We recommend travel insurance that includes medical insurance, Missed Connection, Baggage Loss, and Trip Cancellation insurance to cover the unique risks of a Spain trip.
Travel insurance is not mandatory for U.S. tourists staying in Spain less than 90 days, but we highly recommend medical travel insurance at the least, to protect against potentially catastrophic medical expenses.
Travel insurance for Spain costs around $315 on average. This can vary significantly, however, based on factors like your age, trip cost, trip length, and coverage needs.
IMG, Tin Leg, and Berkshire Hathaway are the best 3 providers for Spain according to our analysis of travel insurance purchases from the past 12 months.
To find the best coverage, we recommend comparing travel insurance policies for Spain from at least three different insurers. For personal guidance, our award-winning agents can assist you at 1-800-240-0369.
In the past year, tens of thousands of travelers have used Squaremouth to protect their trips to Spain. Based on their coverage selections, the following travel insurance policies were the most popular:
No, Spain does not require U.S. citizens to purchase travel insurance. However, we highly recommend it, mainly because:
To get a boots-on-the-ground understanding of what travelers should be aware of when heading to Spain, we sat down with Allen Shuford, Head of Search at Squaremouth, who has spent 10 years living, working, and traveling in Spain.

“Spain is a very safe country to visit, but Americans aren’t covered by free Spanish healthcare, strikes and pickpocketing are common, and most Americans coming from small to mid-sized cities will have to take at least 2 flights to arrive, which can throw a wrench in your plans unless you have travel protection in place before you visit.”
- Allen Shuford, Head of Search at Squaremouth
Lives in Madrid • 2015 – 2026
- 10+ years of travel in Spain
Below are some of the most common risks associated with travel to Spain and how travel insurance can help.
According to our internal booking data from the past 12 months, travelers spent an average of $7,510 per trip when visiting Spain, including flights, accommodations, excursions, and tours. This represents about a 3% increase over the previous year. With this level of investment, a canceled or interrupted trip could lead to substantial financial losses unless you have a comprehensive travel insurance policy with cancellation, delay, and interruption protection.
✅ With Trip Cancellation coverage, you can be reimbursed up to 100% of your prepaid, non-refundable travel expenses if you need to cancel your trip due to illness, injury, death in the family, a terrorist attack at your destination, or other covered reasons.
“Major tourist areas like Puerta del Sol in Madrid or Las Ramblas in Barcelona are pickpocketing hotspots. I got my wallet stolen in Madrid, and when I went to the police station to report it, almost the entire waiting room was there to report stolen phones and wallets. It’s such a common occurrence that they had to open a special English-speaking branch in Madrid called ‘SATE’ which helps foreign tourists file police reports.”
- Allen Shuford
Spain ranks as one of the top countries in Europe for pickpocketing. Theft is especially common in tourist-heavy areas like Barcelona’s Las Ramblas, Madrid’s metro system, and Seville’s historic districts. Since they usually involve the distraction of victims, pickpockets often target phones, wallets, and passports in crowded spaces.
While the incidence of violent crime in Spain is low (around 5% of total reports according to the latest U.S. Department of State security report), violent crimes, including robberies, do occasionally happen, with some victims needing medical attention. Car break-ins are also common, according to the U.S. Department of State, so insuring your luggage is a wise idea.
✅ Baggage and personal item coverage reimburses you for stolen or lost belongings, including electronics and travel documents. Many policies provide 24/7 assistance to help replace passports or arrange emergency funds.
“Usually, the transport strikes in Spain will affect a subset of services; if trains are striking, it may be regional trains, not long-distance. But occasionally it’s national. These strikes are usually announced a few days in advance, so at least people can prepare, but if it’s all in Spanish, you may not find out until you arrive at the station or airport to check in.”
- Allen Shuford
As noted by travel.state.gov, Spain frequently experiences transportation strikes, especially among airport and rail workers.
These can cause last-minute delays or cancellations, and are particularly prevalent in busy hubs like Madrid-Barajas Airport (MAD) and Barcelona-El Prat (BCN). A recent railway strike this summer caused Renfe to cut 320 of its trains, or around 25% of its capacity.
An ongoing air traffic control strike, started in April, has reduced staffing at 9 airports, including Seville, Jerez de la Frontera, A Coruña, Madrid-Cuatro Vientos, Vigo, El Hierro, Fuerteventura, Lanzarote, and La Palma, leading to delays and schedule changes.
✅ Travel delay and missed connection coverage can reimburse you for hotel stays, meals, and alternative travel arrangements in case a covered disruption impacts your trip. Cancellation For Any Reason (CFAR) or Interruption For Any Reason (IFAR) can cover you in case you need to cancel or interrupt your trip due to an ongoing or announced strike.
