Insurance Archive | William Russell https://www.william-russell.com/blog/topics/insurance/ Making the expat experience healthier & safer. Tue, 22 Jul 2025 09:10:49 +0000 en-GB hourly 1 https://www.william-russell.com/wp-content/uploads/cropped-favicon-32x32-1-32x32.png Insurance Archive | William Russell https://www.william-russell.com/blog/topics/insurance/ 32 32 How Does Assisted Death Affect Life Insurance? https://www.william-russell.com/blog/life-insurance-assisted-dying/ Mon, 21 Jul 2025 14:32:46 +0000 https://wrmainstaging.wpengine.com/?p=43384 Assisted dying is a subject of serious debate around the world. Here is what you need to know, including how it may affect your life insurance.

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Assisted dying, also known as assisted suicide, is a topic of serious debate around the world. It is a procedure in which a person chooses to end their own life with the assistance of others.

There are some countries in which assisted dying is already legal, while many other countries are engaged in conversation as to whether or not it should be legalised. At the time of writing, more than 400 million people have the legal right to access assisted dying worldwide. 

Assisted dying is a sensitive topic. In this article, we’ll explain a bit about what it means, and we’ll also tell you how it may affect your life insurance policy.

A female doctor comforting an older patient

What is assisted dying?

Assisted dying is also known as assisted suicide. It is the process of a person voluntarily ending their own life with the help of another person.

A person may consider assisted dying when they are living with chronic, untreatable and unbearable pain that is affecting their quality of life, and/or if they have been diagnosed with a terminal illness.

Is assisted dying the same as euthanasia?

Assisted dying is different to euthanasia, although the two terms are sometimes used interchangeably.

Assisted dying is when a person helps another person to die with their consent. The person dying is then able to choose the time and means of their death. They are also able to change their mind.

Euthanasia is when a person helps another person to die without their consent. For instance, if a patient has diminished brain function and a physician sees no hope of recovery, they may work with the patient’s family to decide on a course of euthanasia.

Assisted dying can be an active or a passive act. In active acts, a third-party performs an action that directly results in the person’s death, for instance by administering a lethal dose of a drug.

In passive acts, a third-party intentionally does nothing to prevent a person’s death, for instance by ceasing life support and allowing the patient to pass away of natural causes.

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In some cases, a person may not be able to execute their suicide through their own power, for instance if the person has become physically incapacitated. They may therefore call upon another person to perform an action that will either result in their death, or directly end their life. Or, they may direct a person responsible for their care to stop taking action that keeps them alive. 

In other cases, a person may be able to perform the decisive action themselves, but will depend upon another person to provide them with the means to end their own life.

Examples of assisted dying

In Scenario A, a woman living with motor neurone disease has become physically paralysed. She may live for several months, but will never recover the use of her body. She communicates to her healthcare provider that she wishes to pass away. A doctor administers a lethal dose of sedatives intravenously. The woman quickly falls into a coma and the doctor makes no attempt at medical intervention. The woman passes away shortly after. This is an example of an active assisted death, because the doctor performed an action that directly and intentionally resulted in the patient’s death.

In Scenario B, a man has been admitted to palliative care for cystic fibrosis. He has experienced irreversible respiratory failure and is being kept alive through the use of breathing apparatus. He communicates to his doctor that he wishes to pass away. The doctor switches off the breathing apparatus and the man passes away. This is typically considered a case of passive assisted death, because the patient dies of an illness that would have eventually ended his life, although the doctor may still be considered an active participant due to the fact they took direct action in turning off the apparatus.

In Scenario C, a man with stage 4 pancreatic cancer has been told he has only a few months to live. It is likely his death will involve extreme pain. He visits a private clinic that supports assisted suicide. A doctor provides the man with a lethal dose of a fast-acting barbiturate dissolved in water and tells the man that, if he drinks the solution, he will end his own life. The man chooses to drink the solution and passes away a short while later. Even though the patient took the decisive action that resulted in their death, this is still considered a case of active assisted death, because the doctor’s intervention was what ultimately contributed to the patient’s death.

Assisted dying is a legal and moral grey area, especially because no two assisted deaths are ever the same. In some countries, assisting in another person’s suicide is considered tantamount to murder or manslaughter.

