📋 Generali Health Insurance Plan

Generali EXPAT Medcare Standard — Health Insurance Spain

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Generali's English-language entry-level plan — full Spain hospital network, zero co-payments, English-first documentation. The right starting point for most expats.

NLVDNVStudent VisaResidency
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Important update — Visa & Residency Certificates Due to a temporary administrative situation, Generali is currently not issuing residency / visa certificates for EXPAT Medcare policies (Standard, Prime or Top). For NLV, DNV, Student visa or residency renewal, the only Generali plan currently providing the certificate is Salud Opción Premium — the Spanish-language no-copayment plan. Certificates take a few days to process. Please contact our team for advice on the best plan for your situation.
Indicative price
€45–€150 / month
Age limit
Up to age 74 at policy start
Best for
Healthy adults under 60 wanting affordable English-language private cover

Who Is EXPAT Medcare Standard For?

🇪🇸 Long-term Spanish residents

Best value for full-time Spanish residents with stable health who want comprehensive English-language private cover at the lowest EXPAT Medcare premium.

💻 Digital nomads and remote workers

Includes telemedicine, mental health sessions and English-language admin — well suited to remote workers. Note: residency certificates currently unavailable for EXPAT plans — see advisory above.

🎓 Younger working-age adults

Best value for healthy adults aged 25–55 who want unconditional GP and specialist access without co-payment fees.

👨‍👩‍👧 Families seeking baseline cover

Adds children at substantially reduced premium. The same hospital network and waiting periods apply.

🇪🇺 European retirees with stable health

Suitable up to age 74 at policy start. Premium rises with age but cover is unconditional.

What's Included

EXPAT Medcare Standard gives you full access to Generali's Spanish provider network of 51,000+ medical professionals across 240+ hospitals and 5,500+ private clinics. Every service is paid directly by Generali at the point of care — you present your member card, the clinic bills Generali, and you walk out without paying.

What's Not Included

Standard tier does not include the following — most are available by upgrading to Prime or Top, or by adding optional extras:

Indicative Premium Ranges (2026)

ProfileIndicative monthly premium
Adult age 25-30€38–€55
Adult age 31-40€45–€68
Adult age 41-50€55–€85
Adult age 51-60€72–€110
Adult age 61-70€100–€150
Adult age 71-74€140–€195
Child (under 18)€28–€42 (each child)

Disclaimer: Premium ranges are indicative for 2026 and depend on age, postcode, sex, health declaration and Generali underwriting at the time of application. Contact us for a written quote in a few days.

Visa Compliance

EXPAT Medcare Standard is fully compliant with all Spanish residency and visa requirements:

🛂 Visa eligibility key NLV Non-Lucrative Visa DNV Digital Nomad Visa Residency TIE / Spanish residency renewal
✓ Currently only Salud Opción Premium qualifies for residency / visa applications Salud Opción Premium meets all Spanish consulate requirements: zero co-payments (sin copagos), full territory of Spain coverage, DGS-registered Spanish insurer, annual policy term, and the official certificate accepted by Spanish consulates worldwide. The certificate is issued in a few days from policy purchase.
❌ Plans currently NOT available for Spanish visa or residency certificates Spanish consulates reject policies with co-payments, reimbursement-only structures, regional limits, or annual maximums. Plus, due to a temporary administrative situation, Generali is currently not issuing residency certificates for EXPAT Medcare policies. The following are not suitable for visa certificates right now:
  • EXPAT Medcare Standard, Prime and Top — temporarily unavailable for residency / visa certificates (administrative issue, expected to resolve)
  • Salud Opción Plus / Salud Plus con copagos — Spanish co-payment plans (cheaper, but not visa-compliant)
  • UK private health insurance (Bupa UK, Vitality, AXA UK) — wrong jurisdiction; not DGS-registered in Spain
  • EHIC / GHIC card — public emergency cover only, never sufficient for a visa
  • Travel insurance — short-term emergency cover, not full residency cover
  • "Reimbursement only" international plans — the consulate requires direct-billing in Spain
❌ Plans currently NOT available for Spanish visa or residency certificates Spanish consulates reject policies with co-payments, reimbursement-only structures, regional limits, or annual maximums. Plus, due to a temporary administrative situation, Generali is currently not issuing residency certificates for EXPAT Medcare policies. The following are not suitable for visa certificates right now:
  • EXPAT Medcare Standard, Prime and Top — temporarily unavailable for residency / visa certificates (administrative issue, expected to resolve)
  • Salud Opción Plus / Salud Plus con copagos — Spanish co-payment plans (cheaper, but not visa-compliant)
  • UK private health insurance (Bupa UK, Vitality, AXA UK) — wrong jurisdiction; not DGS-registered in Spain
  • EHIC / GHIC card — public emergency cover only, never sufficient for a visa
  • Travel insurance — short-term emergency cover, not full residency cover
  • "Reimbursement only" international plans — the consulate requires direct-billing in Spain

Compare EXPAT Medcare Tiers — Standard, Prime & Top

EXPAT Medcare is Generali's English-language private health range for international residents in Spain (available up to age 74). It comes in three tiers — all are visa-compliant and have no co-payments, with the bigger plans adding worldwide cover, dental and faster access.

