
As an expat, navigating the world of insurance can be overwhelming, but it doesn't have to be. Expatriate insurance plans offer comprehensive coverage for individuals and families living abroad, providing peace of mind in a foreign environment.
Expats often underestimate the importance of insurance, but medical emergencies can arise unexpectedly, and local hospitals may not accept foreign credit cards or insurance.
Expatriate insurance plans typically include emergency medical evacuation, which can be a lifesaver in critical situations. This feature can transport you to a nearby hospital or back to your home country for treatment.
These plans also cover medical expenses, including hospital stays, surgeries, and prescription medications, often with no deductibles or co-pays.
What to Consider
When evaluating expatriate insurance plans, prioritize providers with a vast network of international hospitals and healthcare facilities, like Cigna Global Plan, which boasts over one million hospitals, doctors, and healthcare facilities worldwide.
Flexibility is key, so opt for a plan that lets you customize your coverage by choosing the benefits that suit your needs. This way, you can mix and match benefits and costs to ensure the plan is the right fit for your unique situation.
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Country-specific healthcare regulations should also be considered, as some countries require residents to maintain local health insurance, while others allow expats to purchase their own international health insurance. For example, the United Arab Emirates requires health insurance for all short- and long-term visitors, including expatriates.
Here are some key factors to consider when researching coverage options:
- Sickness & Injuries: Consider evacuation and coordination services for serious injuries or illnesses.
- Healthcare Regulations: Research country-specific healthcare regulations and requirements.
- Country Requirements: Determine if your destination requires international medical insurance.
- Preventative Care: Look for plans that include preventative treatment and health checks with no waiting period.
Do I Need?
Do I Need Expat Health Insurance?
You may not need expat health insurance if you're only visiting a country for a short period, but it's a good idea to consider it if you're planning to live or work abroad for an extended time.
In some countries, such as the United Arab Emirates, expats are required to have health insurance.
Country requirements vary, so it's essential to research the healthcare regulations in your destination country.
Even if your domestic health insurance plan covers you, it may not follow you internationally, leaving you vulnerable to unexpected medical expenses.

Here are some factors to consider when deciding whether you need expat health insurance:
It's not just about the cost; having expat health insurance provides peace of mind and financial protection in case of unexpected medical expenses.
What to Look for
When selecting an expat health insurance plan, it's essential to consider the provider's network of hospitals and healthcare facilities. A plan with a vast network, such as Cigna Global Plan's over one million hospitals and healthcare facilities worldwide, ensures access to top-tier care.
Look for a provider that offers 24/7 emergency hotlines for immediate assistance and medical advice. This feature is included in all leading expatriate medical insurance plans, providing peace of mind in critical situations.
Flexibility is key when choosing an expat health insurance plan. Opt for a plan that lets you customize your coverage by selecting the benefits that suit your needs. If you don't require a full package, the option to select a more affordable plan with essential coverage is important.
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Some providers, like AXA, offer a range of cover levels to suit different needs and budgets. With any of their cover levels, you can have access to private healthcare anywhere in the world.
Inpatient and outpatient care, prescription medications, and cancer treatment are typically included in comprehensive expat health insurance plans. These plans also often cover mental and behavioral health, emergency medical evacuation, and maternity and newborn care.
A global provider network and direct pay options can minimize out-of-pocket expenses. Some providers, like IMG, offer 24/7 support and assistance services, including multilingual in-house staff of nurses, doctors, and case managers.
Customization options vary depending on the provider and plan. You can often choose to exclude certain countries from your area of cover to lower premiums, as treatment costs can be higher in some areas.
Here are some key features to look for in an expat health insurance plan:
- Network of hospitals and healthcare facilities
- 24/7 emergency hotlines
- Customization options
- Range of cover levels
- Comprehensive coverage (inpatient and outpatient care, prescription medications, etc.)
- Global provider network and direct pay options
- 24/7 support and assistance services
Insurance Options
International health insurance policies offer medical coverage either worldwide or within specific regions.
Leading insurers provide access to extensive global networks of healthcare providers, ensuring smooth and hassle-free care wherever it's needed.
These policies can include valuable benefits like trip insurance, medical evacuation, and repatriation services.
