
TL;DR
Moving abroad is an exciting prospect, but navigating healthcare in a new country can be daunting. As experienced brokers who have arranged cover for thousands of clients, the team at WeCovr knows that securing the right private medical insurance is the cornerstone of a successful life overseas. This guide explains everything you need to know about International Private Medical Insurance (IPMI) in the UK for 2026.
Key takeaways
- Global or Regional Coverage: Access to private doctors and hospitals worldwide or within a specified region.
- Direct Settlement: The insurer often pays the hospital directly, so you aren't left with a huge bill.
- Medical Evacuation: Cover to transport you to the nearest centre of medical excellence if local facilities are inadequate.
- 24/7 Multilingual Support: Assistance lines to help you navigate healthcare systems in different languages and time zones.
- An Expatriate (Expat): You're a UK citizen moving to another country for work or retirement. Your NHS access ends, and local public healthcare may be difficult to access or not meet your expectations.
Moving abroad is an exciting prospect, but navigating healthcare in a new country can be daunting. As experienced brokers who have arranged cover for thousands of clients, the team at WeCovr knows that securing the right private medical insurance is the cornerstone of a successful life overseas. This guide explains everything you need to know about International Private Medical Insurance (IPMI) in the UK for 2026.
A comprehensive guide to IPMI – what it covers, how it differs from UK PMI, key exclusions, networks, claims and how to compare providers safely
International Private Medical Insurance (IPMI) is a specialised health insurance policy designed for individuals and families living or working outside their home country for an extended period (typically more than one year).
Think of it as your portable, global private healthcare plan. Unlike a standard UK Private Medical Insurance (PMI) policy, which only covers you in the UK, IPMI is designed to travel with you, giving you access to high-quality medical care almost anywhere in the world.
Key features of IPMI include:
- Global or Regional Coverage: Access to private doctors and hospitals worldwide or within a specified region.
- Direct Settlement: The insurer often pays the hospital directly, so you aren't left with a huge bill.
- Medical Evacuation: Cover to transport you to the nearest centre of medical excellence if local facilities are inadequate.
- 24/7 Multilingual Support: Assistance lines to help you navigate healthcare systems in different languages and time zones.
IPMI provides peace of mind, ensuring you and your family can receive prompt, high-quality medical treatment, no matter where your journey takes you.
Who Needs IPMI? A Practical Checklist
While standard travel insurance is perfect for short holidays, it's not designed for long-term stays. IPMI is essential for anyone planning to reside abroad for a significant period. You will likely need IPMI if you are:
- An Expatriate (Expat): You're a UK citizen moving to another country for work or retirement. Your NHS access ends, and local public healthcare may be difficult to access or not meet your expectations.
- Example: A British project manager moving to Dubai for a three-year contract. IPMI would be essential as healthcare is private and expensive.
- A Digital Nomad: You work remotely while travelling between different countries. You need a flexible policy that covers you in multiple locations without interruption.
- Example: A freelance software developer spending six months in Portugal, four in Thailand, and two in Mexico. A global IPMI policy is the only practical solution.
- An Employee on International Assignment: Your company is sending you to work in an overseas office. Often, the employer will provide a group IPMI scheme as part of your relocation package.
- A High-Net-Worth Individual: You own properties in several countries or travel extensively for business or pleasure. You require seamless access to the very best medical facilities globally.
- A Family Relocating Abroad: You're moving your entire family overseas. You need a comprehensive plan that covers everyone, potentially including benefits like maternity care and routine check-ups.
- Example: A family moving from Manchester to Sydney. They will not be immediately eligible for Australia's Medicare system and will need private cover for themselves and their children.
If you fit any of these profiles, relying on a domestic policy or short-term travel insurance is a significant financial risk. IPMI is specifically designed for your situation.
IPMI vs. UK PMI: The Critical Differences Explained
Understanding the distinction between domestic UK PMI and international IPMI is the most important step for any prospective buyer. They are fundamentally different products designed for different needs. Using a UK PMI policy abroad is like taking a London travelcard to New York – it simply won't work.
