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Valid for Spanish student visa applications · study stays of 3–14 months · meets consulate insurance requirements Mi Sanitas
Applying in CanadaToronto · Ottawa · Montreal, quotedRead 24 August 2026

Student Visa Insurance for Canadian Students: What Toronto, Ottawa and Montreal Actually Ask For

Spain runs three posts in Canada, and their student-visa insurance items do not say the same thing. Toronto states in writing that repatriation cover is not necessary — the opposite of what most insurance pages will tell you. Ottawa publishes a six-month counting rule that decides whether your policy must run for a year, and an exception under which a foreign policy can be accepted. All three passages are quoted below from the posts' own pages, read on 24 August 2026 — together with what OHIP and MSP say, on their own government pages, about what your provincial card actually does abroad.

Three posts, three checklists — the differences below are real and current
Every requirement is quoted from the post's own page, with the date we read it
Nothing here promises a visa — that decision is the consulate's
The short answer

Your provincial health card is not the document — and neither is most Canadian insurance

An OHIP, MSP or RAMQ card cannot serve as the health insurance document for a Spanish student visa, and a Canadian-issued policy usually cannot either. The reason is structural: the requirement asks for an insurer authorised to operate in Spain, and Canadian provincial plans and most Canadian insurers are not that.

Since 20 May 2025 the operative regulation is Real Decreto 1155/2024, and its article 35(i) — which we re-read at the consolidated BOE text on 24 August 2026 — asks for exactly four things:

A health insurance policya seguro de enfermedad — not a provincial card, not a travel policy, not a benefits letter
An authorised insurerfrom an insurer authorised to operate in Spain — the register kept by the DGSFP, which Ottawa's own page links, is the check
Comparable benefitsbenefits similar to the basic common portfolio of the Spanish National Health System
The whole stayvalid for the entire intended period of stay — and each Canadian post counts that period its own way, as the quotes below show

Everything the Canadian posts add on top of those four points — no co-payments, no deductibles, repatriation or its express absence, one-year policies — is consulate practice, not the text of the regulation, and practice differs between Toronto, Ottawa and Montreal. That is why this page quotes each post separately instead of describing “the Canadian consulate”. The full cross-post picture, beyond Canada, is on the by-consulate table.

Three posts, three checklists

What each Canadian post's page says about insurance

All three passages below were read and quoted on 24 August 2026. Two of the items go on to state a minimum cover figure after the sentences quoted; we have ended the quotes before it, because the figure adds nothing to what you must actually buy — read the full item on the post's own page.

PostWhat its page says about insuranceWhat that means for you
Toronto “The insurance must cover all risks normally covered for nationals and must be maintained for the entire duration of the authorization. It must cover at least all the preventive, diagnostic, treatment and rehabilitation assistance activities that are carried out in health centers or socio-health centers, as well as urgent health transport. Therefore, it is not necessary to cover repatriations and/or evacuations.” And: “Medical insurance must not have a deductible, co-payment or coverage limit. It must be health insurance (not travel).” Toronto is the post that puts in writing what others leave open: repatriation cover is expressly not necessary here. No deductible, no co-payment, health insurance not travel insurance — and the policy runs for the whole authorisation, which is wider than the course.
Ottawa (Embassy) “Original and copy of a public or private health insurance certificate with a provider authorized to operate in Spain. It must offer services equivalent to Spain’s National Health System and be valid for the entire intended stay. Travel insurance is not acceptable. The policy must provide full coverage with no copay, deductible, or coverage limit.” And, exceptionally: “a foreign policy may be accepted if it meets the other requirements and has coverage up to at least USD $500,000.” The register test stated plainly, plus the only published Canadian door for a non-Spanish policy — read the honest caveats on that exception below before relying on it.
Montreal “Original and a copy of public or private health insurance policy contracted with an insurance company or institution authorized to operate in Spain. The insurance policy must cover all the risks insured by Spain’s public health system and be totally exempted from any form of co-payment, reimbursement or waiting period.” And: “Travel insurances will not be accepted”. Montreal is the strictest wording of the three: not only no co-payment but no reimbursement model and no waiting period — a policy that pays you back after you pay the clinic fails this sentence on its face.

