OCASO
OCASO is a travel insurance for the ES market with no online purchase and 24/7 assistance.
Direct payment
OCASO organizes and directly pays covered medical expenses when assistance is requested through the 24h helpline (+34 915 420 203). If the insured pays without prior authorization (except in vital emergencies), reimbursement requires original invoices, medical report, and proof of payment. Reimbursements for amounts paid abroad equal to or above 10,000 EUR require bank documentation of withdrawal outside Spain.
Geographic scope
Spain (residence requirement); coverage valid internationally as specified in Particular Conditions
International travel outside Spain. Coverage valid in countries specified in Particular Conditions. Excluded countries: Iran, Crimea, North Korea, Syria, Venezuela, Belarus, Afghanistan, Russia, and the areas of Donetsk and Lugansk. No coverage guaranteed in countries at war or insurrection. Minimum distance: 35 km from habitual residence (15 km for island residents).
Coverage limits
Medical expenses outside country of habitual residence
Covered
Covers unforeseen illness or accident during travel outside habitual country of residence: medical and diagnostic tests authorized by the insurer's medical team, hospitalization costs, prescribed medications during first medical assistance (not chronic/extended treatments), and local ambulance ordered by a doctor. Limit of 150,000 EUR per insured person per contracted period. Minimum reimbursable amount: 50 EUR. This is an assistance insurance, not private health insurance — only emergency medical expenses for accident or unforeseen illness during travel are covered.
Emergency medical treatment abroad
Covered
Emergency medical and surgical treatment covered up to 150,000 EUR per insured abroad. Covers diagnostic tests, hospitalization, prescribed medications from first medical assistance, and local ambulance transport. Pre-existing and chronic conditions are excluded. Must notify insurer as soon as possible (maximum 7 days). Minimum reimbursable amount is 50 EUR.
Hospitalization expenses abroad
Covered
Hospitalization costs are covered within the overall 150,000 EUR medical expenses limit (clause 1.1). Additionally, a daily hospitalization indemnity of 30 EUR/day is paid from day 11 onwards (maximum 10 days) when hospitalized outside the province of habitual residence (clause 1.20). For hospitalization over 5 days (or 2 days for minors) without a direct family member present, the insurer also covers transport and accommodation for a companion sent from habitual residence.
Outpatient medical treatment abroad
Covered
Outpatient medical consultations, diagnostic tests, and prescribed medications for unforeseen illness or accident during travel are covered within the overall 150,000 EUR medical expenses limit (clause 1.1). Only emergency medical care is covered; routine, preventive, or aesthetic treatments are excluded. Minimum reimbursable amount: 50 EUR.
Emergency dental treatment
Covered
Emergency dental treatment (dentist/orthodontist fees) covered up to 500 EUR, within the overall medical expenses limits. Excluded: endodontics, aesthetic reconstructions of prior treatments, prosthetics, crowns, and implants.
Medical transport / emergency transfer to hospital
Covered
Emergency transfer to the nearest hospital (round trip from hotel) is included at no additional cost when organized by OCASO (clause 1.3). Sanitary transfer of sick or injured persons to the best-equipped hospital near the habitual residence is included when organized by OCASO using air ambulance (Europe and Mediterranean only), train, helicopter, ambulance, or scheduled flight (clause 1.6). If the transfer is not organized by OCASO, reimbursement is limited to 6,000 EUR. Hotel stay prolongation due to illness/accident (not requiring hospitalization): 145 EUR/day for maximum 14 days (clause 1.4).
Medical evacuation
Covered
Medical evacuation to the best-equipped hospital near habitual residence or to the habitual residence is included when organized by OCASO. Means include air ambulance (Europe and Mediterranean countries only), train, medical helicopter, ambulance, scheduled flight, or any other means deemed most appropriate by OCASO's medical team (clause 1.6). If not organized by OCASO, reimbursement is limited to 6,000 EUR. The insured must accept the evacuation decided by OCASO's doctors; refusal cancels all related coverages.
Repatriation of mortal remains
Covered
If the insured dies during travel for any reason, OCASO will transfer mortal remains or ashes to the country of habitual residence, to the burial or cremation site within the municipality of habitual residence. Included costs: transfer of remains, embalming, minimum required coffin, administrative procedures. Funeral home and burial costs are not covered. In case of cremation at the place of death: cost of cremation and urn transfer are covered. Burial costs in Spain: up to 1,200 EUR (tanatorio, burial unit, floral arrangements). If repatriation is not organized by OCASO, reimbursement limited to 6,000 EUR. A companion for the return journey of remains is also covered (clause 1.19): accommodation 200 EUR/day max 10 days.
Search and rescue
Excluded
Rescue of persons in mountains, ravines, sea, or desert is explicitly excluded under General Exclusions (point 16) and under the Accident Insurance section (point h of exclusions). This exclusion applies generally to all policy coverages.
