft
Travel delays
Cover outside EUSometimes
24/7 assistance lineSpanish line only

Common Claim Scenarios for Spain Residents

Medical Emergency in Morocco

Scenario: Food poisoning requiring hospital admission during a Marrakech trip.

EHIC: Not valid outside EU – no help.

Travel insurance: Covers hospital costs (often €2,000–€5,000), arranges treatment, provides translation support.

Flight Cancellation to UK

Scenario: Airline cancels your flight home for Christmas due to staff strikes.

Without insurance: You're responsible for rebooking costs and accommodation.

Travel insurance: Covers additional accommodation, rebooking to alternative flights, meals during delay.

Luggage Lost in Transit

Scenario: Your suitcase doesn't arrive in Paris – airline can't locate it.

Airline liability: Limited to ~€1,300 under Montreal Convention.

Travel insurance: Provides immediate cash for essentials, plus full reimbursement up to policy limits if bag is never found.

Trip Cancellation Due to Illness

Scenario: You book a €2,500 trip but fall ill and can't travel.

Without insurance: May lose entire cost if bookings are non-refundable.

Travel insurance: Reimburses non-refundable costs (minus excess) with doctor's note confirming illness.

How to Choose the Right Policy

1

Assess Your Travel Patterns

How often do you travel? Where do you go? How long are your trips? If you travel 3+ times per year, annual multi-trip is usually better value. If you only take one big trip, single-trip may be more appropriate.

2

Check Medical Coverage Limits

Ensure the medical limit is adequate for your destinations. €100,000 may be fine for Europe, but USA/Canada trips should have €500,000–€1,000,000+ coverage. Healthcare costs in the US can be astronomical.

3

Consider Pre-Existing Conditions

If you have pre-existing medical conditions, declare them honestly. Some insurers specialise in covering complex medical histories. Non-disclosure can void your entire policy if you need to claim.

4

Review Activities Coverage

If you ski, dive, cycle, or do any adventure activities, make sure they're covered. Basic policies often exclude sports. Winter sports add-ons typically cost 15–30% extra.

5

Check the Maximum Trip Length

Annual policies have per-trip limits (typically 30–60 days). If you take longer trips to visit family or work remotely, ensure the limit suits your needs or buy single-trip cover for extended travel.

6

Compare Excess Amounts

The excess is what you pay before the insurer covers the rest. Lower excess means higher premiums but less out-of-pocket if you claim. €50–€100 is typical for standard policies.

Common Mistakes to Avoid

Buying After Booking

Trip cancellation cover usually only applies if you buy insurance within 14–21 days of booking your trip. Buy too late and you won't be covered for cancellation.

Not Declaring Conditions

Failing to disclose pre-existing medical conditions can void your entire policy – not just claims related to those conditions. Always be honest.

Assuming EHIC Is Enough

EHIC only covers state healthcare in EU countries. It doesn't cover repatriation, private treatment, cancellation, baggage, or any travel outside the EU.

Ignoring Policy Exclusions

Every policy has exclusions. Common ones include alcohol-related incidents, extreme sports, travelling against medical advice, and claims in countries with travel warnings.

Not Keeping Documentation

Claims require evidence: receipts, police reports, medical records, airline confirmations. Without proper documentation, even valid claims can be rejected.

Choosing by Price Alone

The cheapest policy often has the lowest limits and most exclusions. A €20 saving on premium could cost you thousands if your €50,000 medical bill exceeds the €30,000 limit.

How to Make a Travel Insurance Claim

1

Call the 24/7 Assistance Line Immediately (for emergencies)

For medical emergencies, call the assistance line first. They'll authorise treatment, liaise with hospitals, and often pay directly so you don't need to claim later.

2

Report Incidents and Get Documentation

Report theft to local police within 24 hours and get a written report. For lost luggage, file a PIR at the airport. Keep all receipts, medical records, and airline confirmations.

3

Notify Your Insurer Promptly

Most policies require notification within 30 days of an incident. The sooner you notify them, the smoother the process. Late notification can result in claim rejection.

4

Complete the Claim Form Accurately

Fill out the claim form completely and accurately. Attach all supporting documents. Incomplete claims delay processing and may result in requests for additional information.

5

Keep Copies of Everything

Keep copies of all documents you submit. If the insurer loses something or disputes details, you'll have evidence. Digital copies stored in the cloud are ideal.

Claim Processing Times

Straightforward claims (baggage, delays) are typically processed within 2–4 weeks. Complex claims (medical, cancellation) may take 4–8 weeks. If you've provided complete documentation, most reputable insurers pay promptly.

Special Considerations for Expats in Spain

Country of Residence

Ensure your policy is issued for Spain residents. Policies from your home country may not be valid once you've established Spanish residency. Spanish-issued policies understand expat needs better.

Family Visits Home

If you regularly visit family in another country (UK, Germany, Finland, etc.), annual multi-trip with that country included is usually most economical. Check the maximum trip length covers your typical stay.

Business Travel

If you travel for work, ensure your policy covers business trips. Some policies exclude or limit business travel. Equipment cover may also be important for laptops and work devices.

Language Support

Choose an insurer with English-speaking support if that's more comfortable. The 24/7 assistance line is most valuable when you can communicate clearly during a stressful emergency.

