Sanitas Premium 500,000 Health Insurance Spain | From €94.00/Month | No Copay + Worldwide Cover
No Copay €500k Worldwide All Extras INCLUDED

Sanitas Health Insurance — Premium Sanitas Premium
500,000

Spain's most complete hybrid health insurance plan. Full no-copay access to the Sanitas network plus €500,000 worldwide reimbursement cover — including 100% in the USA. Dental, pharmacy and optical all bundled as standard.

No copayments in Spain
€500,000/year worldwide limit
100% cover in the USA
Dental, pharmacy & optical included
See any doctor, anywhere in the world
Hospitalisation allowance included
Sanitas Premium 500,000 Premium
Plans from
94.00 /month
Per person, per month. Your exact premium depends on age & province.
ProviderSanitas (Bupa)
Copayments (Spain)None
Worldwide limit€500,000/year
Out-of-network reimb.90% (100% in USA)
Dental✓ Included
Pharmacy✓ Included
Optical✓ Included
Max age at entry64 years
EU Residency Card✓ Accepted
NLV / DNV Visa✗ Not accepted
Applying for a visa? This plan is not accepted for NLV, DNV or residency applications. Take a look at:
No copayments on any service in Spain
€500,000/year worldwide reimbursement
90% reimbursement — 100% in the USA
Dental, pharmacy & optical bundled
See any doctor, anywhere in the world
Hospitalisation allowance included
Plan Summary

Premium 500,000 — At a Glance

  • No copayments in Spain — zero at every appointment, test or hospital visit
  • €500,000/year worldwide reimbursement — any doctor, any hospital, any country
  • 90% reimbursement out-of-network — 100% in the United States (prior authorisation required)
  • Full Sanitas network in Spain — 58,000+ professionals, 4,500+ centres
  • Sanitas Dental — 50+ dental services, 80% reimbursement, up to €400/year
  • Pharmacy cover — 50% reimbursement on prescribed medicines, up to €300/year
  • Optical cover — 50% reimbursement on prescribed contact lenses and spectacle lenses
  • EU Residency Card applications — accepted
  • Hospitalisation allowance — €60/day towards out-of-pocket expenses during hospital stays
  • International emergency cover — €12,000/trip for stays abroad up to 90 days
  • Mi Sanitas app — manage cover, book appointments and consult in English
About This Plan

What is Sanitas Premium 500,000?

Sanitas Premium 500,000 is a hybrid health insurance plan — uniquely combining full no-copay access to the entire Sanitas network in Spain with a €500,000 per year worldwide reimbursement layer. It is the only Sanitas plan that gives you total freedom: use any Sanitas centre in Spain with zero out-of-pocket costs, or see any doctor or hospital anywhere in the world and be reimbursed.

Out-of-network reimbursement is at 90% worldwide — rising to 100% in the United States (with prior authorisation), making this one of the very few plans on the Spanish market that offers full-cost cover for US medical treatment.

Unlike entry-level plans, Premium 500,000 bundles Sanitas Dental (50+ procedures, up to €400/yr), Pharmacy (50% reimbursement, up to €300/yr), Optical cover, and a Hospitalisation Allowance — giving genuinely comprehensive protection in a single policy.

Hybrid model explained: When you're in Spain, use any Sanitas centre — no forms, no claims, zero cost. When you're anywhere else in the world, see whoever you like and submit a reimbursement claim — Sanitas pays back 90% (100% in the USA).
Get a quote →
1
Choose your planTell us if you want pure Spain cover or worldwide freedom — we'll show you whether Premium 500 or another plan is the better fit.
2
Get your quoteTell us your age and province. We provide a personalised price including any applicable discounts, with no obligation.
3
Start your policyChoose your start date. Pay by international card and receive your Mi Sanitas app access on the same day.
What's Covered

Full Cover Breakdown

In-network Spain cover has no copayments. Click each section to expand. Out-of-network and worldwide reimbursement details are in the Worldwide Cover section below.

