The Ultimate Expat Cheat Sheet: Private Medical Insurance & Life Insurance – The Plain English Guide
Main Takeaway:
Finding the right private medical insurance (PMI) and life insurance is absolutely vital for anyone living abroad – whether you’re heading out for work, relocating your family, or just seeking a new adventure. The choices can be confusing, but with clear, expert help from a specialist insurance broker like WeCovr, you can get comprehensive coverage quickly, understand all your options, and pay no extra cost for their advice or service.
Table of Contents
- What Is Expat Insurance? Essentials in Plain English
- Why Expats Need PMI and Life Cover
- How PMI for Expats Works: Key Features Explained
- International Life Insurance: What It Does and Who Needs It
- Which Countries Require Health Insurance for Expats?
- How Pre-existing Conditions Affect Cover
- Types of Policies & Coverage Levels
- How Much Does PMI and Life Insurance Cost?
- Expat Insurance Tax Rules (UK and Abroad)
- Why Use an Insurance Broker Like WeCovr?
- How to Get Covered – Step-by-Step with WeCovr
- Key FAQs
- Cheatsheet Summary Table: PMI vs. Life Insurance vs. Travel Insurance
- Takeaway Checklist
1. What Is Expat Insurance? The Essentials
Expat insurance refers to special policies that cover you when you’re living or working outside your home country. The big two are:
- PMI (Private Medical Insurance): Covers your healthcare costs for illness, accidents, hospital stays, specialist treatment, and more.
- Life Insurance: Pays your family a lump sum if you die, helping them pay bills, mortgages or other costs.
Expat insurance can mean:
- International PMI: Covers medical treatment worldwide (not just one country).
- International Life Insurance: Provides a payout whether you die at home or abroad.
These policies often have extra rules and options for people living internationally.
2. Why Expats Need PMI & Life Cover
It’s not just for grown-ups – even if you’re 13, you should care!
- Health systems abroad can be expensive and confusing. In some countries, you must pay for all medical treatment. UK citizens lose their NHS entitlement when living elsewhere.
- Emergencies can cost thousands (or more). A broken arm or hospital stay in the US, for example, can cost more than £20,000.
- Your UK insurance likely doesn’t cover you abroad. Most regular PMI only covers you within the UK or for short trips.
- Your family depends on you. Life insurance means loved ones aren’t left with debts if something happens.
3. PMI for Expats: Key Features (Explained Simply)
What Does an Expat PMI Policy Cover?
| Coverage | UK PMI | International PMI |
|---|
| Hospital stays | Yes | Yes |
| Surgery | Yes | Yes |
| Specialist treatment | Yes | Yes |
| Outpatient care | Optional add-on | Yes |
| Cancer care | Yes | Yes |
| Mental health | Optional | Yes/Optional |
| Dental care | Rare | Often available |
| Rehabilitation | Yes | Yes |
| Emergency Evacuation | No | Yes |
| Repatriation | No | Yes |
- International PMI (IPMI) covers routine GP visits, diagnostics, surgery, cancer care, evacuation/repatriation if care isn’t available locally, and much more.
- Hospital Choice: You can pick your own hospital – helpful if local options aren’t great.
- Global Coverage: You choose your region (e.g., “Worldwide excl. USA” is cheaper than “Worldwide incl. USA”).
4. Life Insurance for Expats: What and Who
What’s It For? Why Take It Out?
- Pays your family or dependents if you die (usually a lump sum).
- Covers mortgages, debts, and living costs.
- Available for international workers, families, digital nomads, and retirees.
- Can be used for inheritance planning, especially for UK assets or overseas homes.
- Critical Illness Option: Some policies also pay out for serious illnesses.
| Typical Life Insurance Features (for Expats) |
|---|
| Lump sum up to 20x your salary |
| Broad eligibility (age, job, nationality) |
| Can cover mortgage (UK/abroad) |
| Can pay up for critical illnesses |
| Premiums based on age, health, preference |
5. Which Countries Require Health Insurance for Expats?
- More countries every year require proof of private medical insurance before you get a visa or enter (especially after the COVID-19 pandemic).