Next Steps

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expatinsurances.es licensed insurance team
DGSFP Licensed

Expert reviewed

Written and reviewed by licensed insurance agents Maya Kallio and Marco Elsinger, who have helped over 15,000 expats in Spain since 2012.

Maya Kallio

Licensed Insurance Agent

Since 2012

Marco Elsinger

Licensed Insurance Agent

10+ years

Languages: English, Finnish, Spanish, German, Swedish

Frequently asked questions

Still have questions? Check these answers or get in touch.

Do I still need holiday insurance if I have EHIC or GHIC?

Yes, in most cases you do. EHIC or GHIC can help you access medically necessary state healthcare in EU countries on the same terms as locals, but it doesn't cover private treatment, repatriation, trip cancellation or baggage. Holiday insurance adds those missing protections and gives you a 24/7 assistance line. For short city breaks you might get away without it, but for most trips – especially long-haul – having proper travel cover is the safer choice.

Is annual multi-trip travel insurance worth it for expats in Spain?

If you travel three or more times per year, annual multi-trip cover is often easier and more cost-effective than buying separate policies. You pay once, get a clear maximum trip length (for example 30 or 45 days per trip) and don't have to remember to buy insurance each time. It's particularly useful for expats who regularly fly home, attend work events abroad or take weekend trips around Europe.

Does holiday insurance cover trips within Spain or only abroad?

It depends on the policy. Some travel insurance products sold in Spain only cover trips that start and end in Spain but go abroad, while others can also cover domestic trips that include pre-booked accommodation or flights. If you often travel within Spain, check the wording carefully or ask your broker whether domestic holidays are included and what counts as a 'trip' for claim purposes.

Will travel insurance pay out if I cancel because I change my mind?

Standard policies usually only cover cancellation for specific, listed reasons – serious illness, certain family events, or major problems like damage to your home before departure. They don't cover simply changing your mind about travelling. Some premium plans offer 'cancel for any reason' options, but these have strict timing rules and often only refund a percentage of your costs. Always read the cancellation section so you know exactly when you're protected.

What medical expenses are typically covered when travelling from Spain?

Most policies cover emergency medical treatment, hospital stays, doctor consultations, prescribed medications, ambulance transport, and medical evacuation back to Spain. Coverage limits vary from €100,000 for basic plans to €1 million or more for premium worldwide cover. The USA and Canada often require higher limits due to expensive healthcare. Pre-existing conditions usually need declaration and may require an additional premium.

How does travel insurance handle flight cancellations and delays?

Travel insurance typically reimburses non-refundable trip costs if your flight is cancelled for covered reasons (airline strike, severe weather, sudden illness). For delays, policies usually pay a fixed amount (€50–€150) after a waiting period (typically 4–12 hours) for meals and accommodation. Some policies also cover missed connections if the delay causes you to miss a connecting flight. Keep all receipts and get written confirmation from the airline.

What happens if my luggage is lost or stolen abroad?

Baggage cover reimburses you for lost, stolen or damaged luggage up to the policy limit (typically €1,500–€3,000). Most policies have per-item limits (€200–€500) for individual items like electronics or jewellery. You must report theft to local police within 24 hours and get a written report. For airline-lost luggage, file a PIR (Property Irregularity Report) at the airport. Delayed baggage cover provides an allowance for essentials until your bag arrives.

Are adventure sports and skiing covered by travel insurance?

Basic travel insurance usually excludes most adventure sports and skiing. You typically need to add winter sports cover or adventure activities cover as an optional extra, which increases the premium by 15–40%. Check exactly which activities are covered – there's often a difference between 'recreational skiing' and 'off-piste skiing' or between 'snorkelling' and 'scuba diving below 18 metres'. Some policies exclude certain high-risk activities entirely.

Can I get travel insurance with pre-existing medical conditions?

Yes, but you must declare all pre-existing conditions when buying the policy. The insurer will either include them in standard cover, charge an additional premium, exclude specific conditions, or decline cover. Failing to disclose conditions can void your entire policy. Many insurers use medical screening questionnaires. If you're over 65 or have complex conditions, specialist insurers or brokers can often find suitable cover.

What's the difference between travel insurance and travel assistance?

Travel insurance provides financial reimbursement for covered losses – you pay upfront and claim later. Travel assistance is the 24/7 helpline service that coordinates help in emergencies: arranging hospital admission, organising evacuation, contacting family, replacing lost documents. Good travel insurance includes both. The assistance service is particularly valuable abroad when you don't speak the local language or know the healthcare system.

How much does travel insurance from Spain typically cost?

For a single European trip of one week, basic cover costs around €15–€35 per person. Annual multi-trip policies range from €80–€200 for Europe-only cover and €150–€400 for worldwide cover. Factors that increase cost include: age over 65, pre-existing conditions, USA/Canada destinations, adventure sports, and higher coverage limits. Family policies often offer better value than individual policies for couples or families travelling together.

What should I do if I need to make a travel insurance claim?

Call the 24/7 assistance line immediately for medical emergencies – they'll authorise treatment and handle hospital payments directly where possible. For other claims, gather all documentation: receipts, police reports, medical records, boarding passes, airline confirmations. Submit claims promptly (most policies require notification within 30 days). Keep copies of everything. Claims are typically processed within 2–4 weeks for straightforward cases.

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