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Expat Exchange - Health Insurance for Expats in England
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Hillingdon, London


Health Insurance for Expats in England

By Betsy Burlingame

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Summary: Making the move to England? One critical choice you'll face is between local health insurance and expat health insurance. Our article provides a comprehensive comparison of both, enriched with insights from expats in England on their personal insurance decisions.

England's healthcare system is known for its National Health Service (NHS), which provides residents with access to a wide range of healthcare services, often free at the point of use. However, expats and digital nomads may also consider private health insurance options to complement NHS services or to cover services that fall outside of the NHS scope.

Health Insurance Companies in England

Some of the most popular health insurers in England include Bupa, AXA PPP Healthcare, and Aviva. These companies offer a range of private health insurance products that can provide quicker access to specialists, private hospital care, and additional services not covered by the NHS. Expats are generally eligible to purchase health insurance from these companies, which can offer additional peace of mind and comfort, especially for those who are accustomed to private healthcare systems.

Expat Health Insurance in England

While the NHS provides comprehensive coverage, some expats opt for specialized expat health insurance when living in England. Reasons for this include a desire for faster access to care, the ability to choose specialists or hospitals, and coverage for repatriation or international treatment options. Expat health insurance can also provide a safety net for those who are not yet eligible for full NHS services or who prefer the familiarity of a private health insurance system.

Local Health Insurance vs. Expat Health Insurance

Expats and digital nomads in England often weigh the benefits of local health insurance against specialized expat health insurance. Local health insurance plans from companies like Bupa or AXA can offer tailored coverage that aligns with the English healthcare system, while expat health insurance might provide broader international coverage. The choice often depends on the individual's healthcare needs, their eligibility for NHS services, and their personal preferences regarding healthcare provision.

Considerations for Health Insurance Overseas

When deciding on health insurance while living overseas, it's important to consider factors such as the extent of coverage, whether the insurer pays the hospital directly or if you'll need to pay upfront and submit claims for reimbursement, and the ease of accessing healthcare services. Additionally, understanding the claims process, coverage limits, and whether the policy includes repatriation or emergency evacuation can be crucial in making an informed decision that ensures peace of mind and adequate healthcare protection while abroad.

About the Author

Betsy Burlingame Betsy Burlingame is the Founder and President of Expat Exchange and is one of the Founders of Digital Nomad Exchange. She launched Expat Exchange in 1997 as her Master's thesis project at NYU. Prior to Expat Exchange, Betsy worked at AT&T in International and Mass Market Marketing. She graduated from Ohio Wesleyan University with a BA in International Business and German.

Some of Betsy's articles include 12 Best Places to Live in Portugal, 7 Best Places to Live in Panama and 12 Things to Know Before Moving to the Dominican Republic. Betsy loves to travel and spend time with her family. Connect with Betsy on LinkedIn.


Professional Property Finders
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Hillingdon, London

William Russell
William Russell

Get a quote for international health insurance from our partner, William Russell.
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William RussellWilliam Russell

Get a quote for international health insurance from our partner, William Russell.
Get Quote

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