Scales of justice on a desk overlooking Madrid

Private health insurance claims in Madrid

A firm specialising in health insurance claims in Madrid. Trust our lawyers to resolve problems with your health policy. Get in touch today.

Tell us about your case

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01 Claiming on the policy
02 How to claim
03 Customer service
04 Price increases
Marble columns of a public building
01 — What we do

Everything we do in a civil matter

One named lawyer handles your matter from beginning to end.

Advice before you act

We tell you whether you have a case, what deadline is running and what you can expect before you take a single step.

Out-of-court claims

Formal demands, recorded delivery notices and direct negotiation to settle without going to court where that is possible.

Drafting and reviewing documents

Contracts, agreements, wills and deeds drafted to head off future disputes.

Claim and defence

Conducting the trial, fast-track or ordinary, from the first pleading to judgment.

Interim measures

Freezing orders and registry entries to make sure the future judgment can be enforced while the case runs.

Evidence and experts

Selecting the evidence and coordinating experts, doctors, valuers and handwriting analysts.

Appeals

Appeals against civil judgments and cassation before the provincial courts and the Supreme Court.

Enforcement of judgments

Enforcing what has been awarded: seizures, auctions and settlement of interest.

02 — The service

Is your health insurer refusing a test or a treatment? We claim what you have paid for.

Escalera & Tuset · Civil law · Madrid

What a health policy covers is not written on the wind.
Not sure? Give us a call 911 923 480 We reply within the same working day. First consultation free.

«Excellent treatment and outstanding professionals. Thanks to Pepe Dominguez Tuset, who resolved my problems.»

Ritesh
Google review · 10 months ago
4,6
10 reviews on Google ↗
03 — How we start

This is how we start to resolve your case

You will know who is handling your matter, what your options are and what it is going to cost. No surprises.

Solicitar presupuesto
  1. You call or write to us

    On +34 911 923 480 or through the form. We get back to you within the same working day.

  2. We study the case

    We review the documents and tell you what your real options are, with their deadlines and their risks.

  3. A fixed quote

    We give you the cost of the solutions on the table before we start. With no obligation.

  4. We get to work

    A named lawyer handles your matter and keeps you informed at every stage of the procedure.

04 — Questions

What people ask us before they instruct us

Only if it is not within the cover or if a valid exclusion leaves it out; clauses that limit your rights have to be highlighted and signed. We review the cover and claim if the refusal is not justified.

Increases have to be notified at least two months before renewal and have to be based on technical criteria. We look at whether the increase fits what was signed.

The company can exclude them if it asked about them in the health questionnaire and you did not declare them, or if the policy excludes them through a clause that is highlighted and signed.

First with the insurer's customer services department and then with the complaints service of the Spanish insurance regulator or in court, where the law requires an attempt at a negotiated solution before suing.

The Escalera & Tuset team at work in the office
05 — Quote

Tell us about your case. We call you today

First consultation free and with no obligation.

911 923 480

Solicitar presupuesto

06 — In detail

More about private health insurance claims

Lawyers for claiming on health policies

Having private health insurance is well worth it in many cases. Essential, even. It can, after all, provide immediate specialist medical care. Disagreements do sometimes arise, however, between insurers and policyholders about what is covered by the contract and what is not. In situations like that, you need a team of professionals.

Escalera & Tuset has that team. Our firm has a department specialising in consumer and insurance law, made up of professionals with extensive experience. Get in touch right now to go into your case and bring a private health insurance claim in Madrid. We will be beside you at every point. Without exception.

How to claim on health insurance

To bring a health insurance claim you first have to go to the insurer's own customer services department. Specifically, the claim has to be sent by recorded delivery with proof of receipt or by burofax. If the insurer does not deal with what the claim asks for, it will be necessary to go to the civil courts and bring a claim for breach of contract. Our team will look at the situation in detail so as to recommend the best route at each stage. We will protect your interests.

Complaining about customer service

There are a great many things a policyholder may want to complain about, and one of the most common is the insurer's customer service. Do you feel you have not been treated properly? Do you think the insurer has not provided the service the policy promised? Write to us or call us. We will work to document and support your arguments so as to strengthen your claim. Trust a lawyer specialising in health insurance claims.

Complaining about a price increase

Another of the things that may have brought you here. Insurers sometimes increase the price of a policy without any condition in the contract or in the law allowing it. Has that happened to you?

If so, it is understandable that you are unhappy and want to complain. To do that, get in touch and forget about technicalities, red tape and problems. Our specialist team will take care of everything and will not stop until justice is done. Our experience speaks for us.

The amount of the payout

This is probably the most common reason policyholders are unhappy: when the insurer offers a payout that is clearly lower than the contract provides. It is disappointing. And frustrating. You have, after all, been paying for a long time precisely so as to have proper support if something went wrong. The problem has arrived and the support is far less than you would have expected. Do not worry: we are experts in health policy claims. And we are on your side.

Complaining about cover being refused

What a health policy covers is not written on the wind. It is not a matter of implied terms. On the contrary, it is clearly set out in the contract signed between the policyholder and the insurer. It is there. It can be analysed and understood. And that is what we are going to do for you at Escalera & Tuset. Drawing on our detailed knowledge both of the law and of insurance products, we will analyse the contract to find out whether the insurer is in fact failing to meet its obligations by refusing you a particular cover or several of them. Come to Escalera & Tuset. Make it easy.

Also in civil law

A firm specialising in civil law. Expert lawyers working from Madrid across Spain. Specialists in civil claims and litigation.