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  • SANITAS HEALTH INSURANCE

    APPLICATION FORM FOR ALL POLICY TYPES EXCL. STUDENTS UNDER 35 YEARS. SEE FURTHER DOWN FOR STUDENTS
  • Before proceeding please check you have the following:

     

    1. Digital image of the signed passport for the policy holder and a digital image all beneficiaries passports.
    2. If you have NIE's or TIE's please have digtial copies ready.
    3. The name of the plan you’ve chosen.
    4. A SEPA bank account IBAN or Spanish account, without this annual payment will be required before covered documents are released.
    5. If you have a correspondence address in Spain, please have this ready.
    6. Knowledge of any current or past medical issues for all insureds.
       

    Then please complete all details, entering information for the policy holder first, and a health declaration for each beneficiary, including the policy holder if they require cover.

    If somehow you've found your way here but need a price before applying, you can obtain that by following this link click here

  • Students! Please see below:  

    If you are under 35 years and will be studying in Spain and have or can obtain a dated study certifcate please use the International Student policy application form located here

    If you're studying and bringing your family to Spain, add non student details using this form with yourself as the policy holder, but "NOT INSURED" and then complete the student application form yourself located in the link above. 

  • Start application

    Note: If the policy holder requires cover they should be the first insured.
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  • Passport copies for policy holder and all applicants:

    Please scan or photo the principal page/s of your passport (the main page inc. the photo ID and passport Nº and signature etc) and upload all using the browse option below.  NOTE: VISA stamped pages etc are note required. 

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  • Optional policy add-on's available with selected plan: 

    Note: Original price's quoted will not include any of these of these add-on's 

    Learn more about available add-ons here

    Prices are per person per month shown as month / pp

  • Bank account details for Eurozone (SEPA) banks ONLY:

    Note: Please leave blank, if you do not yet have an account in Spain or another European country. Whilst UK accounts may have and IBAN they cannot be used. If you do not have a compatible SEPA account and anual payment by card or wire transfer will be applied. Revolut and WISE account can be used.

    You can check SEPA compatibilty here using your IBAN number. 

    Policies without a SEPA zone account require annual payment in full. If you do have SEPA bank account we can apply Monthly, Quarterly or Bi-Annual payment.

    If you do not have a useable bank account please select Annual payment to proceed. 

  • POLICY HOLDER ADDRESS

    (Spanish address ONLY)

    Note: If you have no specific address of your own, please indicate other, if using use a lawyer's, friend's or legal representative address etc.  

    Please be sure to use a Spanish address.

    For apartments and urbanistations use: Block, Staircase, Floor, Flat as applicable. 

  • Please answer the data protection question below Yes or No as you prefer.

  • I agree to process my personal data to promote Sanitas or third-party company products and services, including marketing communications via electronic means or equivalent sent by Sanitas, even if I do not take out the insurance.

  • I agree to transfer and process my personal data by Sanitas group companies for scientific and / or statistical research purposes and marketing purposes, in addition to third-party collaborating companies identified in Additional Information, in order to send me marketing information related to financial products and services, insurance, social and healthcare and/ or health or wellness products and services,including marketing communications via electronic means

  • I agree to process my personal data for the purpose of Sanitas analysing my interests and needs based on the data I provide, including, but not limited to, my health data, personal data generated as a consequence of a service provided by Sanitas or that Sanitas has obtained via other means; this processing may include automated decision making.

  • INSURED APPLICANT Nº 1

    Health questionnaire
  • Note: If the policy holder requires cover the will be the 1st insured on the policy. 

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  • Questions for statistical purposes:

    If you wish, you may answer the following questions on a voluntary basis. Failure to answer does not affect the validity of your insurance application.

  • Additional add-ons that can be purchased for each of the insured (only valid if compatible with the product)

  • I hereby declare that I have answered all of the questions in this application form truthfully and I acknowledge that I have received the Information Prior to taking out the insurance contained in this application form and in the Information about the insurance product document associated to the application form.

    • Click to add 2nd Insured 
    • Contine past this point for 2 or more insured persons. 

    • INSURED APPLICANT Nº 2

      Health questionnaire - Please complete all boxes for this applicant
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    • Questions for statistical purposes:

      If you wish, you may answer the following questions on a voluntary basis. Failure to answer does not affect the validity of your insurance application.

    • Additional add-ons that can be purchased for each of the insured (only valid if compatible with the product)

    • Click to add 3rd insured 
    • Page only required when 3 persons are insured

    • INSURED APPLICANT Nº 3

      Health questionnaire - Please complete all boxes for this applicant
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    • Browse Files
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    • Browse Files
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    • Questions for statistical purposes:

      If you wish, you may answer the following questions on a voluntary basis. Failure to answer does not affect the validity of your insurance application.

    • Additional add-ons that can be purchased for each of the insured (only valid if compatible with the product)

    • Click to add 4th insured 
    • Page only required when 4 persons are insured

    •  - -
    • Browse Files
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    • Browse Files
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    • Questions for statistical purposes:

      If you wish, you may answer the following questions on a voluntary basis. Failure to answer does not affect the validity of your insurance application.

    • Additional add-ons that can be purchased for each of the insured (only valid if compatible with the product)

    • Click to add 5th insured 
    • Page only required when 5 persons are insured

    •  - -
    • Browse Files
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      Choose a file
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    • Browse Files
      Drag and drop files here
      Choose a file
      Cancelof
    • Questions for statistical purposes:

      If you wish, you may answer the following questions on a voluntary basis. Failure to answer does not affect the validity of your insurance application.

    • Additional add-ons that can be purchased for each of the insured (only valid if compatible with the product)

    • Click to add 6th insured 
    • Page only required when 6 persons are insured

    •  - -
    • Browse Files
      Drag and drop files here
      Choose a file
      Cancelof
    • Browse Files
      Drag and drop files here
      Choose a file
      Cancelof
    • Questions for statistical purposes:

      If you wish, you may answer the following questions on a voluntary basis. Failure to answer does not affect the validity of your insurance application.

    • Additional add-ons that can be purchased for each of the insured (only valid if compatible with the product)

  • Application complete: 

    Please now click SUBMIT to proceed, we will email you with any further questions if applicable or send you a digital acceptance request to your mobile. 

    Typical processing time is a few hours to a couple of days. Mon - Fri. 

  • It is important that the signature is a a close as possible match to the one on the policy holder passport. If you're not happy with the result click clear and make another attempt.

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