Good Neighbor Insurance (GNI) provides international expatriate health insurance for those moving overseas or living internationally for 12 months or longer. We specialize in expat insurance for individuals and families moving abroad for work, social good projects, missions, entrepreneurship, choosing to live abroad, digital nomads, or retirement. We provide insurance solutions of all ages and nearly every destination.
We offer expatriate health insurance in addition to international term life insurance, travel insurance (for those going abroad less than 365 days), group team insurance, international employer group insurance, and nomad insurance.
We feel these “understanding your expat insurance” videos will provide you valuable information. However, our international insurance agents are here anytime you want to connect with them via email ([email protected]), phone (1-480-813-9100), or contact us (gninsurance.com/contact-us) for more detailed information on your expat medical insurance.
- Understanding how pre-certification works on your expat medical insurance
- Understanding how underwriting works on your expat medical insurance
- Understanding eligible medical expenses on your expat health insurance policy
- Understanding preventative coverage and how to find out what is covered on your expat health insurance policy
- When may we apply for our expatriate insurance?
- We have received different expatriate medical insurance quotes. Why are some quotes higher?
- What’s the Difference? Deductibles and Excess in Expat Health Insurance
Ask Doug – Understanding how pre-certification works on your expat medical insurance
The phone rings at our office here in Gilbert, Arizona “Help me understand what pre-certification means on our expatriate insurance,” says Jim, one of our clients who is currently residing in Brazil with his family.
Ask Doug – about expat medical insurance is a series of videos providing information on how to use your expatriate insurance best for you and your family – https://www.gninsurance.com/health. Most expatriate insurance plans require you to pre-certify certain medical treatments. This video will go over important information regarding pre-certification.
- Not all plans require the same pre-certification.
- When in doubt is always best to call the international insurance carrier.
- On your insurance ID cards, you will find the 24-Hour contact information for your insurance carrier.
Jim, before we continue, let me share a typical definition of pre-certification from one of our international insurance companies plans –
- Pre-certification; Pre-certify: A general determination of medical necessity only, made by the company in reliance and based upon the completeness and accuracy of the information provided by the insured person and / or the insured person’s healthcare or medical service providers, guardians, relatives and / or proxies at the time thereof.
- Pre-certification is not an assurance, authorization, pre-authorization or verification of coverage, a verification of benefits, or a guarantee of payment.
Jim, on international insurance plans, https://www.gninsurance.com/health, pre-certification is done by you, the policyholder.
- Here in the U.S. the pre-certification on ACA (Affordable Care Act) plans for U.S. residents are done by your medical doctor and their staff automatically without you knowing about it.
- This is one of the many reasons a U.S. medical insurance for U.S. residents are a bit higher in premium than an expatriate medical insurance policy.
- Typically, the most common medical treatments that must be pre-certified are:
- Inpatient treatment if you must be admitted to the hospital.
- Surgery or Surgical procedures
- MRI’s, CAT, or PET scans
- For most expatriate insurance plans, emergency pre-certification is required between 2 & 5 days prior the need.
- If you are not physically able to call the international insurance company, typically a provider, family member or friend may call on your behalf.
- If you fail to pre-certify, your international medical insurance benefits may be reduced between 30% – 50%, depending on the international insurance carrier.
We wish you, Jim and your family, an amazing, safe, and spectacular expat journey in Brazil.
Understanding how underwriting works on your expat medical insurance
Megan called into our Good Neighbor Insurance international brokerage office (https://www.gninsurance.com) this past week here in Gilbert, Arizona.
She, and her husband Tyler with their three children, are heading over to Portugal to work with one of the leading social good foundations. Their home base will be right outside of Lisbon, the capital of Portugal.
Megan wanted to know all about expat medical insurance options for her family of five and how the underwriting process works, since this was their first time living as expatriates.
Ask Doug – about expat medical insurance is a series of videos providing information on how to use your expatriate insurance best for you and your family. This video will go over important information regarding the process of underwriting on an expatriate insurance.
Long-term comprehensive international medical insurance, also called expatriate medical insurance – https://www.gninsurance.com/health, applications require full medical underwriting. Medical underwriting is the process which the international insurance company reviews the medical history of the applicant to determine whether the international insurance company will be able to offer medical coverage. International medical insurance companies have underwriters who will take your application and go through the underwriting process.
A side note – here is a definition of an insurance underwriter from Investopedia – “Insurance underwriters are professionals who evaluate and analyze the risks involved in insuring people and assets. Insurance underwriters establish pricing for accepted insurable risks. The term underwriting means receiving remuneration for the willingness to pay a potential risk.” – https://investopedia.com/terms/i/insurance-underwriter.asp#:~:text=Insurance%20underwriters%20are%20professionals%20who,to%20pay%20a%20potential%20risk.
Megan, here are some additional things to consider when it comes to underwriting your expat insurance application.
- Depending on the insurance company, underwriters may exclude a specific medical condition or ask for additional premium to cover the medical conditions on your application.
- If you are currently having or recently had medical challenges, underwriting may ask for medical records.
- If there are no medical challenges and everyone is healthy, underwriting may take as little as one to three business days to complete.
