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Health Insurance for Non-Lucrative Visa Cost

Looking into the Non-Lucrative Visa for Spain and one of the requirements is a health insurance policy that:
- must be fully comprehensive, covering all health issues without deductibles or co-pays
- must be valid for at least one year and active for the entire period
- must be with an Authorized Insurer approved by the Spanish administration
- must be paid for one full year in advance

Does anyone have experience with this and can advice on possible costs? the policy must cover two, 69 year old adults with no serious medical issues. We would have to retain our US Medicare and secondary insurance in any case as we would be traveling back and forth between the US and Spain. Given that we will retain our US residence (and all the costs associated with that) and the US based coverage, a large health bill in Spain could be a deal breaker.
Thanks in advance!

Posted by
2559 posts

The requirements are so restrictive that they appear to be aimed at putting the non-lucrative Visa out of reach. And that may be precisely their intent.
There is medical insurance for Ex-Pats and that is what I would suggest researching on boards for Ex-Pats.

Posted by
21807 posts

That pretty much describes exactly what I was required to have and do have in Hungary (except I didnt have to pay a year in advance). Mine is an Allianz Expat Policy; but there are others to choose from. No idea of the cost in Spain, but reasonable in Hungary. I will add that they have paid 100% of everything I have needed here for two years now. Regualar checkups (3 doctors x 4 times a year - i am an old fart with "issues"), a few outpatient procedures; one involving a knife, specialists, EKG's ... everything. No deductable no co-pays. They also pay direct to a lot of hospitals/clinics so you just walk in a flash a card and its all free.

By the way, several Expats on this "board"

Posted by
3167 posts

Check out Adeslas.com and Sanitas.es -two of the major insurers. As a guide, for a resident that age it'd run around 1800€ on average.

Posted by
21807 posts

IF Enric is saying 1800 euro a year, that's fantastic. Mine is quite a bit more expensive, but i purchased more than the minimum required. I also kept my Medicare and evacuation insurance for the big problems. But my only remaining US expenses are

  • Storage room for my US life
  • US private mail box with scanning and forwarding services
  • US cell phone (i have a local too, but real advantages to a US phone)
  • Medicare
  • Oh, and a US Address, other than a post office box. My credit card companies required it (BoA and ML), and ML also had other limitations that needed to be addressed.
Posted by
21807 posts

rahirner, does the Spanish Visa require you to be in Spain for any particular period of time each year?

Posted by
34 posts

I do not know of any length of stay requirements. It is stated that residency in Spain for more than 183 days will result in Spanish income-type taxes being due. The 183 days do not have to be consecutive, only cumulative for the year.

Does anyone else have better information on this?

Posted by
34738 posts

that is the case in many countries, and you remain liable to file FACTA and income taxes in the US as long as you are a citizen.

Posted by
3167 posts

All you need to know about this type of VISA: https://www.inclusion.gob.es/en/web/migraciones/w/autorizacion-inicial-de-residencia-temporal-no-lucrativa ---from the horse's mouth!

And yes, if you stay over 183 days in Spain you might be considered a tax resident and, depending on your particular circumstances, you might be required to submit form 100 (IRPF) and form 714 (Patrimonio). This is only informative -check a lawyer!
https://sede.agenciatributaria.gob.es/Sede/no-residentes/residencia-personas-fisicas-juridicas/persona-fisica-residente-espana.html

Posted by
8423 posts

It is stated that residency in Spain for more than 183 days will result in Spanish income-type taxes being due. The 183 days do not have to be consecutive, only cumulative for the year.

This is sort of the catch, you likely cannot get a Visa for less than 183 Days, otherwise, they would tell you to stay within the 90 in 180 Day visa waiver requirements. Over 183 Days, you pay Spanish income taxes based on your length of stay or the term of the visa.

Simply visiting other countries does not count for fewer days in Spain, as you are considered resident.

Basically, these Visas exist to allow people who will not be a burden on the Spanish economy, in fact help it through living expenses, spending, and taxes. Keep in mind, even if in Spain for a full year, you still need to file your US taxes. While Spanish taxes paid may offset taxes owed in the US, you may still owe some in the US.

I would suggest searching for an ex-pat forum for Spain, they will have many more details and help.

Also, there is a YouTube Channel, "Spain Revealed" by James Blick. He is better known for his Devour Food Tours, but has a number of videos on moving to Spain, getting the visa, and what to expect in general. I think he even offers some online courses on the subject, or other services.

Posted by
21807 posts

But don't panic on the taxes until you see if Spain has a tax treaty with the US. Last year I only had to pay the country with the highest taxes. This year, there is no treaty, so I pay both countries, but I still come out ahead.