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DKV Profesional — the policy you put together yourself

Technical parameters

Price

Price: calculated individually, depending on the modules chosen, the insured person's age and place of residence
Self-employed discount: 5%, lifelong
Term: annual contract renewed each year; lifelong from the third year

Profesional or Modular — which to choose
ItemProfesionalModular
Health modules A, B, CIdenticalIdentical
Discount for the self-employed5% lifelongNone
Benefit during sick leaveFull Renta: any sick leave, amount of your choiceOnly after a road accident, 36 months, policyholder only
Accident coverStandalone accident policyCapital up to €30,000, policyholder only
Funeral coverStandalone funeral policyAdditional capital, policyholder only
Who it suitsSelf-employed people protecting their incomeThose who need medical care only
Discounts
Self-employed5%, lifelong
4 insured7%
5 or more insured12%
Annual payment7%
Half-yearly payment4.6%
Quarterly payment2.8%
Who can take it out
Age, health moduleUp to 75
Age, other modulesUp to 67
Renta, Accidentes, DecesosEnd at the close of the policy year in which the insured turns 70
Health modules
Module APrimary care: general practice, paediatrics, nursing, basic tests, abdominal ultrasound, plain X-ray, ambulances and emergencies
Module BSpecialists, high-technology diagnostics, outpatient treatment, physiotherapy, psychotherapy, prevention programmes
Module CHospitalisation, surgery, prostheses, oncological treatment, transplants
Possible combinationsSeven: A, B, C, A+B, A+C, B+C, A+B+C
Cover
HospitalisationNo day limit; psychiatric, 60 days a year (module C)
RoomSingle, with a bed for a companion (module C)
Hospitalisation allowance€80 a day from the third day, up to €2,400 a year, if none of the costs of the stay were borne by DKV (module C)
Vascular and cardiac prosthesesUp to €12,000 per insured per year (module C)
Travel abroadUp to 180 days, up to €30,000 per claim — with any module
DentalBasic care included with any module; fillings and sealants up to age 14 with module B
Psychotherapy20 sessions a year, 40 under the age of 24 and in specific cases; subject to the set co-payment (module B)
Physiotherapy, rehabilitation, podiatryNo limit on sessions (module B)
Lymphatic drainage after cancer treatmentUp to 20 sessions a year (module B)
General check-up in one appointmentWith modules A and B together
Umbilical cord stem cellsReimbursed with all three modules
Second medical opinionFor serious illness, with any module
Waiting periods
Emergency careNo waiting period
Outpatient surgery groups 0, I, II6 months
CT, MRI, lithotripsy, interventional diagnostics6 months
Psychotherapy, podiatric surgery6 months
Surgery groups III–VIII, hospitalisation, prostheses8 months
Birth and caesarean, other than premature birth8 months
Proton therapy for paediatric tumours8 months
Transplants, HIV and AIDS12 months

The figures come from the general conditions of DKV Profesional. The cover, limits and co-payments that apply to you are set out in the particular conditions of your policy.

What this policy is

DKV Profesional is not built as a finished insurance product but as a set of building blocks. The medical part is divided into three modules, and you take only the ones you need: one, two or all three. Those three modules produce seven possible combinations, from the simplest protection to full cover.

The fewer modules you take, the lower the premium. The doctors and clinics stay the same: you get the general DKV network, not a cut-down list.

The second feature is that a single policy and a single bill can hold more than health cover — a daily benefit for time off work, accident cover and funeral cover. Hence the name: the product was designed for the self-employed, who find one line of expenditure easier to manage than four.

The three health modules

Module A — primary care. General practice and paediatrics in the surgery, at home and by video, nursing, basic blood and urine tests, abdominal ultrasound, plain X-ray, one basic annual cardiological check, ambulances and emergency care without admission. Travel assistance abroad is included here too.

Module B — specialists and outpatient treatment. All medical and surgical specialities, high-technology diagnostics — CT, magnetic resonance imaging, digestive endoscopy, capsule endoscopy. Physiotherapy, rehabilitation and podiatry with no limit on the number of sessions. Psychotherapy, speech therapy, nutritionist, prevention programmes, sleep unit and pain unit.

Module C — hospitalisation and surgery. Surgery across all specialities, hospital stay with no day limit except psychiatric care, capped at 60 days a year. Prostheses, oncological treatment, dialysis and transplants. Single room with a bed for a companion.

The modules are not sealed off from one another: some benefits open up only in combination. The general annual check-up in a single appointment requires modules A and B together. Reimbursement for umbilical cord stem cell storage requires all three.

Included with any combination of modules

Travel assistance abroad. Trips of up to 180 days, with a limit of €30,000 per claim and per insured person.

Basic dental care at no extra cost. Consultations, extractions, oral treatments, fluoride applications, unlimited cleanings and the dental X-rays associated with them. Fissure sealants and fillings up to the age of 14 are included only with module B. Other dental treatment is provided at reduced fixed prices that you pay yourself.

Second medical opinion for serious illness. You or your doctor obtain remote advice from internationally recognised specialists, who study the medical history and give their view on the diagnosis and treatment options.

Medical helplines. DKV doctor around the clock, paediatric line, psycho-emotional line, pregnancy line, childhood obesity, nutrition, tropical and sports lines. Video consultations.

