Private Medical Insurance

You can find the insurance policy that best adapts to you on our page all insurance policies, by attending our sales offices or by contacting us on 900 50 50 40

SegurCaixa Adeslas is the leading Non-life Health Insurance company in Spain. It is included in the Mutua Madrileña Group and is an investee of CaixaBank.

• Leading Non-life Health Insurance company.
• Leading entity in the health insurance ranking, with over 5.6 million insured parties.
• Largest healthcare provider list in Spain: over 43,000 professionals, over 1,200 medical centres and polyclinics, 216 agreed hospitals and 27 Adeslas Health centres.
• Adeslas Dental has 194 own clinics.
• Leading entity in Accident insurance, with a share of 12.4%.
• Second leading entity in Home Insurance, with the highest growth of the Top 10.
• Fourth leading company in the Death insurance ranking.

The amount of your medical insurance policy, both for you individually and for your family, is based on various factors: The number of insured parties, the type of coverage, the age of the insured parties, etc. To obtain an exact price of what an Adeslas health insurance policy would cost, you can visit our sales offices or, if you prefer, you can contact us on 900 50 50 40.

There are different ways of classifying health insurance policies: Outpatient coverage (excluding hospitalisation) or comprehensive coverage (including hospitalisation), with copayments (reduced price paid for treatment) or without copayments (treatments are included in the price), refund schemes, etc. You can find the insurance policy that best adapts to you on our web page All our insurance policies, by visiting our sales offices or by
contacting us on 900 50 50 40.

A medical insurance policy is a contract between the insured party and an insurer. Its purpose is to cover the insured party’s healthcare expenses (this coverage is detailed in the policy). The insured party has access to the
insurance policy through the payment of a premium that may be monthly or annually.

Yes, provided that the termination of your current insurance policy and your inclusion in your new Adeslas policy take place on the same day and you provide us with the corresponding receipt and terms and conditions of your current policy in force.

With Adeslas, the leading health insurance company, you will have:

• Medical centres with over 43,000 professionals in all specialisms.
• Over 1,200 medical centres and 216 agreed centres.
• 27 Adeslas Medical Centres.
• Over 185 Adeslas Dental clinics.
• Over 259 public assistance points.

Some insurance policies require the future insured party to fill in a preliminary medical questionnaire. After the evaluation by the insurer, your insurance request may be dismissed, or it may become effective, except for the coverage of certain complaints. For further information on this matter, you can visit our sales offices or contact us on 900 50 50 40.

To insure your child or any family member, both individually and as the beneficiary of an already existing policy, you can visit our sales offices or contact us on 900 50 50 40.

You can begin to use your Adeslas insurance policy as soon as you have your policy number. Remember that to request certain tests or medical procedures, you must have been an insured party of Adeslas for a certain time, known as the “qualifying period”.

To request certain tests or medical procedures, you must have been an insured party of Adeslas for a certain time.

The amounts paid to access certain services, enabling you to balance your monthly insurance instalments.

An expense refund is the refund to the customer of a high percentage of the invoice they pay when they visit a specialist or health centre not included on Adeslas’s healthcare provider list in any part of Spain or the world.

The expense refund system only applies to the following company products:

• For individuals: Adeslas Extra 150 mil, Adeslas Extra 240 mil and Adeslas Premier.

Yes, you have an online medical advice service. To access this service you only have to click on the Medical advice section. Select the option that your prefer to contact one of our doctors (telephone, video call or online form). You can plan an appointment or send your queries, as well as see your scheduled appointments or queries sent.

You also have the tele-appointment or video appointment service available with your preferred doctor that provides this option. We explain how here

Electronic prescriptions are a step forward to expedite prescription services, avoid unnecessary visits and favour follow-up sessions by the doctor.

With the foregoing, you can comfortably receive prescriptions provided by a specialist by email, perfectly complementing the video appointments or tele-appointments service with your doctor.

Further information regarding electronic prescriptions.

Through the healthcare provider list, the results can be filtered to ascertain the preferred language of the supplier. The checks will appear as active, provided that, within the province consulted, these options exist. If the option does not exist, the filters will appear as deactivated.

Through the healthcare provider list, once the search has been performed by specialism, consultations can be filtered to see if the supplier provides their service in English, French or German.

It can be requested by policyholders who have been diagnosed with some of these diseases: Cancer, cerebral embolism or thrombosis, myocardial infarction or other heart diseases. A health coordinator will help you resolve all these doubts and plan the services you will need at this delicate time, offering you all the information needed at all times and developing guidelines to help you better cope with the disease. If necessary, you can request this service here.

To obtain and use your Adeslas digital card you must access your Client Area in the Digital Card section or through the Adeslas Salud y Bienestar app.

• Click on the Refund section in your Customer Area, or on My dealings > Refunds in your Adeslas Salud y Bienestar App.
• Choose the refund type that you are going to request and check the documentation that you need to provide. Select the insured party and fill in the details requested.

The medical centre or the professional themselves will indicate whether you require authorisation for the medical treatment prescribed. If you have any doubts, contact your Adeslas sales office or the 24h customer services number on 900 50 50 40.

The most common healthcare services that require authorisation are the following:

• Surgical operations, including scheduled births, and hospital admission, even on an outpatient basis.
• High-definition medical tests: resonance, CT scan, PET-CT scan, colonoscopy, endoscopy, high-definition ultrasound scan, polysomnography, etc.
• Respiratory therapies using aerosols, oxygen and CPAP.
• Rehabilitation, physiotherapy and speech therapy.
• Oncological treatments such as chemotherapy, radiotherapy, immunotherapy, etc.
• Psychotherapy.
• Birth preparation.