Here is a clear breakdown of the key differences:
| Feature | UK Private Medical Insurance (PMI) | International Private Medical Insurance (IPMI) |
|---|---|---|
| Geographical Area | United Kingdom only. | Global or a specified large region (e.g., Europe, Worldwide excluding USA). |
| Portability | Policy is tied to UK residency and typically ceases if you move abroad. | Designed to be fully portable, moving with you from country to country. |
| Chronic Conditions | Not covered. PMI is for acute conditions that arise after you take out the policy. | Often provides cover for the management and monitoring of chronic conditions (e.g., diabetes, asthma), subject to policy limits. |
| Medical Evacuation | Not included. Unnecessary as you are already in the UK. | A core, vital benefit. Covers transport to a better-equipped hospital or back to your home country if necessary. |
| Direct Billing | A large network of UK hospitals where the insurer pays directly. | A global network of hospitals with direct billing agreements, which is a key feature to check. |
| Support Services | UK-based, English-speaking customer service. | 24/7 multilingual helplines to assist with emergencies in any time zone. |
| Underwriting | Focuses on UK health risks. | Considers global health risks, local healthcare quality, and currency fluctuations. |
| Annual Cost | Lower. A 40-year-old might pay £600 - £1,500 per year. | Significantly higher. The same person might pay £2,500 - £8,000+ per year, depending on the area of cover. |
Key Takeaway: UK PMI is for getting treated privately within the UK. IPMI is for getting treated privately while living outside the UK. They are not interchangeable.
What Does IPMI Typically Cover? Core Benefits & Optional Extras
IPMI policies are modular, meaning you start with a core plan and add optional benefits to suit your needs and budget.
Core Cover: Inpatient & Day-patient Treatment
This is the foundation of every IPMI policy and is non-negotiable. It covers you for serious medical events that require hospitalisation.
- Hospital Accommodation: A private room in a hospital.
- Surgery Fees: Costs for the surgeon, anaesthetist, and operating theatre.
- Diagnostic Tests: MRI scans, CT scans, X-rays, and pathology related to your hospital stay.
- Cancer Treatment: Chemotherapy, radiotherapy, and surgical procedures. This is a crucial element of cover.
- Intensive Care: Costs for being treated in an ICU.
- Medical Evacuation: Transport to the nearest suitable medical facility if local care is inadequate.
- Repatriation: Transport back to your home country for treatment or, in the worst-case scenario, compassionate repatriation of mortal remains.
Popular Optional Extras
These benefits allow you to tailor your policy for more comprehensive, day-to-day healthcare.
-
Outpatient Cover: This is the most popular add-on. It covers medical care that doesn't require a hospital stay.
- GP (General Practitioner) appointments.
- Specialist consultations.
- Prescription medications.
- Physiotherapy and complementary therapies.
- Diagnostic tests not related to a hospital stay.
-
Dental & Vision Cover: Often available as a combined package.
- Routine Dental: Check-ups, cleaning, fillings.
- Major Dental: Root canals, crowns, bridges.
- Vision: Eye tests, and allowances towards glasses and contact lenses.
-
Maternity Cover: Essential for those planning to start or grow their family abroad.
- Covers pre-natal care, costs of delivery (including complications), and post-natal check-ups.
- Important: Maternity benefits almost always have a waiting period of 10-24 months. You must have the policy in place and wait for this period to pass before you can claim for maternity care.
| Benefit Type | Included in Core Cover? | Description |
|---|---|---|
| Hospital Stays | Yes | Covers surgery and accommodation for inpatient treatment. |
| Cancer Treatment | Yes | Comprehensive cover for oncology is a standard feature. |
| Medical Evacuation | Yes | Critical for those in countries with limited healthcare. |
| GP & Specialist Visits | Optional | Add 'Outpatient Cover' for day-to-day medical needs. |
| Dental Check-ups | Optional | Add 'Dental & Vision Cover' for routine and major dental work. |
| Maternity Care | Optional | Add 'Maternity Cover', but be aware of long waiting periods. |
Understanding IPMI Underwriting: Moratorium vs. Full Medical Underwriting (FMU)
Underwriting is the process an insurer uses to assess your health risk before offering you a policy. With IPMI, you typically have two choices.
1. Full Medical Underwriting (FMU)
With FMU, you provide a detailed account of your medical history on your application form. You must declare all past illnesses, treatments, and consultations.
- How it works: The insurer's medical team reviews your history. They may accept you on standard terms, add an exclusion for a specific condition, or increase your premium (a 'loading') to cover the perceived risk.
