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What is and isn't covered by the long-term EU Expat health insurance?

This article explains the coverage details and exclusions of long term expat health insurance plans, highlighting differences between basic and premium plans across inpatient, outpatient, dental, mental health, maternity, and other benefits.

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Written by Milena
Updated this week

In general, all of the plans will cover medical care for new conditions, accidents and injuries that first commence after your coverage begins. There is also the option to choose a plan with additional medical and non-medical extras.

Please note: The coverage listed does not apply to pre-existing issues or routine check ups unless it is specifically stated in the policy terms.

COVERAGE

Basic

Premium

Overall limit

€1,500,000

€1,500,000

INPATIENT SERVICES

Inpatient hospital service

- Accommodation

- Meals

- Medical treatment

Inpatient psychiatric treatment

Max 30 days

Max 30 days

Reconstructive surgery

Rehabilitation

€150,000 lifetime limit

€150,000 lifetime limit

Accident and emergency room treatment

Internal prostheses, medical aids and devices

Hospice/palliative care

Max 15 days

Max 15 days

Ambulance services

An excess fee of 75 EUR is applicable for all OUTPATIENT benefits listed below:

OUTPATIENT TREATMENT BENEFITS

Basic

Premium

MRI, CT and PET Scans

General physician fees

Specialist and consultant fees

Prescription drugs and dressings

X-rays, diagnostic and pathology tests

Physiotherapy

Up to 20 sessions when referred by a physician

Complementary therapies

Osteopathy, chiropractic, homeopathy and acupuncture (when referred by a physician)

DENTAL CARE BENEFITS

Basic

Premium

Dental treatment following an accident

Dental treatment

Available after 6 months of cover

€750

€1,125

WELL BEING BENEFITS

Basic

Premium

Routine health screening

Preventative health checks available after 6 months of cover

€450

€750

Vaccinations

For children or for travel purposes

€300

€300

CANCER TREATMENT

Basic

Premium

Oncology, chemotherapy and radiotherapy*

Cancer counseling

Following a cancer diagnosis with a registered psychologist/counsellor

€1,500

€1,500

Artificial Hair Benefit

€1,500

€1,500

EMERGENCY MEDICAL EVACUATION/REPATRIATION

Basic

Premium

Emergency medical evacuation*

Evacuation costs for acute medical conditions where local medical facilities are inadequate

Emergency medical evacuation – supplementary expenses*

- Cost of travel to place of origin

- Hotel accommodation costs for companion taxi costs for companion

- Accommodation costs following inpatient care

Economy air ticket

Up to 12 nights Up to £500/$1,000/€750 Up to 7 nights

Economy air ticket

Up to 12 nights Up to £500/$1,000/€750 Up to 7 nights

Compassionate home travel*

In the event of the death of a close family member, available after 1 year of cover

1 return economy air ticket

1 return economy air ticket

Repatriation or local burial*

Where death occurs outside the home country

€11,250

15,000

TELEHEALTH

Basic

Premium

Teleconsultation

Access to licensed doctors around the world via phone for non-emergency conditions

Additional full refund up to €150 for prescription drugs following consultation

Additional full refund up to €150 for prescription drugs following consultation

MENTAL HEALTH BENEFITS

Basic

Premium

Outpatient psychiatric services

General physician and consultant fees > prescription drugs

€75 excess per claim

€75 excess per claim

Outpatient psychiatric therapies

Counseling, cognitive behavioral therapy and psychotherapy

€1,500

€3,000

MATERNITY CARE BENEFITS

Basic

Premium

Normal pregnancy and childbirth

Available after 18 months of cover

€9,000

Complicated pregnancy and childbirth

Available after 18 months of cover

€18,000

Complications of pregnancy

Available after 18 months of cover

ADDITIONAL BENEFITS

Basic

Premium

HIV/AIDS

After 2 years on the plan

€15,000

€15,000

Out of area cover

For emergencies and acute episodes of existing covered medical conditions

€45,000

Max 60 days

€60,000

Max 60 days

What isn't covered under this policy?

  • Elective or cosmetic treatments

  • Preventative care or treatment related to sexually transmitted diseases (STDs)

  • Treatment for learning difficulties, hyperactivity, attention deficit disorder (ADHD), speech therapy, dietician, occupational therapy and developmental, social or behavioral problems

  • Contraception medication

  • Treatment of eating disorders

  • Treatment related to self harm

  • Gender reassignment treatment

  • Injuries as a result of extreme sports

Please note: This is an overview of the coverage. For full policy terms, please reach out to our team.

You can obtain a quote and sign up to our long term expat health insurance here.

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