Professional Plus Plan - Sanitas Health Plan Spain

Cover & Services

Cover & Services of Sanitas Professional Plus

The Sanitas Professional Plus plan is specifically for self employed individuals who are already paying into the Spanish social security system. This plan provides you with 100% cover in Spain and access to all the facilities and specialists within the Sanitas network. It also comes bundled with dental cover and our work / traffic accident option. This plan comes with co-payments and you may choose additional services as part of your cover.

Please note: The Sanitas Professional Plus plan is NOT suitable for residency / N.I.E. or visa applications.

Coronavirus (COVID-19): Coronavirus (COVID-19) is fully covered on this policy. For more information please click here
Medical Fees: 100% cover of medical fees
Choose Service Provider: Choose from a wide range of service providers - access to over 50,000 specialists and 700 private centres throughout Spain.
Co-payments: Co-payments - The Sanitas Professional Plus plan comes with small co-payments(excesses) for services used. (Please see the FAQ tab for further details).
Online Account: Your own online account where you can find doctors / hospitals / specialists within the Sanitas network who speak your language.
Multi-lingual Support: Multi-lingual member support both online and over the telephone.
Policy Documents: Policy documents are available in English / Spanish / German / French.
Tax Relief: Tax relief on premiums up to €500 per person.
Extensive Network: 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?

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.
Surgery: Inpatient and outpatient
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.
Psychology services.:
Single Room: A single room with a bed for your visitor when hospitalised (except for Psychiatric hospitalisation).
Travel Assistance: In collaboration with Europ Assistance - up to a limit of €12,000 per person, per claim. More information
Work / traffic accidents: Work / traffic accidents cover.
Accidental death: Accidental death cover of €30,000.
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.

Extra Options

Included free with this plan:

Work / Traffic accidents Guarantees medical assistance if you are in a work or traffic accident. (FREE)
Dental Coverage Basic dental cover is included. This covers x-rays, simple extractions and yearly teeth cleaning.
Accidental death Provides you or your family with compensation of €30,000 in case of death or permanent disability resulting from an accident. (can choose which insured have the option) (FREE)

Optional Extra Options

That can be added to this plan:

Pharmacy Get 50% off your pharmacy costs. (must be taken by all insured)
Optical Receive 50% reimbursement on your contact lenses and spectacle lenses every year when prescribed by a Sanitas optician. (must be taken by all insured)
Optical individual 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)
Repatriation Cover to repatriate you (+ 1 member of your existing family or a friend) to your country of origin in case of death. (must be taken by all insured)
Income protection Provides €60 per day for out of pocket expenses in case you are hospitalised. (can choose which insured have the option)
worldwide reimbursement 50k - 300k Our worldwide reimbursement options give you the flexibility to visit the medical specialist of your choice outside the Sanitas network, both in Spain and worldwide. (can choose which insured have the option)
Sanitas Dental Premium (with co-payments) Gives you 58 different dental services including fillings and reconstruction plus a discount of 40% for all other services. (must be taken by all insured)
Sanitas Dental (with co-payments) Gives you 60 different dental services plus a discount of 40% for all other services. (must be taken by all insured)
Sanitas 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)
BLUA Healthcare and remote medical diagnosis

FAQ

Is Corona virus (COVID-19) covered on this policy?: Coronavirus (COVID-19) is fully covered on this policy. For more information please click here

Can I use the Professional Plus plan outside Spain?: Yes. In an emergency you can use your travel assistance cover up to €12,000 per claim.

What is a Network policy?: A network policy requires you to use doctors, hospitals and dentists who are contracted to provide services for Sanitas. Details of the Sanitas network are available on this site by clicking here. They will also be available inside your online account after you have purchased this policy.

What are co-payments and how much are they for the Sanitas Professional Plus plan?: Co-payments are like excesses and they are charged for each service you use. The Sanitas Professional Plus plan comes with co-payments. Co-payments are collected every month from your account on file. The following illustration details the co-payments for the Sanitas Professional Plus plan. The amount of the co-payment that you pay depends upon how many times you have already used services in the year - When the policy renews the services are reset back to zero services used.

Services Used

Co-payments

0-6

Free

7-10

€4

11-15

€7

15+

€10

What are pre-existing conditions and how do they apply to the Sanitas Professional Plus plan?: Pre-existing conditions relate to previous pathologies prior to the date of you contracting the Sanitas Professional Plus plan. If you have declared any pre-existing conditions on your application 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 Professional Plus plan cover antenatal care or childbirth?: Yes. The Sanitas Professional Plus plan will cover your antenatal consultations, diagnostic tests. Childbirth is covered as long as you fall pregnant after becoming a member.

What are qualification periods and how do they apply with regard to the Sanitas Professional Plus plan?: Treatments

Qualification Periods

All vital emergencies

immediate

Outpatient surgery

3 months

Radiotherapy

6 months

Chemotherapy

6 months

Cobalt therapy

6 months

Radioactive Isotope therapy

6 months

MRI scans

6 months

Nuclear medicine

6 months

Radio Neuro surgery

6 months

Bone Densitotherapy

6 months

Psychology

6 months

High tech diagnostic tests

6 months

Temporary incapacity

8 months

Hospitalisation (inpatients)

8 months

Hospitalisation (day patients)

8 months

Hospitalisation (childbirth)

8 months

Bariatric surgery

70 months

Is there an age limit on becoming a Sanitas Professional Plus member?: Initially you may contract this policy up to age 74. There is no upper age limit to remain covered, once the policy is in force.

Are there any discounts as a Sanitas Professional Plus member?: Payment Frequency

Discount

Annual payment

4%

The Sanitas Professional Plus plan mentions something about dental, what dental cover is included with this plan?: The Professional Plus plan comes bundled with Dental 21. For more details on this free option please click here

Can I add comprehensive international cover to the Sanitas Professional Plus plan?: Yes. Please click the "extra options" tab to see international options available with this plan.

Is repatriation to my country of origin included?: No.

What documents do you need from me?: We will need to see your last receipt of payment for your social security, we will also need you to complete the online application form.

I want to join and become a member, what is the next step?: If you want to join then you will need you to complete our online application form. If you have already requested a quote then these details will already be autofilled on your application form.

If I complete the online application what happens next? Am I committed to the insurance?: After you have completed our online application form (and you have sent back requested signed copies to us) you will receive a call from one of our Sanitas doctors who will assess any medical history. After the assessment is complete it is then down to you to accept the policy on those terms. If there is no medical history involved then we will call you to accept the policy instead.

Terms & Conditions

Premium from €43,10: Premiums valid during the first year for all new members with effective date from 01/02/2023 to 31/01/2024 (except those with a start date of 01/01/2023). All premiums are subject to 0.015% Insurance Compensation Consortium tax. Maximum age to contract this policy is 75 years of age. Real time quotes will vary depending on age and the place of residence of the insured. Terms and conditions apply.

Sanitas Professional Plus

Cover & Services of Sanitas Professional Plus

What is covered?

Extra Options

Optional Extra Options

FAQ

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