Frequently Asked Questions
We've put together some of our most frequently
asked questions to help you understand
international health insurance and how TripDoctor
helps expats.
What Is International Health Insurance?
International health insurance provides
comprehensive coverage for the cost of health
care to individuals living outside of their
home country for a year or more.
What Is the Difference Between Travel Insurance
and International Health Insurance?
Travel insurance only provides coverage for
emergency treatment while abroad and is
typically limited to 180 days of coverage at a
time (although some policies are renewable for
up to one year).
What Does International Health Insurance
Typically Cover?
Plans typically cover the same things as your
home health insurance, such as ambulance,
emergencies, hospitalization, surgery,
radiology scans, labs, prescriptions, wellness
care, mental health, pregnancy, outpatient
doctor visits, physical therapy, etc.
Does International Health Insurance Cover
Anything That Home Health Insurance Does Not
Cover?
Yes! Most plans include medical evacuation
(life-flight) for life threatening conditions
where the care available locally is not
sufficient. This benefit is important to ensure
that you or your family can be transported to
the best hospital for your needs, even if it is
in another country. Additionally, plans
frequently cover the cost of staying near a
hospitalized family member, healthcare in other
countries and even things like cord blood
storage for newborns.
What Is Typically Not Covered?
Most plans do not cover dental, vision,
hearing aids, cosmetic surgery or some
pre-existing conditions. They also do not cover
experimental treatments or testing that is not
medically indicated. However, because different
plans work differently, it's best to speak with
an expert from TripDoctor to see which plan
might work best for your particular needs and
get professional help you throughout the
application process.
Is There a Waiting Period?
If you did not have health insurance at the
time of application, most plans require a
60-day waiting period before full coverage
begins. Additionally, plans with pregnancy
coverage typically require a 10-12 month
waiting period before pregnancy, delivery and
newborn care are covered. An expert at
TripDoctor can help to make sure you select the
best plan for your family planning needs ahead
of when you need it.
Where Does International Health Insurance
Coverage Work?
Most plans cover you worldwide, with some
exceptions. There may be additional premiums to
extend coverage to countries with high
healthcare costs such as the U.S., Japan,
Singapore, Switzerland.
How Does International Health Insurance Differ
From U.S. Health Insurance?
In the U.S., the Affordable Care Act outlines
rules for health insurance, such as price
setting only by age, not gender or
pre-existing conditions, no lifetime or annual
limits, full coverage for preventative care,
etc. international health insurance is not
governed by these rules and regulations, so it
may require medical underwriting, have limits
on coverage, other stipulations that may be
unfamiliar to U.S. customers.
Will My U.S. Insurance Continue to Cover Me When
I Move Abroad?
If you move abroad, your U.S. based health
insurance is no longer under any obligation to
cover your healthcare expenses. If you do not
alert them to your move, they may continue to
accept your premium payments, but if you end up
with a large bill or serious disease, they may
investigate and learn you no longer live at
your U.S. address, which frees them from their
obligation to pay claims. As such, it is
strongly recommended that once you move abroad
you switch to an international health insurance
plan, and there is a bonus reason to do this,
they are typically less expensive than your
U.S. based plan.
Will U.S. Medicare Cover Me When I Move Abroad?
U.S. Medicare only covers care within the
United States and U.S. Territories. It provides
no coverage, not even for emergencies, when
abroad. As such, Medicare recipients should
always obtain international health insurance or
travel insurance when living or traveling
abroad. TripDoctor offers travel health
insurance plans for seniors that provide good
coverage for traveling seniors.
Will My National Health System Cover Me When I
Move Abroad?
The answer to this varies by country, but
typically national health systems only cover
healthcare expenses within your country of
citizenship. Most EU Citizens can be covered by
other EU systems when visiting one of the other
member states. Some countries, like Canada,
require a waiting period before using the
national health system upon returning home. In
this case, a returning expat should make sure
they retain private insurance through the
waiting period.
Who Is TripDoctor?
TripDoctor was founded by expats seeking to
help other expats find the best healthcare and
health insurance available. We recognize how
hard it can be to move to a foreign country.
Unfamiliar insurance is difficult to understand
and compare in order to figure out what is best
for you and your family. We've been on the
receiving end of trying to call to make a
doctor's appointment only to be unable to
communicate with the receptionist. We founded
TripDoctor to help expats like us to solve
these challenges with excellent customer
service from fellow expats.
Do I Have to Pay for TripDoctor's Expert Help?