IncludedADD-ON Optional extra Not available
Cover & benefit StandardEssentials PrimeMost popular TopFull cover
All medical specialties (Spain)
Hospitalisation & surgery
24/7 emergency care
Private room during hospitalisation
No co-payments (sin copagos)
DGS visa-compliant certificate (English)
English-language app, docs & support
Specialist access without GP referral
Telemedicine / video consultations
Mental health & psychology sessions
Maternity & childbirth (after qualifying period)
Annual preventive health check
Vaccines & immunisations
Physiotherapy & rehabilitation
Worldwide emergency cover
Basic dental (cleanings, x-rays)
Advanced dental (treatments, extractions)ADD-ON
Optical reimbursement (glasses / lenses)ADD-ON
Worldwide planned treatment
Alternative medicine (acupuncture, etc.)ADD-ON
Pharmacy reimbursementADD-ON
Repatriation coverADD-ONADD-ON
No waiting periods on basic services

Frequently Asked Questions — EXPAT Medcare Standard

EXPAT Medcare Standard is the entry tier of Generali's English-language plan range. Most British and Irish clients new to Spain start here. Here are the most common questions we're asked at quotation.

Yes — Standard meets all Spanish Non-Lucrative Visa requirements: no co-payments, full Spain coverage, DGS-registered insurer (Generali España), and we issue the official certificate in Spanish and English in 24-48 hours of policy purchase. It is one of the most cost-effective NLV-compliant plans on the Spanish market and the most popular Generali option for new visa applicants.

Most basic services have no waiting period — GP visits, specialist consultations, diagnostic tests and emergency care are covered from day one. Hospitalisation and surgery have a 6-month waiting period for non-emergency procedures (emergencies are covered immediately). Childbirth has an 8-month waiting period from policy start. Switching from another Spanish insurer typically waives all waiting periods on production of a continuity letter.

Both are full-service no-copayment plans on similar provider networks. EXPAT Medcare Standard is typically 10-15% cheaper at younger ages, but Sanitas tends to be slightly more competitive past age 65. EXPAT Medcare's key differentiator is fully English-language documentation, app and customer service — Sanitas remains primarily Spanish-language. For visa applicants, both plans qualify.

Yes — you can upgrade tiers at policy renewal each year, or mid-year on request (subject to underwriting). Upgrades preserve continuity of cover, so any waiting periods you have already served on Standard apply automatically to the upgraded tier. Many clients start on Standard for visa purposes and upgrade to Prime once they decide to settle long-term and want broader hospital choice.

Standard is available for new policies up to age 74 at policy start. Once issued, the policy renews annually for life — your cover does not stop at 75. Some specific benefits may adjust as you age, but the core plan continues. For new applicants over 74 we offer alternative options including Generali international plans and dedicated senior cover.

Standard includes basic dental at the standard tier — annual check-ups, cleaning, and X-rays at no charge with network dentists. More advanced treatment (fillings, crowns, root canals, extractions) is available at agreed network rates with member discounts but is not fully covered. For comprehensive dental cover, an optional dental add-on at €5-€15/month gives you real reimbursement on a full range of treatments. We can quote this alongside the main policy.

Yes — EXPAT Medcare Standard includes full diagnostics: blood tests, X-rays, ultrasounds, MRIs, CT scans, endoscopies. Most of these are covered with a simple referral from a network GP or specialist. There is no fee at the point of use. For major scans (MRI), referral protocols may apply but waiting times are typically much shorter than Spanish public healthcare (days, not weeks).

Standard includes a comprehensive network of Spanish private hospitals, clinics and specialists. On the Costa Blanca specifically: HCB Hospital Dénia, HLA Vistahermosa Calpe, Clínica Benidorm, plus a wide GP and specialist network in every major town from Altea to Dénia. The premium tiers (Prime, Top) add more elite hospitals; Standard covers all the everyday needs of most expat residents.

Standard includes basic emergency travel cover — up to €15,000-€25,000 of emergency medical treatment for trips abroad up to 60-90 days. This is enough for most short trips back to the UK, Ireland or within Europe. For frequent travellers, longer trips, or US/non-EU destinations, dedicated travel insurance is more comprehensive. We can quote travel insurance alongside Standard.

Family policies (you + partner + children) typically attract a 15-25% combined discount versus separate individual policies. All family members are on a single contract with one renewal. Children typically have lower premiums than adults. Newborns can be added at no immediate cost (added at next renewal). Adult children up to 25 in full-time education can usually stay on the family policy.

Maternity is fully covered on Standard after the 8-month waiting period: pregnancy monitoring, ultrasounds, blood tests, hospital admission for delivery, neonatal care for the newborn. Pre-existing pregnancy at policy start is excluded. The newborn is automatically covered for the first 30 days under the mother's policy and should then be added as a dependent. C-section and complicated births are covered at the same level as routine delivery.

Yes — Standard covers the whole of Spain. Moving from the Costa Blanca to Andalucia, Madrid or anywhere else within Spain doesn't affect cover. Update us with the new address so we can update the policy and ensure you receive renewal correspondence at the right address. The hospital network adjusts automatically — you'll have access to your new region's Generali-network providers.

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