“In the long run, the EES should make immigration much quicker, similar to Global Entry in the U.S., but the rollout has been slow and complicated. I came through a few months back, and the automatic turnstiles were having trouble reading the passports. Eventually, one of them went down, then all the others did too. Even the ground staff were having trouble dealing with the new procedures, so expect a long wait time on arrival.”
- Allen Shuford
The European Union’s phased rollout of its new entry/exit system is underway in countries across Europe, including Spain. Non-EU travelers, including U.S. citizens, must register their travel documents, facial images, and fingerprints when entering the Schengen border via Spain. The rollout is causing severe travel delays in airports, with queues reaching 5 hours at peak times, leading to delayed and missed flights.
“The heat in Spain is seriously next level. It’s a combination of blazing sun, no puff of air, and stone and concrete buildings, which makes it unbearable to be out during midday hours in summer (hence the Spanish siesta). Now with the heatwaves, it’s gotten even worse. There are ‘extreme fire risk’ warnings all along the highways when traveling.”
- Allen Shuford
Spain’s climate can vary drastically by region. The summer heat can be extreme in cities like Seville and Madrid, regularly exceeding 90 degrees F according to the Agencia Estatal de Meteorología. In 2026, Spain has seen a series of extreme heatwaves with temperatures exceeding 110 degrees F in some places, leading the U.S. Embassy in Spain to issue a weather alert for most areas in Spain. The extreme heat can cause flight delays, as well as cancel or delay trains. It also increases health risks for vulnerable travelers, especially older adults or anyone with pre-existing health conditions.
✅ Travel insurance can reimburse your costs for heat-related illnesses and travel delays and cancellations. CFAR and IFAR can reimburse lost expenses in case you opt to cancel or interrupt your trip due to unpleasant heat.
“I was traveling to the beach in Almería this summer and happened to witness the Los Gallardos fire. The fire moved so fast that we saw the massive plume of smoke from the highway even before news alerts went out (we were googling). By the time we reached the area, they had closed the highway, and the flames were literally next to the road, which was unnerving. We were able to take a detour but arrived much later at our destination, which was only about 20km away.”
- Allen Shuford
In line with heatwaves, wildfires are increasingly common in Spain, especially in the northwestern peninsula. 2025 was the most destructive wildfire season for Spain on record, and 2026 may be on track to surpass it, including the deadly Los Gallardos fire and the Avila fire, the largest in Spanish history. Over 100,000 people were evacuated, and roadways, trains, and air quality around the areas were impacted, with Madrid urging its residents to stay indoors.
Spain is prone to flooding in autumn and winter seasons. The The gota fría phenomenon (also known as DANA), can cause extreme rainfall and flash floods in Mediterranean regions, including Valencia, Murcia, and the Balearic Islands. Also, winter storms may cause flooding and mudslides in the Andalusia region, including Malaga, Jerez, and Seville. In 2024, the eastern coast of Spain experienced one of the worst flooding events in Spain’s history, completely shutting down roadways and airports in Valencia and Barcelona and leaving travelers stranded.
✅ Travel insurance that covers natural disasters may reimburse you if your trip is cancelled or cut short due to fires or flooding in Spain. CFAR coverage can reimburse you if you decide to cancel your trip due to fear of wildfires or poor air quality.
“Ever since the Barcelona van incident on Las Ramblas, I’m always hyper-vigilant when walking on crowded pedestrian streets in Spain. There are now big stones and bollards that block the entrance to most pedestrian streets, but Spain has had its fair share of attacks, including the 11-M incident in 2004. It’s not something most people think about when traveling, but terror threats are a reality in Spain just like in the rest of the world, so it pays to know your surroundings.”
- Allen Shuford
The U.S. Department of State currently has a Level 2 travel advisory due to terrorism and civil unrest. Spain has maintained a high level of security at all times since the past terror attacks, such as the 2017 Barcelona van attack and a 2023 attack on two churches.
Demonstrations are also common in Spain. Recently, an anti-tourism protest in Mallorca led police to shut down the city center.
✅ Cancel for Any Reason (CFAR) travel insurance helps cover changes to your itinerary or reservations for any reason, such as the need to evacuate due to war, terrorism, or riots.
Spain, particularly Barcelona, has become a major departure point for Mediterranean cruises. If you’re planning a cruise in popular locations like the Balearic or Canary Islands, you should be aware that your cruise itinerary may be vulnerable to common disruptions like flooding, wildfires, and travel strikes.
Furthermore, Spanish port restrictions currently being rolled out to reduce the strain of tourists on popular Spanish vacation spots are disrupting some cruise itineraries. Since regulations are coming quickly, some cruise lines could opt to cancel a port of call or swap in a new stop at the last minute.
