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Expatriate Healthcare

Expatriate Healthcare plans for expats in the Gulf and Europe

Expatriate Healthcare is a value-focused international insurer: four plans from an inpatient-led entry point to a comprehensive tier, moratorium underwriting with no medical questions, and pricing in dollars, euros or pounds. IPMIEMEA explains how it fits the Gulf and Europe.

Last updated: 13 October 2026 · Reviewed by IPMIEMEA
In short: Expatriate Healthcare is a value-focused international insurer with four plans, Primary, Primary+ Lite, Primary+ and Select, running from inpatient-led cover to a comprehensive tier, all in US dollars, euros or sterling. Hospital treatment and evacuation are covered at full refund on every plan and underwriting is moratorium with no medical questions. It suits price-conscious expats in the Gulf or Europe whose recent health is stable.
Key takeaways
  • Primary insures hospital admission and evacuation only; outpatient is capped on Primary+ Lite and full on Primary+ and Select.
  • Conditions treated in the two years before joining are excluded until you complete two continuous treatment- and symptom-free years.
  • Benefit limits and claims are serviced in the currency you choose, avoiding exchange friction for Gulf, euro-area and UK residents.
  • Planned inpatient treatment should be pre-approved at least 7 days before a non-emergency admission.
  • Cover is underwritten by Gen Re / Guardrisk; Expatriate Healthcare distributes and administers the plans.
PlansPrimary · Primary+ Lite · Primary+ · Select
Underwritten byGen Re / Guardrisk
Underwriting basisMoratorium; no medical questions to apply
CurrenciesUSD · EUR · GBP, with limits in the matching currency
EvacuationIncluded on all four plans at full refund
Pre-authorisationPlanned inpatient treatment at least 7 days ahead

Four plans from lean to comprehensive

Expatriate Healthcare's international private medical insurance (IPMI) is built for people who want solid cover without a top-tier price. The range starts with an inpatient-focused plan and steps up to a comprehensive one, so the premium follows the cover you actually want. The plans are distributed and administered by Expatriate Healthcare and underwritten by Gen Re / Guardrisk.

PlanPosition
PrimaryInpatient-focused; the budget entry point
Primary+ LiteAdds capped outpatient cover
Primary+Comprehensive, with full outpatient
SelectThe most comprehensive tier

All four are available in US dollars, euros or pounds sterling, with benefit limits expressed in the chosen currency. Exact limits and the area of cover are confirmed at quote.

What is covered, plan by plan

The value logic is simple: Primary insures the big, expensive events (hospital admission and evacuation) for a lower premium and leaves routine GP visits to you. Step up only if you want outpatient cover insured as well. Our guide to inpatient versus outpatient cover explains the trade-off.

Moratorium underwriting: simple to join, with a two-year rule

Expatriate Healthcare uses moratorium underwriting, so there are no medical questions when you apply. The trade-off is in how pre-existing conditions are handled:

This is a low-friction route for someone whose recent health has been stable. It is less suitable for someone with an active condition who would rather have it assessed and, possibly, accepted up front. Our guide to pre-existing conditions compares moratorium with full medical underwriting and transfer terms.

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Pre-authorisation, emergencies and currency

Using Expatriate Healthcare from the Gulf or Europe

Three currencies cover the whole IPMIEMEA map. A resident of the United Kingdom, or a British expat in the UAE or Bahrain, can hold the plan in sterling; a resident of Spain, Portugal or Germany in euros; and a dollar-paid professional in Saudi Arabia or Qatar in dollars, with claims paid in the same currency. The area of cover is confirmed at quote rather than published in the material behind this page, so ask whether the USA is included and whether a narrower area is available; our guide to Europe regional versus worldwide cover explains what to ask.

Gulf residents generally need a locally compliant policy, usually arranged by the employer, with an international plan bought as a top-up or by people outside the local scheme. The inpatient-led Primary plan, with evacuation at full refund, is a natural top-up for someone whose local policy handles routine care but who wants hospital and evacuation cover that follows them home to Europe. Check the current rule where you live and read our guide to mandatory Gulf health insurance and top-up cover.

The moratorium basis also suits a common European profile: a self-employed person or early retiree in Spain or Portugal who wants cover quickly, has had no treatment in the last two years, and does not want to fill in a long health questionnaire.

Who Expatriate Healthcare suits

A strong fit if you are price-conscious and want dependable cover for what matters most, hospital treatment and emergency evacuation, without paying for a top-tier comprehensive plan, and if the currency choice matches how you are paid. The no-questions application is a bonus if your recent health is stable.

Compare alternatives if you want extensive routine outpatient, dental and maternity as standard, the very highest benefit limits, or a plan that will assess and possibly accept an existing condition up front. Nomi prices Expatriate Healthcare beside the rest of the market for your details; XN Global and Now Health SimpleCare are other value-focused plans to read.

Frequently asked questions

Who underwrites Expatriate Healthcare?
Cover is underwritten by Gen Re / Guardrisk. Expatriate Healthcare distributes and administers the plans, which are available in US dollars, euros or pounds sterling with benefit limits expressed in the currency you choose.
Which Expatriate Healthcare plan is the cheapest?
Primary is the entry point. It is inpatient-focused, covering hospitalisation and evacuation at a lower premium with routine outpatient kept minimal. Primary+ Lite, Primary+ and Select step up the cover, and the price, from there.
Do I need a medical exam to apply?
No. Expatriate Healthcare uses moratorium underwriting, so there are no medical questions at application. Conditions from the two years before joining are excluded at the start and can become covered after two continuous treatment- and symptom-free years, while new conditions are covered from day one.
Is medical evacuation included?
Yes. Emergency medical transportation and local ambulance are included on all four plans at full refund, with companion travel and accommodation benefits. Emergency transport takes you to the nearest appropriate facility.
Which currencies can I be covered in?
US dollars, euros or pounds sterling, with all benefit limits expressed in the currency you choose and claims serviced in that currency. IPMIEMEA notes this covers residents of the Gulf, the euro area and the UK without exchange friction.
Do I need pre-authorisation with Expatriate Healthcare?
Planned inpatient treatment should be pre-approved as soon as reasonably possible, and at least 7 days before a non-emergency admission. Emergencies and evacuation are covered on every plan without that advance notice.

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This page is general information, not personal or medical advice, and is based on Expatriate Healthcare plan documentation; exact terms, limits and underwriting are confirmed by the insurer at quote. Prices are indicative. Expatriate Healthcare and related names and logos are the property of their respective owners.