👨‍⚕️General Medicine & Specialists
  • General medicine (GP) — unlimited consultations at Sanitas health centresIncludes prescription of basic diagnostic tests and general radiology
  • All medical specialities — cardiology, dermatology, neurology, oncology, ophthalmology, orthopaedics, urology, ENT, gynaecology and more
  • Video consultations with specialists — all specialities, including your usual doctor
  • Basic diagnostics — blood tests, urine tests, simple radiology
  • High-technology diagnostics — CT scans, MRIs, nuclear medicine, endoscopy, neurophysiology6-month waiting period applies
  • Ultrasound scans, allergy tests, echocardiograms
  • Preventive medicine across 6 specialities — cardiology, gynaecology, urology, gastrointestinal, pneumology, paediatrics
  • International second opinion — access to leading global specialists for serious chronic diagnoses
  • 24-hour telephone medical service — doctors available every day for advice, prescriptions and test interpretation
  • 24-hour emergency video consultations via Mi Sanitas app — 365 days a year
🏥Hospital & Surgery
  • Inpatient hospitalisation in a private single room with en-suite bathroom
  • Companion bed — one companion can stay overnight throughout any hospital stay
  • Accommodation, meals and medication during the hospital stay — all covered
  • Surgical interventions across all specialities — all medical fees and surgery costs included
  • Interventional cardiology and haemodynamics
  • Interventional radiology
  • Radiotherapy and chemotherapy — cancer treatment included
  • Lithotripsy (kidney stone treatment)
  • Day hospital and outpatient surgery
  • Intensive Care Unit (ICU)
  • Ambulance transfers — to/from hospital, between hospitals, for chemotherapy and radiotherapy
  • 24-hour emergency care at permanent Sanitas emergency centres
🌍Worldwide Out-of-Network Cover — €500,000/Year
The defining feature of this plan. See any doctor or hospital anywhere in the world — Spain or internationally — and Sanitas will reimburse 90% of the cost. In the United States, reimbursement rises to 100% (prior authorisation required). Annual limit: €500,000 per insured.
  • Any doctor, clinic or hospital — in Spain (out of Sanitas network) or anywhere in the world
  • 90% reimbursement globally — you pay 10%, Sanitas reimburses 90%
  • 100% reimbursement in the United StatesPrior authorisation by Sanitas is required for USA treatment
  • €500,000 annual benefit limit per insured person
  • Covers GP visits, specialist appointments, diagnostics, surgery, hospitalisation — all eligible for reimbursement
  • Claims submitted to Sanitas with supporting documentation — reimbursed directly to your bank account
🦷Sanitas Dental — Bundled
🦷
Sanitas Dental is bundled with this plan — not an add-on. More extensive than Dental 21: over 50 dental services, 80% reimbursement on treatments up to €400 per person per year, with access to all Milenium dental centres.8-month waiting period applies to dental cover.
  • 50+ dental services included within the Sanitas dental network
  • 80% reimbursement on dental treatments — up to €400 per person per year
  • Discounts of up to 40% on non-included services — transparent, pre-agreed pricing
  • Access to all 21 Milenium Dental Centres — advanced technology, all dental specialities
  • Dental network across Spain — consultations, cleaning, X-rays, extractions and more
💊Pharmacy Cover — Bundled
  • 50% reimbursement on prescribed medicationsUp to €300 per person per year
  • Covers a wide range of prescription medicines dispensed at pharmacies
  • Reimbursement on submission of pharmacy receipts and prescription
👓Optical Cover — Bundled
  • 50% reimbursement on prescribed contact lenses and spectacle lensesMust be prescribed by a Sanitas optician; renewed annually
  • Cover renewed each policy year — not a one-off benefit
🏨Hospitalisation Allowance
  • €60 per day towards out-of-pocket expenses during any hospitalisationApplies when hospitalised for illness or accident where expenses are not covered by the plan
  • Provides financial relief during longer hospital stays — helps cover transport, incidentals and daily expenses for family members
✈️International Emergency & Travel Assistance
  • Emergency healthcare abroad — for stays up to 90 consecutive daysAnnual limit: €12,000 per insured per trip
  • Emergency dentistry abroad — covered within the emergency limit
  • Body repatriation in the event of death abroad
  • Legal assistance abroad — up to €1,500
  • Early return of accompanying family members
📱Digital Health — Blua & Mi Sanitas App
  • Video consultations with specialists — all specialities, including your usual doctor
  • 24-hour emergency video consultations — general medicine, 365 days a year
  • Digital health programmes — Nutrition, Psychology, Stop Smoking, Chronic Disease Monitoring and more
  • Book appointments — filter for English-speaking doctors and book instantly
  • Digital health file — all records, test results, prescriptions and authorisations in one place
  • Available in English, Spanish, German and French
Sanitas

