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Travel insurance for Europe - comprehensive coverage for European travel from Spain
14 min readUpdated January 2026
Travel
2026

Travel Insurance for Europe (2026): What It Covers, When You Need It, and How to Choose

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

Quick Answer

Travel insurance for Europe is not mandatory for EU citizens, but highly recommended. The EHIC card has serious limitations that leave you exposed to major expenses.

  • EHIC does not cover repatriation, mountain rescue, private healthcare, or trip cancellation
  • Essential coverage: medical assistance + repatriation. Add cancellation for expensive trips and sports coverage for skiing or activities
  • Best approach: combine EHIC (for public healthcare access) with travel insurance (for everything else)

Do You Need Travel Insurance for Europe?

In most cases, it's not mandatory for traveling in Europe, but it's highly recommended for three reasons:

Health + Repatriation

Public healthcare can help, but the big financial hit is usually repatriation, medical transfers, private care, or treatment in tourist areas where private care is more common.

Travel Incidents

Delays, cancellations, lost luggage, theft, 24/7 assistance… are frequent and expensive problems when they catch you abroad.

Activities

Skiing, mountain hiking, sports, even driving routes through multiple countries. What you consider "normal tourism" is sometimes an "excluded activity" for basic policies.

Simple conclusion: In Europe, insurance is less about "if something hurts" and more about if something generates a big expense or logistical problem.

Travel Insurance vs European Health Insurance Card (EHIC/TSE): They're Not the Same

Many people travel through Europe with the European Health Insurance Card (EHIC/TSE) thinking they're covered. The EHIC can be useful, but does not replace travel insurance.

What EHIC/TSE Does Well

Facilitates access to public healthcare in certain European countries under similar conditions as residents.

What It Does NOT Cover

  • • Medical repatriation (returning home for medical reasons)
  • • Rescue/evacuation (mountains, slopes, remote places)
  • • Private healthcare (common in tourist areas)
  • • Trip cancellation, baggage, delays, civil liability

The combination that makes most sense: EHIC/TSE (if applicable) + travel insurance.

What a Good Europe Travel Insurance Should Cover in 2026 (Real Checklist)

The word "Europe" covers everything from a city break in Italy to a week of skiing in the Alps or a road trip through multiple countries. That's why the ideal insurance is chosen by type of trip.

1. Medical Assistance & Emergencies

  • Emergency visits, hospitalization, tests, medications
  • Accident and sudden illness care
  • 24/7 support (preferably in English or Spanish)

2. Medical Repatriation (The Most Important)

This is the coverage that saves you from catastrophic bills. Covers:

  • Repatriation for illness/accident
  • Transfer to appropriate medical center
  • Accompaniment if applicable

3. Trip Cancellation

Key if your trip is expensive or inflexible:

  • Non-refundable hotels, events, tours prepaid
  • Fixed dates due to work
  • Peak season travel

4. Baggage, Theft & Delay

  • Luggage theft/loss
  • Baggage delay (essentials coverage)
  • Sub-limits per item (phone, laptop, camera)

5. Delays, Connections & Extra Costs

  • Flight/train delay
  • Missed connections
  • Hotel/meal costs for incidents

6. Civil Liability (Highly Recommended)

If you cause damage to third parties:

  • Rental apartment damage
  • Traveling with children
  • Activity incidents

7. Sports & Activities

Where many policies fail:

  • Skiing, snowboarding
  • Trekking, mountain hiking
  • Diving, water sports
  • Long-distance cycling

Which Insurance to Choose Based on Your European Trip

A

City Break / Urban Tourism

Paris, Rome, Lisbon, Amsterdam, Berlin, Vienna, Prague…

Priority: Medical + repatriation + theft + delays

A balanced policy usually suffices, but check sub-limits if carrying electronics.

B

Multi-Country Road Trip

Priority: 24/7 assistance + repatriation + medical + civil liability

Make sure the policy doesn't complicate "multiple destinations".

C

Skiing & Mountains

Alps, Pyrenees, Andorra, Dolomites

Priority: Sports + rescue/evacuation + solid medical + repatriation

Don't leave it "implied." Typical mistake: buying "normal" insurance and finding exclusions.

D

Islands / Remote Areas

Priority: Medical + transfers + repatriation

The less accessible the place, the more important medical transport becomes.

E

Long Trip (30+ days) or Multiple Trips/Year

Priority: Consider annual/multi-trip if you travel 2+ times per year

Check per-trip limit (30/45/60/90 days), countries included, and if cancellation is covered.

"Cheap" Isn't Always "Better": How to Avoid the Trap Policy

If your goal is to pay the minimum, that's fine—but without cutting what later costs thousands.

