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DKV Famedic Professional — outpatient cover for the self-employed and their family

Technical parameters

Cost

Price: €35.50 a month per family — up to 8 people in one policy
Frequency: annual, with the option to pay in instalments

General characteristics
Parameter Value
Type of insurance Outpatient, for the self-employed and family
People in the policy Up to 8 for the same price
Where care is provided “Plus” medical centres
Primary care General medicine, paediatrics, nursing
Specialists Gynaecology with annual check-up and cytology, ophthalmology, dermatology, traumatology
Walk-in consultation General medicine, during the centre’s opening hours
Physiotherapy Up to 20 sessions a year, main policyholder only, prescribed by a traumatologist at a “Plus” centre
Dental Included services plus reduced rates for the rest
Operating theatre and hospitalisation Not covered
Free dental treatments Up to 47 treatments at no cost
Serious dental trauma Up to €6,000 per insured per year, more than 3 teeth, no excess, dentist of your choice
Medical helplines DKV doctor 24h, paediatric, women’s, nutrition, sports and psychological lines
Paediatric chat Every day from 8:00 to 22:00, if children are on the policy
Legal advice By telephone, for personal matters
Factuconta for the self-employed Free Ultimate plan from Contasimple: invoicing, accounting, tax calculation and filing, digital signature and official ledgers. Profesional only

The figures reflect the general conditions of DKV Famedic Profesional. Specific terms are set out in the particular conditions of each policy; we go through them with the client before contracting.

A policy built for people working for themselves

Famedic Professional is put together the same way as Famedic Plus, but assembled for the autónomo. It is outpatient insurance: consultations and prevention, without the operating theatre or hospitalisation. One premium can include up to eight people — the business owner and their family.

What is included

Consultations at “Plus” medical centres:

primary care — general medicine, paediatrics and nursing;
specialists — gynaecology with the annual check-up and cytology, ophthalmology, dermatology and traumatology;
walk-in general medicine — no appointment needed, during the centre’s opening hours, which for someone with an unpredictable schedule is often the most practical part of all.

Physiotherapy — the reason this policy is most often taken out

Up to 20 sessions a year for illnesses and recoverable injuries of the musculoskeletal system. With two conditions: the sessions belong to the main policyholder only — that is, the autónomo — and they must be prescribed by a traumatologist at a “Plus” centre.

For anyone who works with their hands, spends the day at the wheel or sitting at a desk, this is usually the most-used part of the policy.

What it does not include

This is not full health insurance. The operating theatre, hospitalisation and complex cases fall outside the policy. If the aim is to secure a private hospital and a complete course of treatment for a serious problem, a different product is needed — and that is worth being clear about before signing rather than after.

This is one of the modalities of the DKV Famedic range — the comparison with Famedic Plus is there.

Factuconta — what Famedic Plus does not have

The holder of a Profesional policy gets free access to the Ultimate plan of Factuconta by Contasimple. It is full accounting for the self-employed: invoicing, delivery notes and quotes, customer and supplier management, calculating and filing taxes — VAT, personal income tax, rentals, forms 100, 111, 115, 130, 303, 390 — automatic official ledgers, treasury, digital signature and export to Excel.

This is usually what justifies the price gap with Plus: accounting software of that level is a separate monthly bill.

Typical tasks that this policy solves

Traumatology
Medical Insurance for Fractures: Emergency Care, X-rays, and Surgery
X-ray, CT and magnetic resonance imaging. High-technology diagnostics carry a six-month waiting period; in an emergency it does not apply.
Health
Dental insurance with free teeth cleaning
Basic dental care at no extra cost: unlimited cleanings, consultations, extractions, treatments and the associated X-rays.
Dentistry
Dental insurance reimbursement and reconstruction after severe trauma
Rebuilding teeth after serious trauma is a separate cover with a higher limit — not the same as routine dentistry.
Traumatology
Sports Injury Insurance: Protection for Active Lifestyles
Injuries from amateur sport are a common reason to claim. Traumatology and rehabilitation are included.
Traumatology
Insurance Coverage for Spinal Diagnostics and Herniated Disc Treatment in Spain
Treatment of the spine and hernias, with physiotherapy and rehabilitation and no limit on sessions.
Prevention
Health Insurance Coverage for Podiatry and Foot Care in Spain
Podiatry and foot treatment with no limit on sessions. Podiatric surgery carries a six-month waiting period.
Agent's opinion Agent's opinion
With Famedic Professional the logic is much the same as with Famedic Plus, except that I look at it first when the person in front of me is an autónomo. For someone working for themselves who wants affordable access to the most sought-after specialists, plus physiotherapy, it is a perfectly sensible option. But again — I always say it plainly: this is not a complete health policy for every eventuality. If a client tells me "I want to be insured so that, if something serious happens, I have private hospitalisation and a full course of treatment", then we look at a different product. What matters here is not buying insurance by its name and price, but understanding which problem it is meant to solve.
Galina Miloserdova, exclusive agent for DKV and Zurich