In other countries, the act is decriminalised under certain conditions. Only a few countries explicitly allow assisting in another person’s death, so long as the actions taken are within the confines of the law.

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Which countries allow assisted dying?

Different countries have different laws regarding assisted dying. These laws determine the cases and circumstances where assisted dying can be considered permissible. 

Some countries explicitly allow assisted dying and have enshrined the right to assisted death in law. Other countries have simply decriminalised the practice, meaning there is no legal framework for physicians to work under but they can avoid prosecution for their actions. In other countries, assisting in another person’s suicide can be considered illegal and may incur legal penalties.

In countries where assisted dying is legal, the law usually states that a patient must present with an illness that is causing intolerable pain diminishing their quality of life, and that there is no hope of the patient recovering.

Some of the countries that allow assisted dying under these criteria include:

Assisted dying will be legal in all Australian states from 3 November 2025, when the Australian Capital Territory will become the final state to pass its assisted dying bill. The exact law around assisted dying differs by state, although in all cases, it is permitted so long as a person is suffering from unbearable pain with no hope of recovery.

Belgium legalised assisted dying in 2002, becoming the second country to do so. Belgian law states that a person must be in persistent and unbearable physical or psychological pain due to an incurable illness, and that the request for assisted suicide must be deliberate, voluntary and made in writing. The assisted suicide must then be approved by at least two physicians and performed by a physician.

Canada has gradually loosened restrictions on assisted dying since 2016, meaning it is now legal to seek assisted death in Canada, so long as a patient has an irreversible illness that causes unbearable physical suffering. The disease does not necessarily need to be terminal. The request must be approved by at least two physicians. From 2027, Canada seeks to also legalise assisted dying in the case of mental illnesses.

Colombia legalised medical aid in dying in May 2022. Doctors in Colombia can administer life-ending drugs to patients with incurable conditions that are unable to live a “dignified life.” Previously, the law in Colombia restricted cases of assisted dying only to those with terminal illnesses, but the law now extends to any patient of sound mind with a mental or physical illness causing immense distress who is capable of requesting assisted suicide.

Cuba legalised euthanasia in December 2022. The final draft of the law stated that people could request medical intervention in death through “limitation of therapeutic effort, continuous or palliative care, and valid procedures that end life.” This is taken to mean that doctors in Cuba can medically support a patient in their suicide or administer the means to end their life themselves.

Luxembourg approved the Right to Die with Dignity Act in 2009. A person can submit a request for assisted suicide so long as they have an incurable mental or physical illness with no hope of recovery that causes them unbearable suffering. The patient also has a right to decide how they would like to die.

Euthanasia and assisted suicide are legal in the Netherlands so long as the procedure is carried out by a licensed physician with the approval of the municipal pathologist. The patient must be experiencing unbearable suffering with no hope of recovery. The Act extends to patients as young as 12, who can request assisted dying with their parents’ consent.

Assisted dying is permitted under Spanish law. A person making a request must be an adult with an incurable illness that causes “intolerable suffering”, and be “fully aware and conscious” when making their request. The request must be approved by at least two physicians.

Switzerland was the first country to legalise assisted dying and euthanasia, in a law dating as far back as 1918. The Swiss Criminal Code permits all cases of assisting in another person’s suicide so long as the third party has “non-selfish motives,” and so long as the patient plays an active role in ending their own life. Therefore, it is not strictly necessary for a person to seek the consent or input of a physician.

However, it is illegal for anyone, including a physician, to administer the means of ending a patient’s life themselves. Many non-profit organisations exist in Switzerland to support patients who have made a decision to end their life – some will only act in cases where a patient has been diagnosed with a terminal illness.

Is assisted dying legal in the United Kingdom?

It is currently illegal to assist in another person’s suicide in the UK, and carries a prison sentence of up to 15 years.

The UK Government is seeking to change the law to allow certain cases of assisted dying. The bill is currently being developed.

Countries where assisted dying is legal under specific circumstances

In other countries, assisted dying may be considered legal or decriminalised under certain exceptional circumstances.

This typically covers only patients who already have a terminal illness and wish to end their lives before the illness runs its natural course. It may also involve legal precedents that theoretically permit assisting in another person’s suicide, but are not explicitly enshrined in law.

