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Is it required to pay annually to obtain Spanish health insurance for residency in Spain, or a monthly option?

Last Updated on March 18, 2026 by Bruno Bianchi

Question about Spanish health insurance

Spanish health insurance for residency. Do you have to buy a complete year or can you pay monthly?

Answers

These are the answers of some Facebook group members:

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“Only a policy for the full year will be accepted”

“You have to pay for the full year.”

“I know for Barcelona province you need to pay the whole year upfront. You used to be able to pay monthly, but then because people were cancelling the policy after getting residency they changed the rules.”

“For visas one year, for EU residency can be monthly payments.”

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“A whole year for the 1st year is required”


Useful links:

📖 Related Reading: For a complete overview of tax residency, income tax brackets, Beckham Law, Modelo 720, and more, see our Taxes for Expats in Spain: The Complete Guide.

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author avatar
Bruno Bianchi CEO & Spain Immigration Expert
Bruno Bianchi is the founder and CEO of Spainguru, Spain's largest expat immigration community with 150,000+ members. Since 2014 he has helped thousands of people relocate to Spain through expert guides, webinars and vetted professional services covering visas, residency, taxes and life in Spain.
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Bruno Bianchi
Bruno Bianchi is the Director at SpainGuru, where he offers his expertise on Spanish immigration, visas, and residency. Over the years, he has been a guide for many navigating the intricacies of Spanish immigration & bureaucracy. In addition to his role at SpainGuru, Bruno anchors the SpainGuru YouTube channel. Through this platform, he shares valuable insights and updates on immigration matters, simplifying complex processes for a global audience. Bruno's dedication to providing clear and trustworthy information has made him a trusted figure in the community. In addition to his pivotal role at SpainGuru, Bruno boasts over 17 years of professional experience in several online platforms. With roles ranging from the COO and co-founder of Spotahome.com and Sales director of the MAPSA Group, Bruno's diverse experiences (he holds 3 nationalities) and multilingual capabilities (he speaks 5 languages) make him a dynamic and influential figure in both the immigration and business sectors.