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How to figure out healthcare abroad

If you haven't got your health, you haven't got anything, they say. That’s why it's critical to secure your peace of mind – and health of body – when you've relocated to a new country. But one size doesn't fit all, so how do you choose?

How to figure out healthcare abroad
Photo: Cigna

No matter what country you’ve decided to call home, healthcare is a must. But getting all your ducks in a row in a brand new place – and perhaps with a language barrier – can be a daunting task.

State-provided healthcare across Western Europe is generally regarded as being among the best in the world for statutory care and emergency treatment. But of course, the details vary from country to country, and there are major differences in waiting times, cost, and accessibility for expats.

“Slotting straight into another country’s national health system may not be as easy as you’d think,” says Arjan Toor, Managing Director of Cigna’s Global Individual Private Medical Insurance.

Some countries have very specific rules about who can use public health services, and in some cases you may need permanent residency before you can enter the system – and that could take years.

“It’s key to research the implications for expatriates in your new country of residence, as all the home comforts you’ve come to expect may not necessarily be available to you.”

Photo: Cigna

Another option for expatriates is to obtain individual private medical insurance, like that available from Cigna Global.

“At Cigna Global, we specialise in health insurance policies for expats, ensuring you have the very best of care available when you need it,” Toor says.

Cigna currently provides health insurance for customers in over 190 countries, with a medical network of over 1 million hospitals and medical professionals worldwide.

“We have a range of products that can be tailored to meet the unique needs of expats and their families,” Toor says.

All Cigna Global policies are fully medically underwritten, with the aim of providing full clarity and transparency on the implications of medical conditions. Full cancer care is a standard benefit included with all Cigna Global Policies, which also come with high limits – such as up to $3,000,000 of care per period of cover (Platinum level policies), covering things like surgeon fees, consultation fees, medical fees and hospital accommodation.

Get a quote from Cigna for International Health Insurance

In addition, there are three levels of coverage to choose from, so expats can choose just the right fit – with options including outpatient care, medical evacuation, and vision and dental care.

“As specialists in expatriate healthcare, we know it’s vital to continue to keep track of the ever-changing needs of globally mobile professionals so we can improve our products,” Toor says.

“We’re always listening to our customers, and we’ll never stop looking for ways to ensure that expats can have the very best care available, regardless of where in the world they call home.”

This article was produced by The Local in partnership with Cigna Global.

For more information on Cigna Global, or to get a quote, please visit www.cignaglobal.com
 

For members

RENTING

Do I have to pay the estate agent a commission if I rent in Spain?

Who has to pay the real estate agent commission (usually equivalent to one month's rent) in Spain: the landlord or the new tenant? And are there exceptions to the rules or underhand tricks agents use to get tenants to cough up more money?

Do I have to pay the estate agent a commission if I rent in Spain?

Up until 2023, the general rule in Spain was that both the landlord and the tenant would both have to pay estate agency fees when a rental contract was processed through them, although in some cases it was just the arrendatario (tenant) rather than the arrendador (landlord) who had to foot most of this commission.

Tenants often had the sense they weren’t getting much in return out of it, as it was common to find apartments hadn’t been cleaned, filled with broken furniture and other appliances that weren’t working.

On top of a commission to the agency equal to one month of rent, tenants had to pay one to two month’s deposit and a month’s rent, meaning they had to pay a total of three to four months’ worth of fees upfront, which would rack up to a lot of money. 

READ ALSO: The cities in Spain where people fight most over a place to rent 

Thankfully, Spain’s housing law, brought into force in May 2023, put an end to this and now it’s solely down to the landlord to pay the agency fee as they’re the ones who hired them.

The law, which modified part of the Urban Leasing Law of 1994, now states: “The expenses of real estate management and formalisation of the contract will be borne by the lessor,” that is, the owner of the property.

READ ALSO – Renting in Spain: Can my partner move in with me?

One of the main problems is that agencies have been doing this for so long that they stand to lose quite a bit of money and may continue to ask tenants to pay on the side. 

Alejandro Fuentes-Lojo, a lawyer specialised in real estate law explained to Spanish news site Newtral: “Many professionals will try to circumvent this prohibition, and in some cases they will try to make the tenant pay out of pocket, but we must warn that if they agree, they will be unprotected by the law”.

Be aware, even though tenants shouldn’t have to pay the full agency fees anymore, there are certain circumstances in which they may still have to pay something.

The Rental Negotiating Agency (ANA), states that there are a series of exceptional cases where real estate agencies can pass some of these expenses on to tenants, specifically when they are offered a series of additional services that directly benefit them.

These expenses could include house cleaning services at the end of the lease, repair services and legal advice during the duration of the contract, or other services where it can be proven that they have a direct benefit for the tenants. These expenses can only be collected after the contracts are signed.

READ ALSO – Q&A: When can you legally leave a rental property in Spain? 

The general director of ANA and a lawyer specialised in leasing, José Ramón Zurdo, states: “The new Housing Law does not regulate or limit the impact of expenses that accrue after the signing of the contracts, because the limit of expenses that can be passed on is closed after this time”.

According to the new housing law, expenses that can’t be passed on to the tenant include management expenses charged by real estate agencies for intermediating, searching for tenants and showing the homes. Tenants can also not be charged for expenses of formalising contracts or paying any lawyers or notaries involved.

There are also four exceptional cases where agencies can still charge fees to tenants, when they are not habitual residence leases and, therefore, are not regulated by the Urban Leases Law.

These include:

  • Tourist accommodation
  • Rental of commercial or office space
  • Seasonal rentals
  • Luxury housing leases – Properties whose surface area exceeds 300 m2 built, or whose rent exceeds the interprofessional minimum wage by 5.5 times.

READ ALSO: Spanish court rules buyer can purchase property directly from seller without paying agency fees

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