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Each Member State determines what "comprehensive sickness insurance" means and will vary widely. Your friend should check with Spanish Immigration to be sure they have the right coverage. This page on Europa details information about health care that may be useful for him to read.have sufficient resources for themselves and their family members not to become a burden on the social assistance system of the host Member State during their period of residence and have comprehensive sickness insurance cover in the host Member State (Directive Article 7)