- At least 43 countries in 2024 mandated private medical insurance for expats and visitors for entry, e.g. most EU states, Singapore, UAE, Australia, and many others. Always check the latest requirements before travelling or relocating.
6. Pre-Existing Conditions & Exclusions: The Reality
Will your plan cover your asthma, diabetes or an old injury? Maybe not!
- Most PMI policies do not cover pre-existing conditions – anything you’ve already been treated for, had symptoms for, or had medical advice about before your cover started.
- Moratorium Underwriting: Excludes old conditions for 2 years. If you go symptom-free for two years, your insurer may cover you after that.
- Full Medical Underwriting: You fill out a health questionnaire. The insurer tells you what’s excluded from the start – more certainty, but slower.
| Underwriting Type | What It Means | Pros | Cons | Best For |
|---|
| Moratorium | No health history needed up front. Excludes medical issues for last 5 years initially. | Quick/simple setup | Less clarity up front | Healthy travellers |
| Full Medical | Full health history required. Excludes listed conditions. | Complete clarity | Slower application | Complex history/older expats |
- Some international PMI (and travel insurance) can cover pre-existing conditions for a higher premium, or after a waiting period.
- Always be honest! Failure to declare conditions can invalidate your policy.
7. Policy Types & Coverage Levels
- Basic: Covers major inpatient procedures, often cheapest, but usually excludes outpatient and therapies.
- Mid-range: Offers a blend of inpatient, outpatient cover, therapies and mental health options.
- Comprehensive: Full cover for hospital, outpatient, cancer, therapies, mental health, and sometimes dental.
Typical PMI Components:
- Inpatient/hospital cover
- Outpatient (diagnostics/tests/specialists)
- Therapies (e.g. physiotherapy, acupuncture)
- Mental health
- Dental care (may be optional)
- Cancer care
- Evacuation & repatriation (international only)
- Maternity (optional; sometimes excluded for expats unless specialist policy)
Customisation: You can add/remove options (e.g., outpatient, therapies, mental health) to suit your budget.
8. How Much Does Expat PMI & Life Insurance Cost?
Costs vary hugely depending on:
- Age (older means more expensive)
- Coverage region (USA costs a lot more)
- Levels of cover (premium is pricier)
- Smoker status
- Location
Typical Ranges (2025):
| Case | Worldwide excl. USA | Worldwide incl. USA |
|---|
| Couple (35 & 38) | £3,795–£8,454/year | £5,502–£18,696/year |
| Family (UK, 40/42/10/6) | £8,664–£13,939/year | £12,563–£26,484/year |
| Young couple (28 & 31, France) | £3,218–£4,084/year | £4,097–£8,474/year |
Mid-range PMI for a healthy 40-year-old: £60–£90/month; 55-year-old: £90–£140/month.
9. Tax Implications for Expat Insurance
UK Tax Rules:
- Most policies aren’t subject to UK income tax on payout, but life insurance payouts above the inheritance tax (IHT) threshold (£325,000) may be taxed at 40%.
- You can avoid IHT by writing your policy "in trust" or leaving it to a spouse/civil partner.
- Health insurance paid by your employer is usually a "benefit in kind" and taxed.
Abroad:
- Expat life insurance may be designed to solve US estate tax or overseas inheritance issues if you have assets abroad.
- Always check local country rules with your broker.
10. Why Use a Specialist Broker Like WeCovr?
Because the market is complicated – and brokers save you money, stress, and mistakes!
- WeCovr is FCA-authorised and regulated, with 20+ years’ expertise.
- They compare the whole market (not just one provider), explaining insurance jargon and finding the cover best suited to your needs – all at no cost to you.
- Free quotes, no obligation, quick setup.
- Specialist support for individuals, families, digital nomads, and returning expats.
