{"id":3399,"date":"2018-07-30T02:10:10","date_gmt":"2018-07-30T06:10:10","guid":{"rendered":"https:\/\/www.theprofessionalhobo.com\/?p=3399"},"modified":"2025-12-03T16:03:44","modified_gmt":"2025-12-03T21:03:44","slug":"expat-insurance-travel-insurance-for-full-time-and-long-term-travelers","status":"publish","type":"post","link":"https:\/\/www.theprofessionalhobo.com\/expat-insurance-travel-insurance-for-full-time-and-long-term-travelers\/","title":{"rendered":"Expat Health Insurance: Travel Insurance for Digital Nomads and Long-Term Travelers"},"content":{"rendered":"\n<p><span style=\"font-weight: 400;\">One of the more common questions I get is \u201c<\/span><i><span style=\"font-weight: 400;\">What sort of travel insurance do you use?\u201d <\/span><\/i><span style=\"font-weight: 400;\">After being on the road for a certain amount of time, full-time and long-term travelers (including expats living abroad) may not qualify for standard <\/span><a href=\"https:\/\/www.theprofessionalhobo.com\/travel-insurance-guide\/\"><span style=\"font-weight: 400;\">travel insurance<\/span><\/a><span style=\"font-weight: 400;\">, as some health care plans and programs from our home countries also lapse with a long enough absence. <\/span>(As a Canadian, I ran into this problem early in my digital nomad career, and it can be a crippling problem if not dealt with carefully). <\/p>\n\n\n\n<p>There are many insurances available in the market with each of its own purpose. Health insurances are maybe one of the most important things that every human being needs. It is always in our best interest to be fully insured to protect ourselves and our families in case of any medical emergency.<\/p>\n\n\n\n<p>One insurance that many travelers may not be aware of is expat health insurance. This type of health insurance works differently from travel insurance and is usually more comprehensive in scope. It focuses on providing medical coverage for people who travel or move abroad either temporarily or permanently.<\/p>\n\n\n\n<p>For the purposes of this article and insurance coverage, expats are defined as people living and working abroad on a long-term or permanent basis. This includes not only people who have permanently located to another country, but also most long-term travelers and digital nomads are considered expats in the context of expat health insurance. <\/p>\n\n\n\n<p><b>Here\u2019s a full explanation of how I have insured myself over the years, along with some helpful tips and definitions if you are in a similar position.<\/b><\/p>\n\n\n<div class=\"wp-block-image wp-image-12141\">\n<figure class=\"aligncenter size-medium\"><img loading=\"lazy\" decoding=\"async\" width=\"353\" height=\"600\" src=\"https:\/\/www.theprofessionalhobo.com\/wp-content\/uploads\/2019\/02\/travel-insurance-for-full-time-travel-353x600.jpg\" alt=\"How do long-term \/ full-time travelers insure themselves against medical emergencies? Expat health insurance is a solution. Here's everything you need to know. #TravelInsurance #Insurance #FullTimeTravel #TravelPlanning #BudgetTravel #TravelTips #FinancialTravelTips\" class=\"wp-image-12141\" srcset=\"https:\/\/www.theprofessionalhobo.com\/wp-content\/uploads\/2019\/02\/travel-insurance-for-full-time-travel-353x600.jpg 353w, https:\/\/www.theprofessionalhobo.com\/wp-content\/uploads\/2019\/02\/travel-insurance-for-full-time-travel-602x1024.jpg 602w, https:\/\/www.theprofessionalhobo.com\/wp-content\/uploads\/2019\/02\/travel-insurance-for-full-time-travel.jpg 735w\" sizes=\"auto, (max-width: 353px) 100vw, 353px\" \/><figcaption class=\"wp-element-caption\">Pin this for later!<\/figcaption><\/figure>\n<\/div>\n\n\n<h2 class=\"wp-block-heading\"><strong>What is <\/strong><b>Expat Health Insurance<\/b><strong>?<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><b><i>Also known as International Health Insurance or Worldwide Travel Insurance<\/i><\/b><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">Expat insurance goes by many names, but the idea is the same; without a country to call your own (at least, as a resident), you might not have any basic medical care to rely on, and all medical expenses must be paid out-of-pocket. For full-time\/long-term travelers and people living abroad, expat insurance is the answer.<\/span><\/p>\n\n\n\n<p><b>But Expat Health Insurance is more than Travel Insurance; think of it as a full-service health and medical plan that provides for you around the world<\/b><span style=\"font-weight: 400;\">. It will cover you for medical emergencies, but it also has the ability to cover regular doctors\u2019 visits, prescription medication, sometimes dental maintenance and prescription eyeglasses, and even visits to healthcare practitioners like massage therapists and acupuncturists. <\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">In some countries where the cost of living is low or where medical tourism boons, self-insuring can be viable. But if a medical emergency is dire enough or if you are traveling somewhere this isn\u2019t the case (or where medical care is inappropriate and you need to be taken to a place where you can receive the care you need), you could find yourself in a crippling financial bind.<\/span><br \/><br \/><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Travel Insurance vs Expat Health Insurance<\/strong><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">I\u2019ve written about <\/span><a href=\"https:\/\/www.theprofessionalhobo.com\/travel-insurance-guide\/\"><span style=\"font-weight: 400;\">the dirt on travel insurance<\/span><\/a><span style=\"font-weight: 400;\"> before, including reasons why you need it and when you don&#8217;t, and even what it\u2019s like to endure a serious illness requiring hospitalization on the road. <\/span>Let&#8217;s take a closer look at the difference between traditional travel insurance and ex-pat health insurance.<br \/><br \/><em>See also: <a href=\"https:\/\/www.theprofessionalhobo.com\/the-irony-of-expat-life-pros-and-cons\/\">The Ironies of Expat Life<\/a><\/em><br \/><br \/><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Travel Insurance<\/strong><\/h3>\n\n\n\n<p>You would get travel insurance when you travel for a short period of time, usually up to three months, but it could be up to a year. It covers situations such as medical treatment, travel delays, and even loss of baggage or personal belongings. It can also provide repatriation coverage in the event of an emergency.