Founded in 1954 and part of the Bupa Group since 1989, Sanitas is Spain's leading private health insurer. Premium 500,000 is the flagship plan for those who want the security of the Sanitas network in Spain combined with the freedom to access any medical facility anywhere in the world — with a €500,000 annual reimbursement limit and 100% cover in the USA.

58,000+Doctors & specialistsFull Sanitas network in Spain
€500kAnnual worldwide limitPer insured person per year
100%USA reimbursementWith prior authorisation
4Extras bundledDental, pharmacy, optical & allowance
Available Discounts

Discounts on Sanitas Premium 500,000

Sanitas offers three types of discount on the Premium 500,000 plan. Discounts are applied to your annual premium at the time of quotation.

5%
Group Discount
Number of Insured
A 5% discount applies when there are more than 4 insured persons on the same policy. Ideal for families or groups insuring together.
4%
Payment Method
Payment Frequency
4% discount for paying annually in one payment. 2% discount for paying semi-annually (every 6 months). Monthly payment carries no discount.
5%
Loyalty Discount
Age & Loyalty
A 5% discount applies for policyholders aged 65 or over, and for those who have been continuously insured with Sanitas for 25 or more years.
💡
Ask us to apply any discounts when you request your quote — we'll calculate your exact premium including all applicable reductions. Discounts may be combined where applicable.
Policy Conditions

Waiting Periods — Sanitas Premium 500,000

Like all Spanish private health insurance plans, Premium 500,000 has waiting periods for certain treatments. Emergencies are covered from day one. Most services become available within 3–10 months.

💡
Transferring from another Spanish insurer? If you have had continuous cover with another Spanish insurer (or a Bupa Group entity) for more than one year, Sanitas will waive all waiting periods except childbirth. You simply need to provide your prior policy details and most recent premium receipt when you apply.
Immediate
  • Vital emergencies & accidents
  • GP & specialist consultations
  • Routine diagnostic tests
  • Travel assistance
3 Months
  • Outpatient surgery (Group 0–II)
  • Day hospital procedures
6 Months
  • CT scans, MRIs, nuclear medicine
  • Endoscopy, interventional radiology
  • Clinical psychology
  • 20-week pregnancy anomaly scan
8 Months
  • Term childbirth (37+ weeks)
  • Pregnancy-related hospitalisation at term
  • Sanitas Dental (bundled cover)
10 Months
  • Major hospitalisation & inpatient surgery (Group III–VIII)
  • Radiotherapy, chemotherapy, lithotripsy
  • Vasectomy / tubal ligation
  • Complex therapeutic methods
60 Months
  • Bariatric surgery / morbid obesity surgery
Waiting period waiver: If transferring from any Spanish insurer or Bupa Group entity with at least 1 year of continuous cover, Sanitas will waive all waiting periods except childbirth — on provision of your prior policy conditions and last premium receipt.
Compare Your Options

How Does Premium 500,000 Compare?

Browse all Sanitas plans to find the right level of cover for your needs and budget.

