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Student health insurance in Spain - coverage for international students
Health
10 min readUpdated January 2026

Your Guide to Student Health Insurance in Spain

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

Quick Summary

If you're applying for a student visa for Spain in 2026, you will usually need private health insurance from a Spanish-authorized company with no copay, full medical coverage (including hospitalisation), and validity for at least your full study period (often 9-12 months minimum).

  • Student health insurance typically costs €32–€60/month for younger students (16-30 age group)
  • Most consulates do not accept travel insurance for student visas
  • Policies must clearly include hospitalisation, not just basic outpatient care
  • Many consulates require a Spanish-language certificate from the insurer
  • A licensed broker like ExpatInsurances.es can arrange visa-compliant insurance and certificates within 24 hours

A practical 2026 guide explaining what health insurance you need for a Spanish student visa, typical price ranges, what "visa-approved" really means, and how to avoid the most common problems at consulates.

Key Points for 2026

Student health insurance in Spain typically costs from around €32–€60 per month for younger students, and more for older students or long programs

Most consulates do not accept travel insurance for student visas

Policies must clearly state they are valid throughout Spain and cover primary care, specialists and hospitalisation

Many consulates ask for a Spanish-language certificate from the insurer

A licensed broker such as ExpatInsurances.es can arrange visa-compliant student health insurance and the official certificate needed for your visa file

Since 2012, ExpatInsurances.es has helped thousands of students, Erasmus participants and international families arrange student health insurance in Spain.

Do You Need Private Health Insurance for a Spanish Student Visa in 2026?

In most cases, yes.

If you are a non-EU/EEA citizen applying for:

  • A student visa for a language school, university degree, master's or exchange program in Spain, or
  • A long-term stay for studies (over 90 days)

…the Spanish consulate will require proof that you are fully covered for healthcare in Spain for the whole period of your stay.

What Consulates Require

A private medical insurance policy that:

Has no copay (sin copago)
Covers GPs, specialists, diagnostic tests and hospitalisation
Is valid for all of Spain
Lasts for at least the study period (often 9–12 months minimum)

Important Warning

Even if your school, university or agent says something like "health insurance included", it's important to check: Is it really visa-compliant? Is it from a Spanish or EU-authorised insurer? Is there a clear Spanish certificate that consulates accept?

If there's any doubt, it's safer to use a policy designed specifically for student visas.

EU Students and the European Health Insurance Card (EHIC)

If you are an EU/EEA citizen, you may have a:

  • European Health Insurance Card (EHIC) or
  • Your own national health coverage

For short stays and Erasmus-style exchanges, some universities and consulates accept EHIC. However, even EU students often prefer private insurance because it offers:

Faster Access

To specialists and diagnostic tests

Private Facilities

Access to private hospitals and clinics

Language Support

Help in English and additional languages

Note: This guide focuses on non-EU students who must show private health insurance for their visa, but EU students can also use these policies if they want private cover.

What Must Student Health Insurance in Spain Include?

To avoid problems with the student visa in 2026, your health insurance should:

Be issued by an authorised insurer operating in Spain
Be valid in all of Spain, not limited to one region
Offer full medical coverage, including primary care
Include specialist consultations
Cover diagnostic tests (blood tests, X-rays, scans)
Include hospitalisation and surgery
Provide emergency care
Be no copay (sin copago) for the first year

Many consulates explicitly mention:

  • "No copay"
  • "Equivalent to the Spanish public system"
  • "Full medical cover including hospitalisation"

A visa-focused broker will make sure your policy and certificate use the correct wording.

How Much Does Student Health Insurance Cost in Spain in 2026?

Prices are usually lower for students than for other visa types because most student visa applicants are younger.

Typical Monthly Premiums for Student Health Insurance (No Copay – 2026)

These are typical market ranges for student visa-compliant policies. Actual prices depend on insurer and individual profile.

Age RangeTypical Price 2026*Notes
16–25€32 – €55 / monthMost language & university students
26–30€38 – €60 / monthMaster's, PhD, older language students
31–39€45 – €75 / monthLess common but still possible
40+From around €60+ / monthCase-by-case; some insurers may request more info

* These are typical market ranges for student visa-compliant, no copay policies. Actual prices depend on insurer and individual profile.

If you don't need visa compliance (for example, you're already resident and just studying additionally), you might consider copay policies – but for visa applications, no copay is usually the safer choice.