<\/p>\n\n\n\n<p>When it comes to medical emergencies, travel insurance covers travel-related injuries or illnesses, such as travel accidents, food poisoning, and other travel-related illnesses. It can also cover pre-existing medical conditions (it depends on the policy) and provide coverage in the event of an emergency requiring evacuation or repatriation. But it is important to note that travel insurance will not cover routine healthcare costs outside of travel-related needs.<\/p>\n\n\n\n<p>Typically, travel insurance costs around 2-6% of the total travel cost. This of course also depends on what company you choose, the travel destinations, your age and personal circumstances, and the duration of travel. In addition, it also depends on the coverage you select as travel insurance packages can range from basic to comprehensive with various options in between.<br \/><br \/><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Expat Health Insurance<\/strong><\/h3>\n\n\n\n<p>Expat health insurance on the other hand covers long-term stays in a different country as well as long-term nomadic travel. It can provide medical coverage for pre-existing conditions, regular check-ups, prescription drugs and even evacuation services if you need to be taken back home due to a medical emergency. Depending on the insurer, there are usually several plans available with varying levels of coverage and deductibles.<\/p>\n\n\n\n<p>Unlike travel insurance, expat health insurance is typically more expensive but it can be well worth the cost if you are planning on being abroad for an extended period of time. It is important to note that you may still be required to pay out-of-pocket costs even with expat health insurance as some plans may not cover any travel-related illnesses or injuries.<\/p>\n\n\n\n<p>Since expat health insurance mainly covers medical related costs, it is important to consider if travel insurance is necessary in addition to expat health insurance.<\/p>\n\n\n\n<p>As mentioned above, expat health insurance policies are more expensive than travel insurance policies and the cost can range from a few hundred to thousands of dollars depending on the level of coverage. It is important to compare different plans and providers to ensure that you get the best coverage for your needs. Usually, the more comprehensive the plan, the higher the cost will be. It can cost around 10-20% of travel costs for a comprehensive plan. More on this in a minute. <br \/><br \/><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Types Of Expat Health Insurance<\/strong><\/h2>\n\n\n\n<p>Expat health insurance plans vary from basic to comprehensive with different levels of coverage depending on the provider.<br \/><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Basic Expat Health Insurance<\/h3>\n\n\n\n<p>This type of insurance is designed to cover essential medical needs such as doctor visits and hospital stays. It usually does not provide coverage for travel-related illnesses or injuries and may have a limited coverage area.<br \/><br \/><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Comprehensive Expat Health Insurance<\/h3>\n\n\n\n<p>This type of insurance covers a wider range of medical services including travel-related emergencies, evacuation services, and pre-existing conditions. It typically includes higher limits on coverage and larger travel areas.<\/p>\n\n\n\n<p>It is also important to consider if you need travel insurance in addition to expat health insurance as travel insurance may provide some additional coverage for travel-related medical issues. It is best to compare different plans and providers to ensure that you get the best coverage for your needs. Most expat health insurance providers offer several different packages that can be tailored to fit your budget and travel needs.<br \/><br \/><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Do I Need Expat Health Insurance?<\/strong><\/h2>\n\n\n\n<p>To answer that question, let us first discuss who needs it and why.&nbsp;<\/p>\n\n\n\n<p>Expat health insurance is mainly for those who travel long-term or move abroad on a permanent basis. It is also important to note that expat health insurance can be used in conjunction with travel insurance as there are some situations where travel insurance alone would not provide the necessary coverage.<\/p>\n\n\n\n<p>For example, expat insurance won&#8217;t cover travel-related claims like lost baggage, or the cost to travel home if a family member falls ill; these are usually travel insurance-related claims. Then again, if you need medical assistance related to mental health or pregnancy, travel insurance will likely fall short; this is something expat insurance is more likely to provide. <\/p>\n\n\n\n<p>Additional factors to consider are the travel destination and duration of travel. If you are planning on a stay of more than three months, travel insurance may not provide sufficient coverage and expat health insurance would be beneficial. It is also important to consider if there is a public healthcare system available in the travel destination and if it can cover your medical expenses while abroad.<\/p>\n\n\n\n<p>So the answer would be YES if you are planning on staying abroad for an extended period of time and travel insurance would not provide the necessary coverage.<br \/><br \/><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Best Expat Health Insurance Companies<\/strong><\/h2>\n\n\n\n<p>When looking for the best expat health insurance, it is important to consider all the factors mentioned above and also look into different providers and plans to ensure that you are getting the most comprehensive coverage at the best possible price.