Expat Health Insurance · Updated for 2026

Health insurance for expats moving abroad: what families should compare first.

One of the highest-stakes decisions before relocating, and one of the most confusing. This is an educational guide to comparing your options, not a recommendation of any single provider.

Why regular travel insurance may not be enough

Travel insurance is built for trips: a few weeks away, then home. Once you’re relocating, the questions change: routine care, ongoing prescriptions, having a baby, managing a chronic condition, raising kids in a new healthcare system, and understanding what happens if you need care outside your destination country.

TRAVEL INSURANCE

Short trips · emergency-focused · trip cancellation/interruption · evacuation home · typically time-limited.

INTERNATIONAL HEALTH INSURANCE

Living abroad · inpatient + outpatient options · maternity options · renewable plans · destination/network planning.

First: decide what problem you are solving

Families usually need one of three things. Do not compare plans until you know which one you are buying for.

Transition coverage

Short-term travel medical while you leave the US, scout, or bridge into a longer policy.

Nomad / remote-worker coverage

Simple global medical coverage for mobile adults and remote workers. Often easier to start, but limits matter.

Long-term expat health insurance

More comprehensive coverage for living abroad with kids, routine care, specialists, and possible maternity/pediatric needs.

Local private healthcare + backup

In some countries, paying locally for routine care plus carrying a higher-deductible international plan can make sense.

What families should compare

Inpatient coverage

Hospital stays, surgery, serious illness.

Outpatient coverage

Doctor visits, tests, prescriptions.

Emergency evacuation

Transport to adequate care or home.

Maternity and pediatric care

Pregnancy, newborn, routine child care, vaccines.

Pre-existing conditions

What is covered, excluded, waited out, or underwritten.

Country and network access

Whether your destination doctors/hospitals are in-network.

Deductibles and annual limits

What you pay before coverage starts and where caps apply.

Renewal rules

Whether coverage can renew if your health changes.

Providers families often compare

These are not ranked. They solve different problems. Read the notes, then verify the current policy terms directly with each provider.

Cigna Global

PREMIUM EXPAT HEALTH

Cigna Global is the premium comparison point for families who expect to live abroad long-term and want a configurable international health plan rather than short-trip travel insurance.

Read comparison notes →Official site ↗

SafetyWing

NOMADS / REMOTE WORKERS

SafetyWing is built around nomads and remote workers. It is easier to start than traditional expat insurance, but families should read the limitations carefully before relying on it as a long-term health plan.

Read comparison notes →Official site ↗

Genki

NOMAD HEALTH / TRAVEL

Genki is a useful comparison point in the nomad insurance category. It may fit mobile adults better than families who need robust routine care, maternity, or pediatric planning.

Read comparison notes →Official site ↗

IMG Global

TRAVEL MEDICAL / EXPAT

IMG has a broad catalog of travel medical and global medical products. That breadth is useful, but it also means families need to be precise about which plan they are evaluating.

Read comparison notes →Official site ↗

BCBS Global Solutions / GeoBlue

US TRAVELERS / EXPATS

GeoBlue has been folded into the broader Blue Cross Blue Shield Global Solutions positioning. It remains a strong research path for US-based families comparing international medical coverage.

Read comparison notes →Official site ↗

World Nomads

TRAVEL INSURANCE

World Nomads is travel insurance. It can be useful for the move itself or a defined travel period, but it should not be confused with comprehensive international health insurance for living abroad.

Read comparison notes →Official site ↗

Recommended research path

  1. Write down your destination, trip length, citizenship/residency, family size, and must-cover medical needs.
  2. Separate travel/transition coverage from long-term expat health insurance.
  3. Shortlist 2–3 providers that fit the use case, not the cheapest headline price.
  4. Read the policy wording for exclusions, pre-existing conditions, maternity, pediatric care, evacuation, deductibles, and annual maximums.
  5. Ask the provider how claims work in your destination hospitals before buying.

Educational disclaimer. This page is general information only and is not insurance, legal, tax, or medical advice. Some links may be affiliate links; see our affiliate disclosure.