A co-payment is an set amount that the client agrees to make each time they use a service covered by their health insurance policy in Spain. You can contract Spanish health insurance in Spain with co-payments or without. Some people might refer to a co-payment as a deductible or an excess.
If you contract a health policy with a co-payment then this will reduce the initial annual cost of the policy. However, you need to be aware that each time you use the policy you have to contribute to the cost. The amount you have to pay depends on the health insurance product you have contracted. Some companies have different levels of co-payment. The more you agree to pay each time you use a service then the lower the initial annual premium.
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Think about co-payments carefully
It is important to think about health insurance in Spain with co-payments carefully. Whilst the initial premium is lower than a product without a co-payment, what would happen if you were ill? If you are ill then you may not be working. If you are not working then this could mean you are receiving reduced or no income. At the same time, you are asked to pay, albeit a small amount, after seeing the doctor. Then if the doctor refers you to a specialist, you pay to see the specialist. The sums involved may be quite small but if you have a serious illness, or require several consultations, they will mount up.
Most companies have a ceiling on the amount of co-payments you have to make each year but this maximum varies widely so make sure you take a look at the maximum additional amount you might have to pay.
Just to give you an idea, one company might charge a maximum amount of co-payments of 450 euros in a year whilst another 750 euros.
Accepting a co-payment makes obtaining private medical insurance in Spain an option for some people. The insurance company will process the co-payments and collect them directly from the clients nominated bank account.
Co-payment policies are not acceptable for visas or residency applications
It is important to remember that if you are looking for health insurance in Spain for a non-lucrative visa, Golden Visa or residency then the Spanish authorities will not accept a Spanish health policy with a co-payment. Find out more on our specific pages related to Spanish health insurance for a non-lucrative visa and Golden Visa.