Never Cut

  • • Repatriation
  • • Medical assistance
  • • Activity exclusions (if you'll do them)
  • • Real 24/7 support (not just email)

Where You Can Optimize

  • • Choose reasonable deductible (if you can afford it)
  • • Adjust cancellation if trip is flexible/refundable
  • • Skip high electronics coverage if not carrying expensive gear

How to Buy Travel Insurance for Europe (Step by Step)

1

Define Your Route and "Profile"

  • • Destinations (EU only? UK, Switzerland, Balkans, Turkey?)
  • • Exact dates
  • • Traveler ages
  • • Activities (skiing, mountains, sports)
  • • Need cancellation (yes/no)
2

Decide Policy Type

Single Trip

1 trip, fixed dates

Annual/Multi-Trip

If you make multiple trips

3

Review These 7 Lines Before Paying

  • Geographic scope (Europe/Schengen/specific countries)
  • Medical assistance (limits and conditions)
  • Repatriation (included without strange fine print)
  • Sports (included or add-on)
  • Baggage (sub-limits per item)
  • Cancellation (covered causes + when to purchase)
  • 24/7 phone and how assistance is managed

What to Do If You Have a Problem in Europe (So Insurance Works)

Medical Issue

  • • Call 24/7 assistance first (if possible)
  • • Get medical report, diagnosis, and invoices
  • • Save prescriptions and payment receipts

Theft or Loss

  • • File police report ASAP
  • • Keep receipts/approximate values and evidence
  • • For baggage: get PIR from airline + confirmation

Delay/Cancellation

  • • Get written confirmation from airline/train
  • • Keep expense receipts (hotel/meals/transport)
  • • Don't throw anything away until resolved

Golden Rule: Documentation = Success. Without evidence, insurers usually reject or reduce claims.

Compare Insurance for Europe

We return: 2-3 recommended options + why + what each covers (no hidden fine print).

Get Europe Insurance Quote

Frequently Asked Questions

Related Guides

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 mandatory for Europe?

Generally no for EU citizens traveling without a visa. However, if you need a Schengen visa, travel medical insurance meeting minimum requirements (including medical assistance and repatriation with at least EUR 30,000 coverage) is mandatory.

What are the limitations of the EHIC card?

The European Health Insurance Card (EHIC) only provides access to public healthcare under the same conditions as locals. It does not cover medical repatriation, mountain rescue, private healthcare (common in tourist areas), trip cancellation, lost baggage, or flight delays.

Does travel insurance cover all European countries?

It depends on the policy's geographic scope. 'Europe' policies typically cover EU and Schengen countries, but may exclude the UK (post-Brexit), Switzerland, Turkey, or Balkan nations. Always verify the specific countries included in your policy.

What's the minimum coverage required for Schengen visa applications?

Schengen visa applications require travel insurance with minimum EUR 30,000 medical coverage, including emergency medical treatment, hospitalization, and repatriation. The policy must be valid for all Schengen states and cover the entire duration of your stay.

Is skiing covered by standard travel insurance?

No, skiing and winter sports are typically excluded from basic travel policies. You need a specific sports or winter sports extension. This is crucial as ski slope rescue and evacuation can cost EUR 10,000 or more without coverage.

How does travel insurance differ between EU and non-EU European countries?

In EU countries, you can use EHIC for public healthcare access, but still need insurance for repatriation and other coverage. In non-EU countries like Switzerland, UK, or Turkey, you have no reciprocal healthcare access and rely entirely on your travel insurance.

What should I do if I need medical care in Europe?

First, call your insurance's 24/7 assistance line if possible. They can direct you to approved facilities and authorize treatment. Keep all documentation: medical reports, diagnoses, prescriptions, and payment receipts. This documentation is essential for claim processing.

Does my travel insurance cover pre-existing medical conditions?

Most standard policies exclude pre-existing conditions. However, some insurers offer coverage with additional premium or waiting periods. If you have a chronic condition, declare it when purchasing and ask about specific coverage options.

Is annual multi-trip insurance worth it for European travel?

If you travel to Europe more than 2-3 times per year, annual multi-trip insurance is usually more cost-effective. Check the per-trip duration limit (commonly 30, 45, 60, or 90 days) and ensure it covers all your planned destinations.

What happens if my flight is cancelled or delayed in Europe?

EU Regulation 261/2004 provides compensation for EU flight delays over 3 hours or cancellations. Travel insurance adds coverage for additional expenses like hotels and meals, missed connections, and situations where EU regulations don't apply (like non-EU carriers).

Do I need separate insurance for a European road trip through multiple countries?

No, a single policy covering 'Europe' or 'Schengen' works for multi-country road trips. Ensure the geographic scope includes all your destinations, particularly if crossing into non-EU territories. Also verify your car rental insurance is separate from travel insurance.

When should I purchase travel insurance for my European trip?

Purchase as soon as you book your trip. This is especially important if you want cancellation coverage, as many policies require purchase within a specific window after booking. Buying early also ensures you're covered if you need to cancel before departure.

Ready to get covered?

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