- No impact to your premiums; their fees come from insurance providers.
- You get access to exclusive deals and handy extras (e.g., digital GP appointments, calorie/nutrition app for wellbeing).
- You remain in control; they find the best value and coverage for your needs.
11. How To Get Covered – Step-by-Step with WeCovr
1. Contact WeCovr or use their web/mobile platform to start (simple form, quick quotes).
2. Discuss your needs (e.g., where you’re moving, type of cover, budget, medical history).
3. Get a personalised, unbiased comparison of policies (UK/international, PMI or life).
4. Review options matched to your needs and get help with jargon or fine print.
5. Select your policy and set up payments – your cover can start as quickly as the same day for some PMI plans (moratorium), or 1–3 weeks for full underwriting.
6. Get your documents and app access, and add family members if needed.
Your coverage is always tailored to your needs, and you can adjust it any time.
12. Key FAQs
Q: Does UK PMI cover me abroad?
A: Usually not. Only emergency stabilisation, low limits, short duration, and may exclude destinations like the USA.
Q: Can I get PMI with pre-existing conditions?
A: Usually excluded, but some policies offer cover after a 2-year symptom-free period, or charge higher premiums for inclusion. Always declare them honestly.
Q: What happens if I change countries?
A: Talk to your broker before moving. Some international plans let you update your region; some local policies will be voided if you leave.
Q: Can I add my family/partner?
A: Yes – most policies allow this and you may get a discount.
Q: How soon is my cover active?
A: Moratorium policies – same day; full underwriting – 1–3 weeks.
Q: What’s the difference between PMI, Life, and Travel Insurance?
A: See summary table below.
13. Cheatsheet Table: PMI vs. Life vs. Travel Insurance
| Feature | PMI (UK) | PMI (International) | Life Insurance | Travel Insurance |
|---|
| Main use | Private health | Global health | Family payout | Health + trip risks |
| Covers emergencies abroad | Limited | Yes | No | Yes |
| Covers pre-existing conditions | Usually no | Rarely/extra premium | Sometimes (but rare) | For extra premium |
| Pays family if you die | No | No | Yes | No |
| Hospital choice | Yes | Yes, global | N/A | Emergency only |
| Duration | Yearly/rolling | Yearly/rolling | 10–40+ years | Per trip/annual |
| Repatriation | No | Yes | No | Yes (medical) |
| Key extra benefits | Quick access, facility choice | Full global care | Lump sum, critical illness option | Missed flights, lost bags, liability |
| Purchased with broker (no cost) | Yes | Yes | Yes | Yes |
| Tax implications | No | No | IHT may apply | No |
| Family member add-ons | Yes | Yes | Yes | Yes |
| How to buy | Direct/broker | Broker recommended | Broker/online | Broker/online |
14. Takeaway Checklist
If you’re an expat (or planning to become one):
- Make sure you know your legal health insurance requirements for your destination.
- Compare PMI, life, and travel insurance to see what best fits your needs.
- Be honest about your medical history and any pre-existing conditions – don’t risk invalidating your policy.
- Don’t try to do it alone! Use a smart, regulated broker like WeCovr for clear advice and bespoke options, at no cost to you.
- Look for family bundles and global add-ons as needed.
- Review your policy each year – your needs will change as your life does.
- Invest in insurance BEFORE you actually need it. You can’t buy cover for an event that’s already happened.
- Ask about digital extras (virtual GPs, wellbeing apps, claims support), as brokers may have access to better deals.
Final Word
Insurance may seem dull and complicated, but when living abroad, PMI and life cover are essential lifelines for you and your family. The key to smart protection is using a specialist broker like WeCovr – who can demystify the rules, help you compare the whole market, and even arrange exclusive deals and extras at no cost to you. With clear advice, quick setup, and ongoing support, you can focus on what matters: living the expat life, safely and confidently!
For the latest advice or a free, no-obligation quote, talk to WeCovr’s friendly experts today.
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