Student Health Insurance vs Travel Insurance

Very Common Mistake

A very common mistake is trying to use travel insurance for a student visa.

Travel Insurance Is For:

✗ Short trips (holidays, short business trips)

✗ Emergency treatment only

✗ Limited coverage for ongoing illnesses or long-term residency

Travel insurance often has:

  • Time limits (30–90 days)
  • Many exclusions
  • No guarantee of equivalence to Spanish public healthcare

Student Visa Requires:

✓ Full health insurance like a resident would have

✓ Not limited to emergencies only

✓ Clear proof of long-term coverage and hospitalisation

That's why a real Spanish health policy is the standard solution for student visas.

What About Copays? Why Most Students Should Avoid Them for the Visa

Spanish private health insurance comes in two basic forms:

Recommended for Visas

No Copay (sin copago)

Higher monthly premium
No extra payment when you visit doctors or specialists
Stronger for visa approval
Risky for Initial Visas

With Copay (con copago)

Lower monthly price
You pay each visit (for example €5–€20 per consultation)
Often not accepted for initial student visa applications

Even if some consulates don't explicitly ban copay policies, using a no copay plan reduces the chance of:

  • Extra questions
  • Requests for additional documents
  • Rejection on the basis of "insufficient coverage"

For that reason, most students getting their first Spanish visa are better with no copay.

How Long Should Student Health Insurance Last?

Your policy should:

Cover you for the full official length of your studies

Or at least for the first academic year if your program is longer

Many consulates prefer to see 12 months of coverage on the first application. After that, during renewals inside Spain, you can adjust or change plans with guidance from a broker.

If your course is shorter than 12 months (for example 6–9 months), your broker can:

  • Match the policy duration to your course dates, if the insurer allows
  • Still ensure the certificate clearly shows cover for the entire stay

Student Health Insurance for Language Schools vs Universities

The visa rules are similar whether you're studying:

Language Schools

Spanish at a language school

Universities

A degree at a public or private university

Postgraduate

A master's, MBA or PhD program

Important differences:

  • Some universities offer their own group insurance, but it may or may not be visa-compliant
  • Language schools rarely include full health insurance – they usually just provide enrollment documents

In all cases, your consulate wants to see:

  • Clear proof of comprehensive medical coverage in Spain
  • Documents that match your name, passport and dates correctly

If you're not sure whether your school's insurance is enough, a broker can check or offer a separate, compliant policy.

Student Health Insurance for Families (Spouse & Children)

If you bring:

• A spouse or partner

• Children as dependants

…they will usually also need health insurance for their visas.

Family Policy Benefits

In this case, it's often easiest to:

Put everyone on a family policy (one contract, multiple insured persons)
Make sure children have paediatrics, vaccinations and emergency coverage
Make sure adults have full outpatient and inpatient care

Family policies can sometimes be more cost-effective than several single policies. They can also simplify renewals and address changes later.

Common Mistakes that Delay or Risk Visa Approval

Submitting travel insurance instead of proper student health insurance

Travel insurance is typically not accepted for student visa applications

Using a policy that isn't authorised in Spain or has unclear status

Policy must be from an insurer authorized to operate in Spain

Buying a copay policy when the consulate prefers or demands no copay

No copay policies significantly reduce the risk of visa rejection

Choosing a plan that does not clearly include hospitalisation

Hospitalisation coverage must be explicitly stated in the policy

Getting a cheap, basic plan with unclear wording about coverage levels

Policy must clearly demonstrate equivalence to Spanish public system

Forgetting to request the official Spanish-language certificate needed for the visa

Many consulates require a Spanish certificate with specific wording

Policy dates that don't match the study duration or visa period

Coverage dates must align with your study program dates

Working with an experienced expat-focused broker dramatically reduces these issues.

How ExpatInsurances.es Helps Students Getting Visas for Spain

As a DGSFP-licensed insurance broker focused on expats, we:

Understand student visa requirements for Spanish consulates around the world

Work with insurers experienced in issuing student visa-compliant policies

Provide Spanish-language certificates with the wording consulates typically expect

Our Process – Step by Step

1

Short Student Assessment

You tell us: Your age, country of citizenship, type of studies (language school, university, master's, etc.), planned city or region in Spain, and course start and end dates.

2

We Filter Visa-Compliant Student Plans

We only show you options that are no copay, full coverage, include hospitalisation, and from insurers recognised in Spain.

