
Planning a new life abroad is an exhilarating prospect. Yet, amidst the excitement of visas and packing, one crucial question often arises: what about healthcare? As an FCA-authorised broker that has helped arrange over 900,000 policies, WeCovr understands that securing the right private medical insurance is fundamental for any UK citizen moving overseas.
Moving abroad marks a significant change in your life, and that includes your access to healthcare. Your familiar relationship with the NHS ends the moment you cease to be a UK resident. This guide is designed to walk you through the world of international health insurance, ensuring you and your family are protected, no matter where your adventure takes you.
We'll demystify the jargon, compare your options, and provide a clear roadmap to securing comprehensive cover. From understanding policy features to navigating healthcare in your new home country, consider this your essential handbook for peace of mind.
Many British citizens are surprised to learn that their entitlement to free NHS treatment is based on residency, not nationality or past National Insurance contributions. Once you move away from the UK on a permanent or semi-permanent basis, you are generally no longer entitled to use the NHS for free.
Here’s a breakdown of what changes:
The takeaway is clear: relying on your past UK residency for healthcare abroad is not a viable strategy. You need a dedicated solution.
International Private Medical Insurance (iPMI) is a specific type of health insurance policy designed for individuals and families living outside of their home country for an extended period. It gives you access to private healthcare facilities and specialists, offering a level of choice, comfort, and speed that local state systems may not provide.
It's crucial to distinguish it from two other common types of insurance:
| Feature | Travel Insurance | UK Private Medical Insurance (PMI) | International Health Insurance (iPMI) |
|---|---|---|---|
| Primary Purpose | Covers emergencies and unforeseen events on short trips (e.g., lost luggage, flight cancellations, emergency medical care). | Covers treatment for acute conditions within the UK's private healthcare sector. | Provides comprehensive medical cover for expats living abroad long-term. |
| Typical Duration | Days or weeks; usually up to 90 days per trip, sometimes with annual multi-trip options. | Annual policy, renewable, for UK residents. | Annual policy, renewable, for non-UK residents. |
| Medical Cover Scope | Emergency treatment to stabilise you for your return home. Does not cover routine care. | Elective and planned treatment for acute conditions in private UK hospitals. | Covers a wide range of care, from emergencies to routine appointments, depending on the plan. |
| Geographical Area | Specific country or region for the duration of a holiday. | United Kingdom only. | A defined geographical region (e.g., Europe) or worldwide (with/without USA). |
In simple terms, travel insurance is for holidays, UK PMI is for living in the UK, and international health insurance is for living abroad.
Choosing an international health insurance plan can feel overwhelming due to the variety of options. Breaking it down by key features makes it much more manageable. Here’s what you need to consider.
This is one of the most important decisions as it dictates where you are covered. Insurers typically offer a few options:
Your policy will also cover you for trips back to the UK, though the duration and extent of this cover can vary between providers.
Policies are usually structured in tiers, allowing you to build a plan that suits your needs and budget.
In-patient Cover: This is the foundation of every policy. It covers costs associated with being admitted to a hospital. This includes:
Out-patient Cover: This is an optional add-on that covers medical care that doesn't require a hospital admission. It's highly recommended for more comprehensive cover. This can include:
Optional Add-ons: You can further enhance your policy with extras like:
An excess (or deductible) is the amount you agree to pay towards a claim before the insurer pays the rest. For example, if you have a £500 excess and receive a hospital bill for £10,000, you would pay the first £500, and your insurer would cover the remaining £9,500.
This is a personal choice based on your budget and how much financial risk you're comfortable taking on.
Underwriting is the process an insurer uses to assess your health and medical history before issuing a policy. This is where the rules about pre-existing conditions come into play.
FMU provides certainty from day one about what is and isn't covered, whereas a moratorium can leave some ambiguity. A specialist broker like WeCovr can help you decide which underwriting path is best for your circumstances.
This is a vital component of any good international health plan.
For expats living in remote areas or countries with developing healthcare infrastructure, this cover is not a luxury—it is an absolute necessity.