Examples of these countries include:

Austria legalised assisted dying in January 2022. Patients who have a terminal illness can choose to terminate their lives early so long as they have the consent of two physicians, one of whom must be a palliative medicine expert.

Patients must undergo a psychiatric evaluation before being considered for assisted suicide. Aiding another person’s suicide without going through the due process can result in a jail sentence of five years.

As of 2024, assisted death has been decriminalised in Ecuador. This means that doctors can no longer be prosecuted if they assist in ending the life of a patient who is living with a serious and chronic illness. The law is still in draft stage.

While Estonia has declared “committing suicide is a right,” and that therefore assisted suicide should also be a right, it has not yet legislated on the criteria under which assisted suicide should be made legal.

Germany re-legalised assisted dying in February 2020. Although not yet formally legislated, the revised law will seek to make physician-assisted suicide legal. Until then, it remains a constitutional right for people in Germany to seek assisted death in certain circumstances.

In Italy, assisted dying is legal. A patient who is experiencing overwhelming pain is able to request medical support to help them take their own life, however the patient must be the one to take the final action. Euthanasia remains illegal, meaning a doctor or other third party cannot be the one to administer the lethal action to a patient.

Portugal legalised assisted dying in 2023. Patients must have a terminal illness that causes immense suffering. The law only applies to Portuguese nationals and residents. The act has courted considerable controversy in Portugal, and many parties in opposition to the government have promised to repeal it in future elections.

Assisted suicide is permitted in the states of California, Colorado, Hawaii, Maine, Montana, New Jersey, New Mexico, Oregon, Vermont, Washington and Washington D.C. The laws differ by state, however most mandate that the patient must have a terminal illness.

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When might a person seek assisted death?

Assisted death is a serious decision. Countries that allow assisted death typically require the patient to undergo extensive evaluations prior to approving the request.

This can include:

  • Psychiatric tests to determine that the patient is of sound mind
  • Multiple stages of application to determine the seriousness of their request
  • A waiting period to ensure the patient has time to change their mind

Even at the point of terminating a patient’s life, it is important that the patient reaffirms their intentions. Physicians in countries that allow assisted suicide may also withdraw their consent to act in support of a patient’s decision for any reason.

Even so, there are several circumstances under which a person may choose to end their life. This usually occurs when the patient is:

  • Experiencing unbearable and chronic pain
  • Has little to no hope of recovery

Some of the circumstances under which a person may seek assisted suicide include:

Unbearable pain

If a person has an illness or injury that causes them constant, unbearable pain, they may seek to terminate their life early. In many countries that allow assisted dying, the cause of this pain must be untreatable and lifelong.

Serious and terminal illness

A person who has a serious illness that is certain or almost certain to result in their death may seek assisted dying as a means to ‘go out on their own terms.’ The Australian Centre for Health Law at Queensland University of Technology found that the most common reason people sought assisted death was because of:

  1. Cancer – 66.5% of cases
  2. Heart conditions – 6.8% of cases
  3. Lung conditions – 4.9% of cases

Diminished quality of life

In many countries, a person whose quality of life has been severely diminished has grounds to seek assisted dying. The grounds for what counts as a diminished quality of life are subjective, but typically mean the patient has lost autonomy, dignity or the ability to do the things they love.

This could be because the person has been disabled or paralysed by an injury, or an illness such as motor neurone disease (MND). A study in the Netherlands found that 32% of patients with MND sought assisted dying.

Neurological distress

It’s not just physical pain that can lead a patient to seek assisted death. Neurological illnesses are the second-most common cause for patients to seek assisted death (8.1%). A study in the Netherlands and Belgium found that a small but significant percentage of patients seeking assisted death (around 1–3%) cited Alzheimer’s as the primary cause.

What are the implications for life insurance?

As more countries start to allow assisted dying, life insurance providers are weighing up how it affects their policies.

The key question for insurers is whether assisted dying counts as a form of suicide, or a natural form of death.

Since insurers typically have standard exclusions for suicide in their terms and conditions, there are many cases where a person who dies of suicide may not be eligible for life insurance.

Right now, most insurers view assisted dying as a form of suicide. This means it may be subject to the same limitations. It’s now up to life insurance providers to create special terms in their policies to cover instances of assisted dying.