- Pros: You have absolute clarity from day one. You know precisely what is and isn't covered. This is vital when moving abroad, as there are no surprises at the point of claim.
- Cons: The application process is longer and more intrusive. It may result in permanent exclusions for conditions you have.
Insider Adviser Tip: For anyone with a complex or significant medical history, FMU is often the best path. It forces a clear decision from the insurer, providing you with certainty before you commit to a life-changing move.
2. Moratorium Underwriting
With Moratorium underwriting, you do not declare your medical history upfront. Instead, the policy automatically excludes any pre-existing conditions you've had symptoms of, or sought advice or treatment for, in a set period before the policy start date (usually the last 5 years).
- How it works: These conditions may become eligible for cover later, but only if you go for a continuous period after your policy starts (typically 2 years) without experiencing any symptoms or needing any treatment, medication, or advice for that condition.
- Pros: The application is fast and simple.
- Cons: There is a significant lack of certainty. You only discover if a condition is covered when you make a claim, which can be a stressful and deeply disappointing experience. It creates a "claim and see" situation.
For the peace of mind required when living overseas, WeCovr generally recommends Full Medical Underwriting for IPMI policies. The certainty it provides is invaluable.
Key Exclusions: What IPMI Will Not Cover
No insurance policy covers everything. Being aware of standard IPMI exclusions is crucial to avoid disappointment.
Crucial Point on Pre-existing and Chronic Conditions: Unlike UK PMI, which almost never covers chronic conditions, many IPMI plans do offer benefits for the management of long-term illnesses like diabetes, hypertension, and asthma. However, this cover is subject to the policy's terms and financial limits and must be properly declared and accepted during underwriting. Pre-existing conditions that are not declared and accepted will be excluded.
Common exclusions on most IPMI plans include:
- Undeclared Pre-existing Conditions: Any medical issue that existed before your policy began and was not disclosed and accepted under FMU.
- Self-inflicted Injuries: Harm resulting from suicide attempts or dangerous hobbies not declared to the insurer.
- Substance Abuse: Treatment for drug or alcohol addiction is often excluded or heavily limited.
- Purely Cosmetic Procedures: Surgery for aesthetic reasons only (e.g., a nose job) is not covered. Reconstructive surgery after an accident is usually covered.
- Infertility Treatments: IVF and other fertility procedures are typically excluded or available only on the most premium plans with a long waiting period.
- War and Terrorism: Standard policies exclude injuries from these events, though some providers offer an extension for an extra premium.
- Experimental Treatment: Therapies and drugs not proven to be effective or approved by mainstream medical bodies.
How to Choose Your Area of Cover & Why It Matters
One of the biggest factors influencing the cost of your IPMI premium is your chosen geographical area of cover. Insurers typically offer several options:
- Worldwide: The most comprehensive and expensive option. It covers you everywhere.
- Worldwide Excluding USA: A very popular choice. It provides global cover but excludes the United States, whose healthcare system is by far the most expensive in the world. Choosing this option can reduce your premium by 30-50%.
- Europe: Covers you for treatment within European countries. Ideal for someone retiring to Spain or working in Germany.
- Specific Regions: Some insurers offer cover for regions like Asia or Africa.
How to Choose: Be realistic about your travel patterns. If you are moving to France and have no plans to travel to the USA, there is no need to pay for worldwide cover. However, if your job requires frequent trips to America, excluding it would be a false economy.
Adviser Warning: Always ensure your primary country of residence is included in your chosen area. If you select "Europe" but then move to Singapore, your policy will not be valid there. It's vital to inform your insurer or broker if your circumstances change.
Navigating Insurer Networks and Direct Billing
A key benefit of a good IPMI policy is the convenience of direct billing (also called direct settlement).
- What is a Provider Network? Every major IPMI provider maintains a global "network" of thousands of hospitals, clinics, and doctors with whom they have a relationship and direct payment agreements.
- What is Direct Billing? For planned inpatient treatment at a network hospital, you can arrange pre-authorisation with your insurer. The insurer then guarantees payment directly to the hospital. This means you do not have to pay a bill for potentially tens or hundreds of thousands of pounds yourself and then wait for reimbursement.