This Plan
Premium 500,000
From€94.00/mo
No Copay€500k WorldwideEU Residency
  • No copayments in Spain
  • €500,000/yr worldwide limit
  • 100% cover in the USA
  • Dental, pharmacy & optical bundled
  • Not for NLV / DNV visa
Más 90,000
From€71.15/mo
No CopayHigh LimitEU Residency
  • No copayments
  • €90,000 annual benefit limit
  • Full Sanitas network access
  • No worldwide reimbursement
  • Not for NLV / DNV visa
Más Salud sin Copay
From€59.90/mo
No CopayMost PopularEU Residency
  • Zero copayments at every visit
  • Full Sanitas network in Spain
  • Dental 21 & Blua included
  • No worldwide reimbursement
  • Not for NLV / DNV visa
Más Salud Familias
From€50.79/mo
No CopayFamily PlanEU Residency
  • No copayments
  • Paediatrics from birth
  • Dental 21 & maternity included
  • No worldwide reimbursement
  • Not for NLV / DNV visa
Más Salud Plus
From€41.67/mo
With CopayFull Network
  • Full Sanitas network coverage
  • Small copay per consultation
  • Hospitalisation & dental included
  • Not for NLV / DNV visa
Sanitas Avanza
From€33.60/mo
With CopayBudget
  • Entry-level full network access
  • Small copay per consultation
  • Hospitalisation & Blua included
  • Not for NLV / DNV visa
Sanitas Residents
From€67.76/mo
NLV ✓DNV ✓Visa ✓No Copay
  • NLV & DNV visa approved
  • No copayments
  • Repatriation included
  • No waiting periods (visa version)
  • Same-day certificate available
Residents Platinum
From€107.23/mo
NLV ✓DNV ✓Visa ✓Premium
  • Premium NLV & DNV approved plan
  • Enhanced worldwide cover
  • Repatriation included
  • No waiting periods (visa version)
  • Blua digital health included
Más Salud Óptima
From€34.90/mo
With CopayFull Network
  • Full Sanitas network access
  • Small copay per consultation
  • Dental 21 & Blua included
  • Not for NLV / DNV visa
Más Salud Familias Plus
From€40.01/mo
With CopayFamily Plan
  • Family plan with copay
  • Paediatrics from birth
  • Small copay per consultation
  • Not for NLV / DNV visa
Más 90,000 Con Copago
From€58.82/mo
With CopayHigh Limit
  • Small copay per consultation
  • €90,000 annual benefit limit
  • Full Sanitas network access
  • Not for NLV / DNV visa
Sanitas Accede
From€22.10/mo
With CopayNo Waiting Periods
  • No waiting periods
  • Entry-level network access
  • Small copay per consultation
  • Not for NLV / DNV visa
Profesionales (No Copay)
From€81.00/mo
AutónomoNo Copay
  • Autónomo tax deductible
  • No copayments
  • Full Sanitas network
  • Dental 21 included
Profesionales Plus
From€49.60/mo
AutónomoWith Copay
  • Autónomo tax deductible
  • First 6 services free/year
  • Full Sanitas network
  • Dental 21 included
Profesionales Óptima
From€37.60/mo
AutónomoWith Copay
  • Autónomo tax deductible
  • Small copay per consultation
  • Full Sanitas network
  • Dental not included
Sanitas Inicia
5–350 employees
BusinessSME
  • Group health insurance
  • From 5 employees
  • Full Sanitas network
  • Optional copay model
Pymes Más Digital
5–100 employees
BusinessSME
  • Full Sanitas network
  • Digital-first experience
  • Flexible copay options
  • Mental health included
Empresas Más Digital
100+ employees
BusinessCorporate
  • Corporate group cover
  • Full Sanitas network
  • Optional copay model
  • Enhanced digital tools
Top Quantum
From€57.96/mo
ReimbursementNo Copay
  • Worldwide reimbursement cover
  • No copayments in Spain
  • Full Sanitas network
  • Not for NLV / DNV visa
International Students
From€42.65/mo
Student VisaStudents
  • Student visa cover
  • Worldwide reimbursement
  • Affordable student pricing
  • Spain network included
Common Questions

Frequently Asked Questions

Questions about Sanitas Premium 500,000? We've answered the most common ones below.

