
As an FCA-authorised expert with over 800,000 policies issued, WeCovr specialises in helping people find the right private medical insurance in the UK and abroad. Moving overseas is an exciting adventure, but navigating healthcare in a new country can be a significant source of stress without the right protection.
For the millions of UK nationals living overseas, securing reliable healthcare is a top priority. While the NHS provides a safety net at home, once you move abroad, that comprehensive cover largely disappears. This is where specialist private medical insurance for expats—often called International Private Medical Insurance (iPMI)—becomes not just a luxury, but an essential part of your new life.
This guide will walk you through everything you need to know, from understanding the crucial differences between UK and international policies to choosing the best provider for your needs.
Many British citizens assume their UK Global Health Insurance Card (GHIC) or the old European Health Insurance Card (EHIC) will cover them. However, these cards have significant limitations.
Real-life Example: Imagine you're a UK expat living in a rural part of Spain. You suffer a serious fall and require complex orthopaedic surgery. The local state hospital has a six-month waiting list. With a quality international health insurance policy, you could be seen by a specialist in a private hospital within days, ensuring a faster recovery and better outcome.
It is vital to understand that a standard UK Private Medical Insurance (PMI) policy is not suitable for an expatriate.
Here’s a simple breakdown of the key differences:
| Feature | Standard UK PMI | International PMI (iPMI) |
|---|---|---|
| Geographical Cover | Primarily United Kingdom | Your chosen region (e.g., Europe, Worldwide) |
| Target Audience | UK residents | Expatriates, global nomads, long-term travellers |
| Medical Evacuation | Not typically included | Often a core feature or essential add-on |
| Multi-currency Options | Sterling (£) only | Usually available in £, $, € |
| Global Support | UK-based support | 24/7 multilingual global assistance lines |
| Portability | Policy often ends if you move abroad | Can move with you to different countries |
This is the single most important concept to understand about private health insurance, whether in the UK or internationally.
Private medical insurance is designed to cover acute conditions that arise after your policy begins.
Standard iPMI policies will not cover the routine management of chronic conditions or treatment for pre-existing conditions. This is because insurance is designed to protect against unforeseen future events, not to pay for known, ongoing medical needs.
When comparing iPMI plans, you'll see a range of features and options. Here are the most important ones to look for.
This is the geographical region where you are covered for treatment. Insurers typically offer tiered options:
Choosing the right area is crucial. If you live in France but travel frequently to Asia for work, you'll need a plan that covers both regions.
This is the foundation of every health insurance policy.
Almost all iPMI policies cover in-patient and day-patient treatment in full, up to an annual limit.
This covers medical treatment that does not require a hospital admission. It's often offered as an optional add-on or in higher-tier plans. It includes:
A plan with strong out-patient cover provides a more comprehensive, 'day-to-day' healthcare solution.
This is a non-negotiable feature for most expats.
Without this cover, an emergency evacuation can easily cost over £100,000, making it a vital part of any expat policy.
Leading insurers provide extensive cancer cover, which can include diagnostics, surgery, chemotherapy, radiotherapy, and even experimental treatments. Check the details carefully, as limits and the types of treatment covered can vary.
Awareness of mental health has grown significantly. Many iPMI providers now include cover for psychiatric treatment, therapy sessions, and access to mental wellbeing support lines. This can be invaluable when dealing with the stresses of adapting to a new country.
Routine dental check-ups, fillings, and eye tests are not usually covered by standard plans. You can often add a dental and vision module to your policy for an extra premium, which covers routine care as well as major procedures like crowns or orthodontics.
Insurers typically offer several tiers of cover, from basic "catastrophe" plans to fully comprehensive ones.
| Tier | Typical Inclusions | Best For... |
|---|---|---|
| Bronze / Basic | - In-patient and day-patient care - Emergency evacuation - Limited cancer cover | Expats in countries with good public healthcare who want a safety net for major emergencies and surgery. |
| Silver / Standard | - All Bronze features - Comprehensive out-patient cover - More extensive cancer care | Expats who want comprehensive cover for both emergencies and day-to-day diagnostics and consultations. |
| Gold / Premium | - All Silver features - Maternity cover - Routine dental and vision care - Higher annual limits | Expats who want complete peace of mind, families planning to have children, or those who want all their health needs in one plan. |
When choosing, consider:
When you apply for a policy, the insurer needs to assess your health history. This is called underwriting. You'll typically have two choices.
This is the "wait and see" approach. You don't need to declare your full medical history on the application. Instead, the insurer will automatically exclude any condition you've had symptoms of, or sought treatment for, in the last 5 years.
This exclusion can be lifted for a specific condition if you go for a set period (usually 2 years) after your policy starts without having any symptoms, treatment, or advice for it.
With FMU, you provide your complete medical history on the application form. The insurer's medical team assesses it and tells you upfront exactly what is and isn't covered. They may apply specific exclusions to your policy (e.g., "no cover for treatment related to the left knee").
For expats, Full Medical Underwriting is almost always the recommended option. The certainty it provides is invaluable when you are in a foreign country and need to know your cover is secure.
The iPMI market is dominated by a few global giants known for their extensive networks and excellent service. While the "best" provider depends on your individual circumstances, these are consistently top performers.
| Provider | Key Features | Best For... |
|---|---|---|
| Bupa Global | - Premium brand with a vast direct settlement network - High annual limits and comprehensive benefits - Excellent mental health and wellness support | Those seeking premium, comprehensive cover with a strong global reputation and minimal out-of-pocket expenses. |
| Axa Global | - Flexible and modular plans to suit different budgets - Strong digital tools and virtual doctor service - Excellent customer service and global presence | Individuals and families looking for a flexible balance of cover and cost from a trusted global brand. |
| Cigna Global | - Highly customisable plans - Strong focus on preventative care and wellness - Large global network and 24/7 support | Expats who want to build a bespoke plan tailored to their exact needs, with options for US cover. |
| Allianz Care | - Wide range of plans from basic to premium - Excellent support services for expats (e.g., finding doctors) - Strong digital health apps and services | Individuals and corporate clients looking for reliable, well-regarded cover with strong digital integration. |
This is just a snapshot. The market is complex, and policies change. This is where using a specialist broker becomes essential.
Trying to compare these global policies on your own can be overwhelming. An independent, FCA-authorised broker like WeCovr acts as your expert guide.
Your health insurance is a safety net, but the best strategy is to stay healthy in the first place. Moving abroad can disrupt your routines, so it's important to be proactive.
By pairing a healthy lifestyle with a robust international private medical insurance policy, you can enjoy your expat adventure with complete peace of mind.
Ready to secure your health and peace of mind abroad? The world of international health insurance is complex, but you don’t have to navigate it alone.
Contact WeCovr today for a free, no-obligation quote. Our expert advisors will compare the top providers to find the perfect private medical insurance policy for your new life as a UK expat.






