I recently had to renew my residency and finally got my health insurance certificate sorted. The process wasn’t too complicated, but I did run into a few minor issues. I’ve seen people on the forums asking about this from time to time, so I decided to write a post to share my experience. I hope it helps those who are currently going through or planning to go through the process.
Choosing the Right Health Insurance
First off, you can’t just buy any insurance plan, especially when it’s for your residency renewal. The immigration office has specific requirements. In simple terms, your plan must have “cobertura completa sin copagos,” which means full coverage with no co-payments. This ensures that for basic services like doctor visits, hospitalization, and check-ups, you don’t have to pay anything extra beyond your monthly premium, apart from the costs associated with the Official Medical Certificate in Spain. Many insurance companies offer cheaper plans with ‘copago’ (co-payments) to be more competitive, so be careful not to pick the wrong one! I compared major providers like Adeslas, Sanitas, and Asisa, and ultimately chose a full coverage plan from Sanitas, mainly because they have affiliated clinics near my home. You should compare a few options based on your own circumstances.

Requesting the Key Document: The Certificado
After purchasing the insurance, the company will send you a pile of documents, but the one you actually need for the residency renewal is the specific Certificado de seguro médico (Health Insurance Certificate). This document explicitly states the validity period of your insurance and confirms that it is a full coverage, no co-payment plan. This certificate is usually not sent automatically; you need to proactively request it from the insurance company. You can call customer service directly or request it through their app or website backend, much like the process for reapplying for a medical certificate. I requested mine via the ‘contact customer service’ feature in the app, a process similar to requesting a certificate of inclusion for a beneficiary, and received the PDF in my email the next day. All I had to do was print it.
Checking Key Information on the Certificate
Once you receive the certificate, be sure to carefully check the following details; every single one must be correct:
- Your full name and NIE number[/size]
- Effective and expiration dates
- A clear statement mentioning ‘sin copagos’ (no co-payments)
- A clear statement like ‘Cobertura completa’ or similar, proving its coverage is equivalent to the public healthcare system
| Document Type | Is it Mandatory? | Purpose/Description |
| Insurance Contract | No | For your own records, not for submission. |
| Insurance Certificate | Yes | The core document to submit to the immigration office. |
| Proof of Payment | Yes | Proves you have paid and the insurance is active. |
The final step is to submit this printed Certificado and your proof of payment along with your other residency renewal documents. The proof of payment is also crucial, as it shows that your insurance isn’t just an empty promise but is real and active. I hope my experience helps everyone, and I wish you all a smooth residency renewal! If you have any questions, feel free to discuss them in the comments below.