
If you're planning a trip abroad, you may be wondering if your insurance company covers international medical expenses. The answer depends on your insurance provider and the type of plan you have. Some companies, like Cigna and Kaiser Permanente, cover emergency and urgent care when travelling internationally, while others, like Aetna, only cover emergency care in border countries. It's important to note that even if your insurance covers international medical care, you may still be responsible for a significant portion of the medical bills. Additionally, most insurance companies only cover issues that require immediate medical attention, excluding routine care and prescription medication. To ensure you're prepared for unexpected medical costs, consider purchasing travel medical insurance, which can provide coverage for emergency treatments, evacuation, and trip cancellations. This type of insurance is typically affordable, ranging from $40 to $80 on average, and offers peace of mind during your travels.
| Characteristics | Values |
|---|---|
| Does my insurance company cover medical for international travel? | It depends on the insurance company and the plan. |
| What if my insurance company doesn't cover medical expenses internationally? | Consider purchasing travel insurance or a short-term supplemental policy. |
| What does travel insurance cover? | Travel insurance can cover emergency medical care, trip cancellation, interruption, weather, terrorism, travel and baggage delay, missed connection, rental car damage, medical evacuation, and repatriation. |
| What if I have Medicare or Medicaid? | Medicare and Medicaid do not cover medical costs outside the U.S. |
| How do I file a claim for international medical care? | You will need to provide documentation to your insurance company, including itemized medical bills, medical records, and proof of payment. |
| What are some examples of insurance companies that offer international coverage? | Cigna, Kaiser Permanente, Aetna, Blue Cross Blue Shield (GeoBlue), and UnitedHealthcare. |
| What types of travel insurance plans are available? | Single-trip and multi-trip coverage. Single-trip plans cover one international trip, while multi-trip plans cover multiple international trips within a specified period. |
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What You'll Learn
- Medicare and Medicaid do not cover medical costs overseas
- Private US insurance policies may not cover all expenses
- Travel insurance varies widely, so carefully read the terms of the policy
- International travel medical insurance is secondary emergency coverage
- US-based health insurance companies generally can't directly pay medical providers in other countries

Medicare and Medicaid do not cover medical costs overseas
Medicare does not usually cover healthcare costs for people travelling or living outside of the US. There are some exceptions, including cases where Medicare Part B may pay for services that you get on board a ship within the territorial waters adjoining the US. Medicare may also pay for inpatient hospital, doctor, and ambulance services in a foreign country in rare cases, such as when a person is in the US when a medical emergency occurs and the nearest hospital that can treat their condition is a foreign hospital in a closer location.
Medicare Part D covers all vaccines that the Advisory Committee on Immunization Practices (ACIP) recommends, including certain vaccines needed for travel outside the US, such as yellow fever, chikungunya, and Japanese encephalitis. However, Medicare drug plans do not cover prescription drugs purchased outside the US.
Medicare supplement insurance (Medigap) policies may cover emergency care outside the US, but it is limited. As a result, many people opt to buy additional travel insurance to increase their coverage.
Medicaid, which is subsidised insurance exclusive to each state, may provide some emergency coverage abroad. However, it typically does not cover routine procedures or prescription medications overseas. Therefore, it is important to contact your insurance provider to understand the extent of your coverage and what to do in case you need to make a claim.
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Private US insurance policies may not cover all expenses
It is important to ask your health insurance company what global benefits you have when planning a trip abroad. For example, Cigna and Kaiser Permanente health insurance plans cover emergency and urgent care when travelling outside the US, while Aetna health insurance plans only cover emergency care in border countries, such as Mexico.
If your health insurance plan does not cover international travel, you may want to consider purchasing travel insurance. Travel insurance provides coverage for medical emergencies, trip cancellations, interruptions, delays, and evacuations. It is important to note that travel insurance varies widely, so it is crucial to carefully read the terms of the policy to ensure it fits your needs. Additionally, some travel insurance companies sell travel medical insurance plans, such as Blue Cross Blue Shield's GeoBlue, which offers health plans for single trips, multiple trips, and long-term stays abroad.
If you are a frequent traveller or planning to live abroad, you may want to consider purchasing a comprehensive travel health insurance policy meant for long-term travellers. These policies offer routine medical coverage for those living abroad (generally for one year or longer) rather than vacationers. It is important to note that these policies must be purchased on an annual basis and require you to have health insurance in the United States.
