
International Family Health Insurance: Coverage Abroad
Moving abroad with your family can feel overwhelming, especially when it comes to healthcare. Local systems may be unfamiliar, costly, or offer limited access for expats. International family health insurance ensures you and your loved ones have reliable, high-quality care wherever you go.
With comprehensive coverage, you can access private hospitals, specialist treatment, and emergency care across borders. Many plans even include benefits for children, such as vaccinations and preventive care, giving you peace of mind that your family is protected.
Pacific Prime partners with leading insurers to bring expat families tailored plans that balance cost and coverage. From maternity to pediatric care, we simplify the process so you can focus on settling into your new life abroad.
Recommended Family Health Insurance Plans for Expatriates
Health Insurance Coverage for Expatriate Families

Health insurance coverage for families can be customized to fit your budget and coverage needs. Many comprehensive plans will help cover well-child checks and routine vaccinations. To keep premiums low, you could also select emergency and in-patient coverage only.
How International Health Insurance Works for Families
International health insurance policies for families work similarly to policies for individuals. Notify your insurance broker or agent that you will need coverage for family members. They will collect ages and other key information to offer pricing and plan details.
You will need to plan ahead in order to verify coverage because private health insurance abroad is subject to underwriting. This means that the insurer will review your health history to determine whether or not you, a family member, or a particular pre-existing condition is eligible for coverage.
Filing a claim is similar to private domestic insurance policies. That means that your insurer has hospitals, clinics, and providers with direct billing capacity. Direct billing means the medical provider will file the insurance claim on your behalf.
International Medical Insurance Eligibility
Expats are eligible for an international medical insurance policy when they reside outside of their home country for at least three months of the year for more than one year. If you plan to be outside of your home country for a shorter period, you are eligible for a travel insurance policy instead.
Coverage for expats is also subject to underwriting and insurance company age limits. Many insurance companies have a maximum age for issuing new policies.
Pre-existing conditions may also make someone ineligible for an individual or family policy. In this case, an expat would need to participate in a large group policy, like one through an employer, to be eligible for international medical insurance.
International Health Insurance with maternity coverage requires a waiting period to be eligible for coverage of pregnancy-related expenses
International Health Insurance Costs for Families
The cost of international family health insurance differs widely by country. Local healthcare prices, medical inflation, and regulations all influence premiums. Pacific Prime’s 2024 ranking highlights the most and least expensive countries for expat health coverage.
| 2024 ranking of top 20 countries based on average premiums | ||||
|---|---|---|---|---|
| Rank | Country | Average cost in 2024 (USD $) | Average cost in 2023 (USD $) | % difference |
| 1 | US | 34,152 | 28,250 | 21% |
| 2 | Hong Kong | 23,558 | 22,067 | 7% |
| 3 | Singapore | 19,879 | 20,351 | -2% |
| 4 | China | 19,188 | 16,241 | 18% |
| 5 | Thailand | 18,027 | 15,396 | 17% |
| 6 | Dubai | 17,670 | 15,348 | 15% |
| 7 | Israel | 17,530 | 15,303 | 15% |
| 8 | Bahrain | 16,006 | 15,209 | 5% |
| 9 | UK | 15,936 | 15,121 | 5% |
| 10 | Taiwan | 15,891 | 15,073 | 5% |
| 11 | Oman | 15,780 | 14,723 | 7% |
| 12 | Mexico | 15,480 | 14,538 | 6% |
| 13 | Switzerland | 15,359 | 14,306 | 7% |
| 14 | Brazil | 15,332 | 14,257 | 8% |
| 15 | Turkey | 15,299 | 14,166 | 8% |
| 16 | Japan | 14,670 | 13,920 | 5% |
| 17 | South Korea | 14,660 | 13,802 | 6% |
| 18 | Spain | 14,417 | 13,567 | 6% |
| 19 | Yemen | 14,386 | 13,528 | 6% |
| 20 | Iraq | 14,200 | 13,498 | 6% |
| 2024 ranking of bottom 5 countries based on average premiums | ||||
|---|---|---|---|---|
| Rank | Country | Average cost in 2024 (USD $) | Average cost in 2023 (USD $) | % difference |
| 73 | Romania | 11,217 | 11,043 | 2% |
| 73 | Croatia | 11,217 | 10,797 | 4% |
| 73 | Slovakia | 11,217 | 10,797 | 4% |
| 74 | Netherlands | 11,196 | 10,797 | 4% |
| 75 | Poland | 10,710 | 10,586 | 1% |
Source: Pacific Prime’s Cost of International Health Insurance Report 2024
*Premium data is based on standard IPMI rates for a 36-year-old adult, with inpatient and outpatient care and no deductible. While figures are shown per individual, family premiums are typically calculated using multiples of these rates, giving expats a reliable benchmark.
For a more comprehensive comparison of insurance prices and medical expenses worldwide, you can download Pacific Prime’s free Cost of International Health Insurance Report.
Do Ages Make a Difference in the Cost of Health Insurance for a Family?
Age makes a big difference in the cost of international health insurance. The cost of health insurance increases with the ages of the people on the policy. Let’s consider an older family of four with older children in the following example.
For each cost estimate, our young expat example family of four includes:
- 35-year-old male
- 32-year-old female
- 8-year-old male
- 5-year-old female
For each cost estimate, our older example expat family of four includes
- 50-year-old-male
- 45-year-old-female
- 16-year-old-male
- 13-year-old-female
Comprehensive Coverage Policies Include:
- Inpatient
- Outpatient
- Dental
- Maternity
| Expat Family Health Insurance Quotes Compared by Age | ||
|---|---|---|
| Country of Residence | Comprehensive Health Insurance Coverage for an Older Expat Family of 4 Starts At | Comprehensive Health Insurance Coverage for a Young Expat Family of 4 Starts At |
| Mexico | USD $1,600 /month | USD $263 /month |
| Spain | USD $386 /month | USD $277 /month |
| Malaysia | USD $407 /month | USD $296 /month |
| Taiwan | USD $711 /month | USD $497 /month |
| Hong Kong | USD $853 /month | USD $711 /month |
| The Philippines | USD $407 /month | USD $296 /month |
| Thailand | USD $258 /month | USD $228 /month |
| UAE (Dubai) | USD $855 /month | USD $609 /month |
| Singapore | USD $943 /month | USD $1,026 /month |
| Portugal | USD $386 /month | USD $277 /month |
| China | USD $1,136 /month | USD $1,078 /month |
| United States of America | USD $2,681 /month | USD $2,120 /month |
| Greece | USD $386 /month | USD $277 /month |
Please note that prices are for worldwide coverage excluding the United States, with the exception of the entry for the USA.
As you can see in the table above, health insurance policies are generally more expensive for older policyholders.
International Health Insurance Considerations for Families
Families purchasing international health insurance plans should keep in mind that out-of-pocket medical costs for families can add up quickly, even in countries with more affordable healthcare. Many private health insurance companies have direct billing networks to simplify claims.
- Opting for more comprehensive plans with preventative care coverage will raise premiums but save you on out-of-pocket costs.
- If you plan to travel a lot outside of your resident country, consider plans that offer travel vaccination coverage.
- Maternity insurance coverage has a waiting period before maternity benefits can be used.
- Save money on premiums by excluding coverage in the USA if possible.
- Make sure the annual benefit limit of your selected plan is high enough to cover significant emergencies abroad.
- Verify that you will be able to pay the deductible before choosing a plan. You will probably be better offer paying a little more each month for a lower or $0 deductible.
Affordable Family International Medical Insurance Plans
The most affordable international medical insurance plans for families will likely be through your employer or school. Regional or worldwide excluding the USA, policies are more affordable than plans that include the US. The best-priced insurance company varies by world region.
To see which options fit your budget, you can compare family health insurance quotes quickly and easily online.
Best International Health Insurance Companies for Families

