Southampton, United Kingdom



Health Insurance in England

By Betsy Burlingame

BlueCross BlueShield Global Solutions
BlueCross BlueShield Global Solutions

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 primarily funded by the National Health Service (NHS), which provides free care at the point of use for residents. However, many residents and expats opt for private health insurance to access faster treatment times, greater choice, and additional services. This article aims to provide an overview of the health insurance system in England for expats and digital nomads.

Health Insurance Companies in England

There are several popular health insurance providers in England. Some of the most well-known include Bupa, AXA PPP Healthcare, Aviva, and VitalityHealth. These companies offer a range of policies that cover different levels of treatment and care. Expats are generally eligible to purchase health insurance from these companies, subject to certain conditions and eligibility criteria. Bupa is known for its comprehensive cover and global presence, while AXA PPP Healthcare offers a variety of policy options, including those tailored to individuals and families. Aviva provides competitive pricing and flexible cover options, and VitalityHealth is known for its wellness-focused approach, offering rewards and incentives for healthy living.

Expat Health Insurance in England

Some expats living in England choose to buy specialized expat health insurance plans. These plans are specifically designed to cater to the unique needs of expats, such as the need for coverage in multiple countries, emergency evacuation services, and repatriation benefits. Specialized expat health insurance plans can offer more comprehensive coverage for those who travel frequently or maintain residences in multiple countries.

Local Health Insurance vs. Expat Health Insurance

The choice between local health insurance and specialized expat health insurance depends on individual circumstances. Expats and digital nomads may opt for local health insurance providers if they plan to reside in England long-term and want access to private healthcare services within the country. However, those who travel frequently or have complex healthcare needs may prefer specialized expat health insurance providers, as these plans often provide more extensive international coverage and benefits tailored to globally mobile individuals.

Considerations When Choosing Health Insurance Overseas

When deciding on health insurance while living overseas, there are several factors to consider. One crucial aspect is understanding how the insurer handles bill payments. Some insurers may pay the hospital or healthcare provider directly, while others may require you to pay upfront and then submit claims for reimbursement. Additionally, consider the extent of coverage, including any deductibles, co-payments, and policy limits. It is also essential to assess the insurer's reputation, financial stability, and the scope of their network, including whether they have partnerships with healthcare providers in your area of residence.

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.


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