In this article
- Why the European Health Insurance Card (EHIC) is not enough in Andorra
- The real cost: Mountain rescues and local reality
- Comparison: On-piste ski insurance vs. Comprehensive travel insurance
- Checklist: What your Andorra travel insurance policy should cover
- 1. Minimum medical coverage
- 2. Winter and adventure sports
- 3. Repatriation and extra accommodation
- Common traveler mistakes (and how to avoid them)
- The key step: How will you call your insurance without roaming?
Are you planning your getaway to the Pyrenees for 2026 and wondering if you really need travel health insurance as a tourist in Andorra?
As an Andorran who sees daily how the tourist season works, I'll be very direct: yes, it's vital.
Although we use the euro and are close to Spain and France, we are not part of the European Union. Our healthcare has its own rules and is not 100% free for visitors. A simple sprain in the mountains or a severe flu can hit your wallet hard if you come unprotected.
In this guide, I'll explain step-by-step how our system works, what travel insurance policy for Andorra you should get (with your trusted insurer) and how to prepare the rest of your trip to avoid surprises.
Why the European Health Insurance Card (EHIC) is not enough in Andorra
It's the number one mistake. Many travelers believe that the EHIC gives them free access to our Hospital Nostra Senyora de Meritxell.
The reality is that, although there are agreements with Spain or France (you need to bring form E-111 AND), Andorran healthcare operates on a co-payment basis.
- You will have to pay 100% of the consultation or emergency costs upfront.
- Then, CASS (our Social Security) will reimburse you only a portion (between 75% and 90%).
- If you don't bring the form or your country doesn't have an agreement, you pay everything out of pocket.
To avoid these procedures, my local advice is to get private insurance in your country before coming, so they can cover payments directly.

The real cost: Mountain rescues and local reality
So you understand the importance of mountain rescue coverage, let me tell you something that happens every winter.
A skier goes off the marked slopes in Grandvalira to do freeride. He has a bad fall and fractures his tibia. Being outside the ski area, his ski pass insurance doesn't cover him.
The deployment of the Andorran fire department's rescue helicopter and emergency care can easily exceed 4.500€. The Andorra mountain rescue cost is extremely high if it requires aerial resources and specialized personnel. Coming to do sports without insurance is playing Russian roulette.
Comparison: On-piste ski insurance vs. Comprehensive travel insurance
Is it enough to pay the daily €3-5 offered by ski resorts when buying a ski pass? Here's the definitive comparison:
Coverage / Situation | Ski Pass Insurance (On-Piste) | Comprehensive Travel Insurance |
|---|---|---|
Skiing accident on-piste | Yes (Rescue and first aid) | Yes |
Freeride accident (off-piste) | Not covered | Yes (With sports add-on) |
Slip on the street or illness | Not covered | Yes (24/7 Assistance) |
Repatriation to your home country | Generally No | Yes |
Lost luggage or stolen equipment | Not covered | Yes |
Checklist: What your Andorra travel insurance policy should cover
Check that your insurance contract includes these three pillars:
1. Minimum medical coverage
- Shopping or gastronomy trip: Minimum €30,000 in medical expenses. If you come to enjoy our best restaurants or a day of shopping in the commercial area, this will be sufficient.
- Family ski trip: Minimum €50,000.
- Extreme sports: Minimum €100,000.
2. Winter and adventure sports
The Andorra ski insurance must specify "search and rescue". Remember that almost our entire country is above 1,000 meters; make sure there are no altitude exclusions.
3. Repatriation and extra accommodation
If the doctor orders rest and you cannot return home, your insurance should cover "hotel convalescence". To ensure maximum comfort, I recommend booking your stay at the best accommodations in Andorra from our platform.
Common traveler mistakes (and how to avoid them)
I've lived here all my life, and these are the most common mistakes I see:
- Relying solely on credit cards: Their insurances usually have ridiculous limits (€3,000) and always exclude snow sports.
- Not planning medical transport: If you get injured, you won't be able to drive back. Consider our transport and VTC services in Andorra to move around safely if you have reduced mobility.
The key step: How will you call your insurance without roaming?
Here's the big secret many forget: it's useless to have the best insurance in the world if you're in the middle of the mountains, have an emergency, and you can't call because you don't have internet.
In Andorra, European roaming is NOT free. If you use data from your Spanish or French company, the bill will be astronomical. To be able to use WhatsApp, send your location to rescue teams, or contact your medical assistance, you need a connection.
Local tip: Before crossing the border, get an eSIM for Andorra. You'll instantly connect to the Andorran network, keeping your WhatsApp number, and ensuring you'll always be connected in case of emergency.
Joan
Article written and updated by the local team of Andorra.com
You may be interested in


