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    Health
    10 min read

    Your Guide to Student Health Insurance in Spain

    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

    Frequently asked questions

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

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