Direct payment to hospitals and medical professionals is also a convenient feature of many international health insurance policies.
Plan Details
With a global health plan, your cover travels with you, whether you're moving between two countries or traveling further afield. You'll have access to over 1.9 million recognised medical facilities worldwide.
AXA's global health plans offer a range of cover options, from the essentials (Foundation) to the ultimate cover (Prestige Plus). You can choose the plan that best suits your situation and personal healthcare needs.
Here are some benefits you can expect from a global health plan:
- Virtual Doctor service - Speak to a real doctor, online or over the phone.
- Dedicated Cancer support
- Mind Health service - Support for your mental health whenever, wherever you need it.
- Option to include dental cover
- Evacuation and repatriation as standard - If you can't get the treatment you need locally
- 24/7 Support - Online or over the phone
- Second Medical Opinion service
- Cover for overnight stays in hospital and ambulance transport, CT, MRI, and PET scans, as well as surgical procedures.
Recommended Plans
With AXA's global health plans, you can choose from a range of cover options to suit your needs and budget.
AXA's global health plans offer a network of over 1.9 million recognised medical facilities worldwide, ensuring you have access to quality healthcare wherever you are.
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You can choose from plans such as Foundation, Prestige Plus, and others that offer a range of benefits, including virtual doctor services, dedicated cancer support, and mind health services.
Some of the benefits you can expect from AXA's global health plans include:
- Virtual Doctor service – Speak to a real doctor, online or over the phone.
- Dedicated Cancer support
- Mind Health service – Support for your mental health whenever, wherever you need it.
- Option to include dental cover
- Evacuation and repatriation as standard – If you can’t get the treatment you need locally
- 24/7 Support – Online or over the phone
- Second Medical Opinion service
- Cover for overnight stays in hospital and ambulance transport, CT, MRI, and PET scans, as well as surgical procedures.
AXA also offers the option to exclude the USA from your area of cover, which can lower the cost of your premiums, as treatment is often more expensive there.
You can choose the plan that best suits your situation and personal healthcare needs by comparing multiple quotes and coverage options, or by working with an insurance expert at no additional cost.
What's Covered?
With a global health plan from AXA, you can be confident in the knowledge that you have access to over 1.9 million recognised medical facilities worldwide.
You'll have a range of cover to choose from, including Foundation, Prestige, and Prestige Plus plans, each offering different levels of coverage.

All AXA plans include virtual doctor services, dedicated cancer support, mind health services, and evacuation and repatriation as standard.
Some other benefits you can expect include 24/7 support, second medical opinions, and cover for overnight stays in hospital and ambulance transport.
Here's a breakdown of some of the benefits you can expect from AXA's global health plans:
You can also opt to exclude the USA from your area of cover, which can lower the cost of your premiums.
Exclusions
Exclusions are a crucial aspect of any medical plan, and expatriate medical coverage is no exception. Carefully examine the policy certificate and terms to understand potential exclusions.
Pre-existing conditions may be excluded or have waiting periods following the underwriting process. This is a common exclusion in expatriate medical coverage.
Cosmetic and elective surgery are typically excluded, as they are not medically necessary. This includes procedures like elective surgeries, which are not covered under standard plans.
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High-risk activities, such as extreme sports or hazardous activities, may not be covered or could require additional coverage. It's essential to review the plan details to understand what's included and what's not.
Fertility treatments, such as IVF, may be excluded or have limited coverage. Some plans may only cover related treatments, but not the fertility services themselves.
Experimental treatments are often excluded from coverage, as they are not standard medical procedures. This means that non-standard or experimental medical treatments may not be covered under the plan.
Here's a quick rundown of common exclusions in expatriate medical coverage:
- Pre-existing conditions
- Cosmetic and elective surgery
- High-risk activities
- Fertility treatments
- Experimental treatments
GeoBlue Xplorer - Worldwide Plan
The GeoBlue Xplorer Worldwide Medical Plan is a top-tier health insurance option for U.S. expats living abroad and international citizens residing in the U.S.
It provides access to the extensive Blue Cross Blue Shield network of doctors and hospitals within the U.S. and a select network of providers worldwide.
This plan offers up to 9 months of coverage for expatriates while in the U.S., which is the most generous option available among international health insurance policies.
