Health insurance and guides for retiring or living abroad

Long-term international health insurance, retirement visas and cost-of-living guides for US and UK readers, mainly aged 50 to 64.

Quick answer In 2026, the health-insurance question for anyone moving abroad before 65 is timing. Care Expat World, the long-term international plan we work with, accepts any nationality if cover starts before the calendar year you turn 65, and then has no end age. In Zone 1 it costs from €200 a month at age 55–59. Below, pick your situation, check your deadline and open the country guides.

Any nationality · cover starts on the 1st of a month · entry before the year you turn 65

Which describes you?

Pick the situation closest to yours: each guide explains what cover you need, what it costs and where the limits are.

When must my cover start?

Cover must start by 1 December of the year you turn 64, because the plan accepts you only before the calendar year you turn 65. Born in 1962? Your cover must start by 1 December 2026.

Your cover must start by–
Months left from today–
Price from, at your age this year–

Select your year of birth. Age counts as calendar year minus year of birth, as on the application form. You can apply up to 4 months before the start date.

What does it cost?

From €40 a monthyoungest age band, Basic tier, €3,600 deductible, Zone 1

  • Age 50–54from €140a month
  • Age 55–59from €200a month
  • Age 60–64from €325a month

Lowest Zone 1 premium per age band across all tiers and deductibles, from the insurer’s premium table read 2026-10-27. Zone 1 is worldwide except the USA, China and Singapore. Full price tables by age

How does it work in 4 steps?

You apply online, then the insurer assesses your health in a short video interview before it confirms your terms in writing.

  1. 1
    Check your deadline and price

    Pick your year of birth below, then compare tiers and deductibles for your age band on the plan page.

  2. 2
    Apply online

    Fill in the insurer’s online application with your zone, level, deductible and start date.

  3. 3
    Short video health interview

    Via Zoom or Teams, with your medical records from the last five years. Pre-existing conditions are assessed individually: accepted, surcharge, exclusion or decline.

  4. 4
    Decision in writing, cover from the 1st

    You receive a written policy confirmation with your terms. Cover starts on the 1st of a month you chose, at most 4 months ahead and never before you cross the border.

Expat health insurance by country

Local public systems, private hospitals and what international cover has to do in each country. (33 guides)

Expat health insurance in Thailand

Hospitals, costs and visa insurance rules.

Expat health insurance in Spain

Residency insurance rules, S1 and convenio especial.

Expat health insurance in France

PUMa, top-ups and private cover.

Expat health insurance in Italy

SSN voluntary enrolment vs. private cover.

Expat health insurance in Germany

Public vs. private: rules for newcomers.

Expat health insurance in Netherlands

Dutch basic insurance and when it applies.

Expat health insurance in Japan

NHI rules, co-pays and visa insurance.

Expat health insurance in Mexico

IMSS vs. private international cover.

Expat health insurance in Philippines

PhilHealth and private plans.

Expat health insurance in Portugal

SNS access and private insurance.

Expat health insurance in Panama

Private hospitals and plan options.

Expat health insurance in Costa Rica

CAJA plus a private top-up.

Expat health insurance in Vietnam

International hospitals and cover options.

Expat health insurance in Colombia

EPS, private plans and the pensionado visa.

Expat health insurance in Indonesia

Bali and Jakarta: cover options.

Expat health insurance in Singapore

Zone 2 prices, MOM rules and hospital costs.

Expat health insurance in Greece

EOPYY, permit insurance minimums and islands.

Expat health insurance in Malaysia

MM2H insurance rule, fees and hospitals.

Expat health insurance in Cyprus

GeSY access and pink-slip insurance.

Expat health insurance in Malta

Residence programme insurance rules.

Expat health insurance in Uruguay

Mutualistas, FONASA and private cover.

Expat health insurance in Ecuador

IESS, private plans and visa insurance.

Expat health insurance in Croatia

HZZO duty, contributions and nomads.

Expat health insurance in Turkey

Ikamet insurance rule and SGK.

Expat health insurance in China

Zone 2 prices and social insurance.

Expat health insurance in UAE

Mandatory emirate cover and visa rules.

Expat health insurance in Dominican Republic

Residency, SFS and private cover.

Expat health insurance in Argentina

Decree 366/2025, prepagas and cover.

Expat health insurance in Brazil

SUS, planos de saúde and visa insurance.

Expat health insurance in Peru

EsSalud, SIS and private cover.

Expat health insurance in Cambodia

Care quality, evacuation and zones.

Expat health insurance in Georgia (country)

Entry insurance rule and private clinics.

Expat health insurance in Montenegro

Residence permit insurance and FZO.

Healthcare in…

How the public and private systems work for foreign residents, and what treatment costs. (1 guide)

Healthcare systems by country

Public vs. private healthcare in 40+ countries, ranked.

Insurance guides

How long-term international health insurance works, what it costs and where its limits are. (18 guides)

Expat health insurance explained

How international health insurance works, what it costs and who needs it.

What international health insurance costs

Premiums by age, zone and deductible.

Price index 2026

All 297 premiums by zone, age and deductible, with CSV.

Retirees abroad

Long-term cover for retiring abroad before 65.

Freelancers & contractors

Cover when you work for yourself abroad.

Over 65

Options after the entry age, and our upcoming comparison.

Health insurance for Americans abroad

Medicare does not travel: your options.

UK expats

When the NHS stops and what replaces it abroad.

EU citizens abroad

Long-term cover with up to 180 days at home a year.

Canadians abroad

When provincial cover ends and what replaces it.

Australians overseas

Medicare abroad, coming back, and long-term cover.

Pre-existing conditions

How insurers assess existing illnesses.

Family health insurance abroad

Cover for partners and children abroad.

Digital nomad health insurance

Long-term cover vs. travel insurance.

Age limits and the age-65 rule

Entry ages, no end age and what changes after 65.

Home-country cover

Visits home: who is covered and who is not.

The S1 form for UK pensioners

NHS-funded healthcare in the EU for UK pensioners.

The S1 gap: cover before state pension age

Retired before state pension age? Cover until the S1.

Data and comparisons

Side-by-side tables across countries: visas, insurance requirements and price levels. (1 guide)

Visa insurance requirements

Which visas need which health cover.

How do we work?

We check facts against official sources, keep insurance prices in one registry and disclose how the site is paid.

What if I change my mind?

You keep control after you sign; these are the contract rules of Care Expat World.

  • 14-day withdrawal right: 14 days to cancel after signing, without giving reasons.
  • The insurer waives ordinary cancellation: No ordinary cancellation by the insurer. Statutory extraordinary termination stays possible for both sides.
  • No end date: None. The contract has no maximum term and no age at which cover stops.