- If medical records are required, underwriting may take up to 10 to 14 business days.
- For most international insurance companies, applicants over the age of 55 will be asked to submit their most recent physical records to the underwriters.
We wish you, Megan and your family, an amazing, safe, and spectacular expat journey in Portugal.
Ask Doug – Understanding eligible medical expenses on your expat health insurance policy
The phone rings at our office here in Gilbert, Arizona “Please help me understand what is medically covered on our expatriate insurance policy,” asks Sarah, one of our clients who has traveled over to Thailand a couple times this past year with her family. In a couple months Sarah and her husband and their four children will be expatriates residing in Thailand for at least the next 10 years and are investing in a more long-term international insurance policy, what are also called expat insurance policies – https://www.gninsurance.com/health.
Ask Doug – about expat medical insurance is a series of videos providing information on how to use your expatriate insurance best for you and your family. This video will help explain how to know what an “eligible medical expense” is, and how to find out what is covered on your international expat health insurance policy – https://www.gninsurance.com/resources/ask-doug.
Sarah, that is a great question!
- Every international medical insurance policy is different.
- Not all expat medical insurance options are created equal!
Your investment of an expatriate medical insurance policy will be based on your medical insurance priorities for your family while as an expatriate such as
- Coverage throughout the world to include the U.S. or coverage throughout the world to exclude the U.S.
- Lower premiums which mean lower medical benefits or a robust expatriate medical insurance policy with a higher investment dollar amount.
All expat medical insurance policies will have a Summary of Benefits included in the full certificate of coverage. It is important to review this summary of benefits for a better understanding of what is considered an eligible medical expense on your international insurance plan.
Sarah, here are a few other key points to consider when looking for the best expatriate medical insurance option for your family. Some medical benefits may have a monetary limit, an additional deductible, or not covered out-of-network even if it is an eligible medical expense.
Some eligible medical expenses may require a waiting period before your policy covers the certain benefit.
- Common expenses that may have waiting periods, if included in your coverage, we be:
- Wellness or preventative medicine
- Maternity
- Pre-existing medical conditions
It is also important to know what is not covered on your expat insurance policy.
- Your international medical insurance certificate will also have a list of exclusions. Common exclusions on international expat insurance plans will be:
- Hazardous activities, including adventure sports
- Maternity on the more expatriate medical insurance budget-friendly plans
- Elective surgery or medically unnecessary surgery
- Non-disclosed medical pre-existing conditions
Since expatriate medical insurance are for those residing outside one’s home country, such as a U.S. citizen residing outside the U.S., these international policies do not have to follow U.S. Affordable Care Act (ACA) rules and regulations. ACA rules are for U.S. residents needing long term robust U.S. medical insurance.
All expat insurance policies will have a Summary of Benefits included in the full medical certificate of coverage. It is important to review this summary to know the limitations of this coverage of your expatriate medical insurance.
We wish you and your family Sarah, an amazing, safe, and spectacular expat journey in Thailand!
Ask Doug – Understanding preventative coverage and how to find out what is covered on your expat health insurance policy
Since our founding in 1997, here in Gilbert Arizona, Good Neighbor Insurance has had the privilege of serving thousands of expatriates residing outside of their home country with a variety of expatriate medical insurance options – https://www.gninsurance.com/health.
Ask Doug – about expat medical insurance is a series of videos providing information on how to use your expatriate insurance best for you and your family. This video will help explain what you need to know about preventative coverage, and how to find what medical benefits are covered on your international expat health insurance policy – https://www.gninsurance.com/resources/ask-doug.
Preventative care, also known as “wellness,” is medical care that you receive to help prevent illnesses or diseases. In short, these are medical benefits to cover you for check-ups, and not for diagnostic purposes if you are already ill.
Common physician visits and procedures that may be covered under your expat medical insurance wellness benefit:
- Annual physicals / annual check-ups
- Non-diagnostic mammograms or colonoscopies
- Child immunizations
Good Neighbor Insurance provides a variety of expatriate medical insurance options. Here are four additional things to keep in mind.
Some of our expat medical insurance
- may have a waiting period of 12 months
- others have no waiting periods and thus provide preventative services once you are active on your expatriate insurance policy.
Some of our expat medical insurance options provide
- minimal annual preventative services
- And our other expatriate insurance options cover a more robust annual preventative service
Even some of our expatriate medical insurance options provide an additional preventative coverage such as vaccinations and preventative Rx prior to your departure from your home country. Please keep in mind that all expatriate insurance policies do have a medical dollar cap on covering annual preventative services.
Since expatriate medical insurance are for those residing outside one’s home country, such as a U.S. citizen residing outside the U.S., these international policies do not have to follow U.S. Affordable Care Act (ACA) rules and regulations. ACA rules are for U.S. residents needing long term robust U.S. medical insurance.
All expat insurance policies will have a Summary of Benefits included in the full certificate of coverage. It is important to review this summary to know the limitations of this coverage of your expatriate medical insurance.
We wish you and your family, an amazing, safe, and spectacular expat journey!
When may we apply for our expatriate insurance?