The top providers of international family health insurance include Now Health International, VUMI, April International, Allianz Care, Blue Cross Blue Shield Global Solutions, Cigna, AXA, and Bupa Global. There are also many other trusted insurers offering coverage options for families living overseas.
Now Health International: Insurance for Families Abroad
Now Health International offers private international medical insurance for expatriate families. Its WorldCare Plans offer flexible co-pay options to reduce monthly premiums. These comprehensive coverage plans have dental coverage options and chronic condition coverage.
VUMI’s International Health Insurance for Families
VUMI’s international health insurance plans offer great maternity insurance coverage. Declared pre-existing conditions may also be covered on its Global Flex Plans, subject to underwriting approval. Dental coverage is also available with comprehensive plans.
April International: Worldwide Insurance for Expatriate Families
April International is a well-respected insurance provider for families living abroad. It offers five tiers of coverage with comprehensive plans and unlimited annual benefits available. April International has plans with both dental and vision coverage options.
Allianz Care: International Health Insurance for Families
Allianz Care sells international health insurance plans for families. Their maternity insurance plans also offer some coverage for infertility treatments. Allianz plans range from basic to comprehensive for a customized plan experience.
Blue Cross Blue Shield Global Solutions: Worldwide Health Insurance Plans for Families
Blue Cross Blue Shield Global Solutions offers expat families comprehensive plans with direct billing networks, low deductibles, and preventive care like checkups and vaccines. Some plans also cover travel vaccinations, making it a reliable choice for families abroad.
For American families already insured in the U.S., Blue Cross Blue Shield Global Solutions may also extend coverage for pre-existing conditions when relocating abroad (subject to underwriting and approval).
Cigna: Worldwide Health Insurance for Families
Cigna Global’s Gold and Platinum plans offer comprehensive coverage, including maternity benefits. As a major insurance provider worldwide, you’ll have plenty of providers to choose from and a large direct billing network.
AXA’s International Health Insurance for Families
AXA offers international health insurance plans for families with $0 deductibles, comprehensive coverage, and affordable premiums. To offer competitive premiums and customized plans, many AXA plans lower the annual benefit limit. This works well for expat residents with some public insurance.
BUPA Global: International Health Insurance for Families
BUPA Global stands out as an expatriate family health insurance company because up to two children under the age of ten may be covered at no additional cost, subject to underwriting. The insurance company is well-known and offers an extensive network of providers.
International Maternity Insurance for Families