Consulates revise these pages without notice. Read your own post's page again the week of your appointment — and if its wording differs from anything here, its wording wins.

The two facts nobody else publishes

Toronto's repatriation position, and Ottawa's counting rule

Toronto: repatriation is expressly not necessary

Most pages selling student insurance for Spain tell you repatriation cover is required. The Consulate General of Spain in Toronto's own student-visa page says the opposite, in a full sentence: “Therefore, it is not necessary to cover repatriations and/or evacuations.” — read on 24 August 2026. The logic of the sentence matters too: the item first defines what the policy must do (preventive, diagnostic, treatment and rehabilitation care, plus urgent health transport — the shape of Spain's public portfolio), and therefore concludes that repatriation adds nothing. That is a post applying article 35(i) accurately. Be careful generalising it: other posts elsewhere in the world name repatriation as a requirement — San Francisco does, as the US students page quotes — so this is Toronto's published position, not a rule for every consulate.

Ottawa: six months decides whether your policy runs a year

The Embassy of Spain in Ottawa publishes the clearest duration arithmetic of the three posts, and we quote it in full because it decides what you buy. First it explains the window: the authorisation runs from one month before the activity starts to fifteen days after it ends. Then, read on 24 August 2026:

“If the planned activity is shorter than 6 months (additional month before the start and 15 days after the end both included), the health insurance must be valid from one month before the studies begin until 15 days after they end. However, if the applicant knows their exact date of entry into Spain, the health insurance should begin from that date.” And: “If the planned activity exceeds 6 months, (additional month before the start and 15 days after the end both included), the student visa will be issued with a validity of one year, and the health insurance must also be valid for one year, starting from the date of entry into Spain.”

Note what is inside the brackets: the month before and the fifteen days after count toward the six months. A five-month course plus that 45-day tail is a six-and-a-half-month activity on Ottawa's arithmetic — and that crosses the line into one-year-policy territory. Getting the start date right against this window is its own subject, and the start-date page works through it with examples.

Ottawa's foreign-policy exception — and its honest caveat

Ottawa is also the only Canadian post publishing a route for a non-Spanish policy: “Exceptionally, a foreign policy may be accepted if it meets the other requirements and has coverage up to at least USD $500,000.” Two cautions before you build a plan on that sentence. First, “meets the other requirements” still means services equivalent to the Spanish National Health System with no copay, no deductible and no coverage limit — a structure very few Canadian policies have. Second, the very same item closes with: “In any case, the insurance company must be authorized to operate in Spain”, and links the DGSFP register. The exception and that closing sentence sit side by side on the page without the page resolving them. We are not going to resolve them for you either: if you want to use a Canadian policy under this exception, put the question to the Embassy in writing before your appointment, and get its answer in writing. The Embassy's page also goes on to name Spanish providers whose plans it describes as appropriate, and Sanitas is among the insurers it lists — which is the Embassy's list, not an endorsement, and the usual check still applies to any insurer: the DGSFP register.

Your provincial plan, honestly

What OHIP and MSP say — on their own pages — about going abroad

Canadian students often assume the provincial plan travels with them, because the provinces do let full-time students keep their eligibility while studying abroad. Keeping eligibility and having usable cover in Spain are different things, and the provinces say so themselves. Both passages below are from provincial government pages, read on 24 August 2026.

