
US health insurance can provide some level of international travel coverage, but it's essential to understand the specifics of your policy.
Most US health insurance plans do not provide comprehensive coverage abroad, with some exceptions. Some plans may cover emergency care or evacuations, but these benefits are often limited.
It's crucial to review your policy documents and ask your insurance provider about international coverage before traveling. This will help you avoid unexpected medical bills or denied claims.
Some US health insurance plans may require you to purchase additional coverage for international travel, which can be a separate policy or a rider added to your existing plan. This can add significant costs to your premium.
Understanding US Health Insurance for International Travel
Medicare does not cover medical care when you travel within the United States, so if you're planning to visit another country, you'll need to check your health insurance coverage.
Some health insurance companies, like Blue Cross Blue Shield, offer international coverage through their Global Core program, but not all plans or subsidiaries do, so be sure to check your plan details.
If your health insurance company doesn't cover international travel, you can consider buying a separate travel or international health insurance policy, which can provide emergency protection outside the United States.
Things to Know
US health insurance plans aren't required to cover international travel, so it's essential to contact your insurer before you leave to find out about coverage.
You should also know that some health plans don't cover out-of-network care at all, leaving you to pay for medical expenses incurred while visiting a foreign hospital.
Fortunately, supplemental health insurance products are available to provide more comprehensive coverage while traveling abroad.
Medicare drug plans don't cover prescription drugs purchased outside the US.
Elevance
Elevance Health is the largest health insurance provider in the Blue Cross Blue Shield network.
They offer various plans, including Anthem Blue Cross Blue Shield, Empire Blue Cross Blue Shield, and Wellpoint, which is their Medicare-focused branch.
Elevance Blue Cross Blue Shield coverage may have more overseas limits than other BCBS plans.
You may be insured by Elevance Health through one of these plans, but the extent of your international coverage depends on the plan you're on.
Anthem Blue Cross Blue Shield has a GeoBlue option for overseas health insurance, which can provide additional coverage.
If you've purchased a Medigap plan through Wellpoint, you may have limited overseas coverage.
Empire Blue Cross Blue Shield does not have an overseas coverage option to buy, so you'll need to purchase an international health plan from another provider.
The specifics of your international coverage will depend on the plan you choose and whether you purchase additional coverage.
Checking Your Insurance Coverage
To check your insurance coverage, start by understanding what medical services your health insurance will cover overseas. Medicare does not cover medical care when you travel outside the United States.
Carry your insurance card and a claim form if your policy covers you outside the U.S. Some health insurance companies pay for "customary and reasonable" hospital costs abroad, but very few pay for medical evacuation back to the U.S. The cost of medical evacuation can exceed $250,000, depending on your location and medical condition.
If you're traveling abroad often, consider updating your current policies based on what you know about the top 15 U.S. medical insurers and their international coverage. You can find this information online, or ask your HR department for help if you have health insurance through work.
ACA-compliant health insurance plans aren't required to cover you during international travel, so contact your insurer before you leave to find out if any out-of-country medical services you receive would be covered. If your policy doesn't cover you outside the U.S., you'll need to add a travel or international health insurance policy.
Traveling with Medical Needs
Traveling with medical needs can be a challenge, but it's essential to plan ahead to ensure you receive the care you need while abroad.
If you're traveling with prescription medications, check with the foreign embassy of the country you're visiting to make sure your medications are allowed. This is particularly important for prescriptions like medical marijuana.
Bring plenty of medicine for your trip, including a few extra days' worth in case of delays. You might not be able to get the same medication abroad, so it's better to be safe than sorry.
Carry a letter from your doctor that describes your medical condition and lists any prescription drugs and their generic names. This can help you navigate the healthcare system in a foreign country.
Medicare only covers treatments at foreign hospitals in specific situations, such as if you live near the border of Mexico or experience a medical emergency near the border.
If you do need medical care while abroad, Medicare will only cover care you receive on a cruise ship if the ship is within six hours of an American port.
To get medical coverage when you travel internationally, consider buying coverage from a company that specializes in travel insurance or a traditional health insurance carrier that offers international coverage.
You can also use an online insurance marketplace like SmartFinancial to compare quotes from different companies and find the best deal for your needs and budget.