But this is made challenging by the special circumstances surrounding assisted dying. In a fast-changing legal context, it can be difficult to judge assisted dying equally around the world. Life insurers therefore need to consider factors such as:

  • Is assisted dying legal in the country where the death occurred?
  • Did the person(s) involved travel to another country to undergo assisted death? Is that legal according to the laws of their home country?
  • In which country is the life insurance contract based? Is assisted dying legal in that country?
  • Did the life insurance policy cover the deceased overseas?

Insurers must also be aware of other concerns, such as if the beneficiary receiving the benefit assisted in the act, and whether their participation was legal.

Ultimately, life insurance providers do not want to stand in the way of assisted dying. But they must also design their policies in a way that is fair.

At the moment, most insurers – including us at William Russell – write a clause into their policies that life insurance will only cover death by suicide after the policy has been held for over a year. Since assisted dying is considered a form of suicide, that clause still applies. 

So, while policies may change in the future, for now it’s important to read and understand your policy wording and speak to your life insurance provider in order to understand policies around assisted dying.

It’s important to understand what’s not covered by your insurance
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How we view assisted dying at William Russell

We’d like to clarify our own position on the matter.

While we recognise the unique circumstances around assisted dying, like other insurance providers, we treat it in the same way as suicide.

This means we cannot honour claims where a person has died through assisted suicide if the death occurred within the first 12 months of their policy, or in the 12 months following an increase in coverage.

For clarity, we exclude all claims where the cause of death is judged as suicide or attempted suicide, or comes about through self-inflicted injuries, whether or not the person was mentally sound at the time, in the first year of a policy.

However, it’s important to say that this is only the case for now. We remain open to updating our policy terms in the future.

Our terminal illness benefit

At William Russell, we are able to offer one alternative to support people with terminal illnesses. This is our terminal illness benefit, which is included with all group and individual international life insurance policies.

This benefit allows you to take your full life insurance payment early if you have been diagnosed with a terminal condition and have been told you have less than 12 months to live.

If you are eligible to take an early payment of your life insurance under the terms of our terminal illness benefit, you could take the money and then undergo an assisted death without any loss of compensation.

While we understand that not all people who choose an assisted death have a terminal illness, and others may have a prognosis of longer than 12 months, we hope this new terminal illness benefit can go some way towards supporting many of those people who choose to undergo an assisted death.

Will our policies change?

It’s possible that they will. The legality of assisted dying is still a matter of debate in many countries around the world. This makes it challenging for international life insurance companies to create policies that benefit people who choose an assisted death.

In the future, we expect to see many advances in assisted dying legislation, which could help to remove some of the barriers we face. This could allow us to update our policies.

As more countries start to fully legalise assisted dying, we will start to see more formal approaches towards assisted dying pathways, which will be enshrined in law and therefore considered legitimate means of death. The most desirable outcome will be to separate assisted death from the notion of suicide entirely.

This is a fast-changing area of legislation and one that we continue to monitor closely. We are working hand-in-hand with our partners to stay informed of the potential impacts and to design our policies in a way that benefits our members.

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International life insurance from William Russell

At William Russell, we’ve been providing international life insurance to people all over the world for more than 30 years.

If you have any questions about what our life insurance covers, contact our friendly team today—we’d be more than happy to help.

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5 Reasons To Add Dental Benefits To Your International Health Insurance https://www.william-russell.com/blog/importance-of-dental-insurance-benefits/ Fri, 16 May 2025 14:54:22 +0000 https://wrmainstaging.wpengine.com/?p=42988 Discover the types of dental treatments available to you around the world with an international health insurance policy.

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When it comes to choosing the right international health insurance policy, you may find yourself looking for certain things. At William Russell, our international health insurance policy offers a variety of optional benefits.

Perhaps one of the most important benefits we offer is dentistry. That’s because, according to the World Health Organization (WHO), around 50% of people in the world suffer from oral diseases, and these numbers are on the rise – especially in low- and middle-income countries.

Oral diseases such as tooth decay and gum disease are set to pose a massive health concern in the future. Not only can they affect your quality of life and well-being, they have also been linked to other diseases in the heart, brain and lungs. Yet despite this concern, 39% of people in the UK admit to not going to the dentist regularly.

