Can You Access Fertility Treatment or IVF in Spain as a Foreigner?

Spain is one of Europe’s top destinations for fertility treatment. With world-class clinics, inclusive reproductive laws, and high success rates, it’s no surprise that many foreigners — both residents and non-residents — consider starting or growing their families here. But if you're an expat or travelling from abroad, how accessible is IVF or other fertility support in Spain? Here's what you need to know about costs, legal access, public vs private treatment, and what your options are as a foreigner.

Spain’s Fertility Laws Are Among the Most Inclusive in Europe

Spanish law allows fertility treatment for a wide range of people, including:

• Single women
• Same-sex female couples
• Heterosexual couples (married or unmarried)
• Foreign nationals (residents and non-residents)

Can Expats Access Public Fertility Treatment in Spain?

If you are legally resident and covered by the public healthcare system (SNS), you may qualify for publicly funded fertility treatment. However, there are strict national criteria:

• Under 40 for IVF (under 38 for artificial insemination)
• No existing children
• Referral from a GP after 6–12 months of unsuccessful attempts

Waiting lists vary by region and can range from six months to more than a year — one of the main reasons many expats opt for private clinics.

How Private Fertility Care Works in Spain

Spain has a large network of internationally accredited fertility clinics offering the latest assisted reproduction treatments. Common private services include:

• IVF (In Vitro Fertilisation)
• IUI (Intrauterine Insemination)
• Egg donation (anonymous under Spanish law)
• Embryo adoption
• Genetic screening (PGT-A, PGT-M)
• ROPA (shared motherhood for female couples)

No residency is required for private treatment. Many clinics specialise in international patients and provide English-speaking staff, interpreters, and medical tourism packages.

How Much Does IVF Cost in Spain?

Spain is considered affordable for fertility care compared to many Western countries. Typical price ranges include:

• Standard IVF: €3,500–€6,000 per cycle
• IVF with egg donation: €5,500–€10,000
• ROPA method: €4,000–€6,500
• Embryo adoption: €1,700–€3,500

Medication, pre-treatment testing, and embryo freezing usually involve additional fees.

Does Private Health Insurance Cover Fertility Treatment?

Most basic private plans do not cover full fertility treatment, but higher-tier plans or optional add-ons may provide coverage for:

• Initial gynaecology consultations
• Diagnostic testing (ultrasounds, hormone panels, semen analysis)
• Prescription hormone medication
• Referrals to fertility specialists

While IVF itself is usually self-funded, good insurance can significantly reduce diagnostic and preparatory costs.

Documents Required for Foreign Patients

If you're travelling to Spain for treatment, most clinics will request:

• Passport or national ID
• Basic medical history
• Relevant blood tests (completed at home or in Spain)
• Signed informed consent documents

Visa requirements usually do not apply specifically to fertility treatment, though non-EU visitors may need proof of travel health insurance for entry.

Spain Offers More Than Sunshine — It Offers Real Hope

For expats and international visitors, Spain provides inclusive fertility laws, advanced clinics, and success rates that rival the best in Europe. Whether you’re beginning your fertility journey or exploring final options, Spain offers expertise, choice, and compassion.

Planning Fertility Treatment in Spain?

Our health insurance plans can help cover gynaecology visits, diagnostic tests, and ongoing care during your treatment journey. Compare our policies at HealthPlanSpain.com and speak to us about the coverage options available to you.

Sources:

EFA – Fertility treatment in Spain

Spanish Ministry of Health

IVI Fertility Spain

Reproducción Asistida ORG