Expatriate Insurance Plans

Find the right expatriate insurance for life abroad. Learn how expat insurance works, what coverage to consider, and how to compare plans.

A woman in white standing on a wooden dock in Venice, Italy, with historic buildings and the lagoon in the background.
A woman in white standing on a wooden dock in Venice, Italy, with historic buildings and the lagoon in the background.

Expatriate insurance plans, including health, life, and travel insurance, helps global citizens and nomads living abroad protect themselves and their families from the high cost of international healthcare and other financial risks.

Depending on your needs, coverage may include expat health insurance, emergency medical care, medical evacuation, repatriation, life insurance, disability insurance, and income protection.

Unlike standard domestic insurance, expatriate insurance is designed for people who live, work, retire, or travel internationally for extended periods. These plans can provide access to private hospitals, multilingual support, global provider networks, and coverage across multiple countries.

In this guide, we’ll explain the best insurance options for expatriates, what each type of coverage includes, and how to apply for a plan that fits your needs.

Find the Right Expatriate Insurance Plan

Whether you need international health insurance, life insurance, or income protection, we can help you compare trusted global plans and choose coverage that fits your life abroad.

Key Takeaways

  • Expatriate insurance can include international health, travel medical, life, disability, income protection, and group coverage.
  • Long-term expat health insurance is designed for people living abroad, while travel medical insurance is generally better suited to temporary stays and short-term assignments.
  • Coverage, exclusions, and costs vary based on your destination, age, health history, coverage area, plan benefits, and length of stay.
  • Strong plans may include access to global provider networks, private hospitals, direct billing, emergency medical evacuation, and repatriation.
  • The right plan depends on where you live, how long you will be abroad, who needs coverage, and the financial risks you want to protect against.

Expatriate Insurance Options at a Glance

Expatriate insurance can include several types of coverage, depending on how long you’ll be abroad, where you’re living, and what risks you need to protect against.

Coverage TypeBest ForCommon Benefits
Expat Health InsurancePeople living abroad long-termHospital care, outpatient care, direct billing, and medical evacuation
Travel Medical InsuranceShort-term trips or temporary assignmentsEmergency medical care, evacuation, repatriation, and trip interruption
International Life InsuranceExpats with dependents or financial obligationsDeath benefit, terminal illness benefit, optional critical illness, or disability coverage
Group Expat InsuranceEmployers with staff abroad and global organizationsEmployee health benefits, global provider access, and plan administration

What Is Expatriate Insurance?

An expatriate, or expat, is someone who lives outside their country of citizenship. While many expats move abroad for work, the term also applies to people relocating for family, retirement, education, lifestyle, or other long-term reasons.

Expatriate insurance is a broad term for coverage designed to support people living overseas. For most expats, this starts with international health insurance, which helps cover medical care outside their home country.

Depending on your situation, it may also include related coverage for emergency medical evacuation, repatriation, life insurance, disability insurance, or income protection.

The right coverage depends on where you live, how long you plan to stay, your citizenship, your family’s needs, and any local insurance requirements.

How Does Expatriate Health Insurance Work?

Expatriate health insurance helps people living abroad access medical care through an international policy, a global provider network, and direct billing or reimbursement.

Depending on the plan, coverage may include doctor visits, hospital care, specialist treatment, emergency services, medical evacuation, and repatriation.

1. Choose Your Coverage

When you apply for coverage, you choose an international health insurance plan based on your destination, budget, medical needs, and preferred level of benefits.

Some plans offer basic inpatient coverage, while others include outpatient care, wellness visits, prescriptions, maternity care, dental care, vision care, or evacuation services.

2. Complete Medical Underwriting

Many expatriate health insurance plans require medical underwriting. This means the insurer reviews your health history before approving your application and setting your premium.

Some plans cover pre-existing conditions. Others may exclude them or charge a higher premium.

A healthcare professional takes a patient's blood pressure during a routine medical examination in a modern clinic.

3. Access Care Through a Provider Network

Once your policy is active, you can access care through the insurer’s global network of hospitals, clinics, and doctors.

Many plans offer direct billing, which allows the medical provider to bill the insurance company directly and can reduce the amount you pay upfront.

4. Submit Claims for Reimbursement

If you receive care outside the network or direct billing is not available, you may need to pay for treatment first and file a claim for reimbursement.

In most cases, you’ll need to submit receipts, medical records, and other documentation so the insurer can review and process your claim.

