Add-on
Gynaecology & Paediatrics Reimbursement
€12,50 / month per person
Keep the gynaecologist, obstetrician or paediatrician you already trust - even outside the Sanitas network - and claim back 60% of each consultation, up to a generous €10,000 a year.
What does the Sanitas Gynaecology & Paediatrics Reimbursement add-on cover?
Sanitas Gynaecology & Paediatrics Reimbursement is an add-on paying back 60% of each invoice from any gynaecologist, obstetrician or paediatrician, in or outside the Sanitas network. Sanitas pays up to €100 per consultation and up to €10,000 per person a year. It costs €12,50 a month per person, with no waiting periods, on Sanitas Mas Salud and Professional plans.
For many women, the relationship of trust with their own gynaecologist - or with the paediatrician who has always looked after their children - matters more than anything. This add-on lets you keep that specialist, even if they are not in the Sanitas network. You can attend the consultation of any gynaecologist, obstetrician or paediatrician you choose, pay for the visit, and Sanitas reimburses you part of the cost.
Cover applies to three specialties: paediatrics, gynaecology and obstetrics. Sanitas reimburses 60% of each invoice, up to €100 per consultation, with a very high annual ceiling of €10,000 per insured person, per year.
You benefit from day one: there are no waiting periods and no pre-existing conditions are excluded under this complement. And most of the tests these specialists prescribe - blood work, x-rays, ultrasound scans and the like - can still be carried out within the Sanitas network, simply with the service's authorisation and at no extra cost to you.
It can be added when you take out a new policy or at renewal, and it is contracted individually - it does not have to be taken out for everyone on the policy.
How to add it: All add-ons are selected at the application form stage - when you take out a new Sanitas plan or at renewal. This one is individual, so you choose exactly who on the policy it applies to.
Sanitas Gynaecology & Paediatrics Reimbursement add-on at a glance
- What it covers: Sanitas Gynaecology & Paediatrics Reimbursement is an add-on covering consultations with any gynaecologist, obstetrician or paediatrician, in or outside the Sanitas network.
- Reimbursement: Sanitas Gynaecology & Paediatrics Reimbursement pays back 60% of each invoice, up to €100 per consultation.
- Annual limit: Sanitas Gynaecology & Paediatrics Reimbursement has an annual ceiling of €10,000 per insured person.
- Waiting periods: Sanitas Gynaecology & Paediatrics Reimbursement covers from day one, with no waiting periods and no pre-existing conditions excluded.
- Age limits: Sanitas Gynaecology & Paediatrics Reimbursement can be taken out by women aged 0 to 75 and by men only up to age 14.
- Mas Salud plans: Sanitas Gynaecology & Paediatrics Reimbursement is available on Sanitas Mas Salud, Sanitas Mas Salud Optima, Sanitas Mas Salud Plus and Sanitas Mas Salud Family.
- Professional plans: Sanitas Gynaecology & Paediatrics Reimbursement is available on Sanitas Professional and Sanitas Professional Plus.
- Price: Sanitas Gynaecology & Paediatrics Reimbursement costs €12,50 a month per insured person.
- Who arranges it: HealthPlan Spain is an authorised Sanitas agent (agent code 22395) in Marbella that arranges Sanitas plans and add-ons in English, at the same price as buying direct from Sanitas.
Important information
How much you get back
60% of each invoice, up to a maximum of €100 per consultation.
Annual limit
A generous €10,000 per insured person, per year.
Which specialists
Any gynaecologist, obstetrician or paediatrician you choose, in or outside the Sanitas network.
Prescribed tests
Most tests these specialists order (analyses, x-rays, ultrasound scans) can be done within the Sanitas network with authorisation, at no extra cost.
No waiting periods
Covered from day one, with no pre-existing conditions excluded under this complement.
How claims work
You pay the specialist, then submit the invoice through the app; your reimbursement is paid within around 10 working days.
Sanitas Top Quantum has its own €10,000 annual reimbursement allowance that includes gynaecology and paediatrics outside the network.
