What does health insurance include and what affects the price?
The cost of private medical insurance varies according to several factors:
Age: Generally, the greater the age of the insured, the higher the premium. Babies and toddlers may also have slightly higher premiums as they are more likely to need to use services than slightly older children.
The type of coverage: The price also depends on the type of cover that you choose: For example, a policy which only covers visits to doctors and diagnostic tests will have lower premiums than a policy which includes hospital treatment and surgery, since hospitalisation and surgical procedures are more complex and therefore higher in cost. Similarly, if you choose cover in Spain only, the premiums will be lower than if you include international cover.
Co-payments: Co-payments are the same as "excesses" which are charged each time you use a service. If you choose a policy with co-payments then your premiums will be slightly lower than a policy without co-payments (without excesses).
Reimbursement policies: Another aspect that affects premiums is if you decide to use any doctor or hospital of your choice rather than having to use the Sanitas network in Spain. In these circumstances you pay the cost of the services at the time of treatment and then claim back a fixed percentage of the cost from your insurer. This type of insurance has a higher premium than a network policy. The following plans include reimbursement cover:
Sanitas Mas 90 + Sanitas Mas 90 Plus (70% reimbursement outside the network + worldwide).
HealthPlan Complete (90-*100% reimbursement outside the network in Spain + 1 other European country).
Sanitas Premium 500 (90% reimbursement outside the network + worldwide).
Sanitas Mundi 1 Million (**80-90% reimbursement outside the network + worldwide).
*100% - if using the services of BUPA in the United Kingdom and its islands.