Sanitas Insurance – AP Assessors

Health Insurance in Spain

NO COPAYS

COMPREHENSIVE MEDICAL COVERAGE

NOW

-15%
DISCOUNT¹

Step 1 of 3

33%

Sanitas International Students

Effective date

Month*

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Sin nombre

Policyholder details

First Name*

Last Name*

Sex*

Date of birth*

DD slash MM slash YYYY

Doc type*

Document n.*

Nationality*

Contact details

Phone number*

Email*

Address

You can skip this section if you do not yet have a domicile in Spain.

Street type

Address 1

Address 2

Postcode

City

To be completed by insured n. 1

The policyholder's details are the same as those of the first insured.

First Name*

Last Name*

Sex*

Date of birth*

DD slash MM slash YYYY

This field is hidden when viewing the form

Edat

Doc type*

Document n.*

Nationality*

Phone number*

Email*

Course's information

School/Univeristy province*

Health questionnaire insured n. 1

Weight*

Height*

1. Do you have or have you had a disease or accident in the last 5 years that required medical treatment?**

Yes

If yes, please give details*

2. Have you been admitted to hospital or had an operation or do you have one scheduled shortly?*

Yes

If yes, please give details*

3. Are you currently under medical treatment or monitoring?*

Yes

If yes, please give details*

4. Have you recently had any medical tests or have you any scheduled?*

Yes

If yes, please give details*

5. Do you have any undiagnosed symptoms or pain that appears constantly or repeatedly?*

Yes

If yes, please give details*

Payment details and documentation

Method of payment*

Note: After submitting the form, we will contact you by email to explain how to make the payment by bank transfer. The payment covers the entire insurance period (maximum 1 year).

IBAN*

Only European bank accounts (SEPA)

Card number*

Month*

Year*

DNI/Passport/NIE*

Max. file size: 10 MB.

School/university admission letter*

Max. file size: 10 MB.

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Date

DD slash MM slash YYYY

Product Name

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Number

Consent*

I consent to the collection and secure processing of my personal, health, and payment information for the purpose of applying for Sanitas health insurance. I have read and accept the Privacy Policy.

Note: Your payment will only be processed after the digital signature of the policy has been completed.

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Product

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billing_months

Health Insurance in Spain

VALID FOR THE

SPANISH VISA

-15%
DISCOUNT¹

Now get a 15% discount

Get a Quote

Step 1 of 3

33%

Solicitud Alta Sanitas Students

Fecha de alta

Mes*

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Sin nombre

Datos del tomador del seguro

Nombre*

Apellidos*

Sexo*

Fecha de Nacimiento*

DD slash MM slash YYYY

Tipo de documento*

Nº documento*

Nacionalidad*

Datos de contacto

Teléfono*

Correo electrónico*

Domicilio

Puedes omitir este apartado si aún no tienes domicilio en España

Tipo vía

Nombre de vía

Nº

Resto vía

Código postal

Localidad

Responder por el asegurado nº 1

Datos del tomador son los mismos que el primer asegurado

Nombre*

Apellidos*

Sexo*

Fecha de nacimiento*

DD slash MM slash YYYY

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Edat

Tipo de documento*

Nº Documento*

Nacionalidad*

Teléfono*

Correo electrónico*

Datos del curso

Provincia de la Universidad*

Cuestionario de salud asegurado nº 1

Peso*

Estatura*

1. ¿Padece o ha padecido alguna enfermedad o ha sufrido un accidente en los últimos cinco años que haya precisado de tratamiento médico?*

Sí

Detallar en caso afirmativo:*

2. ¿Ha estado hospitalizado o ha sido intervenido quirúrgicamente o tiene previsto serlo próximamente?*

Sí

Detallar en caso afirmativo:*

3. ¿Se encuentra actualmente bajo tratamiento o seguimiento médico?*

Sí

Detallar en caso afirmativo:*

4. ¿Se ha realizado recentemente alguna prueba médica o tiene previsto realizarla?*

Sí

Detallar en caso afirmativo:*

5. ¿Tiene algún síntoma o dolor no diagnosticado y manifestado de forma continuada o reiterada?*

Sí

Detallar en caso afirmativo:*

Datos de pago y documentación

Forma de pago*

Nota: Tras enviar el formulario, contactaremos por correo electrónico para indicarte cómo realizar el pago por transferencia bancaria. El pago es por el total del periodo del seguro (máximo 1 año).

IBAN*

Solo cuentas de la zona SEPA (Europa)

Numeración tarjeta*

Mes*

Año*

Pasaporte*

Max. file size: 10 MB.

Carta admisión curso*

Max. file size: 10 MB.

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Fecha

DD slash MM slash YYYY

Nombre producto

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Número

Consentimiento*

Consiento el tratamiento y almacenamiento seguro de mis datos personales, médicos y bancarios con el fin de tramitar la contratación del seguro médico con Sanitas. He leído y acepto la Política de Privacidad.

Nota: El pago solo se procesará una vez se haya completado la firma digital de la póliza.

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product

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billing_months

For students

Sanitas International
Students

from

38,95€/month

More info

Exclusive for students

No waiting periods

No copays

Hospitalization included

Access to all medical specialties

Families and individuals

Sanitas Top Quantum

from

46,09€/month

More info

Comprehensive coverage

No waiting periods*

No copays

Hospitalization included

Access to all medical specialties

*In case of medical emergencies

1.Discount on the net premium of the policy, provided that the effective date is between 01/03/2025 and 01/05/2025. Discount not applicable to the premium of optional add-ons.

+34 934 19 27 84

Health Insurance in Spain

NO COPAYS

COMPREHENSIVE MEDICAL COVERAGE

Sanitas International Students

To be completed by insured n. 1

Course's information

Health questionnaire insured n. 1

Payment details and documentation

Health Insurance in Spain

VALID FOR THE SPANISH VISA

Now get a 15% discount

Get a Quote

Solicitud Alta Sanitas Students

Responder por el asegurado nº 1

Datos del curso

Cuestionario de salud asegurado nº 1

Datos de pago y documentación

For students

Sanitas International Students

38,95€/month

GET A QUOTE

More info

Exclusive for students

No waiting periods

No copays

Hospitalization included

Access to all medical specialties

Families and individuals

Sanitas Top Quantum

46,09€/month

GET A QUOTE

More info

Comprehensive coverage

No waiting periods*

No copays

Hospitalization included

Access to all medical specialties

VALID FOR THE

SPANISH VISA

Sanitas International
Students