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What is and isn't covered under my expat health insurance policy?

Here we will provide you with a basic and digestible overview of what is covered under the expat health insurance policy.

Written by Jamie

Expat health insurance is a common and great option for expats first arriving in Europe and settling in. It is an affordable insurance option with minimal eligibility criteria, meaning it is quick and easy to sign up for and provides you with initial health insurance in Europe.

However, unlike public health insurance, expat is designed as a short term insurance that covers basic health care needs.

What’s covered?

Expat insurance will cover you for new medical conditions that commence after your insurance cover starts (and after the waiting period if that applies to you). This includes both outpatient appointments (e.g. an appointment with a General practitioner), or inpatient hospital treatments. This coverage applies specifically to treatment with a registered medical doctor.

There is limited additional for non-medical treatments, such as dental and physical therapy, which will be covered in more detail below.

First, let's break down the coverage in a simplified comparison table so you can have an initial overview.

Coverage

(per insurance year)

Expat Health Plan

Out-patient medical treatments

Ambulance transport to in-patient treatment

Ambulance transport to out-patient treatment

X

Dental treatment for pain relief

€500

Preventative dental treatment (eg dental cleanings)

X

Medications and surgical dressings

Radiation therapy, light therapy, and other physical treatments

Massages, compresses and inhalations

€300

Therapeutic aids prescribed following an accident

€500

General medical aids (with prior approval)

X

Repairs for existing medical aids

X

Visual aids

X

Operations

In-patient medical treatment under general care insurance in a public or private hospital (shared room, no head physician)

Screening check-ups for early detection of cancers

X

Skin cancer check-up

X

Dental check-ups

X

Pregnancy treatment due to complaints

Pregnancy examinations and deliveries

X

Ambulance transport to in-patient treatment

Ambulance transport to out-patient treatment

X

Repatriation, if medically necessary

Repatriation of mortal remains to the home country or funeral in France

€10,000

Tele-medical consultation

1 free consultation (no copay)

Travel vaccinations

X

Covid vaccinations

X

Covid rapid tests

3 (up to 15 euros)

Fitness applications

X

Pre-existing conditions

X

Gynaecological preventative care

X

Regular vaccinations

X

Alternative health therapy

(such as physiotherapy, chiropractic, osteopathy, psychoanalysis, occupational therapy, podiatry, dietetics, speech therapist, acupuncture, Chinese medicine)

X

Now, let's provide some further information on the coverage points listed above.


Additional details on coverage on the basic expat plan

  • Dental treatment:

    • €500 per year for pain-relieving restorative dentistry including simple fillings and repairs of existing dentures as long as this treatment is performed or prescribed by a dentist. Please note that this applies to new dental issues that occur after your insurance begins and not pre-existing issues or routine check ups.

  • Physical therapy:

    • €300 per year is covered for physical therapy as long as it relates to a new medical issue and there is a referral from a doctor for this treatment (which should be included when you submit your claim)

  • Ambulance transport that leads to an admission and inpatient treatment, as long as this is for a new condition

  • Radiation therapy and light therapy

  • 1 free tele-video consultation per year with MD Medicus

  • Repatriation if medically necessary

  • Corona virus and PCR testing:

    • PCR tests are covered if the test was ordered by a doctor (General practitioner)

What travel cover is included?

Your expat policy covers you for medical treatment (as described in this article) throughout the European Union and the Schengen Area (which means the United Kingdom is excluded), as well as Andorra, Monaco, San Marino, and the Vatican City. Coverage applies for trips of up to 90 days, with no limit on the number of trips per year.

After 12 months on the expat policy, you also receive the same level of coverage for up to 6 weeks of travel to your home country per year, defined as the country of your last residence as declared at sign-up.

Are accidents from practicing sports covered?

Yes. Accidents that happen while practicing a sport as a hobby are covered under the same terms as any other accident described in this article — this includes mountain sports and winter sports (such as skiing and snowboarding). This means outpatient and inpatient treatment resulting from a sports accident is covered, and ambulance transport and air lifting following the accident are covered under the same condition that applies to all ambulance transport: it must lead to an admission and inpatient stay.

This coverage does not extend to professional athletes. If the sport is practiced professionally rather than as a hobby, accidents resulting from it are not covered, and professional athletes cannot be covered under the expat health plan.

What’s not covered?

  • Pre-existing conditions: any conditions that are known before expat cover starts are considered pre-existing conditions.

  • Routine check ups: all other routine check ups, and any conditions that might be discovered as a result of a routine check up, are not covered

  • Preventative and prophylactic treatments

  • Psychoanalytical and psychotherapeutic treatment

  • Vaccination

  • Vitamins and nutritional supplements, even if prescribed

  • Treatment relating to an addictive disorder

  • Ambulance transport that does not result in an admission/inpatient stay at a hospital

  • Ambulance transport related to a pre-existing condition

  • Allied health services other than medically prescribed physiotherapy (such as physiotherapy, chiropractic, osteopathy, psychoanalysis, occupational therapy, podiatry, dietetics, speech therapist)

  • Self inflicted injuries

  • Gynecological screenings

  • Fertility or sterility treatments

  • Holistic/alternative therapies

  • Medical certificates that are not medically necessary (eg sick notes, medical check-up for your visa, or medical clearance for sports)

  • Accidents resulting from practicing a sport professionally (professional athletes are not covered)

As expat health insurance is designed for short term use and does not have the same levels of coverage as a statutory insurance, we recommend upgrading to a statutory insurance once you become eligible.

If you would like to learn more about expat health insurance or would like to sign up, you can do so here.

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