<\/p>\n\n\n\n<p>The following list is some of the best expat health insurance providers. In some (but not all) cases I have used affiliate links which earn me a small commission if you end up making a purchase. <br \/><br \/><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Genki (best comprehensive long-term coverage with no coverage limits)<\/h3>\n\n\n\n<p><a href=\"https:\/\/genki.world\/?with=theprofessionalhobo\" target=\"_blank\" rel=\"noreferrer noopener sponsored nofollow\">Genki<\/a> offers both travel health insurance and international health insurance for digital nomads and long-term travelers, and is the insurance company I have most recently chosen to use for my own long-term travels. <\/p>\n\n\n\n<p>The Genki Traveler policy is a flexible policy that renews each month for up to 12 months, and is open to all citizens of any residency up to age 69.<\/p>\n\n\n\n<p>The <a href=\"https:\/\/genki.world\/products\/resident?with=theprofessionalhobo\" target=\"_blank\" rel=\"noreferrer noopener sponsored nofollow\">Genki Native<\/a> plan is a proper &#8220;expat health insurance policy&#8221; with annual coverage that <strong>has no age limit<\/strong> and covers not only emergency medical care but also preventative care, and is designed to be a health plan for long-term or even life-long coverage.<\/p>\n\n\n\n<p>I am impressed by Genki&#8217;s comprehensive coverage of sports and activities (eg: all kinds of skiing is covered; most policies have strict terms of where and how you can get coverage while skiing). You also have access to Telemedicine that doesn&#8217;t require submitting a claim, and other thoughtful benefits. While I haven&#8217;t had to make a claim with Genki (<em>knock on wood I won&#8217;t need to<\/em>), I needed some assistance setting something up, and Genki&#8217;s customer service was fast and very helpful.<\/p>\n\n\n\n<iframe width=\"680\" height=\"320\" loading=\"lazy\" style=\"background: transparent; border: none;\"\n\tsandbox=\"allow-popups allow-popups-to-escape-sandbox allow-scripts\"\n\tsrc=\"https:\/\/widgets.genki.world\/calculator?with=theprofessionalhobo\"><\/iframe>\n\n\n\n<div style=\"height:44px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">SafetyWing<\/h3>\n\n\n\n<p><a href=\"https:\/\/safetywing.com\/nomad-insurance\/?referenceID=theprofessionalhobo&amp;campaign=nora-dunn---the-professional-hobo-website---expat-health-insurance---httpswwwtheprofessionalhobocomexpat-insurance-travel-insurance-for-full-time-and-long-term-travelers---june-11&amp;utm_campaign=nora-dunn---the-professional-hobo-website---expat-health-insurance---httpswwwtheprofessionalhobocomexpat-insurance-travel-insurance-for-full-time-and-long-term-travelers---june-11&amp;utm_source=theprofessionalhobo&amp;utm_medium=Ambassador\" target=\"_blank\" rel=\"noreferrer noopener sponsored nofollow\">SafetyWing<\/a> offers travel and remote health insurance solutions specifically for nomads and long-term travelers.<\/p>\n\n\n\n<p>Their Nomad Insurance Essential  plan covers medical emergencies for travelers up to age 69 and it  renews monthly. It works like regular travel insurance, plus some additional benefits like the ability to apply from abroad and also to get (limited) coverage for visits to your home country. <\/p>\n\n\n\n<p>The <a href=\"https:\/\/explore.safetywing.com\/Nomad-insurance-complete\/?referenceID=theprofessionalhobo&amp;campaign=nora-dunn---the-professional-hobo-website---expat-health-insurance---httpswwwtheprofessionalhobocomexpat-insurance-travel-insurance-for-full-time-and-long-term-travelers---june-11&amp;utm_campaign=nora-dunn---the-professional-hobo-website---expat-health-insurance---httpswwwtheprofessionalhobocomexpat-insurance-travel-insurance-for-full-time-and-long-term-travelers---june-11&amp;utm_source=theprofessionalhobo&amp;utm_medium=Ambassador\" target=\"_blank\" rel=\"noreferrer noopener sponsored nofollow\">Nomad Insurance Complete<\/a> plan is the equivalent of expat insurance, providing fully comprehensive health and travel insurance specifically designed with digital nomads in mind. While the Essential plan (above) has a coverage limit of $250,000, the Complete plan has a more robust $1.5 million limit, with $0 deductibles, co-insurance, or co-pay amounts. <\/p>\n\n\n\n<p>It covers any medical emergencies that the Essential plan would, plus routine care\/checkups, maternity care, mental health support, chiropractics, and cancer screenings and treatments. <\/p>\n\n\n\n<p>And unlike many traditional expat insurance \/ international health insurance policies, Nomad Insurance Complete also covers travel events like trip cancellation, delayed baggage, etc.  <\/p>\n\n\n\n<p>While you can only apply for the Complete plan if you&#8217;re aged 64 or younger, once you have the policy in place you can continue to renew it for life. <\/p>\n\n\n\n<p>Unfortunately though, you can&#8217;t get their Complete policy if you&#8217;re a resident of the US or Canada (as in, you can&#8217;t spend more than six months a year there).<\/p>\n\n\n\n<p>I personally used SafetyWing&#8217;s Nomad Essential plan for years, and I love what they are doing as a company, committed to a borderless world. Their policies do have some limitations however (eg: overall coverage limits, age limits), so it&#8217;s important to read the fine print to ensure they&#8217;ll cover you when needed. Here&#8217;s an article I wrote with <a href=\"https:\/\/www.theprofessionalhobo.com\/best-travel-medical-insurance\/\">pros and cons of SafetyWing<\/a>. <br \/><br \/><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Auras and Travelex (best basic travel insurance for seniors &#8211; with a caveat)<\/h3>\n\n\n\n<p>I have gotten a lot of emails from seniors who have been dismayed at how many insurance companies either cut off or substantially reduce coverage for people over the age of 65. Glory hallelujah &#8211; I have found two solutions. <\/p>\n\n\n\n<p><a href=\"https:\/\/www.dpbolvw.net\/click-100713648-11485720\" target=\"_blank\" rel=\"noreferrer noopener sponsored nofollow\">Travelex<\/a> offers a few different travel insurance plans; their Travel Select plan offers coverage up to 364 days and has no age limit. <br \/><em>(Note: I don&#8217;t have personal experience with Travelex as it is only for Americans. Also, note that the coverage limits are quite low; if I were getting a policy from them I would spring for the Additional Medical Coverage upgrade).