Here are some things to consider when buying international travel insurance:
- Check if the policy covers pre-existing conditions
- Find out what's covered, including medical expenses, evacuation, and trip cancellations
- Read reviews and ask for recommendations from friends or family members who have used the service
It's also a good idea to research the healthcare system in the countries you plan to visit and understand what medical expenses you might incur. This will help you make informed decisions about your insurance coverage.
Emergency Medical Care Abroad
If you're planning a trip abroad, it's essential to know what to do in case of a medical emergency. The U.S. government can help locate medical services and inform your family or friends, but you'll need to pay all hospital and other expenses yourself.
You can find lists of doctors and hospitals in the country you're visiting on the website of the U.S. embassy in that country. This can be a lifesaver in an emergency.
The U.S. government doesn't pay overseas medical bills, so it's crucial to have a plan in place for covering expenses. Consider purchasing travel insurance that includes medical coverage to help mitigate the financial burden.
Get Help for Medical Emergencies Abroad
If you or a loved one become seriously ill or injured abroad, help is available. The U.S. government can assist in locating appropriate medical services.
You can find lists of doctors and hospitals in the country you are visiting by checking the website of the U.S. embassy in the country you are visiting. This can be a lifesaver in an emergency.
The U.S. government can also inform your family or friends, with your permission. This can be especially helpful if you're unable to communicate with them.
The U.S. government does not pay overseas medical bills, so it's essential to have a plan in place for covering expenses. You'll need to pay all hospital and other expenses yourself.
If you're a frequent traveler, it's a good idea to research your health insurance provider's international coverage. The top 15 U.S. medical insurers offer varying levels of coverage for international travel.
Getting Medical Care
If you or a loved one becomes seriously ill or injured abroad, the U.S. government can help locate medical services and inform your family or friends, with your permission.
You can find lists of doctors and hospitals in the country you're visiting by checking the website of the U.S. embassy in that country.
The U.S. government does not pay overseas medical bills, so you'll need to pay all hospital and other expenses yourself.
Consider buying medical coverage for your international trip from a company that specializes in travel insurance or a traditional health insurance carrier that offers international coverage.
You can compare quotes from three to five different companies to find the best deal, or use an online insurance marketplace like SmartFinancial to match you with insurance agents.
To file a claim for medical care during international travel, you'll typically need to fill out your insurer's designated claim form and provide an itemized bill listing all the treatments you were charged for.
Foreign health care providers generally don't accept American insurance, so you may need to pay for treatments out of pocket initially and then file an insurance claim yourself to be reimbursed by your insurer.
Insurance Providers and Plans
ACA-compliant health insurance plans aren't required to cover you during international travel, so it's essential to contact your insurer before you leave.
You should find out if any out-of-country medical services you receive would be covered, and keep in mind that some health plans don't cover out-of-network care at all.

Plans that do cover out-of-network care will usually require you to pay a greater portion of the costs through coinsurance or copays.
Many health insurance companies sell supplemental health insurance products that can provide more comprehensive health coverage while you're traveling abroad.
Medical evacuation insurance can cover the costs of transportation to a medical facility that can provide you with appropriate care in an emergency.
Some travel health insurance plans may automatically include medical evacuation insurance and cover emergency care itself, as well as regular treatments related to a preexisting condition.
You should carefully review your plan to understand what's covered and what's not, and consider purchasing supplemental insurance to fill any gaps in coverage.
Special Cases and Exceptions
Some US health insurance plans may cover international travel, but it's essential to review your policy carefully. Many plans exclude coverage for medical evacuations outside the US.
If you're traveling to a high-risk area, your policy might cover emergency medical evacuations to a nearby country, but not to the US. For example, some plans may cover evacuations to Canada or Mexico but not to Europe.
Even if your policy covers international travel, you may still be responsible for paying out-of-pocket for medical expenses in other countries.
Other Considerations Abroad

When traveling abroad, it's essential to consider the unique needs of certain groups of people. Infants, children, teens, and older adults are at greater risk of health complications while traveling.
Review the CDC's Traveler Advice to ensure you're taking the necessary precautions. This will help you stay safe and healthy during your trip.
People with pre-existing medical conditions, such as heart disease and lung diseases like asthma, COPD, chronic bronchitis, or emphysema, should also take extra precautions. These conditions can be exacerbated by travel, especially in areas with high altitudes or air pollution.
