How to Maintain Your Health Insurance Coverage During Your Transition to Expat Life | Expat Empire (2024)

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Moving abroad is much more than just a change in lifestyle; it’s an upheaval of the comfort zone and safety net that grows around citizens the longer they live in their home country. As you begin to make the transition to your new life abroad, it’s important to take some temporary steps that will keep you safe in case of an emergency.

For all intents and purposes, the second a US citizen leaves the jurisdiction of the United States, they are no longer covered in an emergency. Travel insurance is an absolute necessity as you move from your old home to your new home. The sizable gap in uncertainty as you travel is widened by the fact that very few traditional domestic insurance companies provide health insurance internationally. There is also the possibility of encountering instances of burglary or theft that may cripple your travel plans.

In order to close the gap between your home country’s health insurance and the new health insurance you can get after receiving your visa or residency, we at Expat Empire recommend signing up for travel insurance before leaving your home country. SafetyWing provides travel insurance for long-term nomads and remote workers and is a great choice for those intending to be on the road for a while. For those traveling or planning for the short term, we recommend travel insurance from Insured Nomads to make sure you’re insured wherever you travel. The last thing you need during your move is to have to pay out of pocket for a debilitating emergency.

How to Maintain Your Health Insurance Coverage During Your Transition to Expat Life | Expat Empire (1)

Table of Contents

Long-Term Insurance Plans: Satisfying Requirements for Visas and Residency

If you plan to live in another country long-term, purchasing an insurance plan before moving is important for many reasons. First and foremost, nearly every country requires some form of health insurance in order to apply for a long-stay work or student visa or a residency permit. Some countries require health insurance to even cross the border. If your goal is to stay in another country for the long term, then you will likely need to be enrolled in a health insurance plan to be able to apply for your visa.

Keep in mind that finding the cheapest travel insurance in a quick online search isn’t guaranteed to satisfy the requirements of your destination country. Many countries, including those in the European Union, have a minimum insurance coverage requirement. There must also be insurance for the duration of your transition period, which may take several months. Some countries also restrict access to their public healthcare systems only to citizens, requiring all non-citizens living in the country to maintain private healthcare plans until receiving citizenship.

Next, even if your intention is to use your new country’s comprehensive state-run health insurance system instead of paying for a private health insurance plan, you’ll usually need a social security number from the government in order to get coverage. As you may have guessed, this social security number is typically only provided to foreigners after they receive their residency permits. Therefore, it’s likely that you’ll have to wait many months to register for the local public healthcare system, so it is smart to have a separate insurance plan covering you during that time.

If you are ready to purchase long-term insurance that covers you as a remote worker or nomad, we recommend SafetyWing. They offer two main plans that match the insurance needs of two different international lifestyles: Nomad Insurance for travel medical coverage and Remote Health for global health insurance for remote workers and nomads.

The Nomad Insurance package covers all travel outside of the United States starting at $40 per month for those under 40 years old and comes with a $250 deductible. This includes $250,000 coverage, which easily satisfies the €30,000 requirement for applying for visas in the European Union. While Nomad Insurance covers medical emergencies, the Remote Health package offers full, comprehensive health coverage including certain pre-existing conditions and cancer treatments with a $250 deductible and an annual maximum limit of $1,000,000. This starts at $153 per month for the same age group. The prices are current as of May 2021.

Even better, both of SafetyWing’s insurance plans cover all COVID-19-related expenses, so you can pursue your travel passions with a greater sense of security and peace of mind. No matter what happens between your home country and your visa or residency, you’ll be covered.

How to Maintain Your Health Insurance Coverage During Your Transition to Expat Life | Expat Empire (2)

Short-Term Health Insurance Plans: Leisure Travel & Digital Nomad Lifestyles

Regardless of the length of your travel, sometimes things are bound to happen and you don’t want to be stuck footing the bill. Whether you’re traveling for a few weeks or a few months or a few years, having reliable travel insurance could be the difference between a simple hospital visit and some serious financial consequences. You can’t predict the different emergencies that may affect your travel as you have fun and live it up on the other side of the world.

If you’re looking for a travel insurance-focused alternative, check out Insured Nomads. They are a company providing travel insurance for travelers and nomads around the world. They offer three plans that offer differing levels of coverage, deductibles, benefits, and more. Their coverage is sure to get you out of a pinch in any corner of the world!

How to Maintain Your Health Insurance Coverage During Your Transition to Expat Life | Expat Empire (3)

Transferring Your Medical Care & Pre-Existing Conditions

You don’t need to be tied down to your home country if you require regular medical care or have a pre-existing condition. Those with pre-existing conditions can attest that many insurance companies will discourage or outright refuse to cover them in any travel around the world. It’s even more difficult and near impossible to persuade insurance companies to transfer medical care abroad. Nevertheless, we still recommend asking your home insurance company about their international coverage before talking to someone else; you might be missing out on some benefits you didn’t know you had.