Price and conditions
| Price | €12,50 per month, per insured person |
| Reimbursed | 60% of each invoice, up to €100 per consultation |
| Annual limit | €10,000 per insured person, per year |
| Waiting periods | None - covered from day one |
| Age to take it out | Women 0-75; men only up to age 14 |
| When you can add it | At the start of the policy or at renewal; contracted individually |
Men can take out the add-on up to age 14, the age at which children typically stop seeing the paediatrician, with the cover then cancelling automatically. For women there is no upper age limit to keep it once held. Source: Sanitas product specification, code 458 (March 2023).
Plans you can add it to
This complement is available on the comprehensive Sanitas plans, including:
- Sanitas Mas Salud
- Sanitas Mas Salud Optima
- Sanitas Mas Salud Plus
- Sanitas Mas Salud Family
- Sanitas Professional
- Sanitas Professional Plus
Not sure if it can be added to your plan? Ask our team and we will confirm and quote it for you.
Gynaecology & Paediatrics Reimbursement frequently asked questions
Who is this add-on for?
It is designed for women and families who want to keep seeing their own gynaecologist, obstetrician or paediatrician when that specialist is not in the Sanitas network - while still claiming part of the cost back.
How much do I get back?
Sanitas reimburses 60% of each invoice, up to a maximum of €100 per consultation, with an annual ceiling of €10,000 per insured person.
Can I really choose any specialist?
Yes. You can attend any gynaecologist, obstetrician or paediatrician you choose, whether or not they are part of the Sanitas medical network.
What about the tests they prescribe?
Most tests these specialists order - blood analyses, x-rays, ultrasound scans and so on - can be carried out within the Sanitas network with the service's authorisation, at no extra cost.
Are there waiting periods?
No. You are covered from day one, and no pre-existing conditions are excluded under this complement.
What ages can take it out?
Women can take it out from age 0 to 75. Men can take it out only up to age 14 - the age at which children usually stop seeing the paediatrician - after which the cover cancels automatically.
If I want paediatric cover for my child, do I need to add them too?
Yes. For a child to use this cover, the complement must also be contracted for that child.
How do I claim?
You can claim online through the app in a few simple steps, uploading the invoice in any legible format, or by post with the original invoice within 90 days. Reimbursements are paid to your bank account within around 10 working days.
Can I add it after taking out my policy?
This complement can only be taken out when you buy your underlying health plan or at its renewal. Contact us and we will send you an application form to complete, sign and return.
Which Sanitas plans can the Gynaecology & Paediatrics Reimbursement add-on be added to?
Sanitas Gynaecology & Paediatrics Reimbursement can be added to Sanitas Mas Salud, Sanitas Mas Salud Optima, Sanitas Mas Salud Plus and Sanitas Mas Salud Family. It is also available on Sanitas Professional and Sanitas Professional Plus. The add-on is selected on the application form when you take out a new Sanitas plan or at renewal.
Do I have to add the Gynaecology & Paediatrics Reimbursement add-on for everyone on the policy?
No. Sanitas Gynaecology & Paediatrics Reimbursement is contracted individually, so it does not have to be taken out for everyone on the policy. You choose exactly who on the policy it applies to. For a child to use the cover, the add-on must also be contracted for that child.
How much does the Gynaecology & Paediatrics Reimbursement add-on cost?
Sanitas Gynaecology & Paediatrics Reimbursement costs €12,50 a month per insured person. It is contracted individually, so you pay only for the people on the policy who take it out.
Can I keep my own obstetrician during pregnancy with this add-on?
Yes, Sanitas Gynaecology & Paediatrics Reimbursement lets you keep seeing any obstetrician you choose, in or outside the Sanitas network. Sanitas pays back 60% of each consultation invoice, up to €100 per consultation and €10,000 per insured person a year, with no waiting periods.
What does the Gynaecology & Paediatrics Reimbursement add-on not reimburse?
Sanitas Gynaecology & Paediatrics Reimbursement does not pay the remaining 40% of each invoice, and it never pays more than €100 for a single consultation. It covers only gynaecology, obstetrics and paediatrics consultations, and cover for boys ends automatically at age 14.
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