We then compare: Price, hospital networks (public, private, mixed), and extra features (apps, English support, telemedicine, etc.).

3

You Choose the Policy

We help you pick the plan that fits your budget, visa timing, and any personal preferences (certain clinics or doctors, language, etc.).

4

We Arrange the Policy & Visa Certificate

Once you confirm, we finalise your policy setup, the insurer issues your contract, and we prepare a Spanish certificate that clearly states:

  • • No copay
  • • Full medical coverage
  • • Hospitalisation included
  • • Valid across Spain
  • • Valid from [start date] to [end date]

This is what you attach to your student visa application.

5

Support After You Arrive

After you reach Spain, we help you with: Using your insurer's app and hospital locator, questions about how to book appointments, and renewals or changes if your course is extended.

Need Student Health Insurance for a Spanish Visa?

If you're planning to study in Spain in 2026 and want student visa-approved health insurance without stress, our licensed team can:

Analyse your study plans and consulate requirements
Recommend no copay, full coverage student health insurance
Provide the exact certificate consulates expect to see
Support you throughout your studies in Spain

ExpatInsurances.es – helping international students and families secure visa-compliant health insurance in Spain since 2012.

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.

Is travel insurance enough for a Spanish student visa?

No. Most Spanish consulates do not accept travel insurance for student visas. Travel insurance is typically designed for short trips (30-90 days), covers only emergencies, and has many exclusions. For a student visa, you need full private health insurance that's equivalent to Spain's public system, including primary care, specialists, diagnostics, and hospitalization, valid for the full study period (typically 9-12 months minimum).

Do I need no copay insurance for a student visa?

While some consulates don't explicitly ban copay policies, using a no copay plan significantly reduces the risk of visa rejection. No copay (sin copago) policies are strongly preferred because they demonstrate full coverage without per-visit fees. Even if copay isn't explicitly banned, consulates may request additional documentation or question whether the coverage is sufficient. For initial student visa applications, no copay is the safer choice and is what most visa-focused brokers recommend.

How much does student health insurance cost in Spain in 2026?

Student health insurance costs in Spain for 2026 typically range from €32-€55 per month for students aged 16-25, €38-€60/month for ages 26-30, €45-€75/month for ages 31-39, and from €60+/month for ages 40 and above. These prices are for visa-compliant, no copay policies. Actual costs depend on your age, chosen insurer, and specific coverage level, but student policies are generally cheaper than other visa types because most applicants are younger.

Can I use my EHIC as an EU student?

For short stays and Erasmus-style exchanges, some universities and consulates may accept the European Health Insurance Card (EHIC) or your national health coverage. However, even EU students often prefer private insurance because it offers faster access to specialists and diagnostics, access to private hospitals and clinics, and help in English and other languages. If you're a non-EU/EEA student, you'll definitely need private health insurance for your visa application.

How long should my student health insurance last?

Your policy should cover you for the full official length of your studies, or at least 12 months for the first academic year if your program is longer. Many Spanish consulates prefer to see 12 months of coverage on initial applications. If your course is shorter (for example, 6-9 months), your broker can match the policy duration to your course dates, ensuring the certificate clearly shows coverage for your entire stay. You can adjust or renew during later renewals inside Spain.

Does my university insurance count for the visa?

It depends. Some universities offer their own group insurance, but it may or may not be visa-compliant. Language schools rarely include full health insurance and typically only provide enrollment documents. In all cases, your consulate wants to see clear proof of comprehensive medical coverage in Spain, with documents that match your name, passport, and dates correctly. If you're unsure whether your school's insurance meets visa requirements, a licensed broker can verify it or arrange a separate, compliant policy.

Can my family be covered on my student policy?

Yes. If you're bringing a spouse/partner or children as dependents, they'll usually need health insurance for their visas too. It's often easiest and most cost-effective to put everyone on a family policy (one contract covering multiple people). Make sure children have coverage for pediatrics, vaccinations, and emergency care, and adults have full outpatient and inpatient coverage. Family policies can simplify renewals and address changes later.

How quickly can I get the visa certificate?

A licensed broker experienced in student visas can typically arrange your policy and provide the official Spanish-language certificate within 24 hours. The certificate will clearly state no copay (sin copago), full medical coverage including hospitalization, validity across all of Spain, and coverage dates matching your study period. This is the document you'll attach to your student visa application.

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