Health Insurance With Co-Payments

Lower monthly premiums - only pay when you use it

  • Affordable pricing with small fees per medical service
  • Ideal for residents already living in Spain who want to reduce monthly costs
  • Full access to the Sanitas network, including GPs, specialists, and digital tools via the app

What are co-payments in health insurance?

A co-payment (copago) is a small fixed fee you pay each time you use a covered service, on top of your monthly premium. On Sanitas plans with co-payments, such as Sanitas Accede, Sanitas Avanza and Sanitas Mas Salud Optima, it runs from €0 to €15 a consultation. Emergency visits cost €8 on most plans and diagnostic tests up to €12.

HealthPlan Spain is an authorised Sanitas agent (agent code 22395) in Marbella that arranges Sanitas policies in English, at the same price as buying direct from Sanitas. Sanitas is part of the Bupa group.

Co-payments in health insurance refer to a small fee you pay each time you use a medical service, in addition to your monthly premium. Choosing a plan with co-payments can reduce your monthly premium, making healthcare more affordable if you don't frequently use medical services.

Sanitas co-payment plans at a glance

  • Sanitas Accede: €5 for each of the first 15 services in a year, then €10, with co-payments capped at €290 per insured person a year.
  • Sanitas Avanza: The first 6 services each year are free, then €5 up to 15 and €10 after, capped at €350 per insured person a year.
  • Sanitas Mas Salud Optima: €4 a service for services 1 to 3, €7 for 4 to 10, €10 for 11 to 15 and €15 after, with no annual cap.
  • Sanitas Mas Salud Plus: The first 6 services each year are free, then €4 up to 10, €7 up to 15 and €10 after, capped at €360 per insured person a year.
  • Emergencies: An emergency visit costs €8 on Sanitas Accede, Sanitas Avanza and Sanitas Mas Salud Optima. On Sanitas Mas Salud Plus, emergency visits and tests count as services on its scale.
  • How you pay: You never pay at the clinic. Sanitas collects co-payments by direct debit, normally the month after you use the service, alongside your premium.
  • Visas and residency: Plans with co-payments are not accepted for Spanish visa or residency applications, which require full cover with no co-payments.

Benefits of Choosing a Co-Payment Plan

  • Lower Monthly Premiums: Pay less each month compared to non-co-payment plans.
  • Flexibility: Choose from various levels of co-payments to suit your healthcare usage.
  • Access to Comprehensive Care: Enjoy the same access to Sanitas's medical network as non-co-payment plans. Sanitas Mas Salud Optima and Sanitas Mas Salud Plus also give the same cover as Sanitas Mas Salud, including hospital care.
  • Digital Services: Benefit from services like video consultations and digital health programs.

Types of Co-Payments with Sanitas

We adapt to your needs. With some of our health plans, you can choose from different co-payment levels to match your usage and keep your premiums as low as possible.

Medium Co-Payment

Lets you benefit from a more affordable monthly premium.

Low Co-Payment

Includes the first few services each year at no cost, and reduced co-payments thereafter.

No Co-Payments

Use your insurance with no additional per-visit costs.

Lower-cost Sanitas co-payment plans for Spain

Sanitas Accede

With co-payments

From 22,10 € / month

Comprehensive primary healthcare in Spain

Sanitas Accede gives you comprehensive outpatient cover, including visits to GPs and specialists and simple diagnostic tests.

  • Network of doctors and specialists
  • Basic Dental Cover

Sanitas Avanza

With co-payments

From 33,60 € / month

Comprehensive primary healthcare in Spain

Sanitas Avanza gives you comprehensive outpatient cover, including visits to GPs and specialists and simple diagnostic tests.

  • Network of doctors and specialists
  • Basic Dental Cover

Sanitas Mas Salud Plus

With co-payments

From 46,30 € / month

Cover in Spain + low co-payments

The Sanitas Mas Salud Plus is specifically for those who are already resident in Spain.

  • Access to all medical and surgical specialties
  • Hospitalisation
  • Dental Cover
  • Travel Assistance

Sanitas Mas Salud Optima

With co-payments

From 36,00 € / month

Cover in Spain + co-payments

The Sanitas Mas Salud Optima is specifically for those who are already resident in Spain.

  • Access to all medical and surgical specialties
  • Hospitalisation
  • Dental Cover
  • Travel Assistance

Sanitas Professional Plus

With co-payments

From 51,40 € / month

A solution for the self employed

The Sanitas Professional Plus plan is specifically for self employed individuals who are already paying into the Spanish social security system.

  • Access to all medical and surgical specialties
  • Hospitalisation
  • Dental Cover
  • Travel Assistance

Sanitas Mas 90 Plus

With co-payments

From 69,20 € / month

Cover in Spain + 70% worldwide

The Sanitas Mas 90 Plus is an all inclusive health insurance policy covering you in Spain and worldwide with co-payments (excesses).