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You can compare multiple quotes and coverage options to find the best plan for your needs and budget.
A key benefit of the GeoBlue Xplorer plan is its comprehensive coverage, which allows you to live life to the full overseas without worrying about medical expenses.
By choosing the GeoBlue Xplorer plan, you can get global care on demand wherever your adventure lies.
Cost and Coverage
Our expatriate insurance plans can be tailored to meet the diverse healthcare needs of an internationally mobile workforce.
The cost of expatriate insurance can vary greatly depending on the organization's size, location, and the number of international staff members.
For organizations with two or more international staff members, we can assist in researching and securing a comprehensive group expat health insurance plan.
What's the Cost?
The cost of expatriate health insurance can vary widely, ranging from as low as $50 per month for a basic plan covering only in-patient hospital care to over $1,000 per month for a comprehensive policy that includes most, if not all, medical expenses.
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Your country of origin, age, medical history, and the country where you need coverage are all factors that influence the cost of your premiums.
Premiums can be adjusted by choosing your own deductible and adding or removing specific benefits.
Some insurers set different pricing based on specific regions and may exclude high-risk countries.
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Benefits for Organizations
If your organization has international staff members, you'll want to consider offering a group expat health insurance plan to ensure they have seamless global coverage.
You can do this by researching and securing a comprehensive group plan with the help of a licensed expert.
Having a group plan can provide peace of mind for both your organization and your employees, knowing they have tailored coverage for their diverse healthcare needs.
To get started, you can request a quote from leading insurers around the globe.
A licensed agent will then provide quotes and expert advice to help you navigate complex global health insurance options.
Here are some benefits you can expect from a group plan:
- Offering group plans for international health, life, and travel
- Seamless global coverage for your expatriate employees
- Expert advice and guidance from licensed agents
Application and Underwriting
The application and underwriting process for expatriate insurance is a crucial step in getting covered while living abroad. Underwriting is the process of evaluating your application to determine whether coverage will be approved or denied.
If your application is approved, the underwriters will calculate your premium during this stage. You'll typically need to provide detailed medical history and documentation from doctors and healthcare providers as part of the review.
The insurer may grant coverage with conditions, such as requiring you to undergo the underwriting process again each time you file a claim, if you're symptom-free at the time of approval or haven't received treatment for a specific period.
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Overview of Application and Underwriting Processes
The application and underwriting process for expat insurance can be complex, but understanding the basics can make it more manageable.
Underwriting is the process of evaluating your application to determine whether coverage will be approved or denied.
You'll need to provide detailed information about your medical history, which will be used to assess your health status and determine what coverage can be offered.
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This may involve providing documentation from doctors and healthcare providers as part of the review.
If you're symptom-free at the time of approval or haven't received treatment for a specific period, the insurer may grant coverage with certain conditions.
For example, you may need to undergo the underwriting process again each time you file a claim.
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Disclose All to the Insurer
You must tell the insurer everything to avoid any problems. If you answer yes to a question, be sure to include dates and details about the situation.
It's better to say too much than not enough when answering questionnaire questions. The terms "condition", "disease", and "symptom" can be confusing, so just explain it like you would to your physician.
If you received any follow-up or aftercare, make sure to include that information in your answer. For example, if you had a right ankle sprain in 2017, you would include details about the 10 days of anti-inflammatories and 10 sessions of physical therapy.
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Consequences of Incomplete Declarations
Incomplete declarations can have serious consequences. If your insurer receives an incomplete or inaccurate health declaration, they may refuse to reimburse you for medical expenses.
Depending on the case, they might even decide to exclude a specific pathology or body part from your coverage. This can be a major issue, especially if you need treatment for that specific condition.
The insurer can cancel your subscription outright while keeping any payments already made. This means you'll be left with no coverage at all.
If you try to explain that the issue isn't as serious as the physician's report makes it out to be, it won't work. Insurers can't redo your whole medical history for every claim.
Making a false declaration is also a serious issue, even if you haven't filed any claims for an undeclared condition. If the insurer finds out, they can decide that you made a false declaration.
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How to Get
To get approved for a mortgage, you'll need to provide financial documents, such as pay stubs and tax returns, to demonstrate your income and creditworthiness.
