Spain · DNV · Insurance
Health insurance for the Spain DNV visa
The requirement
- Insurance
- Required (explicit)
- Minimum coverage
- Not specified
- Required for
- Full visa period
Health insurance is required under art. 62.3.e Ley 14/2013 ('seguro público o privado de enfermedad'), as implemented by section Quinta of the joint Instruction: a public or private sickness insurance policy contracted with an insurer authorized to operate in Spain, which must remain active for the entire validity period of the authorization. Travel insurance is expressly not valid. Per the UGE requirements PDF and FAQ, if you are covered by an international social-security coordination instrument that includes healthcare, a certificate of entitlement from your home institution suffices; otherwise you need public insurance (via Spanish Social Security registration) or a private sickness policy with coverage equivalent to the National Health System (SNS). These documents are not needed when the teleworker will register with Spanish Social Security after approval, which is mandatory for most applicants. Explicitly not accepted: travel insurance, reimbursement-only policies, and policies with copays or waiting periods. For the consular route, the Washington consulate requires the insurer to be registered with Spain's Dirección General de Seguros y Fondos de Pensiones (DGSFP) and the policy to cover all risks insured by Spain's public health system for the entire duration of the authorization, with no deficiency, copayment or coverage limit. There is no monetary minimum coverage figure: the standard is SNS-equivalent coverage with no coverage limit, which is why no euro minimum is shown here. In the accepted types listed above, 'international health' means a full private health policy from a Spain-authorized (DGSFP-registered) insurer, and 'public enrollment' means Spanish Social Security affiliation or an S1/coordination certificate.
Plans that meet the requirement
Ranked by requirement fit, then price. Qualification status is shown per plan — always double-check the policy certificate matches the consulate's wording before you apply.
Foyer Global Health S.A. (Foyer Group, Luxembourg) · International health insurance
Full international private health insurance from an EU (Luxembourg) insurer with unlimited overall coverage and no annual cap on all plans plus a zero-deductible option and 12-month renewable contracts, matching the 'SNS-equivalent, no coverage limit' standard; however, DGSFP authorization in Spain and absence of waiting periods are not confirmed in the researched facts, and benefit sub-limits (psychiatric, maternity, dental) may be scrutinized against the 'no deficiency' rule.
- No overall annual or lifetime limit on core medical cover in all three plans; unlimited inpatient benefits confirmed on the official plan comparison
- Insurer FAQ explicitly confirms cover in the home country as well as the country of expatriation; worldwide or worldwide-ex-USA regions
- Luxembourg-regulated insurer (Foyer Group); 24/7 medical assistance, evacuation, teleconsultation and second medical opinion included in all plans
from €80 /mo
View plansCigna Global Health Options – International Health Plans (Silver / Gold / Platinum)
Needs verificationCigna Healthcare (Cigna Global Insurance Company Limited) · International health insurance
International full health insurance whose Platinum tier is 'paid in full' with no annual overall maximum and no enrollment age limit, plausibly meeting the 'no coverage limit / SNS-equivalent' standard; but Silver/Gold carry annual caps, routine outpatient care requires the optional International Outpatient module to reach SNS-equivalence, and DGSFP registration of the issuing entity plus a zero-copay/zero-deductible configuration are not confirmed in the researched facts.
- Three core tiers with annual maximums of $1M/€800k (Silver), $2M/€1.6M (Gold) and paid-in-full with no overall cap (Platinum)
- No upper enrollment age (18+); insurer states it does not terminate policies based on age
- Modular design: outpatient, evacuation & crisis assistance, health & wellbeing, vision & dental can be added; deductibles ($0-$10,000) and cost shares (0-30%) reduce the premium
from — /mo
View plansSome links are affiliate links — see our disclosure. Rankings are based on requirement fit, never on commissions.
Frequently asked questions
Is health insurance mandatory for the Spain DNV?
Required (explicit). Health insurance is required under art. 62.3.e Ley 14/2013 ('seguro público o privado de enfermedad'), as implemented by section Quinta of the joint Instruction: a public or private sickness insurance policy contracted with an insurer authorized to operate in Spain, which must remain active for the entire validity period of the authorization. Travel insurance is expressly not valid. Per the UGE requirements PDF and FAQ, if you are covered by an international social-security coordination instrument that includes healthcare, a certificate of entitlement from your home institution suffices; otherwise you need public insurance (via Spanish Social Security registration) or a private sickness policy with coverage equivalent to the National Health System (SNS). These documents are not needed when the teleworker will register with Spanish Social Security after approval, which is mandatory for most applicants. Explicitly not accepted: travel insurance, reimbursement-only policies, and policies with copays or waiting periods. For the consular route, the Washington consulate requires the insurer to be registered with Spain's Dirección General de Seguros y Fondos de Pensiones (DGSFP) and the policy to cover all risks insured by Spain's public health system for the entire duration of the authorization, with no deficiency, copayment or coverage limit. There is no monetary minimum coverage figure: the standard is SNS-equivalent coverage with no coverage limit, which is why no euro minimum is shown here. In the accepted types listed above, 'international health' means a full private health policy from a Spain-authorized (DGSFP-registered) insurer, and 'public enrollment' means Spanish Social Security affiliation or an S1/coordination certificate.
Can I use regular travel insurance?
Based on the published requirements, simple travel insurance is not clearly accepted for this program — an international health plan is the safer route. Verify with the official source below.
Sources
- Government UGE – Teletrabajadores (Ministerio de Inclusión, Seguridad Social y Migraciones) accessed 2026-06-10
- Government UGE requirements PDF – sickness insurance and social security sections (arts. 62.3.e and 62.5 Ley 14/2013; exclusions of travel/reimbursement/copay/waiting-period policies) accessed 2026-06-10
- Government UGE FAQ – general eligibility, social security, family work rights, local clients, switching rules accessed 2026-06-10
- Government Instrucción conjunta – Quinta: seguro público o privado de enfermedad, insurer authorized in Spain, active for the full authorization period, travel insurance invalid accessed 2026-06-10
- Embassy Consulate General of Spain in Washington – Telework (Digital Nomad) Visa (DGSFP-registered insurer, no copay/coverage limit, travel insurance not accepted, full authorization period) accessed 2026-06-10
- Government Ministerio de Economía, Comercio y Empresa (PRIE) – Nómadas digitales (1-year visa / 3-year authorization, 20% Spanish-client cap, 3-month relationship, qualifications) accessed 2026-06-10
- Official gazette Ley 28/2022, de 21 de diciembre (Startup Law), BOE 22-Dec-2022 – creates the telework visa/authorization; preamble: 1-year visa, 3-year authorization renewable for 2 years, permanent residence possible at 5 years accessed 2026-06-10
- Official gazette BOE consolidated page for Ley 28/2022 – metadata: published BOE núm. 306 de 22/12/2022, entrada en vigor 23/12/2022 accessed 2026-06-10