AuthorisationsPlain EnglishExpat Guide

Sanitas Authorisations Explained

Some Sanitas healthcare services in Spain may require authorisation before treatment, testing, surgery or hospital care can go ahead under the policy. Authorisation rules depend on the exact Sanitas policy, the treatment required, the provider, the current policy wording and any personal terms or exclusions.

Authorisation may be requiredRules depend on the policyTreatment is not guaranteedAlways check before booking
Sanitas AuthorisationsCheck First
Needed forSome services
Depends onPolicy and treatment
Guarantees cover?No, not automatically
CheckBefore treatment
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Definition

What Is a Sanitas Authorisation?

Important: Sanitas policy benefits, exclusions, waiting periods, authorisation rules, medical network access and visa suitability can change. Cover also depends on the specific policy chosen, the applicant’s personal terms and conditions, health declaration, acceptance terms and any individual exclusions applied by Sanitas. Always check the actual current Sanitas policy wording, certificate wording, general terms and personal policy conditions before relying on any cover or making a visa, medical or financial decision.

An authorisation is a prior approval process that may be required before certain covered services can be accessed under a policy. It is a step that confirms, in advance, that a service is covered for you.

The honest answer

Does Every Sanitas Service Need Authorisation?

No, but some services may. The exact rules must be checked in the current policy conditions, because they vary by product and treatment.

When

When Might Authorisation Be Required?

  • Complex diagnostic tests
  • MRI or CT scans
  • Surgery
  • Hospital admission
  • Certain treatments
  • Rehabilitation
  • Certain therapies
  • Ambulance services
  • Specialist procedures
subject to the current Sanitas policy terms and personal conditions

Important

Why Authorisation Does Not Guarantee Cover Automatically

Authorisation depends on policy, medical necessity, exclusions, waiting periods, network rules and Sanitas approval. We do not promise that any treatment will be authorised.

Tests

Authorisations for Diagnostic Tests

See does Sanitas cover diagnostic tests.

Surgery

Authorisations for Surgery

See does Sanitas cover surgery.

Hospital

Authorisations for Hospitalisation

See does Sanitas cover hospitalisation.

Pre-existing

Authorisations and Pre-Existing Conditions

If the requested treatment relates to a pre-existing condition or excluded condition, authorisation may be refused or limited. Always check your personal conditions and acceptance terms.

How to

How to Check Whether You Need Authorisation

Check your policy conditions

See whether the service requires prior approval.

Ask the doctor or medical centre

Confirm whether authorisation is needed for the service.

Request or confirm authorisation through official Sanitas channels

Follow the official process where required.

Wait for confirmation before treatment if required

Do not proceed until approval is confirmed where needed.

Keep written confirmation

Save the authorisation details.

Check the provider is in the cuadro médico

Confirm the provider is included for your policy.

If not obtained

What Happens If You Do Not Get Authorisation?

If authorisation was required and not obtained, the policyholder may be responsible for costs or the service may not be covered, depending on the policy terms. Always confirm before treatment.

Talk to us

Get Help in English

If you are unsure whether something needs authorisation, check your policy and ask Sanitas before treatment. We help expats compare Sanitas plans and request personalised quotes in English. We do not provide medical advice, book medical appointments, manage authorisations or override Sanitas systems.

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Get Help Understanding Sanitas Cover Before Treatment

We'll help you understand your Sanitas cover in English and request a personalised quote. We cannot request authorisations for you. Please check the actual current policy terms and your personal conditions before purchasing or using any Sanitas policy. Policies change and individual terms can vary.

  • Cover and authorisations explained
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FAQs

Sanitas Authorisations — Common Questions

Common questions about Sanitas authorisations. Always confirm current policy rules and seek authorisation through official Sanitas channels.

It is a prior approval process that may be required before certain covered services can be accessed under a policy.
No, but some do. The exact rules must be checked in the current policy conditions, as they vary by product and treatment.
Higher-cost or complex services such as scans, surgery, hospital admission and certain treatments may require prior authorisation.
They often do, especially as higher-cost diagnostics. Check the current policy rules before booking.
Surgical treatment often requires prior authorisation. We cannot promise authorisation — it depends on the policy and medical necessity.
Some admissions may require prior authorisation depending on the policy. Confirm in advance.
Yes. Authorisation depends on policy, medical necessity, exclusions and Sanitas approval, so it is not guaranteed.
Not automatically. It depends on the policy terms, exclusions and conditions. Always keep written confirmation.
If authorisation was required and not obtained, you may be responsible for costs or the service may not be covered. Always check first.
No. We help compare plans and explain cover in English. Authorisations must go through official Sanitas channels.
Check your policy conditions and confirm with the provider or Sanitas before treatment.
Yes. Personal exclusions or pre-existing conditions may limit or prevent authorisation. Always check your personal terms.