<\/em> <\/p>\n\n\n\n<p><a href=\"https:\/\/www.dpbolvw.net\/click-100713648-17119729\" target=\"_blank\" rel=\"noreferrer noopener sponsored nofollow\">Auras<\/a>\u00a0has a universal travel insurance plan with all essential coverage. It\u2019s available to citizens of any country, aged 1 to 100. You can choose the amount of insurance you want (with higher limits than Travelex), and you can even make it a monthly renewable plan if you\u2019re hitting the road for a long or undetermined amount of time. You can also purchase it if you\u2019re already traveling, which is not possible with many insurance companies.\u00a0<br \/><br \/><em><strong>2026 UPDATE: Buyer Beware!<\/strong> I checked out Auras Insurance with the intention of buying one of their policies in December 2025. There were a variety of red flags that swayed me from using them. <br \/>For example, their specific policy language was almost impossible to find on the website, as was their underwriter. After some additional research, I discovered it&#8217;s underwritten by a company in the UAE, and Auras itself is in Comoros (offshore entities would be bound by different laws and in the case of a dispute would be nearly impossible to work with). <br \/>When I messaged customer service to get some information on an additional rider I was considering, they were unhelpful to the point of being rude. Not a good sign if you need to contact them in the event of an emergency. <br \/>And, when I finally did track down the policy language, I found it to be very exclusive. Repeatedly as I read it, I thought &#8220;if I needed to make a claim, this could be used to get out of paying me.&#8221; I laughed out loud at their coverage of ground transportation to the hospital in the event of an emergency: &#8220;taxi&#8221;. Not an ambulance &#8211; a taxi. <br \/>The limits were also atrocious. Although the overall policy limit was a high number, each category of claim had a much (much) smaller number that would be near useless if I had a serious medical emergency. <br \/>Then I looked at Trust Pilot reviews, which were mixed. Although 73% were 5-star reviews, a goodly portion of those reviewers never needed to make a claim. There were also 19% 1-star reviews, full of detailed accounts from people who had claims denied.\u00a0Every insurance company will deny claims and create irate customers who leave bad reviews, but if there is a large number of these reviews (and if they\u2019re recent, as these were), it\u2019s a red flag.\u00a0<br \/>May this serve as your warning: read your insurance policy cover to cover, and make sure you feel okay with it! Your life &#8211; or at least your finances &#8211; may depend on it. <\/em><br \/><br \/><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">IMG Global&nbsp;<\/h3>\n\n\n\n<p>IMG Global offers travel and expat health insurance with comprehensive coverage and personalized customer service.<\/p>\n\n\n\n<p>For many years I had the <a href=\"https:\/\/producer.imglobal.com\/international-insurance-plans.aspx?imgac=387651&amp;uservar=profhobo\" target=\"_blank\" rel=\"noreferrer noopener sponsored nofollow\">IMG Global Medical<\/a> expat insurance policy. More on this later. <br \/><br \/><\/p>\n\n\n\n<p>You can also use a site like <a href=\"https:\/\/visitorscoverageinc.pxf.io\/N9NL6N\" target=\"_blank\" rel=\"noreferrer noopener sponsored nofollow\">Visitors Coverage<\/a> to shop across multiple insurance companies and filter out the best results for your needs to get the best policy for you. I use it whenever I take a trip of fixed duration (3 months or less). <br \/><\/p>\n\n\n\n<p class=\"has-base-3-color has-text-color has-background\" style=\"background-color:#2b3d99\"><strong>Check out my <a href=\"https:\/\/www.theprofessionalhobo.com\/category\/travel-lifestyle-guides\/\"><span style=\"text-decoration: underline;\">Travel Lifestyle Guides<\/span><\/a> for more ways to earn money remotely, spend it wisely, and balance the two so you can travel as long as you wish, in a financially sustainable way.\u00a0<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><br \/><b>Expat Health Insurance Tips<\/b> &#8211;<strong>What to know before buying expat health insurance<\/strong><\/h2>\n\n\n\n<p>Here are a couple of factors that you should consider when looking for the best expat health insurance:<\/p>\n\n\n\n<p><i><span style=\"font-weight: 400;\">For a full glossary of insurance terms (which will make some of the lingo below easier to understand), check out the <\/span><\/i><a href=\"https:\/\/www.theprofessionalhobo.com\/travel-insurance-guide\/\"><i><span style=\"font-weight: 400;\">Ultimate Traveler\u2019s Guide to Insurance<\/span><\/i><\/a><i><span style=\"font-weight: 400;\">. <\/span><\/i><br \/><br \/><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><b>Read the fine print <\/b><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">Read it&#8230;before you buy, as well as after. It might be soul-destroying to sift through 30+ pages of policy legalese, but it pays to know your policy inside and out. You don\u2019t want to discover your policy\u2019s limitations in the throes of a medical emergency.<\/span><br \/><br \/><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><b>The higher your deductible, the lower your premiums will be.<\/b><\/h3>\n\n\n\n<p>Some insurance companies allow you to<span style=\"font-weight: 400;\"> adjust this accordingly in the quotation process to get a policy suited to your needs. If you only plan on using the policy for major medical emergencies and you have a cash buffer to cover the deductible, then setting a high deductible makes sense. <\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">I did exactly this when I had IMG Global Medical. It meant that some of the lower-value benefits of international health insurance (like doctor\u2019s visits and other healthcare practitioner coverage) was lost on me due to the high deductible, but at the same time, it covered me when I would have <\/span><i><span style=\"font-weight: 400;\">really<\/span><\/i><span style=\"font-weight: 400;\"> needed it &#8211; in the event of an expensive medical emergency\/situation. <\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">You can tweak this during the quotation process to suit your needs and budget.<\/span><br \/><br \/><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Coverage area<\/strong><\/h3>\n\n\n\n<p>If you are planning on traveling to multiple countries, it is important to make sure that the plan offers coverage in all of those countries.