Santexpat becomes careXpat
Insurance profile · Long-term expatriate

Long-term expat health insurance: choosing the best international cover

As soon as you settle abroad long term, your social security entitlements end. Without robust cover, an emergency can cost more than $50,000 in the United States. careXpat, a certified insurance brokerage, finds the right protection for you.

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Long-term expat health insurance: choosing the best international cover
Your primary protection

More than travel insurance: your new social security cover

Settling outside France means adapting to a new healthcare system. Expat insurance ensures fast access to private healthcare, where public services are often overstretched, and protects you against everyday unexpected events as well as life-threatening emergencies.

Unlike a standard travel policy, it fully replaces French social security and provides your primary protection over the long term.

Understanding your cover

First-euro cover, CFE, obligations: the essentials

First-euro insurance

First-euro insurance

The simplest and most popular solution: a private insurer reimburses you from the first euro spent, without contributions to a French public scheme. Centralised administration, fast reimbursements and high limits.

  • A single contact for all your reimbursements
  • Ideal for the USA and Asia, where private healthcare is essential
  • Very high benefit limits
The key decision

First-euro insurance or CFE plus top-up cover?

The simplest option

First-euro insurance

How it works
A private insurer reimburses you from the first euro.
Advantages
Centralised administration, high limits and fast reimbursements.
Ideal for
USA, Asia: essential, direct access to private healthcare.
The link with France

CFE plus top-up cover

How it works
Contributions to French social security plus private health insurance.
Advantages
Continuity of entitlements and an easier return home.
Ideal for
Chronic conditions and frequent trips back to France.
The benefits that matter

What your policy should protect

Medical expenses and hospitalisation

Medical expenses and hospitalisation

The core of your policy: hospitalisation, surgery and emergencies covered without overwhelming out-of-pocket costs, in line with healthcare prices in your host country.

Routine care

Routine care

GPs, specialists, medication, laboratory tests and radiology.

Medical repatriation

Medical repatriation

Medically assisted return to France or the nearest suitable hospital.

Hospital network and worldwide direct billing

Hospital network and worldwide direct billing

An extensive partner network and direct payment of hospital costs, so you do not have to pay large sums upfront.

Maternity cover without a waiting period

Maternity cover without a waiting period

Optional immediate maternity cover, depending on the policy.

Dental and optical

Dental and optical

Optional benefits to tailor your cover to your needs.

Every plan is unique

Which expatriate profile fits you?

The expatriate family
The household

The expatriate family

Maternity, paediatric follow-up and orthodontics: benefits designed to protect your spouse and children, wherever you live.

The retiree
Retirement

The retiree

High hospitalisation limits, chronic conditions and reliable repatriation.

Freelancer · nomad
Self-employed

Freelancer · nomad

Flexible multi-country cover for those who change destinations several times a year.

Long-stay student
Studies

Long-stay student

Comprehensive yet affordable cover for a course lasting more than a year.

Comparing effectively

5 criteria for choosing the right plan

01

Annual limits

The maximum amount reimbursed each year, suited to local costs.

02

Network and direct billing

The reach of the partner hospital network to avoid upfront payments.

03

Waiting periods

The time before certain benefits become effective.

04

Pre-existing conditions

How the insurer handles your medical history.

05

French-language assistance

A responsive service in French, available wherever you are.

As a certified broker, careXpat analyses these criteria to recommend a plan that fits your profile and budget.
careXpat is by your side

Ready to protect your move abroad?

Our team of experts works with you to provide personalised support, from choosing a policy to taking out cover, so you can settle abroad with peace of mind.

No obligation Certified broker In French
Smiling expatriate woman abroad
careXpat is by your side

Frequently asked questions

What is the best health insurance for expatriates?
The best insurance depends on your profile (age, destination, family situation). First-euro policies from established insurers generally offer the best balance between premiums, high limits and simple administration.
CFE or first-euro insurance: which should I choose?
The CFE is relevant if you want to maintain a continuous link with French social security and make your return home easier. First-euro insurance is often more economical and simpler to manage day to day, as one organisation handles all your medical reimbursements.
What is the difference between expat insurance and travel insurance?
Travel insurance covers emergencies during a temporary stay, often under 90 days. Long-term expat insurance provides comprehensive health cover, including preventive care, routine consultations and chronic conditions over the long term.
In which countries is expat insurance compulsory?
Private insurance is required to obtain visas or residence permits in countries such as Thailand and the United Arab Emirates, and for certain specific statuses in Portugal and other digital nomad visas.
Affordable expat health insurance: how do I compare plans?
To find affordable cover, adjust deductible levels, limit expensive options such as optical or dental cover, and use a specialist comparison service to assess benefits objectively for your destination.
How does medical repatriation work?
In a critical emergency where local facilities are inadequate, your insurer's medical assistance team arranges and pays for medical transport, by air ambulance or stretcher, to a suitable hospital or your home country.
Insurance for retired expatriates: which benefits matter?
Senior expatriates should prioritise policies with high hospitalisation limits and excellent cover for chronic conditions, and check the insurer's enrolment requirements and medical questionnaires.
What if I have pre-existing conditions?
When taking out cover, you complete a medical questionnaire. Depending on the policy chosen, pre-existing conditions may attract an additional premium, be specifically excluded, or be accepted by the insurer.