If you are looking for more comprehensive global health insurance coverage, you may also want to check out Cigna’s international health insurance plans. With 24/7 access to English language service centers, a global network of 1.65 million hospitals and healthcare professionals, and access to medical support in over 200 countries and territories, Cigna will have your back if you run into any health issues abroad. They can provide you with a quote in two minutes, so be sure to take the time to compare your options!

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Whether you are looking to move abroad or just country hop for a while, Expat Empire is here to assist you with those big questions. Take a look at our consulting services and Expat Tools to see which of them will take you to the next step in your journey abroad!

How to Maintain Your Health Insurance Coverage During Your Transition to Expat Life | Expat Empire (2024)

FAQs

What do expats do for health insurance? ›

Expat health insurance policies, also called International Private Medical Insurance (IPMI), provide healthcare for this group of people. The best expatriate health insurance plan is the one that can provide cover wherever you are, including your current country of residence and your home country.

What is the expatriate Health Coverage Clarification Act? ›

Section 3(b)(1) of the EHCCA generally provides that health coverage provided by an expatriate health plan to qualified expatriates is minimum essential coverage for purposes of § 5000A and any other section of the Code that incorporates the definition of minimum essential coverage in § 5000A(f) by reference.

Can I have US health insurance if I live abroad? ›

Does US health insurance cover you living abroad? Generally, U.S. health insurance benefits will not cover you while outside of the U.S. Your domestic U.S. health insurance plans will cover you in a specific region within the USA.

How much does expat health insurance cost? ›

How much does international health insurance cost? The annual cost of an international medical insurance plan will range from as low as $500, with limited benefits, to as much as $8,000 for a comprehensive global medical insurance policy, including coverage in the USA. The average cost is $5,500 per year.

How do expats get healthcare? ›

International health insurance is for anyone working and living abroad for an extended period, or where your employer does not provide health insurance as part of your contract. Professionals, families and students can benefit from health insurance for expats, giving access to worldwide healthcare at the drop of a hat.

What is a full expat benefits package? ›

A well-crafted expatriate compensation package will include most of the following elements: • Relocation expenses – Travel and household moving expenses for the employee and her family should be reimbursed (within reasonable limits), as should expenses to return home at the end of the assignment.

What is the purpose of the health insurance Portability Act? ›

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) is a federal law that required the creation of national standards to protect sensitive patient health information from being disclosed without the patient's consent or knowledge.

Does the Affordable Care Act cover immigrants? ›

If you're a lawfully present immigrant, you can get Marketplace coverage. You may qualify for lower costs on monthly premiums and extra savings on out-of-pocket costs based on your income. A measure of income issued every year by the Department of Health and Human Services (HHS).

What are 4 of the main objectives of the Health Insurance Portability and Accountability Act of 1996? ›

To amend the Internal Revenue Code of 1986 to improve portability and continuity of health insurance coverage in the group and individual markets, to combat waste, fraud, and abuse in health insurance and health care delivery, to promote the use of medical savings accounts, to improve access to long-term care services ...

Can I use Medicare if I live overseas? ›

Medicare generally does not cover health services outside the United States. If you move outside the United States: Medicare Part A (hospital insurance), is available to you if you return. No monthly premium is withheld from your Social Security benefit payment for this protection.

Can I use my Medicare in another country? ›

In most situations, Medicare won't pay for health care or supplies you get outside the U.S. The term “outside the U.S.” means anywhere other than the 50 states of the U.S., the District of Columbia, Puerto Rico, the U.S. Virgin Islands, Guam, American Samoa, and the Northern Mariana Islands.

Can I cancel Medicare if I live abroad after? ›

Medicare For People Who Permanently Live Overseas

To cancel a current Part B plan, you must contact Social Security and continue paying the premiums for one more month after notifying Social Security.

Is expat insurance expensive? ›

How much does average expat health insurance cost? In 2023, our average premium for an individual for a single year of cover was US$4,871. How much you pay though, will depend on things like your age, cover needs and location.

What is the meaning of expat insurance? ›

Expatriate insurance policies are designed to cover financial and other losses incurred by expatriates while living and working in a country other than one's own. Insurance should be arranged prior to relocating to a new country or destination.

How much does international health insurance cost per month? ›

International health insurance can cost from $200 to $900 per month, with an average of $500. However, the final cost of an international health insurance policy depends on many factors.

Do expats get free healthcare? ›

As a tourist in a foreign country, you should have travel health insurance to cover any unexpected medical expenses or you may have to pay out of pocket. That's because there is no “free” healthcare anywhere; every health system is funded either by taxes or other contributions by the residents of that country.

Do expats have to pay for Medicare? ›

If you move outside the United States: Medicare Part A (hospital insurance), is available to you if you return. No monthly premium is withheld from your Social Security benefit payment for this protection. You can continue paying for your Part B benefits or drop them while out of the country.

Do US expats need health insurance? ›

If you are moving abroad on a long-term basis or permanently, then you should get expatriate health insurance. Expatriate health insurance plans offer a broad range of protection during your time living abroad and are valid for a longer period of time.

Do US expats pay Medicare? ›

More In File. Wages paid to U.S. citizens and residents employed outside the United States are generally subject to Social Security and Medicare tax if the employer is an American employer.

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