What can be added to the same policy

Renta — benefit for temporary incapacity. A daily payment for the duration of sick leave caused by illness or accident, whether it happens at work or in private life. You choose the daily amount. Available in a classic or a scheduled version.

Accidentes — accident cover. A payment in the event of death or permanent disability.

Decesos — funeral cover. A capital sum for funeral expenses: you can take the payment or use the providers DKV has agreements with.

These three covers end at the close of the policy year in which the insured person turns 70. For funeral cover, protection continues through a separate individual policy.

How it differs from DKV Modular

DKV has a second policy with exactly the same medical part: DKV Modular. The same modules A, B and C, the same waiting periods, the same €30,000 of travel assistance and the same lifelong cover from the third year.

The difference lies in the add-ons. In Profesional they are full, standalone policies: Renta, a daily benefit for any period of sick leave in an amount you choose, accident cover and funeral cover. Plus a 5% lifelong discount for the self-employed.

In Modular their place is taken by small add-ons, and for the policyholder only: a capital sum of up to €30,000 on death or disability, a capital sum for funeral expenses, and an income for 36 months — but solely after a road traffic accident.

The rule is simple: if you work for yourself and need to cover the loss of income during illness, Profesional is your policy. If you only need medical care, look at Modular — it will cost less.

New in 2026

Lymphatic drainage after cancer treatment — up to 20 sessions per insured person per year, module B.

Psychological support in neurodevelopmental disorders, for treating symptoms associated with autism spectrum disorder and attention deficit hyperactivity disorder. The number of sessions depends on the insured person's age, module B.

Waiting periods

All benefits are available from the first day of cover except those listed below. Emergency care never carries a waiting period.

Six months: outpatient surgery in groups 0, I and II; CT and magnetic resonance imaging; musculoskeletal lithotripsy; interventional diagnostics without admission; psychotherapy sessions; podiatric surgery and biomechanical gait analysis.

Eight months: surgery in groups III to VIII, hospitalisation and surgical prostheses; assistance at any type of birth other than premature, and caesarean section; proton therapy for paediatric tumours.

Twelve months: transplants; medical care for HIV and AIDS.

Conditions of application

The health module can be taken out up to the age of 75, the other modules up to 67. From the third year the policy becomes lifelong.

The price depends on the modules chosen, age and place of residence. Self-employed clients receive a 5% lifelong discount. Discount by number of insured: 7% for four, 12% for five or more. Discount by payment frequency: 7% annual, 4.6% half-yearly, 2.8% quarterly.

Typical tasks that this policy solves

Life
Disability and Loss of Earnings Insurance
The Renta module pays for every day of sick leave, whether through illness or an accident occurring at work or in private life. You choose the daily amount when you take out the policy.
Mental
How to access professional psychological support through medical insurance in Spain?
Psychotherapy sits in module B: 20 sessions a year, and 40 under the age of 24 and in specific cases. Sessions carry the co-payment set out in your particular conditions.
Cardiology
Heart Pain Diagnosis via Insurance: Accessing Cardiology without Waitlists
ECG, Holter monitoring and cardiac ultrasound are available with module B, with no waiting lists. A basic annual cardiological check is already included in module A.
Traumatology
Medical Insurance for Fractures: Emergency Care, X-rays, and Surgery
Plain X-ray is included in module A; CT and magnetic resonance imaging are in module B, with a six-month waiting period. In an emergency the waiting period does not apply.
Traumatology
Insurance for Joint Replacement and Prosthetics
The operation and the prosthesis are covered by module C, with an eight-month waiting period. The room is single, with a bed for a companion.
Pediatrics
Child Medical Insurance: Access to Specialists Without Waiting
The paediatrician is in module A and children's specialists are in module B. If you take module A alone, the policy will not get you to a paediatric cardiologist or neurologist.
Health
Dental insurance with free teeth cleaning
Basic dental care is included with any combination of modules at no extra cost: unlimited cleanings, consultations, extractions and X-rays. Fillings and fissure sealants up to age 14 only with module B.
Ritual
Funeral Insurance in Spain: Complete Organization and Full Coverage
The Decesos module covers the funeral arrangements: you can take the payment or use the providers DKV has agreements with. It ends at the close of the policy year in which the insured turns 70.
Agent's opinion

I suggest Profesional when price matters but the client does not want to end up with a weak policy. Here you can genuinely reduce the premium without losing the doctors: the network is the same one used by DKV's expensive policies. What shrinks is the scope, not the quality.

Most often these are self-employed people and young families. The self-employed value having health cover and a sick-leave benefit on the same bill — for someone working for themselves, time off work is a direct loss of income and has to be covered separately. Families usually start with two modules and add the third when the need arises.

What I always warn about. Module A without module B is general practice and paediatrics only, with no specialists. People often think they have bought health insurance and then find they cannot see a cardiologist. If the aim is to avoid the waiting lists for specialists, module B is essential.

And the second point: assembling a policy from parts makes sense when you know what you will actually use. If it is clear from the outset that you need everything, do the sums on DKV's ordinary health policies as well — with all three modules the difference can be small, and other products are broader in places. I always calculate both options and show the figures side by side.

Galina Miloserdova, exclusive agent for DKV and Zurich