Ontario — OHIPOntario's page OHIP coverage while outside Canada confirms a student on a full-time academic program abroad can keep OHIP — but what OHIP pays abroad is the Travellers Program: only treatment that is “acute and unexpected” and “not pre-existing”, and for doctors' bills “OHIP will pay whichever of the following is less” — the amount billed abroad or Ontario's own schedule rates. The page adds: “We recommend that you buy private health insurance before leaving Ontario to cover any uninsured services you may need.” And on getting home: “OHIP does not cover the cost of a transfer to an Ontario hospital for ongoing care.”
British Columbia — MSPBC's page Leaving B.C. Temporarily (last updated 27 February 2026) lets a full-time student abroad retain eligibility, and then says plainly: “Residents should be aware that their provincial coverage may not pay for all the health care costs incurred outside the province, and the difference can be substantial.” Its example: “B.C. pays $75 (CDN) a day for emergency in-patient hospital care”. Its advice: residents “are strongly advised to purchase additional health insurance from a private insurer before leaving the province… even if they plan to be away for only a day.”
Quebec — RAMQWe attempted to read RAMQ's page on temporary stays outside Quebec on 24 August 2026 and the server refused the request, so we will not characterise Quebec's rules second-hand. If you are a Quebec resident, check RAMQ's own site directly for what your plan does abroad — and note that whatever it says, a RAMQ card is not a policy from an insurer authorised in Spain, so the visa analysis on this page is unchanged.

Put the two halves together and the position is clean: your provincial plan is worth keeping alive for when you come home, and it is not the document any Spanish post in Canada will accept — it is not a health insurance policy, it is not from an insurer authorised in Spain, and its own government tells you it pays home-province rates for emergencies only. The two questions are separate. Deal with them separately.

Which post, and what to buy

Your consular district decides the checklist that applies to you

Consular districts are geographic, and Montreal's page spells out all three on one line, read 24 August 2026: “The Consulate General of Spain in Montreal only accepts applications from residents of Quebec (except Gatineau), Nova Scotia, Newfoundland and Labrador, New Brunswick and Prince Edward Island.” It then routes everyone else to Toronto — “provinces of Ontario (except Ottawa), Manitoba, Nunavut, Saskatchewan, Alberta, Northwest Territories, Yukon, and British Columbia” — or to the Embassy in Ottawa, whose own page confirms its jurisdiction “only covers the capital region of Canada (Ottawa and Gatineau)”.

TorontoOntario (except Ottawa), Manitoba, Nunavut, Saskatchewan, Alberta, Northwest Territories, Yukon and British Columbia — appointments are requested by email, with the subject-line format its page prescribes
Ottawa (Embassy)Ottawa and Gatineau only — the smallest district of the three, with the most detailed published insurance arithmetic
MontrealQuebec (except Gatineau), Nova Scotia, Newfoundland and Labrador, New Brunswick and Prince Edward Island — the strictest insurance wording of the three

If what your post asks for is a Spanish policy, this is what the Sanitas International Students plan is built to produce: a policy from Sanitas — an insurer authorised in Spain — with zero copayments and no waiting periods, for students aged 14–35 on courses of 3–14 months, with dental included, Blua 24/7 video consultations in English and worldwide emergency assistance of €12,000 per person per year for trips outside Spain. Ottawa's one-year rule fits inside that range: a nine-month course needing a twelve-month policy is a twelve-month insured period, and policies start on the 1st of a month, contractable up to six months ahead — which is how you line the start date up with the one-month-before window rather than buying in a rush. The official certificate, in Spanish, is issued after acceptance and payment; the certificate page shows what it must state, line by line. Pricing starts from €42.71/month payable in the lowest-priced provinces and depends on age, Spanish province and duration — the calculator returns the exact figure, which is more reliable than anything printed on a page. One honest limitation: durations of 4, 5 and 7 months are not currently selectable in the calculator pending confirmation from Sanitas.

Eligibility, premium and policy terms are confirmed before the policy is issued. We arrange insurance; the decision on any visa rests with the Spanish authorities, and nothing on this page promises an outcome.

Price a Spain-authorised policy for your course

Date of birth, Spanish province, number of months — the calculator returns the exact monthly premium and the total for the insured period, from the official Sanitas student rate tables.

Exact price on screen in under a minuteNo obligation — quoting creates no coverCertificate in Spanish issued after acceptance and payment
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How this page is sourced

Read at source, 24 August 2026

Every consulate and legal claim above was read on the page it comes from, on the date shown, using the post's or ministry's own published text. Where a source could not be read, the page says so instead of guessing.

