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Get a Quote →Good private healthcare is the point — and as an autónomo in Spain, eligible Sanitas premiums can also count as a deductible business expense in your IRPF. We help you choose the cover and provide your policy and payment documentation for your records and gestor.
The value
As an autónomo you want private healthcare you can rely on. There is a practical bonus: under current Spanish tax rules, eligible private health-insurance premiums can be treated as a deductible business expense in your IRPF. You choose the healthcare cover that suits you, and qualifying premiums may also be treated as a deductible business expense.
How it works
For autónomos calculating their business income under estimación directa, qualifying health-insurance premiums may be treated as a deductible expense up to €500 per eligible person per year, or €1,500 for each eligible person with a disability. This can include the autónomo, their spouse and children under 25 who live with them. Confirm how it applies to your circumstances with your gestor or tax adviser.
| Who is covered | Annual deduction limit |
|---|---|
| You (the autónomo) | Up to €500 per year |
| Your spouse | Up to €500 per year |
| Each child under 25 living with you | Up to €500 per year |
| A person with a disability | Up to €1,500 per year |
Based on AEAT’s current Renta 2025 guidance, Article 30.2.5ª of the IRPF Law, for autónomos in estimación directa.
Worked examples
The per-person limit is easier to picture with a few examples. The figures below are the maximum amounts you could deduct — the actual deduction for each person is limited to the eligible premiums actually paid for them.
| Who you insure | What you can deduct |
|---|---|
| Just yourself | Your eligible premiums, up to €500 for the year |
| You and your spouse | Up to €500 each — up to €1,000 between you |
| You, your spouse and two children under 25 | Up to €500 each — up to €2,000 in total |
| A person with a disability | Up to €1,500 for that person |
If the premium for one person — a child, say — is below €500, the deduction is the premium actually paid, not the full €500. Your gestor applies the correct figures for your household when preparing your return.
Expense, not a refund
It helps to be clear about what the deduction does. Treating the premium as a deductible business expense reduces the profit your income tax is calculated on — it lowers your taxable income rather than paying the premium back to you. The actual saving depends on your tax rate and your overall position, which your gestor can work out for you.
Keep the paperwork
To claim it cleanly, keep the paperwork together: your Sanitas policy documentation, the invoices or receipts for the premiums, and proof of payment such as bank statements. Your gestor uses these to include the eligible premiums in your IRPF return, so having them to hand keeps the process straightforward.
Does it apply to you?
This deduction is for autónomos who calculate their business income under estimación directa. If you are on a different tax regime, or you are employed rather than self-employed, health insurance is treated differently — your gestor can tell you what applies in your case. The premiums count where they are for you, your spouse or your children under 25 who live with you, and paid by you as the policyholder.
Your cover
The deduction follows the tax rules, not a particular plan, so you are free to choose the Sanitas Profesionales cover that suits your healthcare needs and budget. Every option gives you the full Sanitas network and an autónomo protection benefit for when you cannot work. Qualifying premiums paid for Profesionales, Profesionales Plus or Profesionales Óptima may count towards the deduction when the taxpayer and family conditions are met — we help you choose the plan that fits and provide your policy and payment documentation for your records and gestor.
A no-copayment plan for autónomos: your care across the full Sanitas network with everything in one predictable monthly premium, and an autónomo protection benefit for when you cannot work.
Profesionales →A middle option with a lower premium and small copayments on some services, plus the autónomo protection benefit — a strong fit for regular but measured use.
Profesionales Plus →The lowest monthly premium in the range, with a small copayment per service you use — designed for autónomos who want the Sanitas network on hand without a higher fixed cost.
Profesionales Óptima →Tell us about your cover and we will help you choose the right Sanitas Profesionales plan and provide your policy and payment documentation for your records and gestor. Share your date of birth, number of people to cover and where in Spain you live.
Tell us your situation and our English-speaking advisers will help you choose the right Sanitas plan.
FAQs
What self-employed workers ask about deducting private health insurance in Spain.