  • Access to all medical and surgical specialties
  • Hospitalisation
  • Dental Cover
  • Travel Assistance

Compare Plan Prices

Tips for Selecting the Right Co-Payment Plan

  • Assess Your Healthcare Usage: If you rarely visit the doctor, a plan with higher co-payments and lower premiums might be cost-effective.
  • Consider Family Needs: For families, evaluate plans that offer co-payment structures suitable for multiple members.
  • Review Coverage Details: Ensure the plan covers essential services you anticipate needing.
  • Check for Additional Benefits: Some plans include extras like dental care or wellness programs.

Frequently Asked Questions

Will I have fewer benefits with a co-payment plan?

No, not on Sanitas Mas Salud Optima or Sanitas Mas Salud Plus, which give the same cover as Sanitas Mas Salud without co-payments, including hospitalisation and surgery. The difference lies in the payment structure, where you pay a small fee per service used. Sanitas Accede and Sanitas Avanza are outpatient plans with no hospital cover. Childbirth is covered on Sanitas Mas Salud Optima and Sanitas Mas Salud Plus, and not on the two outpatient plans.

How are co-payments billed?

Co-payments are typically billed monthly, with a detailed statement listing each service used and the corresponding fee.

Can I switch to a non-co-payment plan later?

Yes, Sanitas allows flexibility to switch between plans as your needs change. Moving to a plan without co-payments counts as a change of plan, so the waiting periods start again on the new plan. A condition that has developed since you joined can be excluded on the new plan. Contact us to discuss your options.

Are there limits on the number of visits or sessions?

Yes, some services have annual limits. For example, psychology is limited to 15 sessions per year, and podiatry to 12 sessions per year.

Why do co-payment plans have lower premiums?

Co-payment plans typically offer lower monthly premiums because you share part of the cost for each medical service used. This cost-sharing helps reduce your fixed expenses while encouraging responsible use of healthcare services.

Are pre-existing conditions covered?

Pre-existing conditions may be covered if declared at the time of contracting and accepted by Sanitas. Some chronic or severe conditions may be excluded based on medical assessment.

What is the cheapest Sanitas health insurance with co-payments?

Sanitas Accede is the cheapest Sanitas plan with co-payments, from 22,10 € a month. It is outpatient cover only, with no hospital cover, and accepts new members up to age 59. The lowest starting price with hospital cover is Sanitas Mas Salud Optima, from 36,00 € a month. From age 60, Sanitas Unico is the cheapest Sanitas plan.

Are Sanitas plans with co-payments accepted for a visa or residency?

No. Spanish consulates require full cover with no co-payments for a non-lucrative, digital nomad or student visa, and European Union residency registration asks for the same. None of the Sanitas plans with co-payments qualifies. For a visa or residency application, choose one of the Sanitas plans without co-payments, such as Sanitas Mas Salud.

What is the maximum age to join a Sanitas plan with co-payments?

It depends on the plan. Sanitas Accede and Sanitas Avanza accept new members up to and including age 59. Sanitas Mas Salud Optima and Sanitas Mas Salud Plus accept new policyholders up to age 75. Once you are insured, none of the four has a maximum age to keep the policy. From age 60, Sanitas Unico has no maximum age to join.

Do Sanitas plans with co-payments have waiting periods?

Yes, except Sanitas Accede, which has none. Sanitas Avanza waits 3 months for outpatient surgery and 6 for complex diagnostic tests. Sanitas Mas Salud Optima and Sanitas Mas Salud Plus wait 3 months for outpatient surgery, 6 for complex tests, 8 for childbirth and 10 for hospitalisation. Sanitas waives these on both, except childbirth, after a year with another insurer in Spain. The Health Library guide to Sanitas waiting periods explains each one.

Do I pay more to arrange a Sanitas plan with co-payments in English?

No. HealthPlan Spain is an authorised Sanitas agent, agent code 22395, in Marbella, arranging Sanitas policies in English at the same price as buying direct from Sanitas. We quote, set up and support your plan by phone or email, Monday to Friday 8am to 6pm and Saturday 9am to 2pm. Each plan page has the terms and conditions and brochure in English.

Ready to Choose Your Plan?

Contact us to discuss your options and find the perfect Sanitas co-payment plan for you.

*Most services are accessible from day one. Complex diagnostic tests such as MRIs and CT scans may have a 1 time only qualification period of up to 6 months.

About Sanitas Co-Payment Plans

Sanitas is a specialist in health and medical insurance. Our extensive experience and medical network allow us to design health insurance policies that fit every need.

With our co-payment health insurance plans, we offer different levels of co-payments so you can choose the option that best fits how often you plan to use your policy.

Explore our range of co-payment plans and calculate your quote for free.

If you prefer a health insurance policy with a fixed monthly fee and no co-payments, you can also browse our catalogue of non-co-payment options.