✅ Some cruise insurance plans will reimburse you for missed ports of call and itinerary changes.
The average cost of Spain travel insurance is roughly $315. However, premiums vary widely by the type of policy you purchase and the depth of coverage it provides.
Roughly 58% of Squaremouth users visiting Spain opt for comprehensive travel insurance, which is a type of policy that protects against unexpected cancellations, interruptions, medical emergencies, and delays. Customers often pay a higher premium for this coverage because of the added financial protection and peace of mind it provides.
Here’s a breakdown of the difference in Spain travel insurance costs per policy type:
| Policy Type | Avg. Premium |
|---|---|
| Comprehensive | $474 |
| Medical-Only | $92 |
Based on our internal data, the average trip to Spain costs roughly $7,510, with an average trip length of 16 days. With those figures in mind, we sampled quotes for our top plans for a 16-day trip to Spain in August for a 35-year-old couple, assuming a $7,510 trip cost.
| Provider | Plan Name | Plan Cost | Premium / Day |
|---|---|---|---|
| IMG | iTravelInsured Choice | $238 | $14.86 |
| Tin Leg | Gold | $376 | $23.50 |
| Berkshire Hathaway | ExactCare Value | $188 | $11.75 |
The ideal time to buy travel insurance for a Spain trip is within 14-21 days of your initial trip deposit date. This period is known as the “time-sensitive period,” where special benefits like Cancel For Any Reason (CFAR) and Pre-Existing Condition Waivers are available.
Getting covered sooner rather than later is also beneficial from a cancellation standpoint. Since travel insurance only protects against unforeseen events, buying early improves your odds of being covered if a cancellation-level event occurs leading up to the date you depart for Spain.
Most Popular Spain Travel Insurance
Medical / Med Evac Coverage
$100,000 / $500,000
Cancellation / Interruption Limits
100% / 150% of trip cost
IMG iTravelInsured Choice is the most popular travel insurance plan for Spain among Squaremouth customers, making up more than 23% of all policy sales for the destination
Comes with $500,000 in Medical Evacuation coverage that covers the cost to airlift you from a cruise ship to the nearest possible medical facility or back to the United States for treatment
Provides $500 per person in Missed Connection coverage, which can reimburse you for travel expenses if you miss your Spanish cruise departure due to a covered reason
Includes $1,000 per person in Baggage Loss protection to cover any personal items that are lost, stolen, or damaged while exploring Spanish coastal cities like Barcelona, Palma de Mallorca, Malaga, Valencia, and Cartagena
Best for Medical Coverage
Medical / Med Evac Coverage
$500,000 / $500,000
Cancellation / Interruption Limits
100% / 150% of trip cost
Tin Leg Gold includes $500,000 in Emergency Medical coverage per person to cover unexpected medical expenses incurred while in Spain, which is among the highest reimbursement rates for this benefit on the market
Strong Trip Cancellation and Interruption protection, including natural disaster, strikes, and terrorist attacks
Covers a variety of high-risk sports and activities, including popular Spain adventure excursions like kitesurfing, hiking, surfing, and canyoning
Most Affordable Comprehensive Coverage for Spain
Medical / Med Evac Coverage
$15,000 / $150,000
Cancellation / Interruption Limits
100% / 100% of trip cost
Among the most economical comprehensive plans available for trips to Spain, with an average premium more than 66% lower than the market average
Comes with $150,000 in Medical Evacuation coverage and 100% trip cost protection in the event of a covered cancellation, which rivals many higher-cost policies
Provides complimentary concierge services to all customers, which can help you make dinner reservations, purchase event tickets, and arrange airport transfers
We strongly recommend purchasing at least basic medical coverage for Spain to protect you in case of a medical emergency. In addition, you should consider comprehensive travel insurance that covers common risks like wildfires, flooding, and pickpocketing. Here are our top recommended coverages:
Trip Cancellation insurance can reimburse non-refundable expenses, like flights, hotels, and tours, if your trip is canceled for a covered reason, like illness, injury, or severe weather. Trip Interruption coverage may protect you for transportation strikes, which often impact rail and airline travel.
We recommend opting for at least $100,000 of Emergency Medical coverage.
Emergency Medical can cover common mishaps that your U.S. health insurance won’t cover, like a stomach bug, a twisted ankle from falling on cobblestone streets, a biking injury, or hospitalization. It safeguards you against unexpected costs, especially during the hot summer months when travelers are at risk for heat-related illnesses and dehydration.
We recommend at least $250,000 Medical Evacuation coverage when visiting Spain.
Medical Evacuation coverage includes transportation to the nearest suitable medical facility, or even back to the U.S. if necessary, which is important to have if your trip takes you to areas that are far from major hospitals.