International maternity insurance coverage is available for families. Please be aware that maternity coverage typically has a waiting period, so plan ahead if you’re starting or growing your family. You can find more information about maternity insurance coverage here.
Travel Insurance for Families

Travel insurance is available for families traveling abroad. There are single-trip plans and multi-trip annual plans. For more information about travel insurance and to find travel insurance quotes, see more here.
For families living abroad with an international health insurance policy, your health insurance may cover you when you travel. As long as you travel within your coverage area, you will have coverage for medical expenses.
Using a Broker to Purchase International Family Medical Insurance Plans

International health insurance plans for families can be purchased through the insurance company directly, but insurance brokers offer additional services at no extra cost and provide more competitive deals. Insurance brokers work to make you happy!
For example, Pacific Prime offers claims support and has a local presence and expertise in regions all around the world to provide the best advice and services.
International Family Plans: Insurance Brokers vs. Insurance Agents
Choosing the right international family health insurance can be complex, especially with so many providers and plan types. Working with a broker gives expatriates key advantages, and you can easily compare family health insurance quotes online to see which plans best suit your needs.
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Unbiased advice: Brokers work with multiple insurers, ensuring recommendations are tailored to your family’s needs.
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Easy comparisons: Side-by-side plan reviews help you balance cost, coverage, and benefits without confusion.
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Expert guidance: From maternity care to pediatric coverage, brokers explain policy details in simple terms.
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Time savings: Instead of contacting different insurers individually, brokers streamline the search and enrollment.
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Ongoing support: Assistance doesn’t stop at purchase—brokers help with renewals, claims, and adjustments as your family’s needs change.
Group Health Insurance Policies to Cover Families Abroad

Using a large group international health insurance policy, like one offered through an employer or school, for your family is the best way to find coverage for pre-existing conditions. Premiums may also be more affordable through a large group.
Speak to your employer about the possibility of corporate health insurance for working abroad to maximize coverage benefits.
International Dental Insurance For Families

International dental insurance is available for families as a rider on an international health insurance policy. Coverage for dental treatments typically has a waiting period of at least six months. Compare health insurance plans with dental coverage by selecting “dental” as an option.
Frequently Asked Questions

Does my family need international health insurance?
Expatriate families need health insurance to cover medical expenses living abroad. Domestic health insurance does not cover you or your family when living or traveling abroad. International health insurance policies cover families living abroad for a year or longer.
Does international medical insurance cost the same everywhere in the world?
International medical insurance policy prices vary according to medical costs in the country of residence. For example, policies with coverage in the United States are the most expensive policies for expatriates. Countries with more affordable healthcare have lower premiums for policies.
What is the best international health insurance for families?
The best international health insurance is through an insurance company well-established in your country of residence that provides the coverage you need. Working with a broker will help you identify the best for your family situation by comparing multiple companies and plans.
Interested in a Personalized International Health Insurance Plan?
Let our experts tailor a personalized quote to match your specific needs and requirements.
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