5. Renew or Adjust Your Coverage

Most expatriate health insurance policies renew annually. At renewal, you may be able to adjust your deductible, benefits, or area of coverage as your needs change.

Renewal terms vary by insurer, so it’s important to understand how your plan handles ongoing coverage, claims, and pre-existing conditions before you enroll.

Why Do I Need Expatriate Health Insurance?

Expatriate health insurance helps protect people living abroad from high medical costs, limited access to local healthcare, and unexpected emergencies.

It can also provide access to private hospitals, international provider networks, medical evacuation, and coverage while traveling between countries.

Here’s why it’s essential:

warning

Limited Local Coverage

In many countries, your home health insurance may not cover medical expenses abroad. Local healthcare systems may also limit access for non-residents or provide fewer services for expatriates.

paid

High Medical Costs

Healthcare costs vary significantly across countries, as shown in OECD international health spending data, especially for emergency care, surgeries, hospital stays, and specialized treatment.

Expatriate insurance helps protect you from the financial burden of unexpected medical bills while living abroad.

health_and_safety

Comprehensive Global Coverage

Expat health insurance can offer broader coverage than many local plans, including access to private hospitals, specialist care, and international medical services.

This helps ensure you can receive quality healthcare wherever you live or travel.

helicopter

Emergency Medical Evacuation

If you experience a serious illness or injury, you may need to be transported to another city or a nearby country for appropriate medical care.

Many expat health insurance plans include emergency medical evacuation, which can help cover the high cost of medically necessary transportation.

airplane_ticket

Travel Flexibility

Many expat health insurance plans include worldwide coverage, helping you stay protected in your country of residence and while traveling internationally.

What Do the Best Expat Health Plans Include?

The best expat health insurance plans provide comprehensive medical coverage for individuals and families living or working abroad.

They are especially important for expats, international workers, retirees, and families who do not receive coverage through an employer, corporate plan, or global employer health benefits program.

Coverage varies by insurer, destination, citizenship, and length of stay, but strong global health insurance plans often include:

  • Inpatient and Outpatient Care: Covers hospital stays, surgery, doctor visits, specialist care, tests, and treatment outside the hospital.
  • Emergency Medical Care: Covers urgent treatment for unexpected illnesses or injuries abroad.
  • Prescription Medications: Covers eligible prescribed drugs, subject to the plan’s limits.
  • Cancer Treatment: May cover screenings, chemotherapy, radiation therapy, surgery, and related care.
  • Mental and Behavioral Health: May cover therapy, counseling, psychiatric care, and wellness support.
  • Emergency Medical Evacuation: Covers medically necessary transportation when suitable care is not available locally.
  • Maternity and Newborn Care: May include prenatal care, delivery, postnatal care, newborn care, and pregnancy complications.
  • Preventive Care: Covers routine checkups, vaccinations, physical exams, and health screenings.
  • Dental and Vision: Optional benefits may cover dental treatment, eye exams, and vision care.
  • Global Provider Network and Direct Billing: Access doctors and hospitals worldwide, with direct billing available in many locations.
  • Repatriation Benefits: Helps cover transportation home for medical care or the return of remains after death.

The right policy will depend on your healthcare needs, budget, preferred benefits, destination, and whether you need coverage for yourself, your family, or employees abroad.

Compare Expat Health Insurance Plans

Not sure which benefits you need? Compare global health insurance plans for expats and find coverage for medical care, emergencies, evacuation, and ongoing treatment abroad.

What’s Not Covered by Expat Health Insurance?

Before buying expatriate medical coverage, carefully review the policy certificate, benefits, and exclusions.

These documents explain what the plan covers, what it limits, and which expenses may not be eligible for reimbursement.

Common exclusions in expat health insurance may include:

  • Pre-Existing Conditions: Some plans exclude pre-existing conditions, apply waiting periods, or require medical underwriting before coverage is approved.
  • Cosmetic and Elective Surgery: Procedures that are not medically necessary, including most cosmetic treatments and elective surgeries, are typically excluded.
  • High-Risk Activities: Injuries related to extreme sports, hazardous activities, or adventure travel may not be covered unless you add specific coverage.
  • Fertility Treatments: Some plans exclude fertility services, such as IVF, or limit coverage for related consultations, testing, and treatment.
  • Experimental Treatments: Non-standard, investigational, or experimental therapies are often excluded from coverage.

The Expat Health Insurance Plans We Recommend

We recommend these expat health insurance plans for their global coverage, strong benefits, provider networks, and flexibility for individuals and families living abroad.