Accessing dentistry services in a foreign country can be both difficult and expensive. That’s why it’s important to think about choosing a health insurance package that offers dentistry too. Let’s go over some of the benefits of adding dental health insurance to your international health insurance policy.

Dentist with a patient lying in dentist chair

Dental health benefits: what’s included?

As a William Russell member with international health insurance, your plan will always provide cover for emergency dental restorative treatment that you receive in a hospital (e.g. if you break your teeth in a road traffic accident and require hospitalisation). 

If you have chosen a Silver or Gold plan, you will also be covered for dental treatment following an accident that doesn’t require hospitalisation (e.g., if you break your teeth and later have them repaired at a dentist’s surgery).

You also have the option to add additional dental benefits to your plan, covering you for a wide variety of dental treatments.

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We offer two optional benefits plans, Dental Basic and Dental Plus.

Dental Basic is included as standard on all Gold plans, and is an optional extra for SilverLite and Silver plans. Dental Plus is an optional extra for Gold and Silver plans.

Our dental insurance benefits include cover for a variety of dentistry treatments administered at a private practice, including:

  • Bridges
  • Crowns
  • Fillings
  • Root canals
  • Scaling and polishing
  • Extractions
  • Dentures*

Our optional dental benefits are not separate policies. Rather, they can be included alongside your international health insurance policy. That means you can make a claim for any dental treatments covered by your benefit through your health insurance policy.

*Some procedures are only included with Dental Plus. Click here to compare policy options.

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5 reasons to add dental benefits to your health insurance

Dental insurance can benefit your life and well-being in many ways. Here are five of the best reasons to consider choosing dental benefits:

1/ Dental health is slowly getting worse

Do you brush your teeth twice a day and floss regularly? It seems that oral health is generally declining around the world. Right now, nearly half the world’s population is suffering from some form of oral disability, including 34% living with tooth decay.

There are many causes for the declining standards of oral health. Chief among them seems to be the increasing amount of sugar in our diets, which is largely found in processed foods, fizzy drinks and alcohol. The Oral Health Foundation in the UK found that 79% of people in Britain eat sugary foods at least three times a day, with 45% also regularly drinking sugary drinks, including tea, coffee, alcohol and carbonated beverages.

Another cause of poor oral health is smoking, and while the number of adult smokers worldwide has dropped significantly in recent years, around 1 in 5 – or 1.25 billion people globally – still use tobacco products regularly.

Another thing to consider is exposure to fluoride. Fluoride helps prevent your teeth from decaying by protecting and remineralising enamel, killing bacteria and stopping plaque from producing acid. Many communities around the world add fluoride to tap water to ensure people are regularly exposed to this helpful mineral. But, if you live in an area that does not add fluoride to tap water, you may need to supplement your fluoride intake in other ways, such as with dissolvable tablets.

All this being said, it’s easy to see why the quality of oral health seems to be declining around the world – and why it’s important for us all to take steps to help ourselves. Having access to the best quality dentistry, no matter where you move in the world, is one way to ensure you can mitigate the risk of oral health conditions. Your dentist will not only treat the symptoms of tooth decay, they’ll help you to take preventative action to protect your teeth too.

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2/ The cost of dentistry is skyrocketing

With the cost of living crisis stretching household budgets around the world, and with the cost of healthcare going up generally, it’s more important than ever to ensure you can afford healthcare as and when you need it – and this includes dentistry too.

Research in the UK found that the cost of dentistry has increased between 14–32% over the last two years, with all types of procedures now much more expensive. Even the cost of a routine consultation has jumped 23% from £65/US$80 to £80/US$100.

And based on current trends, it’s likely the cost of dentistry will continue to become more and more expensive. With dentists investing heavily in new technology, an increasing need for specialised treatment, and escalating overheads brought on by the cost of living crisis, your dentist is likely to charge even more in the near future.

That could make the cost of dentistry unaffordable for you and your family, pushing you towards lower-quality treatment or even causing you to avoid going to the dentist altogether.

Choosing dental insurance benefits can help to protect your budget while also ensuring you’ll always have access to high-quality dentistry. Employers can also support their teams’ dental wellbeing by offering group health insurance, which can include dental cover.

Worried about the cost of international health insurance?
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3/ Dental emergencies can happen anytime, anywhere

Whether it’s a dental abscess, an infection, gum bleeding or a toothache, you’ll know when a dental emergency strikes – the pain is enough to keep Britons off work for a combined 23 million working days a year, with 10% saying they have had to take a whole week off due to toothache.