<br \/><br \/><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><b>The higher the co-insurance\/co-pay, the lower your premiums will be. <\/b><\/h3>\n\n\n\n<p>Again you can sometimes tweak this during the quotation process to suit your needs and budget.<br \/><br \/><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><b>Excluding USA Coverage reduces premiums. <\/b><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">Many policies have an option for worldwide coverage that excludes cover in the USA, and with the exclusion these policies are considerably cheaper (as much as 50% cheaper) than their worldwide counterparts.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">If you get a policy like this and plan to visit (or return to) the U.S., you can simply buy a separate policy for <\/span><i><span style=\"font-weight: 400;\">just<\/span><\/i><span style=\"font-weight: 400;\"> the dates of travel in the U.S. and it will end up costing you much less than blanket annual coverage.<\/span><br \/><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><b>Pay annually for discounted rates. <\/b><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">This concept applies to most types of insurance policies, not just travel or expat insurance; the more frequent your payments are, the more money you pay. (Unless it&#8217;s a monthly renewable insurance like Genki or SafetyWing, which doesn&#8217;t have an annual payment option). By paying annually you\u2019ll get the best rates. And if you end up canceling the policy, you\u2019ll get retroactively refunded for the portion of the year you didn\u2019t use, so there\u2019s no loss.<\/span><br \/><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><b>Check for direct pay clauses for hospital stays. <\/b><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">Most insurance companies will directly pay the hospital for your in-patient expenses so you aren\u2019t out-of-pocket and looking for reimbursement. But it\u2019s worthwhile ensuring that this is the case; the last thing you want is to foot an unexpected hospital bill that could be in the tens of thousands of dollars.<\/span><br \/><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><b>Always call the insurance company before seeking medical care. <\/b><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">Some insurers are so sticky about this that they can actually refuse to cover you if you don\u2019t contact them <\/span><i><span style=\"font-weight: 400;\">before <\/span><\/i><span style=\"font-weight: 400;\">seeking medical care. Obviously if you are unconscious or completely unable to pick up the phone, they\u2019ll make an exception, but they expect a call within 72 hours of your being admitted to a hospital, or as soon as is reasonable. You can have somebody call on your behalf if you can\u2019t do it yourself.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Part of the reason for this requirement is because the insurance company might have special arrangements with certain health providers and hospitals (which I\u2019d like to think have been vetted for their standard of care, but alas I may be naively optimistic on this front). Either way, it\u2019s always best to call them first since they hold all the cards when it comes to paying out. They\u2019ll create a file for you, make arrangements to pay the hospital directly, and enhance the chance of your claim going through without complications.<\/span><br \/><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><b>Keep copies of your insurance info everywhere.<\/b><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">You can\u2019t have it in too many places, as far as I\u2019m concerned. I have a card in my wallet, the policy info and documentation on my computer and phone (both of which get backed up), a copy on my hidden USB stick, and full policy documentation with a family member back home. (If you travel with a partner, they should have your policy information as well). <\/span><i><span style=\"font-weight: 400;\">(See also: <\/span><\/i><a href=\"https:\/\/www.theprofessionalhobo.com\/travel-security\/\"><i><span style=\"font-weight: 400;\">Travel Security: How To Keep Your Finances, Data, &amp; Identity Safe On The Road<\/span><\/i><\/a><i><span style=\"font-weight: 400;\">)<\/span><\/i><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">As a worst-case scenario, if I\u2019m lying on a hospital bed and have one phone call to make with five minutes of consciousness to enjoy, I can call my Mum (who is my<\/span><a href=\"https:\/\/www.theprofessionalhobo.com\/things-before-traveling-abroad\/\"> <span style=\"font-weight: 400;\">designated representative<\/span><\/a><span style=\"font-weight: 400;\">) and ask her to do the leg-work with the insurance company for me. Otherwise, regardless of the accident or illness that hits me, I\u2019ll have multiple copies of policy information and claims phone number just in case my wallet is stolen or I lose the information in one spot.<\/span><br \/><br \/><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Travel destination and duration of travel<\/strong><\/h3>\n\n\n\n<p>Depending on your travel destination and the length of stay, some travel insurance policies may not provide sufficient coverage or cost too much.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"580\" height=\"435\" src=\"https:\/\/www.theprofessionalhobo.com\/wp-content\/uploads\/2012\/03\/p697641353-3.jpg\" alt=\"expat insurance\" class=\"wp-image-10066\"\/><\/figure>\n<\/div>\n\n\n<h3 class=\"wp-block-heading\"><br \/><strong>Pre-Existing Conditions<\/strong><\/h3>\n\n\n\n<p><strong>A pre-existing condition is anything that you have experienced symptoms of and\/or sought medical advice\/treatment for.<\/strong><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">If you have a pre-existing condition, you can still get international health insurance, but it will probably affect which plans you\u2019re eligible for or how much coverage you receive. The key is to keep an eye out for pre-existing condition clauses or exclusions, or try to get special expat insurance that covers pre-existing conditions.