Each plan offers different options, so the best choice will depend on your destination, budget, healthcare needs, and preferred level of coverage.

Best for Flexible, Customizable Coverage

Cigna Global Health Insurance

Cigna Global uses a modular plan design. You can add benefits such as outpatient care, dental, vision, and medical evacuation to build coverage around your needs abroad.

Best for U.S. Citizens Living Abroad

BCBS Global Solutions Health Insurance

BCBS Global Solutions offers high benefit limits and access to the Blue Cross Blue Shield network. It is a strong option for U.S. citizens who need reliable coverage abroad and access to familiar providers upon returning to the United States.

Best for Expats Seeking Coverage in Europe

IMG Global Prima Medical Insurance

IMG Global Prima provides comprehensive health insurance for expats and internationally mobile individuals. You can choose coverage for Europe, worldwide, or worldwide excluding the United States, with flexible inpatient and outpatient benefits.

Best for Combining Health and Life Insurance

William Russell Health Insurance

William Russell provides access to quality healthcare for individuals and families living abroad. The company also offers international life insurance, making it a useful option for people who want to manage multiple coverage needs with a single provider.

How Much Does Expat Health Insurance Cost?

Expat health insurance can cost anywhere from about $50 per month for basic inpatient coverage to more than $1,000 per month for a comprehensive global medical plan.

Premiums are typically higher for older applicants, people with certain medical conditions, and plans that include broader benefits such as outpatient care, maternity, dental, vision, or medical evacuation.

Your country of citizenship and country of residence can also affect the price.

The coverage area is another major factor. Many expat health insurance plans offer two main options: worldwide coverage excluding the U.S. or worldwide coverage including the U.S.

Because healthcare costs in the United States are high, plans that include U.S. coverage usually cost more.

Some insurers also price plans by region and may limit or exclude coverage in certain high-risk countries.

When calculating premiums, insurers consider the cost of healthcare, local medical risks, and the likelihood of claims in the places where you live or travel.

Sample Expat Health Insurance Cost:

Family of four exploring city streets, smiling at map, travel and safety, international insurance planning.

Here is a sample monthly premium for a UK expat family of four moving to the Netherlands with a Cigna Global Platinum policy.

  • Plan Level: Platinum
  • Optional Benefits: Outpatient Module; Health and Wellbeing Module
  • Monthly Premium: $996.58

Policy premiums can often be adjusted by choosing a different deductible, changing your plan level, or adding or removing optional benefits.

What to Look For in an Expat Health Insurance Plan

When comparing expat health insurance plans, look for a global provider with a strong international network of hospitals, doctors, and healthcare facilities.

A broad provider network can make it easier to access quality care in your host country and while traveling.

You should also consider whether the plan offers 24/7 emergency support, direct billing, medical evacuation, and flexible benefit options.

Young woman reviewing insurance options on laptop in kitchen for global health protection.

Some expats may want a comprehensive plan with outpatient care, wellness, maternity, dental, and vision benefits, while others may prefer a lower-cost plan focused on essential medical coverage.

The best plan should match your destination, budget, healthcare needs, and preferred level of coverage.

Why Your Health History Matters When Applying

Underwriting is the process insurers use to review your expat insurance application and determine your eligibility, coverage terms, and premium.

During medical underwriting, you’ll answer questions about your health history and may need to provide records or documentation from your healthcare providers.

In some cases, an insurer may approve coverage for a past condition if you have been symptom-free or have not received treatment for a specific period.

However, the pre-existing condition may be reviewed again if you file a related claim later, depending on the plan’s underwriting rules.

FAQs

Group Expat Health Insurance

If your organization has two or more employees working abroad, a group expatriate health insurance plan can help protect your international team.

These plans can provide access to quality medical care, global provider networks, and benefits designed for employees living or working in different countries.

Coverage can often be adjusted based on where your employees are located, how they work, and the level of protection your organization wants to provide.

Business travelers engaging in conversation outdoors in a modern cityscape, representing international insurance services for global citizens and expatriates.

Our global benefits advisors can help you compare plans, understand eligibility and enrollment, and choose coverage that fits your employees’ needs and your organization’s budget.

Build the Right Coverage for Your Global Team

Our global benefits advisors can walk you through each step, from comparing plan options to understanding eligibility, enrollment, and ongoing support.