This coverage is ideal if you plan to engage in higher-risk activities such as sailing or hiking through more remote areas of Spain like on the Camino de Santiago, certain smaller islands, or more remote parts of the Iberian coast.
Opt for a policy with sufficient Baggage insurance that can reimburse your valuables, lost checked bags, or delayed luggage. If your bag is delayed in Spain, this coverage can help you purchase essentials until they arrive.
Additionally, cities like Barcelona, Madrid, and Seville are well-known for pickpockets, and most baggage protection can help you replace stolen items.
We recommend opting for CFAR if you can afford the additional expense.
Given the turbulent nature of travel in 2026, adding CFAR to your travel insurance for Spain is a great idea to ensure you are covered against travel risks typically excluded by your standard coverage.
CFAR can cover you for things like civil unrest, fear of travel due to wildfires or riots, and war, which are frequently excluded from travel insurance policies.
As with all travel insurance plans, there are exclusions regardless of where you’re traveling. These often include the following:
Viewing multiple plans side-by-side lets you find the best coverage for your trip to Spain for the lowest available price.
As the nation’s largest travel insurance marketplace, we assist travelers in comparing more policies and providers than any other site.
Be sure to read the policy’s Certificate of Insurance (COI) to understand its specific terms, particularly regarding medical coverage, cancellations, and trip delays due to strikes or civil unrest occasionally affecting Spain’s transit systems.
Not all travel insurance plans offer the same benefits. Some may exclude adventurous activities like hiking, sailing, or scooter riding, which are popular in Spain. Others may limit coverage for pre-existing conditions unless a waiver is obtained.
Consider the specific risks for your trip based on the time of year, destination, and type of activities you’ll be participating in. You may also need to consider your age or assess medical risks, like pre-existing conditions.
For instance, if you’re traveling to remote areas in Spain during summer, be sure your policy covers you for wildfires and includes Medevac coverage. If you’ll be hiking or cycling, be sure to look for plans with Adventure Sports protection.
Spain’s public healthcare isn’t available to tourists without insurance or upfront payment. For travel to Spain, aim for insurance plans with at least $100,000 in medical coverage and $200,000 for evacuation protection. This should be enough to protect you if you require treatment at a private clinic or emergency transport.
Yes! Especially if you’re spending thousands on a European vacation, a once-in-a-lifetime experience. Considering the risks of theft, violence, flight disruptions, travel mishaps, medical emergencies, and lost or stolen luggage, traveling to Spain is worthwhile if you are protected. Spain travel insurance provides affordable peace of mind for a fraction of your total trip cost.
Spain is generally very safe according to the State Department, but travelers should be aware of petty crime in tourist areas, especially pickpocketing. Follow local guidance and stay mindful of your surroundings.
Travel insurance is not mandatory for Americans visiting Spain on a short-term basis, but it is required for travelers of certain nationalities within the Schengen region. A Schengen visa, which often requires proof of medical coverage, is also necessary if you stay long-term, for over three months.
No. Spanish medical facilities generally do not accept U.S. health insurance, including Medicare and employer-sponsored policies. Most Americans will need to pay for medical expenses out-of-pocket, and many medical facilities in Spain require upfront payment or proof of insurance coverage before providing non-emergency treatment.
This lack of medical protection is a big reason why travel insurance is so important. With the right coverage in place, you can file a claim for reimbursement for all of your unexpected medical expenses, potentially saving you thousands of dollars.
Spain typically requires a passport valid for at least 3 months beyond your stay. If you’re a U.S. citizen, you usually don’t require a visa, as long as your stay is less than 90 days.
Starting in late 2026, U.S. citizens will be required to apply for a travel authorization through the ETIAS (European Travel Information and Authorization System) before departure. In any event, always research the most up-to-date entry requirements leading up to your trip.
Spain does not mandate COVID-specific insurance; however, it is typically incorporated in most travel insurance plans as a basic protection.
Yes, we recommend purchasing Rental Car Damage insurance before driving a car in Spain. While liability insurance is built into the cost of rental cars in Spain, it doesn’t cover theft or damage of your rental vehicle. You’ll need to purchase a collision damage waiver (CDW). Car rental agencies sell these, but they are very expensive. You can save money by purchasing car rental insurance ahead of your trip or using credit card car rental insurance (check your card’s terms and conditions to confirm that it offers this).
You should consider purchasing an annual travel insurance policy if you’ll be traveling multiple times in a year or you’ll be traveling to Spain for an extended vacation. Standard travel insurance policies have a limit on trip lengths, usually around 30 to 90 days. Furthermore, you’ll pay less by purchasing a year-long policy than by purchasing separate policies for multiple trips.