For those who have just arrived in Spain or are preparing to renew their residence permit, you’re probably racking your brains over which health insurance company to choose, right? There are so many options on the market—Adeslas, Sanitas, DKV… with ads everywhere, it can be overwhelming. I’ve been here for a few years, and between my friends and me, we’ve had our share of experiences with almost all the major insurers. Today, I’m sharing my personal experiences to give you a reference.

Comparing the Main Insurance Providers
First, you need to be clear about your purpose: is the insurance just for your residence permit application, or for actual daily healthcare needs? If it’s for a student residence permit, many companies offer special plans that are cheaper but come with more restrictions. If it’s for family use or a work permit, then a thorough comparison is necessary. I’ve summarized the key features of the main companies so you can see which one fits you best.
Sanitas
Sanitas is likely the first choice for many, being the most famous with numerous service points. Their service is indeed top-notch: appointments are easy to book, their app is very user-friendly, and many procedures can be authorized online, saving you the hassle of running errands. However, they are also the most expensive. As the saying goes, you get what you pay for. If you have a sufficient budget and value a premium service experience, you can’t go wrong with Sanitas. Their dental coverage is also quite comprehensive, with many plans including basic services like teeth cleaning and fillings.
Adeslas
Adeslas is part of CaixaBank and has a massive customer base. Its biggest advantage is being highly cost-effective. For similar coverage, Adeslas’s prices are usually more competitive than Sanitas’s. Their network of affiliated private hospitals and clinics is extensive, so you rarely have to worry about finding a place for treatment. As for the downsides, I personally find their customer service can be hard to reach at times, and their app experience isn’t quite as polished as Sanitas’s. But for those looking for an affordable option, Adeslas is definitely a top choice.
DKV
DKV is an insurance company with German roots that has been well-established in Spain for many years. They are known for their good reputation, especially for their excellent coverage of specialist treatments and critical illnesses. Their prices fall somewhere between Sanitas and Adeslas. Some friends have mentioned that DKV’s reimbursement and authorization processes can occasionally be a bit slow, but their overall service is quite reliable. Another feature is that they tend to be more accommodating with coverage for certain natural therapies; if you’re interested in this, you can learn more about Spanish health insurance. Here is a simple comparison table I’ve put together for your convenience:
| Insurance Company | Key Advantages | Key Disadvantages |
| Sanitas | Good service, great app experience, extensive network | Pricey |
| Adeslas | Cost-effective, wide hospital network | Average customer service experience |
| DKV | Good specialist coverage, solid reputation | Some processes can be slow |
There is no single ‘best’ insurance, only the one that is most suitable for you. I recommend making your decision based on your budget, the medical network coverage in your city, and your specific needs. The best approach is to contact agents from a few companies directly, ask them for a quote based on your situation, and compare the terms and prices side-by-side. That’s the most straightforward way. I hope everyone stays in great health, and that your insurance is something you have but never have to use!