Do British citizens need a visa to live in Spain?

Yes. Since the UK left the European Union on 1 January 2021, British citizens no longer have the right to live and work freely in Spain under EU freedom of movement rules. To live in Spain for more than 90 days in any 180-day period, British nationals must apply for a Spanish residency visa before they travel.

Post-Brexit important note

Since 1 January 2021, British citizens no longer have EU freedom of movement rights in Spain. You need a Spanish residency visa — the Non-Lucrative Visa is the most popular route for those not working for a Spanish employer. The UK-Spain bilateral agreement does not restore EU-style free movement. British nationals who stayed in Spain before 31 December 2020 and hold a TIE (Tarjeta de Identidad de Extranjero) under the Withdrawal Agreement have different rights, but anyone applying now from the UK must go through the standard visa route.

The most common visa options for British citizens who want to live in Spain are:

  • Non-Lucrative Visa (NLV) — for retirees, those with passive income (pensions, investments, rental income from outside Spain), or anyone not working for a Spanish employer or client. This is the most common visa for British expats.
  • Digital Nomad Visa — for remote workers employed by or contracted to companies outside Spain.
  • Work visa — for those with a job offer from a Spanish employer.
  • Student visa — for those enrolled in a recognised Spanish educational institution.

This guide focuses on the NLV, which is the visa requiring private Spanish health insurance as a mandatory application document.

What health insurance do British citizens need for the Spanish NLV?

Spanish consulates do not publish an approved list of insurers, but they do specify what every compliant policy must include. For British applicants, consulates in London and Edinburgh are generally fair reviewers of insurance documents — though getting the wording right still matters. The six requirements that every NLV health insurance policy must meet are:

No copayments or excess

Zero copayments, zero deductible, zero co-insurance. The policy must cover 100% of costs from the first euro. Any form of cost-sharing is grounds for rejection.

Minimum 12 months' coverage

The policy must run for at least one year from the start date. Short-term or travel policies are not accepted. The start date must be on or before your planned travel date.

Full Spanish territory

Coverage must include all of Spain — mainland, Canary Islands, Balearic Islands, Ceuta, and Melilla. Regional restrictions will result in rejection.

Private insurer only

Public health entitlement — NHS, GHIC, EHIC, S1 forms — is not accepted. The policy must be with a registered private insurance company.

Repatriation cover included

Most NLV-grade plans include medical repatriation as standard. UK consulates are less strict on this than US or Australian consulates, but it is best practice to have it confirmed on the certificate.

No waiting periods from day one

Cover must begin from the policy start date with no initial waiting periods for general medicine, emergency care, or hospital treatment.

Does UK health insurance work for the Spanish NLV?

No — and this is the most common mistake made by British applicants. Several types of UK health coverage are incorrectly assumed to satisfy the NLV insurance requirement. None of them do.

NHS entitlement — NOT accepted

Some British applicants mistakenly believe their NHS entitlement or GHIC card will satisfy the insurance requirement. It will not. Spanish consulates require a private health insurance policy from a Spanish-registered insurer. NHS is a UK public health service and has no legal standing for Spanish visa purposes.

GHIC / EHIC card — NOT accepted

The GHIC (which replaced the EHIC post-Brexit) is a travel health card for temporary stays — it gives you access to state-provided healthcare at local rates when visiting Spain as a tourist or short-term visitor. It is not health insurance and is explicitly not accepted as such for NLV applications.

UK private health insurance (BUPA UK, AXA PPP, Aviva, VitalityHealth) — NOT accepted

UK-registered private health insurers do not issue policies that comply with Spanish NLV requirements. Their certificates are not in Spanish, their territory definitions do not map to Spanish consulate requirements, and they are not registered with Spain's DGS (Directorate General of Insurance). You must use a Spanish-registered insurer.

S1 form — NOT accepted for visa application

The S1 form is issued by the UK government to state pension age recipients and covers healthcare costs in certain EU/EEA countries once registered as a resident. However, the S1 is not accepted as proof of private health insurance at the visa application stage. You need a Spanish private policy to get your visa; once you have residency and register with the authorities, the S1 may assist with subsequent healthcare costs.

Travel insurance — NOT accepted

Travel insurance is designed for temporary trips abroad. It does not constitute residential health insurance for visa purposes. Do not submit a travel policy at your consulate appointment.

Which insurers are accepted at UK consulates for the Spanish NLV?

The Spanish consulates in London and Edinburgh are considered reasonable reviewers of NLV insurance documents compared to some other countries. That said, the certificate must still be correctly worded and issued by a compliant insurer. The following insurers have strong track records with British NLV applicants:

Sanitas — the top recommendation for British NLV applicants

Sanitas is the most consistently accepted insurer at UK consulates for the NLV. Importantly, Sanitas is owned by BUPA — the same international group as BUPA UK — which provides British applicants with a degree of brand familiarity. However, Sanitas is a fully Spanish-registered insurer and its policies comply with all Spanish consulate requirements. The visa certificate is issued instantly by email when your policy is activated. Sanitas's Residents and Residents Platinum plans are the gold standard for NLV applications.

ASSSA is also a reliable option, particularly for applicants over 70 — it is one of the few insurers accepting new policyholders above that age. Caser (Adapta Salud) offers good value and issues its visa certificate within 1–2 days of policy activation.

