My residency permit is expiring soon, and I need to get new health insurance for the renewal. So, I took the time to research several major insurance companies in the Spanish market. Thinking this information on Spanish health insurance could be useful for many people, I’ve compiled it to post. I’m also including a link about Spanish healthcare jobs as it might be relevant. I hope this helps everyone. I’ve mainly compared the four most commonly heard-of companies: Adeslas, Sanitas, Asisa, and DKV.

Quick Review of Each Company’s Features
Adeslas
Backed by CaixaBank, Adeslas is financially strong and likely has the most extensive medical network in all of Spain. They have a vast number of clinics and partner doctors, so you won’t have to worry about finding care no matter which city you’re in. The price is in the mid-to-high range, and their service is quite standardized. The potential downside is that due to their large user base, waiting times for appointments with specialists in some popular cities can be quite long.
Sanitas
Sanitas is another established giant, especially in the Madrid region, where they own several private hospitals like La Zarzuela and La Moraleja, known for their excellent facilities and services. They offer a wide range of products, from basic to premium, providing a lot of flexibility. Sanitas’s digital health services are well-developed, with a comprehensive app. Their prices are slightly higher than Adeslas.
Asisa
Asisa is a great value-for-money option. Its medical network is also large, and while it doesn’t have as many proprietary hospitals as Sanitas, its network of partner clinics is very dense. The prices are more affordable, especially their plans for young people, which are very competitive. If you’re on a limited budget but still want comprehensive coverage, Asisa is an option worth considering.
DKV
This is an insurance company with German roots and a strong reputation throughout Europe. DKV focuses on service quality and customer care, and its reputation is excellent. Their policy terms are usually written clearly, and the claims process is relatively smooth. Additionally, DKV invests heavily in preventive medicine and wellness management, offering various health promotion programs as part of their Spanish health insurance. Its price is in the mid-range, but I think it offers good value for the money.
Price and Coverage Comparison
To make it more intuitive, I’ve created a simple table comparing the basic, full-coverage plans without ‘copago’ (co-payment) from these companies. Prices are approximate and may vary based on age and region.
| Company Name | Approx. Monthly Fee | Key Advantages | Points to Note |
| Adeslas | 50-60€ | Most extensive medical network | Appointment wait times can be long |
| Sanitas | 55-70€ | High-quality proprietary hospitals, good digital services | Slightly higher price |
| Asisa | 45-55€ | Good value for money, competitive pricing | Fewer high-end service options |
| DKV | 50-65€ | Good service reputation, clear terms | Coverage may be weaker in smaller cities |
There’s no single ‘best’ option, only the one that’s most suitable for you. If you want the widest coverage and convenience everywhere, choose Adeslas. If you prioritize hospital facilities and a digital experience, consider Sanitas. If you’re on a budget and looking for value, Asisa is a good choice. If you value service quality and a smooth claims experience, DKV is an excellent pick. I hope this post helps everyone, and I welcome anyone who has used these insurance plans to add their comments and join the discussion! Hope you never have to use your insurance, but it’s always better to be safe than sorry!