No. When you purchase insurance from
TripDoctor, you will pay the exact same rate as
if you had purchased it from the company
directly. We never charge extra. And unlike
buying direct, you have access to our team of
local experts to help you use your insurance by
steering you to the best doctors and hospitals
in your area and correctly file claims to make
sure your care is covered.
How Does TripDoctor Make Money?
TripDoctor receives commissions for our
insurance sales. However, as a Broker, our
obligation is to you, not the insurance
carrier. We work with you to help you choose the
right insurance company and policy to meet your
coverage needs and budget. If we don't have a
product that is right for you, we will refer
you to someone who does. We believe great
customer service even extends to those who never
become our customers.
Who Underwrites TripDoctor's Insurance Products?
TripDoctor does not offer its own international
health or travel insurance products, we only
broker products from reputable established
carriers. These policies are underwritten by a
variety of carriers, including top U.S. based
insurers and even Lloyd's of London.
Are Expat Insurance Policies Available After I
Move Abroad?
Yes. All of the policies that TripDoctor brokers
are available to purchase regardless of where
you now live.
When Is the Open Enrollment Period?
International health insurance is not subject
to the same rules of enrollment as U.S.
insurance. You can enroll at any time and start
on the 1st of the next month. Some policies
even allow you to begin mid-month.
What Is the Difference Between Travel Insurance,
Travel Health Insurance, Nomad Insurance?
These three insurance types are three flavors
of the same thing. Travel insurance is for
short trips (less than 180 days) away from
home, it typically only covers up to $25,000
USD in emergency healthcare costs per trip.
Travel medical insurance provides higher
coverage ($100,000 - $2,000,000 USD) but is
also limited to emergencies. Nomad insurance is
renewable travel insurance that can be kept
active for up to one year and then auto
renewed. None of these provide any coverage
outside of serious medical urgent or emergency
care.
If Travel Insurance, Travel Health Insurance,
Nomad Insurance Cover Healthcare, Why Do I Need
International Health Insurance?
All three of these types of travel insurance
only cover emergency care. This includes the ER
visit and any immediate hospitalization care
resulting from that visit. Importantly, just
going to the ER does not make it a medical
emergency. Using the ER for a non-emergency
will result in a denied claim. Also, any post
emergency care (such as orthopedic surgery
following an accident) is not covered. This is
often where the bulk of the healthcare costs
lie as it can take months or years to recover
from serious injuries. Additionally, these
insurance types do not cover any preventative
care (annual physical, screening tests,
vaccinations), outpatient visits or chronic
medical conditions.
Who Should Buy Travel Health Insurance?
Travel Health insurance is a great product for
those traveling who have a higher risk of
emergency medical conditions, such as people
over the age of 40 and especially seniors. It
provides a much higher level of coverage,
ranging from $100,000 - $2,000,000 USD vs.
only $25,000 for most travel insurances. It
also includes improved coverage for air
ambulance evacuation, ensuring that a
critically ill patient can be flown back to
their home country for hospital care. Regular
travel insurance can be added to cover things
like delayed or cancelled trips and lost
luggage. As with travel insurance, this is not
a substitute for comprehensive health insurance
as it does not cover any non-emergency care.
Who Should Buy Travel Insurance?
Travel insurance is ideal for vacationers and
those on short business trips. It typically
only covers up to $25,000 in emergency medical
coverage, so having comprehensive health
insurance at home is a must. This means that
your emergency abroad is at least partially
covered while any follow-up care (typically
where the bulk of the cost lies for serious
injuries and illnesses) can be covered by your
home country comprehensive health plan or
national health insurance plan.
Who Should Buy Nomad Insurance?
Companies such as SafetyWing, World Nomads,
Insured Nomads, Collective Benefits, and
easyblue.io offer nomad insurance. This is a
form of travel insurance that is auto renewable
so it can continue for an indefinite period. It
is marketed to "digital nomads"; those who work
remotely without a permanent home. It provides
the same coverage as travel insurance plus some
add-ons to protect things such as personal
electronics. Similarly, to travel insurance,
nomad insurance only covers medical
emergencies. There is no coverage for post
emergency care (such as orthopedic surgery
following an accident) or chronic diseases. If a
customer acquires a preexisting condition (such
as depression psoriasis, uterine fibroids, or
diabetes) while on nomad insurance, such a
condition will be excluded from coverage if
they then upgrade to international health
insurance. So, while nomad insurance may be more
affordable now, it may result in significantly
higher healthcare costs in the future and over
the lifetime of the insured.