When you first arrive in Spain, one of the biggest challenges is definitely figuring out health insurance. Although Spain’s public healthcare system is well-known for its extensive coverage, long waiting times are an undeniable reality. That’s why many people, especially those who need it for residency permits or are looking for greater efficiency and better service, opt for private health insurance. Today, I’ll discuss some of the main private health insurance companies in Spain, based on personal experience and online research, hoping to help those of you who are undecided.
A Rundown of Major Private Health Insurance Companies
There is a wide variety of companies on the market, but the most common ones with the largest market share are just a few key players in Spanish healthcare. Each has its own unique features, and your choice will largely depend on your personal needs, budget, and the service network available in your area.
Sanitas
Sanitas is likely one of the most familiar brands for many expats, with very high name recognition. Its biggest advantage is its own network of hospitals and medical centers, which ensures a consistent service experience and makes appointments and communication quite convenient. Many of their plans include dental coverage, which is a major draw. However, its premiums can be slightly higher, which is expected given its brand value and the services offered.
Adeslas
Adeslas is the insurance company with the largest market share in Spain and is part of the CaixaBank group. Its strength lies in its extremely vast medical network, which covers almost every city in Spain. No matter where you move, you’ll likely find affiliated doctors and hospitals. In terms of price, Adeslas is very competitive and often offers plans with great value for money. The potential downside is that due to its large user base, booking appointments with popular specialists might also involve a wait.

Brief Comparison of Company Features
To give you a clearer picture, I’ve created a simple table to compare the features of these companies. Of course, this is just a general overview; you should always check the specific terms of the insurance plan you choose, which can even cover details like Spanish hospital room design.
| Company Name | Main Advantages | Potential Disadvantages |
| Sanitas | Own hospital network, good service experience, often includes dental | Premiums can be on the higher side |
| Adeslas | Widest coverage network, competitive pricing | Appointments with popular specialists may require a wait |
| DKV | Good reputation for preventive medicine and family doctor services, international background | Coverage in smaller cities may not be as good as Adeslas |
| Asisa | Long-standing history, strong medical resources in certain regions | Brand image is relatively traditional |
There’s no absolute best, only what’s best for you. If you’re looking for an all-in-one, seamless service experience, you should take a closer look at Sanitas. If you frequently travel between different cities in Spain or are seeking the best value for money, Adeslas could be a great choice. DKV is more suited for those who prioritize preventive care and daily health management. And if you ever need to use the public system, here’s how to find your nearest Centro de Salud. Before making a decision, it’s a good idea to visit their official websites, use their calculators to get a quote, and carefully read the policy terms, especially the sections on carencia (waiting periods) and copago (co-payments). We hope everyone finds the right insurance and stays healthy and happy in Spain!