Best health insurance plans for British NLV applicants

Prices shown are indicative monthly premiums for a solo applicant aged 45. Exact quotes depend on age, coverage tier selected, and any add-ons. All prices shown are for zero-copayment policies only.

Sanitas Residents & Residents Platinum (BUPA) Partner #1 for UK consulates
Certificate instant by email · BUPA-owned · 58,000+ specialists · English-speaking doctor filter · Repatriation included · Best for pre-existing conditions · Contractable up to 6 months in advance
Residents from €67.76/mo Platinum from €107.23/mo Get a quote →
Caser Adapta Salud Dental included Max age 69
Good value for British applicants · Dental cover included as standard · Certificate issued 1–2 days after policy activation · Strong national network · Maximum new applicant age 69
From ~€55/mo Get a quote →
ASSSA Expat specialist Best 70+
Built specifically for expats · English-speaking team · One of the few insurers accepting new applicants over 70 · Strong NLV track record across all consulates
From ~€55/mo Full review →

How to apply for the Spanish Non-Lucrative Visa as a British citizen

The NLV application process for British citizens involves five main steps. Allow at least 3–4 months from starting your insurance and document preparation to having your visa in hand.

1
Get your private Spanish health insurance policy

Choose a compliant insurer (Sanitas, Caser, or ASSSA), activate the policy, and request the carta para visado (visa certificate) — not the standard policy schedule. Sanitas issues this instantly; Caser in 1–2 days.

2
Gather your supporting documents

You will need: valid passport (12+ months remaining), completed National Visa application form and Form EX-01, passport photos, bank certificate showing ~£24,000+ equivalent in passive income or liquid funds, criminal record certificate (apostilled), medical certificate from your GP, and proof of accommodation in Spain.

3
Book your consulate appointment

Book your in-person appointment at the Spanish Consulate General in London (for most of England and Wales), Edinburgh (for Scotland), or Manchester (for the north of England). Appointments are booked online and wait times are typically 2–6 weeks in 2026.

4
Attend your appointment and submit documents

Attend in person with your complete document set — originals and photocopies. The consulate will review everything and take your passport. The consulate has one month to issue a decision, though most decisions come within 2–4 weeks.

5
Collect your visa and travel to Spain

Once approved, collect your passport with the visa sticker. The NLV is valid for one year. Within 30 days of arrival in Spain, you must register with your local ayuntamiento (town hall) and apply for your TIE (residency card) at a police station.

Income requirement for British citizens: The 2026 NLV income benchmark is approximately €28,800/year for a single applicant — roughly £24,000–£25,000 at current exchange rates. UK state pension, private pensions, property rental income, and investment income all count. You cannot supplement with employment income from Spanish employers or clients.

Frequently asked questions — British citizens & the Spanish NLV

No. The GHIC (and the old EHIC before it) are travel health cards for temporary stays — they are not health insurance. Spanish consulates require a private Spanish health insurance policy with a specific visa certificate. The GHIC gives you access to state-provided healthcare at local rates when visiting Spain as a tourist, but it has no role in a residency visa application.

No. NHS entitlement is a UK public health benefit and is not recognised by Spanish consulates as proof of health insurance. You need private Spanish health insurance — a policy issued by a Spanish-registered insurer with a visa letter confirming zero copayments, full territory coverage, and at least 12 months' duration. This is one of the most common misconceptions among British applicants.

No. UK-registered private health insurers do not issue policies that comply with Spanish NLV requirements. Their certificates are not in Spanish, they are not registered with Spain's insurance directorate (DGS), and they cannot issue the specific visa certificate (carta para visado) that Spanish consulates require. You must use a Spanish-registered insurer such as Sanitas, Caser, or ASSSA. Note: Sanitas is owned by BUPA internationally but is a separate, Spanish-registered company to BUPA UK.

The benchmark is 400% of Spain's IPREM index — approximately €28,800/year (around £24,000–£25,000 depending on exchange rates). Acceptable income sources include: UK state pension, private/workplace pension, investment income, property rental income from outside Spain. Salaries from a Spanish employer or clients are not permitted on the NLV. Each additional family member on the application requires an extra ~€7,200/year.

You must apply at the Spanish consulate serving your area of residence in the UK. The Consulate General in London serves most of England and Wales. The Consulate General in Edinburgh covers Scotland. The Consulate in Manchester covers the north of England. You cannot choose which consulate to use — it is based on your residential address. All three are generally considered fair reviewers of NLV applications.

No. The S1 form (issued to UK state pension recipients to cover healthcare costs in EU/EEA countries) is not accepted as proof of health insurance for the visa application. Spanish consulates specifically require private health insurance at the application stage. Once you have your visa and are registered as a resident in Spain, the S1 may assist with certain healthcare costs — but it plays no role in the visa application itself.

Yes. Every person named in the NLV application needs their own individual health insurance certificate. Some insurers offer family pricing covering everyone under one contract, but each person still receives a separate certificate document for the consulate. Sanitas and Adeslas both offer multi-person pricing that makes this straightforward.

Yes. When you renew your TIE (typically after 1 year, then every 2 years), you must show that your health insurance is still active. Simply renewing your existing policy and providing the updated certificate is sufficient. Plan ahead — some insurers take 2–5 working days to issue renewal documentation, so do not leave it to the last minute before your appointment.