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Travel insurance varies widely, so carefully read the terms of the policy
Travel insurance policies vary widely, so it's important to carefully read the terms of the policy before purchasing. This is because not all health insurance plans offer international coverage, and even if they do, they may not cover all your medical bills. International medical facilities are often considered out-of-network, meaning you may have to pay a significant portion of the bill yourself before insurance starts paying. Therefore, it's crucial to ask your health insurance company about your global benefits and what specific medical services are covered when planning a trip abroad. For instance, some companies like Cigna and Kaiser Permanente cover emergency and urgent care when travelling outside the US, while Aetna health insurance plans only cover emergency care in border countries.
The price of travel insurance varies depending on factors such as the destination, length of the trip, traveller's age, amount prepaid, and desired coverage level. In addition to emergency medical insurance, travel insurance can also cover trip cancellation, interruption, weather, terrorism, travel and baggage delay, missed connections, and rental car damage. Some comprehensive plans also include medical evacuation and repatriation coverage.
If your health insurance does not provide coverage abroad, you may need to purchase travel insurance. This is especially important if you're visiting countries with limited healthcare facilities. Travel health insurance can cover emergency and/or routine medical services overseas. When choosing a travel insurance policy, ensure it meets your specific needs and covers emergency medical situations. Additionally, check if the insurance company has a 24-hour contact line, so you can reach them if needed.
There are different types of travel insurance plans available, such as single-trip and multi-trip coverage. Single-trip medical travel insurance covers you for the duration of your trip, regardless of the number of countries visited. In contrast, multi-trip coverage is more cost-effective for frequent travellers as it covers multiple international trips during the covered period. It's important to note that multi-trip plans usually require primary medical insurance coverage in your home country.
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International travel medical insurance is secondary emergency coverage
International travel medical insurance is a type of coverage that provides protection for people travelling outside their home country. It is often purchased as a supplement to an existing insurance plan, which may not cover medical emergencies abroad. This type of insurance is especially important for those travelling to remote areas, where access to adequate medical facilities may be limited.
International travel medical insurance typically covers emergency medical, dental and evacuation services. It can be purchased as a stand-alone policy or as part of a comprehensive travel insurance plan. The price of travel medical insurance varies depending on the destination, length of trip, traveller's age, amount prepaid, and desired level of coverage.
When it comes to primary vs. secondary coverage, primary coverage allows direct claims to be made to the travel insurer. In contrast, secondary coverage requires that a claim be submitted to the primary insurance provider first, which may then be denied. Only after this can a claim be made to the secondary, travel insurance provider. This is an important distinction to understand when purchasing international travel medical insurance, as it can impact the claims process and cause delays.
Medicare, for example, is considered primary health insurance. Therefore, a travel insurance plan with secondary coverage will require the policyholder to first file a claim with Medicare, receive a denial, and then submit this 'refusal to reimburse' letter to the travel insurance company. It is important to note that Medicare generally does not cover emergency medical care for travellers outside the US, although there are some exceptions and supplemental plans that may provide limited coverage.
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US-based health insurance companies generally can't directly pay medical providers in other countries
Medicare, for example, generally does not cover healthcare outside the US. However, there are some exceptions, such as when travelling through Canada without unreasonable delay when a medical emergency occurs, and the Canadian hospital is closer than the nearest US hospital. In such cases, Medicare may cover inpatient hospital, doctor, and ambulance services. Additionally, Medicare Part B may pay for services received on a ship within US territorial waters.
For international travel, it is recommended to purchase travel insurance or international health insurance. Travel insurance can provide coverage for emergency medical situations, trip cancellation, interruption, delays, baggage loss, and evacuation. International health insurance plans, on the other hand, are designed for individuals living, working, or studying abroad and can offer comprehensive coverage, including mental health support and evacuation assistance.
Several companies offer international health insurance plans, including Cigna Global, GeoBlue, William Russell, and International Medical Group (IMG). These companies provide flexible and tailored plans to meet the specific needs of individuals living and working abroad. Cigna Global, for instance, offers a global support network of hospitals and medical professionals in over 200 markets and territories worldwide. Meanwhile, IMG has provided international medical insurance for over 20 years and currently insures people in more than 170 countries.
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Frequently asked questions
It depends on your insurance company and your plan. Some companies cover emergency care when you travel outside the U.S., while others do not. Contact your insurance provider to find out whether your emergency medical coverage extends outside of your home country.
If your insurance company does not cover medical for international travel, consider purchasing travel insurance. Travel insurance can provide coverage for emergency medical care, trip cancellation, interruption, weather, terrorism, travel and baggage delay, missed connections, rental car damage, and medical evacuation and repatriation.
If you require emergency treatment at a foreign hospital, bring your passport and your health insurance information with you. You will likely need to pay for your medical care upfront and file a claim with your insurance company for reimbursement when you return home.


















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