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Guide

International health insurance comparison: what the published facts show

By Covered Abroad Research Desk · Last verified July 2026

A useful comparison starts with what each insurer publishes in writing, not with a ranking. Our five EU-region tiers run from $392 to $1,906 a year for an adult of 18, billed annually. Four other insurers publish plan structures and limits on their own sites, and several publish no price at all.

What a comparison has to settle before price

Most comparison pages open with premiums. For anyone moving to Europe on a long-stay visa, price is the last filter rather than the first. The certificate your consulate reads has to meet a published rule, and a policy that fails that rule is not cheap at any price.

We are not going to re-argue that method here. It is set out in how to compare international health insurers for a visa, and the criteria version is in what makes health insurance best for a visa file. This page is the data underneath those arguments: what we publish about our own plans, and what other insurers publish about theirs.

Compare expat health insurance plans: our five tiers side by side

These are our published 2026 rates for the EU region, which covers every European destination we work in. They are real prices from the insurer's rate card, not teasers.

PlanOverall annual limitFrom, per adult per year
Essential HealthUS$100,000$392
Major MedicalUS$1,000,000$721
StandardUS$1,000,000$1,133
ComprehensiveUS$1,000,000$1,525
Fully ComprehensiveUS$2,000,000$1,906

Prices are per person, billed annually, starting at adult age 18, and they rise with age. Children aged 0 to 17 pay one flat rate per plan. Essential Health is the outlier in the list: it covers accident and emergency care in state hospitals only, so it is the cheapest line here and generally not enough on its own for a visa file.

What each tier actually buys, benefit by benefit, is set out at what the price buys, and your exact figure by age is at pricing.

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What four other insurers publish about their own plans

Everything below comes from each insurer's own website, read on 11 August 2026. We have not ranked them, scored them, or repeated anything a review site said about them. Plan structures change, so treat each line as a dated snapshot and check the current page before you decide.

Cigna Global. Its Global Health Options page lists four plan options: Close Care, Silver, Gold and Platinum. Across those options the published overall annual limits range from $500,000 up to a plan paid in full, and the deductible choices run from $0 to $10,000. The benefit table on that page states it applies to annual policies commencing or renewing on or after 15 February 2026. No premium figures appear on the page; pricing is by quote.

Allianz Care. Its Care international health plans come in three core levels. Care Base publishes a maximum plan limit of US$1,350,000, Care Enhanced US$2,700,000 and Care Signature US$5,000,000. Out-patient and dental cover are optional plans added to a core plan, and the area of cover is chosen separately from Worldwide, Worldwide excluding USA, Africa or Europe. The page also describes a moratorium underwriting option with no medical questionnaire. No premiums are published on the page.

William Russell. Four plans are published: Bronze and SilverLite each with a US$1.5m annual benefit limit, Silver at US$2.5m and Gold at US$5m. The page states that Gold adds routine dental treatment and pregnancy and childbirth cover, and that some benefits carry waiting periods. It also states the insurer behind its health insurance is a company in the Allianz group. This was the only one of the four pages we read that showed any premium figures, and those are given as examples for specific example households in named countries, not as a rate anyone should expect to pay.

IMG Global. Its Global Medical plans are published with a Silver option at a $5,000,000 medical maximum with medical evacuation to $50,000, a Gold option at $5,000,000 with evacuation up to the lifetime maximum, and a Platinum option at $8,000,000. Prices sit behind a quote step rather than on the page.

One caution before you line these numbers up against each other. An overall limit is a ceiling, and insurers count different things toward it, apply different sub-limits underneath it, and exclude different things entirely. Two identical ceilings can behave very differently at claim time.

The insurers we could not verify

Six names that come up often in this category are missing above: Bupa Global, Aetna International, April International, GeoBlue, Now Health International and AXA. Their sites blocked our automated read on 11 August 2026, so we have no published detail from them that we can attribute honestly.

We are not going to describe plans, limits or prices we could not read. If one of those insurers is on your shortlist, work from their own current plan documents rather than from a comparison page that may be reprinting an old summary.

What a limits table does not tell you

Comparison tables reward the plan with the biggest number. Claims are decided by exclusions, and those are worth reading before any limit.

Ours, stated plainly: pre-existing conditions are excluded, including conditions you did not know you had. Treatment is covered worldwide but excludes the United States. Evacuation and repatriation is an optional benefit at an additional premium rather than something bundled into the price above. New applicants are accepted up to age 70, and up to age 80 on Essential Health. Policies run in 12-month terms and renew at the anniversary, and the price is set by your age at that point.

Whatever you shortlist, the certificate is the document that has to satisfy your consulate. A specialist can read yours against your destination's published rule before you commit.

See your own number, then have the certificate checked

The from-prices above are the entry point at age 18. The pricing calculator shows your household's exact figure by age and tier, and the comparison page shows what each tier buys.

If you already hold a policy, or you are weighing one of the insurers above, run it through our policy check against your destination's rule, or request a quote and a person will talk it through by phone.

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Get a certificate that meets the published rule

Tell us your destination, visa, and who’s moving. Our team reviews it against the current requirement and calls you with a quote — no obligation.

Cover underwritten by Regency Assurance · every rule on this site cited and dated · a person calls back within one business day.

Before you request a quote: cover is worldwide but excludes treatment in the United States, and pre-existing conditions are not covered — including conditions you did not know about. We say this up front so a quote is worth your time.

Common questions

What is the most affordable international health insurance?

There is no honest cross-provider answer, because most of the insurers we read publish no premium at all. Of the four pages we captured on 11 August 2026, only William Russell showed any premium figures, and those were labelled as examples for specific households. Our own lowest published price is $392 a year at age 18 for Essential Health, which covers accident and emergency care in state hospitals only, so cheapest and suitable are not the same question.

How do I compare expat health insurance plans?

In this order: does the certificate meet your destination's published rule, is it the right product category for residence rather than travel, what does it exclude, what are the limits and sub-limits, and only then what does it cost. Our five tiers run from $392 to $1,906 a year for an adult of 18 on the EU rate card, and the exclusions that decide claims are listed on the comparison page.

Do you rank international health insurers?

No. We report what an insurer publishes about itself, with the date we read it, and we do not score, rank or declare a winner. We also do not claim that any insurer is accepted or rejected by a consulate, because that is a decision about a specific certificate rather than about a brand.

Are annual limits comparable between insurers?

Not line for line. The overall limit is a ceiling, and what counts toward it, which sub-limits sit underneath it, and what falls outside it entirely all vary. Read the benefit table and the exclusions, not just the headline number.

Which providers publish their prices?

Of the four insurer pages we could read on 11 August 2026, Cigna Global, Allianz Care and IMG Global put pricing behind a quote step, and William Russell published example premiums for named example households. We publish our own rate card in full, which is why the figures on this page are ours.

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