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What does expat health insurance cover?

An overview of what's covered and excluded under expat health insurance, including outpatient and inpatient care, dental and physiotherapy limits, travel cover, and sports accidents.

Written by Eloi Lanthiez

Expat health insurance covers new medical conditions that start after your cover begins, including outpatient and inpatient treatment with a registered doctor. It gives limited cover for dental pain relief, physical therapy, and a few other extras, and it covers medically necessary repatriation and up to 90 days of travel per trip in selected European countries. It does not cover pre-existing conditions, routine check-ups, vaccinations, or preventative and alternative treatments.

What does expat health insurance cover?

Expat health insurance is designed for people who've recently arrived in a new country and need to set up health cover quickly, with minimal eligibility criteria. Unlike public health insurance, it's built to cover basic healthcare needs for a limited time rather than provide long-term, comprehensive coverage.

It covers new medical conditions that start after your cover begins (and after your waiting period, if one applies), including both outpatient appointments (such as a visit to a general practitioner) and inpatient hospital treatment. This applies specifically to treatment provided by a registered medical doctor.

Here's a breakdown of what's included per insurance year:

  • Outpatient medical treatment

  • Inpatient medical treatment in a public or private hospital

  • Surgeries / Operations

  • Ambulance transport that leads to inpatient hospital admission

  • Medications and surgical dressings

  • Radiation therapy, light therapy, and other physical treatments

  • Pregnancy treatment for complications

  • Repatriation, if medically necessary

  • Dental treatment for pain relief: up to €500 per year

  • Physical therapy / physiotherapy: up to €300 per year

  • Massages, compresses, and inhalations: up to €300 per year

  • Therapeutic aids prescribed after an accident: up to €500 per year

  • Repatriation of remains to your country of origin, or funeral costs in your new country: up to €10,000

  • Tele-medical consultation: 1 free consultation per year, with no copay

  • Covid-19 rapid tests: up to 3 per year (up to €15)

A few of these have more detail worth knowing:

  • Dental treatment: up to €500 per year for pain-relieving restorative dentistry, including simple fillings and repairs to existing dentures, as long as a dentist performs or prescribes the treatment. This covers new dental issues that arise after your cover starts ; not pre-existing issues or routine check-ups.

  • Physical therapy / physiotherapy: up to €300 per year, as long as it relates to a new medical issue and you have a doctor's referral to include with your claim.

  • Ambulance transport: covered only when it leads to hospital admission and inpatient treatment for a new condition.

  • Tele-medical consultations: 1 free video consultation per year with MD Medicus.

  • Covid-19 testing: PCR tests are covered when ordered by a general practitioner.

What travel cover is included with expat health insurance?

Your expat policy covers medical treatment (as described above) throughout the European Union and the Schengen Area (which excludes the United Kingdom), as well as Andorra, Monaco, San Marino, and Vatican City. This applies to trips of up to 90 days each, with no limit on the number of trips per year.

After 12 months on the policy, you also get the same level of cover for up to 6 weeks of travel per year to your country of origin (the country you were living in immediately before this policy started), as declared when you signed up.

Are sports accidents covered under expat health insurance?

Expat health insurance covers accidents that happen while you practice a sport as a hobby or compete at an amateur level. Sports accidents are covered under the same terms as any other accident. This applies to all sports, including skiing, snowboarding and other winter or mountain sports, horse riding, and team sports, and it includes amateur competitions.

For an accident during a hobby or amateur sport, Expat health insurance covers the following:

  • Outpatient treatment for injuries from the sports accident is covered.

  • Inpatient hospital treatment for injuries from the sports accident is covered.

  • Ambulance transport or air lifting after the sports accident are covered if the transport leads to hospital admission and an inpatient stay. This is the same condition that applies to all ambulance transport.

This coverage doesn't extend to professional athletes. If you practice a sport professionally rather than as a hobby or at an amateur level, accidents from that sport aren't covered, and you can't be insured under Expat health insurance.

What isn't covered under expat health insurance?

The following are excluded:

  • Pre-existing conditions: any condition known before your cover starts

  • Routine check-ups, plus any conditions discovered as a result of one, including:

    • Cancer and skin cancer screenings

    • Gynecological screenings

    • Dental check-ups, including preventative dental work such as cleanings

  • Medical aids, including general medical aids, repairs to existing medical aids, and visual aids

  • Private or single hospital rooms: inpatient treatment is covered in a shared room, so if you choose a private room, the difference in cost is yours to pay

  • Treatment by a hospital's head physician: care from the hospital's regular medical staff is covered, but treatment you elect to receive from the head physician is not

  • Preventative and prophylactic treatments

  • Psychoanalytical and psychotherapeutic treatment

  • Vaccinations of any kind, including routine, travel, and Covid-19 vaccinations

  • Pregnancy examinations and deliveries

  • Fertility or sterility treatments

  • Vitamins and nutritional supplements, even if prescribed

  • Ambulance transport that doesn't result in an inpation hospital admission

  • Ambulance transport related to a pre-existing condition

  • Allied health services other than medically prescribed physical therapy / physiotherapy: this includes chiropractic, osteopathy, psychoanalysis, occupational therapy, podiatry, dietetics, and speech therapy

  • Holistic or alternative therapies, including acupuncture and Chinese medicine

  • Fitness applications

  • Treatment related to an addictive disorder

  • Self-inflicted injuries

  • Medical certificates that aren't medically necessary, such as sick notes, visa medical checks, or sports medical clearance

  • Accidents from practicing a sport professionally (professional athletes can't be covered under expat health insurance)

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