COVID-19 medical treatment
Covered
COVID-19 is treated as any other illness under this policy. Medical and hospital assistance if the insured falls ill from COVID-19 is covered. Diagnostic PCR test is covered if the insured shows symptoms, or if required by a hospital/medical center for treatment of another illness or accident. Transfer of remains if the insured dies from COVID-19 is covered (subject to no legal or governmental impediments). Extended hotel stay if ill (but not requiring hospitalization) is covered when prescribed by a doctor. Restrictions on movement as a result of COVID pandemic (lockdowns, border closures, states of emergency, generalized quarantines) are excluded. Limits are those of the affected coverages (up to 150,000 EUR for medical expenses).
Pre-existing medical conditions
Excluded
Pre-existing and chronic conditions are explicitly not covered. A pre-existing condition is defined as any illness, ailment or injury previously diagnosed or treated by a doctor, or presenting symptoms, that manifests during the trip and requires medical assistance. Chronic conditions (lasting 3 months or more) are also excluded. Events caused by pre-existing conditions known and not declared at contract formation are excluded per the IPID.
Winter sports cover
Excluded
Consequences derived from the practice of winter sports are explicitly excluded under General Exclusions (point 20). Ski and ice hockey/skating are also listed among excluded amateur sports in the accident insurance exclusions.
Adventure sports cover
Excluded
Professional practice of any sport and amateur practice of the following are excluded: mountaineering (all types), glacier access, caving/speleology, rafting, bungee jumping, hydrospeed, canyoning, nautical/underwater sports and scuba diving, hunting, equestrian sports, aerial sports (parachuting, hang gliding, hot-air balloon, gliding), bullfighting events, boxing, weightlifting, wrestling and martial arts. Any sport or recreational activity that is clearly dangerous or high-risk is generally excluded. The insured may participate as an amateur in non-dangerous, non-professional, non-competitive recreational sports.
Pregnancy complications
Conditional
Pregnancy, voluntary termination, and childbirth are excluded except for urgent medical care occurring strictly before week 26 of gestation (General Exclusion point 9). Trip cancellation due to pregnancy complications or miscarriage is covered as a named cancellation cause (cause 4 of clause 2.1).
Personal civil liability
Covered
Covers economic compensation up to 30,000 EUR if the insured is responsible for causing involuntary bodily or material damage to a third party during travel. Includes compensation, court costs and legal expenses, and judicial bonds. Calculated per Spanish Civil Code (articles 1902-1910) or equivalent foreign law. Excluded: liability from driving motor vehicles, aircraft or boats; professional/union/political/associative activities; dangerous or high-risk sports; fines or sanctions; damage to objects entrusted to the insured; damage suffered by the insured, the policyholder, co-insured, or their family members/cohabitants/partners/employees.
Legal assistance abroad
Covered
If the insured suffers a traffic accident abroad and requires legal assistance, OCASO pays attorney and procurator fees up to 3,000 EUR (clause 5.5). An advance on bail bond required by foreign authorities due to a traffic accident is also covered up to 3,000 EUR (clause 5.4). If the insured already has this coverage in their vehicle insurance policy, the payment is considered an advance to be repaid when the vehicle insurer pays.
24/7 assistance service
Covered
24-hour travel assistance available every day of the year via telephone +34 915 420 203 (collect call available). The information service (clause 5.1) also operates 24 hours a day, 365 days a year. Medical telephone guidance (clause 1.5) operates from 09:00 to 19:00 (Peninsula Spain time). Claim submissions and authorized payment requests can be made online at https://ocaso.eclaims.europ-assistance.com.
Key conditions
Policy specifics
Emergency medical expenses
Coverage limited to emergency medical costs only, not routine or preventive care. Coverage amounts: up to 1,800€ in Spain and up to 20,000€ abroad for surgical, hospital, and pharmaceutical expenses
Trip cancellation coverage
Reimbursement for trip cancellation due to specified causes up to 900€ for Spain and varies for international trips, but must occur more than 72 hours after policy purchase
Repatriation of mortal remains
Coverage for transport of deceased person back to Spain or designated home country in case of death abroad during trip
Family member travel assistance
Coverage for costs of bringing a family member to attend to hospitalized insured person, including transport and accommodation. Also covers return home of minors if insured person is hospitalized or dies
Travel delay compensation
Coverage for accommodation and meal expenses in case of transport delay exceeding 6-12 hours, up to 500€
Baggage loss and delay coverage
Reimbursement for essential items purchased due to baggage delay (over 24 hours for checked baggage), and assistance for locating lost baggage
Age restrictions
Persons over 70 years old face premium increase of 100% and may have limited coverage. Children under 14 cannot take out accident death compensation coverage
Pre-existing medical conditions exclusion
Medical conditions diagnosed before purchase that were not disclosed will not be covered, even if they worsen during the trip
Spain residence requirement
Policy is intended only for persons with habitual residence in Spain
Maximum trip duration
Policy covers trips with maximum duration of up to 3 months within individual policies, or up to 1 year (365 consecutive days) for extended travel
Waiting period for trip cancellation
Events that prevent travel must occur after 72 hours from policy purchase to be covered. Events within 72 hours of purchase are not covered
Dangerous and high-risk activities exclusion
Incidents related to excessive alcohol consumption, drug use, participation in illegal activities, self-inflicted injuries, and suicide attempts are excluded
War and conflict exclusion
Countries in state of war, insurrection, or other military conflict (whether officially declared or not) are excluded from coverage