When you use a doctor or hospital outside the Sanitas network — whether in Spain or abroad — you pay the bill upfront, then submit a claim to Sanitas with the invoice and receipts. Sanitas will reimburse 90% of the eligible cost, up to your €500,000 annual limit. For treatment in the United States, the reimbursement rises to 100%, but you must obtain prior authorisation from Sanitas before the treatment takes place. There is no deductible — reimbursement starts from the first euro.
When you use the Sanitas network in Spain — any of the 58,000+ professionals or 4,500+ centres — you simply present your card and there is nothing to pay. No copayments, no forms, no invoices. Out-of-network means seeing any provider not in the Sanitas network — either in Spain (e.g. a private consultant of your choice) or anywhere in the world. For out-of-network visits, you pay upfront and submit a claim for 90% reimbursement (100% in the USA).
Sanitas Dental is bundled with Premium 500,000 — it is included in your premium, not an add-on you pay extra for. The bundled dental cover provides access to over 50 dental services within the Sanitas network, 80% reimbursement on dental treatments up to €400 per person per year, and discounts of up to 40% on non-included procedures. Note that an 8-month waiting period applies to the dental cover before it activates.
No. Sanitas Premium 500,000 is not approved for Non-Lucrative Visa (NLV) or Digital Nomad Visa (DNV) applications. The only Sanitas plans accepted by the Spanish consulates for visa applications are Sanitas Residents and Sanitas Residents Platinum. If you need health insurance for a visa application, please see our Sanitas Residents page or Sanitas Residents Platinum page.
Three types of discount are available on Sanitas Premium 500,000: a 5% group discount when there are more than 4 insured persons on the same policy; a payment frequency discount of 4% for annual payment or 2% for semi-annual payment; and a 5% loyalty discount for policyholders aged 65 or over, or those who have been continuously insured with Sanitas for 25 or more years. Ask us to apply any relevant discounts when you request your quote.
Yes, Premium 500,000 has standard waiting periods: emergencies are covered from day one; most outpatient services from 3–6 months; childbirth and dental from 8 months; and major hospitalisation from 10 months. Bariatric surgery has a 60-month waiting period. If you are transferring from another Spanish health insurer — or a Bupa Group entity — with at least 1 year of continuous cover, Sanitas will waive all waiting periods except childbirth. Provide your prior policy details and most recent premium receipt when you apply.
The maximum age to start a new Sanitas Premium 500,000 policy is 64 years. Once the policy is in force, there is no upper age limit — you can remain insured indefinitely. Premiums will increase as you age in line with Sanitas's standard age bands, but the policy cannot be cancelled by Sanitas on the basis of age alone.
Policy Documents

Download the Official Policy Documents

Read the full terms and conditions of Sanitas Premium 500,000 before you apply. All documents are in English.

📋
IPID — Key Facts Document
Insurance Product Information Document — a concise summary of what is and isn't covered, key exclusions and your rights as a policyholder.
↓ Download IPID
📜
General Terms & Conditions
The complete GTC covering all benefit definitions, coverage limits, exclusions, waiting periods and policy conditions in full detail.
↓ Download GTC
📑
Plan Specifications
The Plan Schedule — a detailed summary of all covered services, benefit limits, sub-limits and programme descriptions for Premium 500,000.
↓ Download Plan Spec

Get Your Sanitas Premium 500,000 Quote

We'll calculate your exact price, confirm any available discounts, and have everything ready for you to go live the same day.

  • Free — no obligation
  • Pay by international credit card
  • No NIE number required
  • English-speaking advisors
  • Cover can start today
  • Max entry age 64 — apply early

Quick Quote — Premium 500,000

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