<\/span><\/p>\n\n\n\n<p><b> <\/b><span style=\"font-weight: 400;\">Most insurance companies look for\/exclude pre-existing conditions from the last two years, but if you\u2019re answering a medical questionnaire as part of your application, many questions will delve into your <\/span><i><span style=\"font-weight: 400;\">entire<\/span><\/i><span style=\"font-weight: 400;\"> medical history. Imagine my surprise when I received an exclusion on a policy for any conditions relating to asthma, due to a temporary and short-lived problem I had experienced <\/span><i><span style=\"font-weight: 400;\">20 years prior<\/span><\/i><span style=\"font-weight: 400;\">. &nbsp;<\/span><br \/><br \/><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Premiums and deductibles<\/strong><\/h3>\n\n\n\n<p>Compare different plans to find one that offers the best coverage at the lowest cost.<br \/><br \/><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Medical services offered<\/strong><\/h3>\n\n\n\n<p>Make sure that the plan offers coverage for all of the medical services you may need while traveling.<br \/><br \/><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Extras<\/strong><\/h3>\n\n\n\n<p>Some expat health insurance providers may offer extras such as travel assistance, emergency medical evacuation services, or travel security services.<\/p>\n\n\n\n<p>It is also beneficial to compare different providers and plans in order to find the best coverage for your needs at the most affordable price. Expat health insurance is an important consideration for those who travel abroad and can provide the necessary protection and peace of mind in case of a medical emergency.<\/p>\n\n\n\n<p>Now that you are aware of the factors you need to consider when choosing the best expat health insurance, you can make an informed decision and travel with peace of mind.<br \/><br \/><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><b>How to Apply for Expat Insurance<\/b><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">Expat health insurance plans are offered by more and more insurance companies around the world. They tend to be insurers who also offer travel insurance and standard health plans, but you\u2019ll find the occasional dedicated expat insurance company as well.<\/span><\/p>\n\n\n\n<p>While I always recommend reading all the insurance documentation both prior to and after getting a policy, you may still find yourself in over your head and wanting some help. This is where an insurance broker can come in. <\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">In my first few years of full-time travel, I used insurance brokers to help me find the best rates and policies. With one request, I got a summary of various insurance companies and plans, costs, and general policy specifications. I could read up on the policies that best suit my needs and budget, and ask questions of the broker about the quotes, policy administration, applications, and claims. Their answers are usually unbiased, and can be illuminating since they hold experience working with these insurers and can indicate if some are easier or more difficult to manage. <\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">The last insurance broker I used to secure the expat insurance policy I had with<\/span>&nbsp;<span style=\"font-weight: 400;\">IMG Global was<\/span> <span style=\"font-weight: 400;\">Ingle International. I&#8217;ve also used<\/span> <span style=\"font-weight: 400;\">Pacific Prime. <\/span><\/p>\n\n\n\n<p><em><span style=\"font-weight: 400;\">(Note: If you think you&#8217;ll be interested in an IMG medical insurance policy, feel free to <a href=\"https:\/\/www.theprofessionalhobo.com\/contact\/\" target=\"_blank\" rel=\"noopener\">contact me<\/a> and I&#8217;ll refer you to the guy who helped me with mine and knows his stuff when it comes to insurance for long-term travelers).&nbsp;<\/span><\/em><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Considering the insurance world is mired in ambiguity and legalese, and making claims can be hell on wheels, I find that working with an insurance broker who can advocate on your behalf throughout the application and claims process is well worth it.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">And it\u2019s free! Buying a policy through a broker doesn\u2019t cost any more than if you go directly to the insurance company, and in fact can sometimes cost less if the broker gets volume discounts.<\/span><br \/><\/p>\n\n\n\n<p><strong>2024 Update:<\/strong> Insurance brokers are great, but they don&#8217;t represent all insurance companies, so I would still suggest getting quotes from the companies I listed earlier.<\/p>\n\n\n\n<p>While my IMG Global Medical insurance policy had amazing rates for worldwide coverage including the U.S., the reality is all I really wanted was a policy to cover me in the event of a travel medical emergency, so it was like having a Cadillac to do what a wheelbarrow could have handled. You might find that other companies like Genki or SafetyWing could better suit your needs, as they are designed for long-term travelers and digital nomads more so than expats . <br \/><br \/><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span style=\"font-weight: 400;\"><strong>Long-Term Travel Health Insurance Exclusions<\/strong><\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">After applying for your travel health insurance policy, you might find yourself at the mercy of certain exclusions. It\u2019s important to declare any pre-existing conditions when you first apply. Otherwise, claims around those conditions could be rejected and won\u2019t be covered. Hello, expensive out-of-pocket costs! <\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">But the crappy part about divulging your pre-existing conditions, is that they could likely lead to an exclusion, which means the insurance company won\u2019t cover you for any illness\/injury that is related to that condition. <\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Some plans will remove exclusions if you\u2019ve been treatment-free for a certain number of years, so make sure you ask your broker about that. <\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">In the case of pregnancy, some plans will cover maternity care after a waiting period, sometimes 12 months, sometimes less. Other plans just don\u2019t cover it at all. <\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Aside from pre-existing conditions, most health insurance and travel insurance plans have a list of exclusions that they can\u2019t cover at all. Usually it\u2019s things like injuries resulting from terror attacks or acts of war and nuclear explosions. Some plans also don\u2019t cover recreational activities like skydiving or scuba diving. <\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">If you\u2019re traveling to high-risk areas, you can always apply special extensions for those kinds of coverage to your usual plan.