The three Canadian postsThe student-visa pages of the Consulate General in Toronto, the Embassy in Ottawa and the Consulate General in Montreal, each read on 24 August 2026 and quoted verbatim, including Toronto's repatriations sentence, Ottawa's six-month arithmetic and USD $500,000 exception, and Montreal's no-copayment, no-reimbursement, no-waiting-period wording
Quotes ended before a figureToronto's and Montreal's insurance items each go on to state a minimum cover amount after the passages quoted; we ended the quotes before it deliberately, because a minimum figure tells you nothing about what to buy — the four article 35(i) conditions and each post's own wording are the tests that matter. The full items are one click away on the posts' pages
Real Decreto 1155/2024Article 35(i) re-read in the consolidated text at BOE-A-2024-24099 on 24 August 2026 — a policy, an insurer authorised in Spain, benefits similar to the SNS basic common portfolio, valid for the whole stay
Provincial plansOntario's OHIP out-of-country page at ontario.ca and British Columbia's MSP Leaving B.C. Temporarily page at gov.bc.ca, both read 24 August 2026 and quoted verbatim. RAMQ's page refused our request on the same date, so Quebec's rules are deliberately not characterised here — check RAMQ directly
Not resolved hereThe tension inside Ottawa's own item — a foreign-policy exception beside a sentence requiring the insurer, in any case, to be authorised in Spain — is stated, not resolved. Ask the Embassy in writing if you intend to rely on the exception
Questions Canadian applicants ask

Canadian students and Spanish student visa insurance — FAQs

No. The requirement is a health insurance policy from an insurer authorised to operate in Spain, and a provincial plan is neither a policy nor a Spanish-authorised insurer. The provinces' own pages also tell you what the card does abroad: OHIP pays Ontario rates for acute, unexpected emergencies only and recommends buying private insurance before you leave; BC advises the same, noting the difference in costs abroad "can be substantial". Keep your provincial eligibility alive for your return — it just is not the visa document.
Not at Toronto: its page states, read 24 August 2026, "it is not necessary to cover repatriations and/or evacuations." Repatriation is not a requirement of Real Decreto 1155/2024 either. But it is a genuine requirement at some posts elsewhere in the world, so if you are applying outside Canada, read that post's own page rather than carrying Toronto's position with you.
On Ottawa's published arithmetic, an activity exceeding six months — counting the extra month before and fifteen days after — means the visa is issued for one year and "the health insurance must also be valid for one year, starting from the date of entry into Spain." Toronto words it as cover "maintained for the entire duration of the authorization". Either way, an eight-month course needs a policy planned around the authorisation, not the semester — work the dates through before you buy.
The exception exists on Ottawa's page, and it is narrow: the foreign policy must still meet the other requirements — services equivalent to the Spanish public system, no copay, no deductible, no coverage limit — and the same item closes by saying the insurer must in any case be authorised to operate in Spain. The page does not reconcile those two sentences. If you want to rely on the exception, ask the Embassy in writing before your appointment and keep its answer with your file.
The one whose district covers where you legally reside. Per Montreal's page: Montreal takes Quebec (except Gatineau), Nova Scotia, Newfoundland and Labrador, New Brunswick and Prince Edward Island; Toronto takes Ontario (except Ottawa), Manitoba, Nunavut, Saskatchewan, Alberta, the Northwest Territories, Yukon and British Columbia; the Embassy in Ottawa takes only Ottawa and Gatineau. Each publishes its own checklist, and the differences between them are the point of this page.
No. It removes one specific reason for refusal — the insurance document — and nothing more. The visa decision rests with the Spanish authorities and takes the whole file into account: means, enrolment, and for stays over six months the RCMP criminal-record certificate your post describes. Anyone telling you a policy guarantees a visa is selling something they cannot deliver.

This page describes published consulate practice and how our cover fits around it. Visa decisions rest with the Spanish authorities.