Cover & Services
Cover & Services of Sanitas Primero
The Sanitas Primero plan is a "pay as you go" plan and provides top quality medical assistance for a low price.
This plan offers a complete outpatient service (consultations, diagnostic tests and therapies) all at a reduced premium.
Surgical operations that do not require hospitalisation are also included in this policy (interventions of this kind represent approximately 44% of all surgical operations).
If you have a life threatening emergency then you are not required to contribute towards the costs. However, if hospitalisation is required for an elective hospital stay or surgery you will have to contribute to the cost of the service required. These services need to be authorised prior to the date of hospital admission.
The costs of these services vary depending on the type of service required and are divided into 3 categories:
LEVEL 1. €1000 Hospitalisation without surgical intervention.
LEVEL 2. €2000 Surgical operation e.g. caesarean birth.
LEVEL 3. €3000 Major surgical operations e.g. open heart operations.
You will need to know the corresponding level of service that you require when arranging your admission to hospital.
If you need to undergo more than one surgical procedure at the same time, you will be charged for the surgery that has been classified as the most critical.
Please note: the Sanitas Primero is NOT suitable for residency / N.I.E. or visa applications.
Pay as you go:
Pay as you go when inpatient surgery or hospitalisation is required.
Choose from a wide range of service providers - access to over 50,000 specialists and 700 private centres throughout Spain.
Your own online account where you can find doctors / hospitals / specialists within the Sanitas network.
Multi-lingual member support both online and over the telephone.
With Sanitas you have access to an extensive network made up of top professionals covering every aspect of your health, offering the best treatment and medical services available in Spain.
What is covered?
Access to a nationwide network of doctors and specialists
Primary Healthcare + hospitalisation:
Including general medicine, nursing services, emergencies.
Access to all medical and surgical specialties:
Cardiology, dermatology, endocrinology, traumatology, gynaecology, ophthalmology, oncology, psychiatry etc.
Subject to contributions towards the costs.
Diagnostic tests and therapies:
Clinical analysis and tests including antenatal care, MRI/CAT scans, ultrasound, x-rays, endoscopies, mammograms, smear tests etc.
High tech therapies:
including rehab, cancer treatments, respiratory, radiotherapy, speech therapy etc.
Receive individual treatment for mental health issues such as anorexia, stress, depression, marital problems and insomnia.
A single room with a bed for your visitor when you are hospitalised (except for Psychiatric hospitalisation).
In collaboration with Europ Assistance - up to a limit of €12,000 per person, per claim. More information
Basic dental cover:
including checkups, x-rays, simple extractions and yearly teeth cleaning. If you need more comprehensive dental cover we have a range of options for you to choose from.
Provides €60 per day for out of pocket expenses in case you are hospitalised. (can choose which insured have the option)
Get 50% off your pharmacy costs. (must be taken by all insured)
Work / Traffic accidents
Guarantees medical assistance if you are in a work or traffic accident. (must be taken by all insured / under 18 is FREE)
Gives you 30 different dental services and a discount of 21% for all other services. (must be taken by all insured)
Dental Milenium (with co-payments)
Our Milenium dental plan includes 30 different services plus a discount of 40% for all other services (must be taken by all insured)
Gives you 60 different dental services plus a discount of 40% for all other services. (must be taken by all insured)
Accidental death €30,000 - €60,000
Provides you or your family with compensation of €30,000 or €60,000 in case of death or permanent disability resulting from an accident. (can choose which insured have the option)
Receive 50% reimbursement on your contact lenses and spectacle lenses every year when prescribed by a Sanitas optician. (must be taken by all insured)
Receive 50% reimbursement on your contact lenses and spectacle lenses every year when prescribed by a Sanitas optician. (can choose which insured have the option)
Get 24/7 access to doctors via video consultation, medication delivered to your location, request instant appointments and more (can choose which insured have the option).
- Can I use the Sanitas Primero plan outside Spain?
Yes. In an emergency you can use your travel assistance cover up to €12,000 per claim.
- How much are the co-payments for the Sanitas Primero?
The co-payments for the Sanitas Primero are as follows:
- Emergencies: No co-payments until you use the service for the tenth time in the same year. The co-payment will be €10 on the tenth service used.
- Rehabilitation: No co-payments until you use the service for the thirtieth (30th) time in the same year. The co-payment will be €6 on the thirtieth service used.
- All other services are €5 per service used.
- What are pre-existing conditions and how do they apply to the Sanitas Primero plan?
Pre-existing conditions relate to previous pathologies prior to the date of you contracting the Sanitas Primero plan. If you have declared any pre-existing conditions on your application for the Sanitas Primero plan one of our doctors will call you in confidence. From there a personal assessment will be made, which will guarantee the fairest and most comprehensive assessment of your health.
- Does the Sanitas Primero plan cover antenatal care or childbirth?
Yes. The Sanitas Primero plan will cover your antenatal consultations, diagnostic tests. Childbirth is covered but is subject to a LEVEL 2 contribution.
- What are the qualification periods for the Sanitas Primero plan?
high tech diagnostic tests
Hospitalisation with Surgery
Sterilisation or vasectomy
- Are there any age limits on the Sanitas primero plan?
The maximum contractual age is 75 years. Once the contract is in place, there is no upper age limit for the policy to remain in force.
- Are there any discounts available?
5 or more insured on the policy
- What dental cover is included with this plan?
The Sanitas primero includes a few dental services including: cleaning once a year, consultations, X- rays and extractions. If you need more comprehensive dental cover then please see our range of dental plans here
- Is repatriation to my country of origin included?
- What documents do you need from me?
Nothing for now, however, we will need you to complete the application form.