To stay safe, consider the following groups and their specific needs:
What If My Insurance Doesn't?
If your health insurance doesn't cover international travel, you'll need to add a travel or international health insurance policy. Many U.S. health insurers either don't cover you outside the U.S. or only have limited coverage, such as for emergencies.
Your employer can work with you to provide this coverage if you're going overseas for work. This way, you'll be covered at home, and you can stay on your current plan.

Some insurance companies offer add-ons to your existing policy, but many don't. If you find that your current insurance can't help you, contact a broker or a reputable insurance provider for assistance.
Medicare does not cover medical care when you travel abroad, so it's essential to research your options carefully. Visit Medicare.gov for more information on what's covered and what's not.
The cost of medical evacuation back to the United States can exceed $250,000, depending on your location and medical condition. Consider buying medical evacuation insurance to protect yourself against these unexpected expenses.
Medicaid
Medicaid has limited coverage outside of your home state, as benefits are largely determined at the state level.
In some cases, Medicaid may cover out-of-state routine care if you receive it within a certain distance from your home state's border, such as 40 miles in North Carolina's case.
For example, North Carolina Medicaid only covers out-of-state routine care if you receive it in Georgia, South Carolina, Tennessee, or Virginia within 40 miles of the North Carolina border.
Medicaid typically doesn't cover medically necessary care outside of the United States, and you can forget about coverage for international travel.
What Won't Be Insured

Traveling abroad can be a thrilling experience, but it's essential to understand what won't be insured in case of an emergency.
Preventive services like routine check-ups and vaccinations are usually not covered by travel health insurance plans, even if you purchase a separate plan.
You may need to purchase a long-term international health plan to receive coverage for these kinds of services outside of the US.
Emergency situations like slipping and breaking your leg while rock climbing, getting sick after a spider bite, or requiring a medevac helicopter after a heart attack in a remote location are typically covered by travel medical insurance.
Filing Claims and Coverage
Contacting your insurer in advance is a must to get your treatment preapproved, especially when traveling internationally. This will save you from unexpected medical bills.
Many American insurance carriers don't contract with international medical facilities at all, so it's essential to check your coverage before seeking care abroad. Cigna's network includes 1.5 million hospitals and health care professionals worldwide, while Blue Cross Blue Shield's GeoBlue contracts with more than 1.7 million medical providers globally.
Traveling with Medications
Check with the foreign embassy of the country you are visiting or passing through to ensure your medications are allowed, especially prescriptions for medical marijuana.
You'll need to research the regulations in advance to avoid any issues. I've heard of people getting detained or arrested for bringing prescription medications into a foreign country.
Bring plenty of medicine for your trip, and if possible, bring a few extra days' worth in case of delays. You might not be able to get the same medication abroad.
Carry a letter from your doctor, which should describe your medical condition and list any prescription drugs and their generic names. This can help if you need to prove your medication is legitimate.
Keep your medications in their original, labeled containers to avoid any confusion. It's also a good idea to pack them in a safe and accessible place.
Entering a country with a prescription medication, even if it was legally obtained in the United States, could be illegal and result in your detention or arrest overseas.
Filing a Medical Claim
Filing a medical claim can be a bit of a challenge, especially if you're traveling abroad. You'll generally need to fill out your insurer's designated claim form.
To get started, you'll need to gather all the necessary documents, including an itemized bill listing all the treatments you were charged for. This will show what you paid for and why.
You'll also need to provide documents showing where you were treated and what injury or sickness you were treated for. This is usually a straightforward process, but it's essential to have all the right paperwork.
Foreign health care providers often don't accept American insurance, so you may need to pay for your treatments out of pocket initially. This can be a significant expense, but it's worth it in the long run if you're able to get reimbursed by your insurer.
Sources
- https://www.medicare.gov/coverage/travel-outside-the-u.s.
- https://travel.state.gov/content/travel/en/international-travel/before-you-go/your-health-abroad.html
- https://ucnet.universityofcalifornia.edu/benefits/understanding-your-benefits/details-about-your-benefits/health-coverage-outside-the-u-s/
- https://www.internationalinsurance.com/news/health-insurance-coverage-abroad/
- https://smartfinancial.com/does-my-health-insurance-cover-international-travel
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