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">You can still get international health insurance if you have pre-existing conditions. You\u2019ll either have a higher premium, or an exclusion, and you might have to fill out extra forms or do extra screening tests before being approved. <\/span><br \/><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Expat Travel Insurance for Seniors &#8211; What to Look Out For<\/strong><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">For seniors looking for expat health insurance, there are a few important things to look out for in a plan, alongside pre-existing condition coverage. <\/span><\/p>\n\n\n\n<p><b>Coverage for Life<\/b><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Some expat insurance plans have age restrictions or cut-off ages. It\u2019s important for older expats and long-term travelers to find a plan that doesn\u2019t have these restrictions.<\/span> <\/p>\n\n\n\n<p><b>High Overall Limit<\/b><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">As we age, we tend to have more and more medical issues, so it\u2019s important to find a plan that has a higher overall limit on how much it covers.<\/span><\/p>\n\n\n\n<p><b>Evacuation Coverage<\/b><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">If you\u2019re traveling in a developing country, it\u2019s important to make sure your insurance covers evacuation, in case you have a serious medical issue that can\u2019t be treated with the resources available and you need to be transported to a more developed place. <\/span><\/p>\n\n\n\n<p>You can also purchase separate evacuation insurance policies from <a href=\"https:\/\/partner.globalrescue.com\/theprofessionalhobo\/index.html\" target=\"_blank\" rel=\"noreferrer noopener sponsored nofollow\">Global Rescue<\/a> or <a href=\"https:\/\/www.awin1.com\/awclick.php?gid=394388&amp;mid=20001&amp;awinaffid=202003&amp;linkid=2688337&amp;clickref=\" target=\"_blank\" rel=\"noreferrer noopener sponsored nofollow\">Medjet<\/a>. <br \/><br \/><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Prescription Medications for Expats<\/strong><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">If you\u2019re someone who needs to take regular prescriptions, full-time or long-term travel can feel impossible. But it\u2019s still possible to travel and get your medications as necessary. <\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span style=\"font-weight: 400;\">Taking Prescriptions With You<\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">Wherever possible, it\u2019s advisable to bring as much of your prescription medication with you as the pharmacy will give you in one shot. That way you won\u2019t have to worry about getting the wrong medication by accident in a country with different terminologies for the same medications.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">On the other hand, don\u2019t forget that some countries have laws against certain medications, so make sure you check that you\u2019re allowed to bring your meds into the country before you do, especially if it\u2019s a commonly controlled substance.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span style=\"font-weight: 400;\">Getting Your Meds Abroad<\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">Another option is to take a written prescription from your doctor with you, including both brand name and generic name, as well as a list of medicinal ingredients. Then, when you get to your new country (if you\u2019re moving there) or when you know you\u2019re about to need a refill, you can find a local doctor or pharmacy. <\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Having the notes from your doctor will help them make sure you don\u2019t get the wrong medication, especially since prescription drugs sometimes have different uses in some countries. <\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Also make sure that you\u2019re getting your medications from a reputable source. Pharmaceutical chains or hospital pharmacies are usually a safe bet. You can also ask your expat insurance provider or local embassy for recommendations.<\/span><\/p>\n\n\n\n<p>It&#8217;s also worth noting <strong>that in some countries you can get the same medication over the counter that would require a prescription in your home country<\/strong>. As I mention in my <a href=\"https:\/\/www.theprofessionalhobo.com\/staying-healthy-while-traveling-natural-preventions-and-cures\/\">Guide to Staying Healthy While Traveling<\/a>, my first line of defence is always a pharmacist, who is not only incredibly qualified, but also free.&nbsp; If you show them your doctor&#8217;s notes and prescription forms, they may be able to help you on the spot, perhaps even in a more efficient way than you&#8217;ve experienced at home!<\/p>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<p><span style=\"font-weight: 400;\">When choosing and using your expat insurance, it\u2019s important to make sure it fits your medical needs, and also that you understand how you can use it on the road so that you can get treatment or medications you need. Otherwise, what\u2019s the point in having it, right?<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">This is just the tip of the insurance iceberg. If you have ANY questions about insurance for travelers, check out this <a href=\"https:\/\/www.theprofessionalhobo.com\/travel-insurance-guide\/\">free comprehensive guide<\/a> &#8211; which includes a full glossary of terms.