Living abroad brings new experiences and challenges, but one of the most important decisions every expat must make is how to protect their health.
In many countries, access to local healthcare depends on your visa type or employment status, and even where public systems exist, standards and costs can vary widely.
Expat health insurance, sometimes called international health insurance, is designed to give you consistent medical protection wherever you live or travel, ensuring you can receive treatment when and where you need it.
You may also require this as a foreign national, even if the public healthcare is available to you.
Disclaimer
This article is for general information only and should not be regarded as financial or medical advice. Insurance policies and eligibility criteria vary between providers and countries. Always read the terms and speak to a regulated adviser before purchasing cover.
What is expat health insurance?
Expat health insurance provides long-term medical cover for people living or working outside their home country.
Unlike standard travel insurance, which focuses on emergencies and short-term trips, expat health insurance supports everyday healthcare needs such as:
- GP and specialist consultations
- Hospital treatment and surgery
- Maternity and dental care (depending on your plan)
- Emergency evacuation and repatriation
- Treatment in multiple countries
The key advantage is continuity of cover: you can move between countries or return to the UK without losing protection, making it ideal for globally mobile individuals and families.
How expat health insurance differs from local healthcare
Every country’s healthcare system is different. Some have excellent public options; others require proof of insurance before providing non-emergency care.
Local healthcare policies often:
- Only cover you within that country’s borders.
- Require you to be a permanent resident or pay into a local scheme.
- May exclude English-speaking doctors or private hospitals.
Expat health insurance removes these barriers by giving you access to private treatment globally, often with direct billing arrangements so you don’t have to pay upfront.
Why expats may need health insurance
Even in countries with public systems, foreign residents may be required to pay the full cost of treatment or register for national health contributions.
Health insurance ensures you can access quality medical care without unexpected bills or administrative complications.
Common reasons expats take out international health cover include:
- Living in countries where healthcare is expensive or not state-subsidised.
- Having dependants who need predictable access to doctors and specialists.
- Travelling frequently across regions or continents.
- Wanting faster or English-speaking medical care in emergencies.
Typical exclusions and limitations
Like all insurance products, expat health plans have exclusions. These can include:
- Undeclared pre-existing medical conditions.
- Elective or cosmetic procedures.
- Treatment obtained without pre-authorisation.
- War, natural disasters, or pandemic-related events (varies by provider).
Always read the small print carefully and declare all conditions honestly to avoid invalidating your policy.
Choosing the right expat health insurance
When comparing plans, consider:
- Geographical coverage: Does it include your current country of residence and any regions you frequently visit?
- Hospital network: Are you covered for private and public hospitals?
- Direct billing: Will the insurer pay hospitals directly, or must you pay upfront and claim later?
- Annual limits and excesses: Higher limits provide more protection but come with higher premiums.
- Portability: Can you retain cover if you move countries again?
For British expats, it’s also worth checking how coverage interacts with the NHS if you return to the UK temporarily or permanently.
Pre-existing conditions
If you already have a medical condition, it’s essential to declare it when applying.
Some insurers offer moratorium-style policies, which may include the condition after a set period without symptoms or treatment. Others may permanently exclude it or charge an additional premium.
A specialist adviser can help identify which approach best suits your situation.
How expat health insurance costs and quotes are calculated
Premiums are typically based on:
- Your age and medical history.
- The countries where you’ll live and travel.
- The level of cover (inpatient only, inpatient and outpatient, full comprehensive).
- Optional extras like maternity, dental, or vision care.
Some policies also allow regional pricing to reduce costs by limiting coverage to specific zones (for example, Europe or Asia rather than worldwide).
Renewing or changing countries
Expat health insurance is usually annual and renewable, meaning you can maintain cover year after year, even if your health changes.
If you move to another country, most global insurers allow you to adjust your plan without reapplying which is a key benefit compared to starting a new local policy abroad.
When to review your health insurance cover
You should review your health insurance if:
- You relocate to a new country.
- Your family circumstances change.
- You develop new health conditions.
- You’ve had the same policy for several years without checking for new options.
A simple review can ensure you’re not overpaying for outdated or duplicated cover.
Frequently asked questions
What is expat health insurance?
Expat health insurance is long-term medical cover for people living outside their home country. It provides access to private healthcare, ongoing treatment and emergency evacuation worldwide.
How is it different from travel insurance?
Travel insurance is for short-term trips and covers emergencies only. Expat health insurance is long-term and covers routine and emergency healthcare for residents living abroad.
Do I need health insurance if my new country has public healthcare?
In many cases, yes. Public healthcare may not cover non-residents, and private hospitals often require proof of insurance before providing treatment.
Can I use my policy in more than one country?
Yes. Most expat health insurance policies provide global or regional coverage so you can receive treatment in multiple countries without losing protection.
Checklist for ensuring you and your family are covered
- Confirm whether your current health insurance covers treatment outside your country of residence.
- Decide whether you need worldwide or regional coverage.
- Declare any pre-existing conditions when applying.
- Compare inpatient-only and full-comprehensive plans.
- Check how your policy interacts with public healthcare in your destination.
- Ensure the insurer is regulated in your region.
- Get an expat health insurance quote from our partners, The Expatriate Group.
Getting a quote for expat health insurance
Experts for Expats partners with The Expatriate Group, a trusted provider of international health insurance for British people living abroad.
You can get a quote directly from their site using the link below:
Get a quote from The Expatriate Group
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If you choose to get a quote through The Expatriate Group using the link above, we may receive a small commission at no extra cost to you. This helps us maintain and expand our free resources for the global expat community.