The cost of an international private medical insurance policy varies significantly based on several key factors:
To give you an idea, here are some illustrative examples. These are estimates only and not a formal quote.
| Expat Profile | Destination | Cover Level | Estimated Annual Premium |
|---|---|---|---|
| 30-year-old individual | Spain | Europe cover, In-patient + £2,000 Out-patient, £500 excess | £1,200 - £1,800 |
| 45-year-old couple | UAE (Dubai) | Worldwide excl. USA, Comprehensive, £250 excess | £6,500 - £9,000 |
| 55-year-old individual | Thailand | Worldwide excl. USA, In-patient only, £1,000 excess | £3,000 - £4,500 |
| 40-year-old family of 4 | USA (California) | Worldwide, Comprehensive, £1,000 excess | £18,000 - £25,000+ |
Disclaimer: These figures are for illustrative purposes only. The best way to get an accurate price is to request a personalised quote based on your specific needs.
The role and importance of private health insurance can differ depending on the local healthcare system of your new home.
Spain has a highly-rated public healthcare system (Sistema Nacional de Salud), which UK expats may be able to access by paying into the social security system as an employee or through the convenio especial (a special pay-in scheme). However, public system waiting lists for specialists and elective surgery can be long. International health insurance gives you fast-track access to an extensive network of private clinics and hospitals, allowing you to bypass queues and choose your doctor.
The UK has a Reciprocal Health Care Agreement (RHCA) with Australia. This allows UK visitors and some temporary residents to access medically necessary care under the Medicare system. However, it does not cover everything. Ambulance services, dental care, and elective treatments are not included. Many expats opt for private cover to fill these gaps and gain access to private hospitals, which often have shorter waiting times and private rooms.
In the major emirates of Dubai and Abu Dhabi, it is a legal requirement for all residents to have health insurance. Employers are typically required to provide a basic level of cover for their employees. However, these mandatory plans can be very limited, often restricting you to a small network of clinics and offering low benefit limits. A comprehensive international health insurance plan provides far greater choice, higher limits, and access to the best hospitals in the region.
The United States has no universal public healthcare system. Healthcare is a private, market-driven industry, and the costs are the highest in the world. A simple doctor's visit can cost hundreds of dollars, and a hospital stay can quickly run into the tens or hundreds of thousands. For any UK expat moving to the USA, robust health insurance is not just recommended; it is absolutely essential. Living there without it is an extreme financial risk. This is why policies that include US cover are the most expensive.
Navigating the market to find the best PMI provider can be complex. At WeCovr, we simplify the entire process, providing expert, impartial advice at no cost to you. Our high customer satisfaction ratings are a testament to our client-focused approach. Here’s how we help:
Moving abroad isn't just a logistical challenge; it's a physical and mental one, too. Prioritising your health will help you settle in faster and get the most out of your new life.
Your body will need time to adjust. If you're moving to a hot climate, stay well-hydrated and be mindful of sun exposure. Be adventurous with local cuisine, but introduce new foods gradually to avoid an upset stomach. To help you stay on track with your nutritional goals, all WeCovr clients get complimentary access to CalorieHero, our AI-powered calorie and nutrition tracking app.
Moving is one of life's most stressful events. Combat this by finding ways to stay active. Explore your new neighbourhood on foot, join a local sports club, or find hiking trails. Physical activity is a powerful tool for mental wellbeing. Mindfulness apps and simple breathing exercises can also help manage the anxieties of adapting to a new culture.
Jet lag and the stress of a new routine can disrupt your sleep. Prioritise creating a restful bedroom environment and stick to a regular sleep-wake cycle as much as possible to help your body's internal clock adjust.
As a WeCovr client, you can also benefit from discounts on other insurance products, such as travel or life insurance, helping you secure all-round protection for a lower cost.
This is the single most important and often misunderstood aspect of private medical insurance. It is vital to be clear on this point.
Standard private medical insurance, both in the UK and internationally, is designed to cover acute conditions that arise after your policy has started.
Insurers will almost always exclude cover for pre-existing and chronic conditions.
When you apply for a policy, the underwriting process is designed to identify these conditions.
What does this mean for expats?
If you have a chronic condition, you must plan your healthcare very carefully. You cannot rely on a new international health insurance policy to cover the costs of managing it. You will need to explore other options, such as:
Being transparent during your application is non-negotiable. Failing to disclose a pre-existing condition can lead to your policy being cancelled and your claims being rejected, leaving you with huge medical bills.
Ready to take the next step in securing your health and wellbeing abroad? Don't navigate the complex world of expat health insurance alone.
Contact the friendly experts at WeCovr today for a free, no-obligation quote. We'll help you find the perfect private health cover for your new life overseas.