<\/span><br \/><br \/><br \/><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>MONTHLY RENEWABLE INSURANCE POLICIES FOR LONG-TERM TRAVELERS<\/strong><\/h3>\n\n\n\n<p><a href=\"https:\/\/safetywing.com\/nomad-insurance\/?referenceID=theprofessionalhobo&amp;campaign=nora-dunn---the-professional-hobo-website---expat-health-insurance---httpswwwtheprofessionalhobocomexpat-insurance-travel-insurance-for-full-time-and-long-term-travelers---june-11&amp;utm_campaign=nora-dunn---the-professional-hobo-website---expat-health-insurance---httpswwwtheprofessionalhobocomexpat-insurance-travel-insurance-for-full-time-and-long-term-travelers---june-11&amp;utm_source=theprofessionalhobo&amp;utm_medium=Ambassador\" target=\"_blank\" rel=\"noreferrer noopener sponsored nofollow\">SafetyWing<\/a> is a leader in the nomad space with an Essential Plan for travel emergencies, and a <a href=\"https:\/\/explore.safetywing.com\/Nomad-insurance-complete\/?referenceID=theprofessionalhobo&amp;campaign=nora-dunn---the-professional-hobo-website---expat-health-insurance---httpswwwtheprofessionalhobocomexpat-insurance-travel-insurance-for-full-time-and-long-term-travelers---june-11&amp;utm_campaign=nora-dunn---the-professional-hobo-website---expat-health-insurance---httpswwwtheprofessionalhobocomexpat-insurance-travel-insurance-for-full-time-and-long-term-travelers---june-11&amp;utm_source=theprofessionalhobo&amp;utm_medium=Ambassador\" target=\"_blank\" rel=\"noreferrer noopener sponsored nofollow\">Complete Plan<\/a> for complete healthcare needs globally.<\/p>\n\n\n\n<div class=\"safetywing-price-widget\" data-safetywingaffiliateid=\"theprofessionalhobo\"><\/div>\n<script type=\"text\/javascript\" src=\"https:\/\/storage.googleapis.com\/safetywing-static\/widget\/safetywing-price-widget.js\"><\/script>\n\n\n\n<div style=\"height:28px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p><a href=\"https:\/\/genki.world\/?with=theprofessionalhobo\" target=\"_blank\" rel=\"noreferrer noopener sponsored nofollow\">Genki<\/a> is a bit newer to the scene, also offering two monthly renewable insurances; one for travel medical emergencies, and the other for comprehensive coverage.  <\/p>\n\n\n\n<iframe width=\"680\" height=\"320\" loading=\"lazy\" style=\"background: transparent; border: none;\"\n\tsandbox=\"allow-popups allow-popups-to-escape-sandbox allow-scripts\"\n\tsrc=\"https:\/\/widgets.genki.world\/calculator?with=theprofessionalhobo\"><\/iframe>\n\n\n\n<p>I have owned both Genki and SafetyWing policies, and whenever I&#8217;m in the market I get quotes from both. I also read the fine print to ensure my specific trip needs and planned activities will be covered.<br \/><\/p>\n\n\n\n<div style=\"height:28px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p><strong>INSURANCE BROKER FOR FIXED-DURATION TRAVEL INSURANCE NEEDS<\/strong><\/p>\n\n\n\n<p>Want to shop for your own policy? Use <a href=\"https:\/\/visitorscoverageinc.pxf.io\/N9NL6N\" target=\"_blank\" rel=\"noreferrer noopener sponsored nofollow\">Visitors Coverage<\/a>. They&#8217;re an insurance broker that will show you all the options based on your age and trip criteria. I&#8217;ve used them multiple times for shorter trips (even up to three months).<\/p>\n\n\n\n<a rel=\"sponsored\"\n           href=\"https:\/\/visitorscoverageinc.pxf.io\/c\/232531\/2176989\/27750\" target=\"_top\" id=\"2176989\">\n<img loading=\"lazy\" decoding=\"async\" src=\"\/\/a.impactradius-go.com\/display-ad\/27750-2176989\" border=\"0\" alt=\"\" width=\"336\" height=\"280\"\/><\/a><img loading=\"lazy\" decoding=\"async\" height=\"0\" width=\"0\" src=\"https:\/\/imp.pxf.io\/i\/232531\/2176989\/27750\" style=\"position:absolute;visibility:hidden;\" border=\"0\" \/>\n\n\n\n<p><em>Note: If you end up purchasing an insurance policy through some of the links in this post, I will receive a small commission. This in no way affects your price, and helps me to keep <a href=\"https:\/\/www.theprofessionalhobo.com\/welcome-professional-hobo\/\">The Professional Hobo<\/a> going as a lifestyle travel resource. Thank you in advance for your support!&nbsp;<\/em><br \/><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-medium\"><img loading=\"lazy\" decoding=\"async\" width=\"400\" height=\"600\" src=\"https:\/\/www.theprofessionalhobo.com\/wp-content\/uploads\/2018\/07\/Expat-Insurance-International-Medical-Insurance-for-Long-Term-Travelers-400x600.jpg\" alt=\"Expat Insurance (also called International Medical Insurance) is Travel Insurance for Long-Term and Full-Time travelers. Here's everything you need to know! #travelinsurance #expatinsurance #internationalmedicalinsurance #medicalinsurance #longtermtravel #fulltimetravel #expatmedical #travelmedical #TheProfessionalHobo\" class=\"wp-image-12692\" srcset=\"https:\/\/www.theprofessionalhobo.com\/wp-content\/uploads\/2018\/07\/Expat-Insurance-International-Medical-Insurance-for-Long-Term-Travelers-400x600.jpg 400w, https:\/\/www.theprofessionalhobo.com\/wp-content\/uploads\/2018\/07\/Expat-Insurance-International-Medical-Insurance-for-Long-Term-Travelers-683x1024.jpg 683w, https:\/\/www.theprofessionalhobo.com\/wp-content\/uploads\/2018\/07\/Expat-Insurance-International-Medical-Insurance-for-Long-Term-Travelers.jpg 735w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><figcaption class=\"wp-element-caption\">Keep this handy for later by Pinning it here! <\/figcaption><\/figure>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>How do long-term \/ full-time travelers insure themselves against medical emergencies? Expat insurance is a solution. Here&#8217;s everything you need to know.<\/p>\n","protected":false},"author":1,"featured_media":11637,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[604,1337,379],"tags":[],"class_list":["post-3399","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-financial-travel-tips","category-travel-lifestyle-guides","category-travel-planning","resize-featured-image"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Expat Health Insurance: Travel Insurance for Long-Term Travelers<\/title>\n<meta name=\"description\" content=\"How do long-term \/ full-time travelers insure themselves against medical emergencies? Expat health insurance. 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