Skip to main content

What is and is not covered?

Isa avatar
Written by Isa
Updated this week

What medical conditions does expat health insurance cover?

Expat health insurance covers new medical conditions that begin after the insurance coverage starts and after any applicable waiting period. This coverage includes treatment provided by a registered medical doctor during outpatient appointments and inpatient hospital stays.

Are non-medical treatments covered by expat health insurance?

Expat health insurance provides limited coverage for some non-medical treatments. Dental care and physical therapy have restricted coverage, but most other non-medical treatments are generally not covered.

Below is a simplified comparison table displaying an initial overview of the coverage.

Insured benefits

Rate basic

Outpatient medical treatment

100%

Pain-relieving dentistry

€500/year

Dentures required due to accident

€500/year

Medication and bandages

100%

Radiation, light and other physical treatments

100%

Massages, packs and inhalations per insurance year

€300/year

Aids as a result of an accident per insurance year

100%

Surgery

100%

100%

Inpatient treatment on a general (not private) ward (room containing several beds), excluding optional benefits (treatment by a private doctor)

100%

Medically necessary pregnancy treatment and treatment for premature birth

100%

Pregnancy examinations per insurance year

€250/year

Childbirth, including costs for examinations and treatment for premature birth

100%

Patient transportation for inpatient treatment

100%

Repatriation where it makes medical sense

100%

Return of body to home country

€10.000

Telemedical consultation per insurance year

1 consultation session/year

Run-off liability until the patient is able to travel again

100%

What medical treatments are explicitly not covered by expat health insurance?

The following treatments and conditions are excluded from coverage under expat health insurance:

- Pre-existing conditions present before the policy start date

- Routine check-ups and any medical issues discovered during these check-ups

- Preventative and prophylactic treatments

- Psychoanalytical and psychotherapeutic treatments

- Treatments related to addictive disorders

- Ambulance transport unless it results in an inpatient hospital admission

- Allied health services except physiotherapy, such as occupational therapy, podiatry, social work, and dietetics

- Self-inflicted injuries

- Gynaecological screenings

- Fertility or sterility treatment

- Holistic and alternative therapies.

How does ambulance transport coverage work under expat health insurance?

Ambulance transport is covered only if it results in an inpatient stay at a hospital. Transport without hospital admission is not covered.

What types of allied health treatments does expat health insurance not cover?

Allied health treatments are generally not covered except for physiotherapy. This includes occupational therapy, podiatry, social work, and dietetics, which are excluded from coverage.

Did this answer your question?