Before you buy: Ask your broker to check the size and quality of the insurer's network in the specific city and country you are moving to. A strong network with multiple high-quality hospitals is a sign of a well-established and reliable insurer.
If you receive treatment outside the network, you will usually have to follow a "pay and claim" process, where you pay the bill first and claim the money back from the insurer.
The IPMI Claims Process: A Step-by-Step Guide
While the specifics vary between insurers, the claims process for major treatment generally follows these steps:
- Contact Your Insurer for Pre-authorisation (Crucial!). Before any planned hospital treatment, you must contact your insurer's 24/7 helpline. You will explain the diagnosis and the recommended treatment. This is the most important step.
- Receive a Guarantee of Payment. The insurer will review the request. If the treatment is covered, they will issue a "Guarantee of Payment" (GOP) to you and the hospital. This confirms they will cover the costs.
- Undergo Treatment. You receive your medical care without the stress of worrying about the bill.
- Insurer Settles the Bill Directly. The hospital sends the invoice directly to the insurer for payment. You are only responsible for any excess/deductible on your policy.
- For Out-of-Network or Outpatient Claims: For smaller outpatient costs or treatment at a non-network facility, you will typically pay upfront, obtain a detailed receipt and medical report, and submit a claim form to your insurer for reimbursement.
Comparing Top IPMI Providers in the UK Market
The global IPMI market is dominated by a handful of large, reputable providers, all of which are accessible to UK buyers. Comparing them requires a deep understanding of their different strengths, network sizes, and service levels.
| Provider | Best For... | Key Strength |
|---|---|---|
| Bupa Global | Premium, comprehensive cover and exceptional service. | Huge global direct billing network and a reputation for high-quality care management. |
| Axa Global Healthcare | Flexible plan design and strong customer support. | Excellent digital tools and a wide range of customisable options. |
| Cigna Global | Modular plans for those on a tighter budget or digital nomads. | Very flexible plans where you can build your cover from the ground up. |
| Allianz Care | Strong corporate plans and extensive global reach. | A massive global footprint and expertise in handling complex international cases. |
| Vitality Health | UK-based clients who may have international travel needs. | Integrates wellness rewards, though its international options may be less comprehensive than specialist IPMI providers. |
Comparing these providers like-for-like is a complex task. They use different terminology, have different benefit limits, and vary in their service quality. This is where an independent broker adds enormous value.
An expert broker like WeCovr works for you, not the insurer. We analyse your unique needs, budget, and destination country to compare the entire market on your behalf, ensuring you get the right cover at the best possible price. This service is provided at no cost to you.
As a WeCovr client, you also get complimentary access to our AI-powered calorie and nutrition tracking app, CalorieHero, to support your health journey abroad. Furthermore, our clients often receive exclusive discounts on other policies, such as life or travel insurance.
How to Compare IPMI Quotes Safely and Effectively
- Define Your Personal Needs First. Before looking at any quotes, write down your requirements. Where are you moving? Who needs cover? Do you need maternity or dental? What is your realistic annual budget?
- Look Beyond the Headline Price. The cheapest policy is rarely the best. Scrutinise the benefit limits. A policy with a low cancer cover limit or a high excess could be a disastrous choice. Pay close attention to the fine print.
- Check the Insurer's Reputation and Financial Strength. You are trusting this company with your health and financial wellbeing. Look for insurers with strong financial ratings (e.g., from A.M. Best or S&P) and positive independent customer reviews.
- Use an Independent, FCA-Regulated Broker. This is the safest and most effective way to buy IPMI. A specialist broker understands the nuances of each policy. They will:
- Explain the differences between providers in plain English.
- Help you complete the complex application forms correctly.
- Advocate for you in case of any issues with underwriting.
- Provide support if you need to make a claim.
Working with an expert broker like WeCovr removes the guesswork and ensures you are protected by a policy that truly meets your needs.
Do I need IPMI if I have a travel insurance policy?
Can I get IPMI if I have a pre-existing condition?
How much does International Private Medical Insurance cost in 2026?
Is IPMI tax-deductible in the UK?
Ready to take the next step? Let our friendly, expert advisers help you navigate the world of international health insurance. Get your free, no-obligation quote from WeCovr today and ensure you're protected for your new life abroad.











