Great guest article by Pablo Guerrero Santibañez, Expatriate Business Director, Caser Seguros.
We do not plan illness
You never know when you might need health insurance but having it already makes you feel better. If you are an expat living in Spain you should know what health options you have so when you need to use them you know where to go.
Basically in Spain you have two health coverage options: one is the National Health System, called Seguridad Social in Spanish and the other is the private health insurance.
Access to the Spanish health system
Unlike other countries, the right for all citizens to enjoy health protection and care is given by law in article 43 of the Spanish Constitution of 1978. Access to the public health services is available upon presenting the Personal Health Card which is issued by the respective Health Department and gives you national coverage. The National Health System is financed from general tax revenue; all citizens pay taxes depending on their financial capacity and receive health services when they need them.
The services offered by the Spanish National Health System include almost universal coverage: preventive care, diagnostic and therapeutic techniques, rehabilitation and health promotion and maintenance.
Why private health insurance in Spain
So, why should you contract private insurance if Spain is considered to have one of the best public health systems?
In the past years, private insurance has become more popular. Lately, people of all ages tend to be more concerned with their health and personal image, adding it to the fact that we don’t want to wait for things anymore if we have more than one option. These are just a few reasons of why people prefer to contract private health insurance, specially the last one.
Private insurance offers you quickness versus sometimes a too long of a waiting list in the public system. It’s simple: in Spain there are over 45 million people entitled to use the public system. Instead, only 9 million people have private insurance in Spain.
The right cover
Due that there are many insurance companies in the Spanish market that offer health products, it is possible to find the product that fits your needs. But at the same time, you can’t forget or think that all products are alike.
There are three types of private insurance products: a) health care coverage given by the specialists linked to the insurance company (what in Spain is called Asistencia Sanitaria de Cuadro Médico), b) health care given by specialists linked to the insurance company plus the reimbursement option so you can go to the doctor you desire if he doesn’t work with the insurance company you contract the policy (what in Spain is called Reembolso) c) and last, the subsidized policies meant specially for self-employed that rather receive a compensation if they can’t work.
The most popular and accessible is option A followed by B. But as said before, you have to take a close look at each product and company because some will have more or less limitations in terms of health coverage and especially on presence throughout Spain. Option A offers you a great wide range of covers. It includes the basic healthcare services that anyone could need at good rates on an average premium of 40 to 60 euros a month depending on your age.
So if you are one of those people that don’t want to wait when they need to go to the doctor you should look into private insurance.
Good advice
It’s important to compare but more importantly to compare with the advice of an expert in insurance. Don’t forget you are in a foreign country and some things might just work differently. Don’t they say: Spain is different.
Some companies will offer you a great premium but remember that good things are never cheap and cheap things are never good. And in this case we are talking about your health. Pay good attention to the number of clients that already trusted the company you decide to go with. Also the number of specialists, doctors that has under its “Cuadro Médico”, what position it’s ranked in the Spanish market, is it just a local company that could go bankrupt tomorrow?
Don’t worry there are plenty of good companies in Spain but size and experience are key facts in this field in order for a company to keep improving in facilities and coverage.
Do yourself a favour and go and ask for a quote to several agents of different companies, compare their offers and then decide which product and company fits you best and then try the difference of having private insurance…unless you have lots of time and don’t mind waiting for a simple doctor’s appointment.