Au pairs cannot be registered with the national insurance scheme in Spain.
Prior to leaving their home country, au pairs should inquire with their current health insurance provider whether the insurance cover will be in force for an au pair stay in Spain. Au pairs should find out in which cases this insurance cover will be available and which formalities need to be taken care of.
Depending on the country of origin of the au pair there are various possibilities:
For au pairs from the EU
Au pairs in Spain are covered by the European Health Insurance Card. They can apply for a card at their own insurance company prior to departure for Spain. If the au pair cannot obtain this card from their health insurance company, they need to take out private insurance in Spain so that they can be sure to have appropriate coverage. In Spain there are various private insurance companies. The host family can be of assistance in finding an appropriate insurance.*
For au pairs from non-EU countries
If the au pair's country does not have a bilateral agreement for medical care with Spain, then the au pair needs to arrange a private health insurance policy for the au pair stay. In Spain there are various private insurance companies. The host family can be of assistance in finding an appropriate insurance.*
* Please note: Spain has signed the European Agreement on Au Pair Placement under the condition that au pairs and host families share the payment of premiums for private health insurance on an equal basis.