The lender will review your credit report to assess your credit score, which can range from 300 to 850, with higher scores indicating better credit.
You'll need to have a stable income and a decent credit history to qualify for a mortgage, with a minimum credit score of 620 often required.
Your debt-to-income ratio will also be evaluated, which is calculated by dividing your monthly debt payments by your gross income, and typically should not exceed 36%.
A pre-approval letter from a lender can give you an idea of how much you can borrow, but keep in mind that it's not a guarantee of final approval.
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Getting Started
If you're planning to live abroad for more than one year, you should consider expat health insurance.
Living abroad for an extended period can be a complex situation, and it's essential to understand the context for subscription.
Retirement abroad is another situation where expat health insurance is highly recommended.
People living abroad for less than a year who want complete reimbursement of their medical expenses and other guaranteed insurance coverage should also consider expat health insurance.
Before subscribing to an insurance package, it's crucial to discuss the following issues with an advisor:
- Replacing a social security plan and traditional health insurance
- Complex rules and regulations
- Understanding the terms and conditions of each type of coverage or service
Definitions and Regulations
An expatriate is typically defined as someone living outside their country of citizenship, often assigned to a foreign location for work purposes, but can also be someone who chooses to live abroad for various reasons.
Expatriate insurance is a type of insurance plan that provides coverage and benefits to someone living in a foreign country, including health, life, and travel insurance plans.
Some countries require expats to have health insurance, so it's essential to understand the regulations and requirements of your host country.
International expat health insurance can give you extensive medical cover wherever you are in the world, helping to cover the cost of both routine and emergency medical care.
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Policy Rules
Policy rules are designed to provide clear guidelines for compliance with regulations.
A key aspect of policy rules is that they must be specific, measurable, achievable, relevant, and time-bound, also known as SMART goals.
Policy rules can be categorized into different types, including mandatory, recommended, and voluntary rules.
Mandatory rules, as seen in the article section, are non-negotiable and must be followed by all parties involved.
Recommended rules, on the other hand, are guidelines that are not mandatory but are still highly encouraged.
Voluntary rules are self-imposed and not legally binding, but can still have a significant impact on an organization's reputation and credibility.
Policy rules can be enforced through various mechanisms, including audits, fines, and penalties.
The severity of these enforcement mechanisms can vary depending on the type of policy rule and the level of non-compliance.
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What Is?
Expatriate insurance is a type of insurance plan that provides coverage and benefits to someone living in a foreign country, typically including health, life, and travel insurance plans.
Expats may need additional plans to cover auto, disability, or workers' compensation. Expatriate insurance is designed to support individuals living outside their country of citizenship.
International expat health insurance is a type of insurance that provides extensive medical cover for expats living abroad. It's different from travel insurance, as it covers routine and emergency medical care while living outside your country of citizenship.
It's essential to understand how you'll access healthcare services and the potential costs if you're not insured. International expat health insurance can provide a high standard of healthcare no matter where you are in the world.
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Local Regulations
You'll need to consider local regulations when obtaining expatriate health insurance. This is because you may still be required to sign up for local health insurance plans or pay local taxes on the policies you purchase.
The countries that have specific requirements include the United Arab Emirates, Germany, Switzerland, the USA, Singapore, and Thailand. Requirements may vary depending on your visa type, professional activity, and the date you take out your policy.
It's essential to contact the local authorities for more information, as requirements can be complex and change over time. The International Santé advisors can also provide guidance on these requirements if you need further assistance.
Insurance Providers
Cigna Global Expat Insurance offers a flexible, modular design that allows clients to customize their policy by selecting only the benefit packages they need.
Its exceptional service ensures prompt claims processing and a seamless experience.
Frequently Asked Questions
Do US expats need health insurance?
Yes, US expats need health insurance to ensure they're covered in case of medical emergencies, as many countries don't allow temporary residents to use local health insurance
Sources
- https://www.imglobal.com/expat-insurance
- https://www.axaglobalhealthcare.com/en/expat-health-insurance/
- https://www.internationalinsurance.com/expatriates/
- https://www.cignaglobal.com/resources/expat-health-insurance-explained
- https://www.international-sante.com/healthforexpats/expat-insurance/guides/to-know-before-applying/
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