Private health insurance is one of the first practical decisions many people make when moving to Spain. It can be a visa requirement, a faster route to English-speaking care and a useful backup while you learn how Spain’s public system works. For me, it came up almost immediately after moving to Spain. As an entrepreneur, I needed private health insurance as part of sorting out my residency paperwork. Again, as with so many things sold to expats, I was stunned by how much choice there was. And, as with many other things, “fast and cheap” seemed to be the main selling point. Oh boy, let me tell you: these things