Travel Plans for Short-Term Expat Assignments

If you’re traveling abroad for a few days, several months, or up to a year, a short-term travel medical insurance plan can help protect you during your time overseas.

These plans are designed for temporary international stays and can provide essential medical coverage when a long-term expat health insurance policy is not the right fit.

Short-term travel medical insurance can include benefits for unexpected illness or injury, emergency medical care, hospitalization, medical evacuation, repatriation, and, depending on the plan, trip interruption.

This type of coverage may be a good option for business travelers, tourists, digital nomads, and expats on temporary work assignments.

Two professional men in business attire walking in an Italian city square, discussing work visas and international insurance options for Italy.
helpful tip

When requesting a quote, be sure to include your home country, destination, travel dates, and any countries you plan to visit. These details help determine which plans are available and which coverage options best fit your trip.

Short-Term Travel Health Insurance Options

We recommend these short-term travel health insurance plans because they offer strong medical benefits, emergency support, and flexible coverage for temporary trips abroad.

Each plan is designed to help protect travelers from unexpected medical expenses, emergency evacuation costs, and other travel-related risks.

Best for High Medical Maximums

IMG Patriot Platinum

IMG Patriot Platinum offers high medical limits and strong emergency evacuation benefits. It is a good option for travelers who want a higher level of medical protection during a temporary stay abroad.

Best for U.S. Travelers Abroad

BCBS Global Solutions Single Trip Platinum

The Single Trip Platinum plan provides access to a broad global healthcare network and comprehensive medical benefits. It also covers eligible pre-existing conditions, making it a reliable option for U.S. travelers seeking protection abroad.

Best for Flexible Travel Medical Coverage

WorldTrips Atlas Travel Insurance

The Atlas Travel plan offers flexible medical coverage for short-term international trips. It can help cover unexpected illness, injury, hospital care, emergency treatment, and medical evacuation while you are abroad.

FAQs

International Life Insurance for Expatriates

International life insurance can help protect your family’s financial security if something happens to you while living abroad.

Some domestic life insurance policies may not provide the same level of coverage overseas, making an international plan an important option for expats and global citizens.

Consider your income, debts, dependents, future expenses, and long-term goals when choosing a policy.

Global Life Insurance Options for Expats

Our trusted life insurance partners are recognized for delivering reliable, comprehensive protection to individuals and families worldwide.

With proven expertise and a reputation for excellence, each provider offers life insurance solutions designed to support financial security and peace of mind while you live abroad.

Best for Flexible Global Life Insurance

Unisure International Life Insurance

Unisure offers flexible international life insurance for individuals, families, and global professionals. Its coverage options can be tailored to support your financial needs while living abroad.

Best for Long-Term Financial Protection Abroad

William Russell Life Insurance

William Russell offers international life insurance designed for expats and their families. Its plans provide flexible, long-term financial protection for people living in different parts of the world.

Best for Added Living Benefits

Atlas Life Insurance

Atlas Life Insurance provides a lump-sum death benefit and an automatic terminal illness benefit. You can also add critical illness or disability coverage for broader financial protection.

How Much Does an Expat Life Insurance Plan Cost?

Some international life insurance policies may start around $50 per month. Plans with higher coverage amounts or added benefits can cost several hundred dollars or even thousands per month.

Your premium will depend on several factors, including:

  • Age: Younger applicants typically pay lower premiums than older applicants.
  • Health: Your medical history, current health, and any pre-existing conditions can affect your rate.
  • Coverage Amount: Higher death benefits generally result in higher premiums.
  • Location: Your country of residence may affect pricing, especially if you live in a region with higher risk factors.
  • Policy Length: Longer policy terms may cost more than shorter-term coverage.
  • Lifestyle Factors: Smoking, hazardous occupations, and high-risk hobbies can increase premiums.
  • Optional Benefits: Add-ons such as critical illness or disability coverage can increase your policy’s overall cost.

Because pricing depends on your personal details, location, and coverage goals, the best way to estimate your cost is to request a personalized international life insurance quote.

FAQs

Compare Expatriate Insurance Plans

The right expatriate insurance plan depends on where you live, how long you’ll be abroad, and the type of protection you need. Compare international health, travel medical, life, and group insurance options to find coverage that fits your life overseas.

Joe Cronin| President of ICI

Joe Cronin, President of ICI, is a leading expert in global mobility, international insurance and an avid world traveler. A licensed agent in 50 states, he advises global organizations, expatriates and travelers regarding comprehensive benefits and insurance solutions worldwide.

View Full Bio