Hi Doug, Gabin and I over here in Maine. We are going over our expatriate insurance options you all provided us, https://www.gninsurance.com/health. We are going to be residing in India for the next few years and leaving early this coming year. Over some great clam chowder this afternoon we came across this question we could not answer ourselves.
Doug, when may we apply for our expatriate medical insurance?
Sofia, that is a great question you and Gabin brought up.
Answer –
- Do keep in mind, Sofia and Gabin, that the rules of applying for an expatriate plan does not come from international insurance companies but from the U.S. government.
- Most expat insurance plans will only accept a new application thirty (30) days prior to your requested start date for your international medical insurance policy.
- Also, expatriate medical insurance plans usually will have a restriction on how much time is allowed in your home country (your country of citizenship) prior to your departure, which on average is 30 days. For example, if your flight to India is on March 1st, you may start applying on or after January 1st with a start date of February 1st.
I am so glad you asked this question, Sofia and Gabin.
- We are happy to answer any questions regarding your expat insurance policy, whether it be about your plan benefits or how to submit claims or any other administrative question you may have.
- Your global insurance team here at GNI are in the office from 8:00am – 4:00pm Arizona time on business days.
- You may call us at 1-480-813-9100 or we can set up a video call meeting.
- We also respond to emails, [email protected], within 24 business hours.
Change is always in the air! Please check out our expatriate medical insurance options on our web page at https://www.gninsurance.com/health for the most up-to-date information on your international insurance –
- or call us at 480-813-9100 or we can set up a video call.
- or email us at [email protected]
Your GNI team here in Gilbert Arizona, wishes you both safe and awe-inspiring expatriate travels in India and throughout, Gabin and Sofia.
We have received different expatriate medical insurance quotes. Why are some quotes higher?
Hi Doug, Julia and I are having our peanut butter and jelly sandwich lunch and are going over our expatriate insurance options you all provided us, https://www.gninsurance.com/health. We are going to be residing in Indonesia for the next few years and leaving in a couple of months. Over this great lunch my wife made, Doug, we came across this question we could not answer ourselves.
Doug, we have received different expatriate medical insurance quotes. Why are some quotes higher?
Adam, that is a great question you and Julia brought up.
Answer –
- Good Neighbor Insurance provides a variety of expatriate insurance plans, https://www.gninsurance.com/health.
- There are budget friendly expat insurance options, and then there are expat insurance options with more comprehensive medical benefits.
- The budget friendly expat insurance options, Adam and Julia, will be more for new medical injuries and new medical illnesses. Basically, the key important global medical insurance benefits will be on this type of global insurance.
- Whereas the comprehensive friendly expat insurance options will have extra medical benefits such as annual wellness checkups, maternity coverage, and longer time allowed for U.S. coverage, for example.
I am so glad you asked this question, Adam and Julia.
- We are happy to answer any questions regarding your expat insurance policy, whether it be about your plan benefits or how to submit claims or any other administrative question you may have.
- Your global insurance team here at GNI are in the office from 8:00am – 4:00pm Arizona time on business days.
- You may call us at 1-480-813-9100 or we can set up a video call meeting.
- We also respond to emails, [email protected], within 24 business hours.
Change is always in the air! Please check out our expatriate medical insurance options on our web page at https://www.gninsurance.com/health for the most up-to-date information on your international insurance –
- or call us at 480-813-9100 or we can set up a video call.
- or email us at [email protected]
Your GNI team here in Gilbert Arizona, wishes you both safe and awe-inspiring expatriate travels in Indonesia and throughout, Adam and Julia.
What’s the Difference? Deductibles and Excess in Expat Health Insurance
Hi Doug. Ruth and I are going over the expat medical options you all provided at https://www.gninsurance.com/health for the 5 years we will be residing in the Philippines.
We have a quick question on the difference between a deductible and excess? Can you help us out on this, Doug?
Answer –
That is a great question, John, and one we do get quite often.
- A deductible is a set dollar amount that you must meet during the entire policy year. All eligible medical claims contribute towards meeting your deductible for the policy year.
- An excess is applied per illness or injury (for example, $100).
- If a person breaks a leg and pays the excess for an x-ray, and the x-ray indicates that surgery is required to set the bone, that surgery would be covered 100% since the excess for that particular injury has already been met.
- If the same person later develops an ear infection, a new $100 excess would be required for this separate condition.
I am so glad you asked this question, John and Ruth.
- We are happy to answer any questions regarding your expatriate medical insurance policy, whether they concern your plan benefits, how to submit claims, or any other administrative issues you may have.
- Your global insurance team here at GNI is in the office from 8:00 AM to 4:00 PM Arizona time on business days.
- You may call us at 1-480-813-9100 or we can set up a video call meeting.
- We also respond to emails within 24 business hours. You may reach us at [email protected].
Change is always in the air! Please check out our expatriate medical insurance options on our web page at https://www.gninsurance.com/health for the most up-to-date information on your international insurance –
- or call us at 480-813-9100 or we can set up a video call.
- or email us at [email protected]
Your GNI team here in Gilbert, Arizona, wishes you both safe and awe-inspiring expatriate travels in the Philippines and beyond, John and Ruth.