In fact, according to the British Medical Journal, one in every 140 medical emergencies is for a dental problem, making them one of the most common causes of acute pain.

Experiencing a dental emergency can be even more concerning if you are living and working in a foreign country. You may not be able to find a dentist who can provide the treatment you need, and you may be liable to pay huge costs if you require an emergency appointment. Even if you are seen, you may then encounter long waiting lists before you are able to receive the necessary treatment.

While your international health insurance policy always provides cover for restorative treatment received in a hospital, our optional dental benefits ensure you’ll be able to cover the cost of non-restorative emergency dental surgery too. With the option of worldwide coverage, you can even be sure that you’ll be able to visit a dentist for an emergency appointment when you’re travelling abroad.

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4/ Our dentistry needs are becoming more complex

Not only is the population of earth still growing, many of us are now living longer into our old age. The global life expectancy is now around 73 years, and is expected to increase another five years by 2050.

With so many aging people in the world, dentists are finding themselves under pressure to meet the more complex needs of older people. For instance, around 19% of us now wear dentures – that’s almost 1.6 billion people on earth. Older people are also more likely to experience tooth decay and gum disease.

Furthermore, more people than ever are developing long-term conditions associated with aging. Arthritis, Parkinson’s and Alzheimer’s disease, for example, can make it harder for older people to care for their teeth and visit their dentist.

Thankfully, dental technology is evolving to meet the ever-growing needs of an older population. Artificial intelligence, 3D printing, teledentistry and advanced laser treatments are just some of the innovations on the horizon. But these technologies require dentists to invest considerable amounts of their time for advanced training, to adapt to new regulatory frameworks, and of course huge financial sums too.

As such, it’s likely that you will start to notice waiting lists growing longer at your local dentist’s surgery, not to mention increasing fees. Choosing dental insurance benefits today can therefore help to ensure you won’t be impacted by these trends – that you can continue to access dental services when you need them, and that the cost of your dentistry can continue to be covered by your health insurance policy. 

This may become especially important as you grow older, and your own dental needs start to become more complex and more frequent.

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5/ Dental cover gives you flexibility

One of the reasons many of us put off going to the dentist is that we simply forget. Scheduling regular dentists appointments into our busy schedules can be difficult, especially for expats living abroad. In the UK, 15% of people admit they only go to the dentist for ‘occasional’ check-ups, while 18% say they only go when they have an immediate need, such as toothache.

If a lack of flexibility is stopping you from visiting your dentist more often, dental insurance benefits help to ensure you will always be able to access dentistry services as and when you need them.

At William Russell, our dental insurance gives you an annual benefit that you can spend on a range of treatments, such as regular check-ups, routine cleaning, dental screenings, and dental procedures such as fillings, extractions and root canal treatments. If you choose our Dental Plus plan, you will also be able to use your budget towards new dentures, dental implants, crowns and dental bridges.

Your dental benefits entitle you to choose any dentist within your coverage zone. You can also opt for a private dentist, ensuring you won’t be subject to long waiting lists. Even in some parts of the UK, the average waiting time to see a public dentist can be as high as four years.

With so much flexibility in your policy, you’ll find it easy to visit your dentist more regularly and get the treatment you need – even when you are living abroad.

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Make sure you’re getting the most out of your dental benefits

Despite rising costs and an ever increasing number of patients with oral health problems, William Russell data shows that our members around the world are actually using their dental benefits less.

Since 2020, the percentage of claims we’ve processed related to dentistry has dropped from just 2% to 1%.

Year

% of total claims related to dentistry

2020
2%
2021
2%
2022
1%
2023
1%
2024
1%

As a William Russell member, you may not realise you are entitled to claim against dental expenses if you have added dental benefits to your policy. Be sure to check your policy wording or contact our award-winning customer service team if you’re not sure.

And remember, with our dental insurance benefits, you are free to visit any dentist at any time and file a claim with us after the work has been completed. So long as the type of procedure is covered by your plan, and your claim is within your annual benefit cash limit, we’ll cover the cost of any dentistry work you’ve had done. All you have to do is fill in our claims form and submit it to us.

This is an especially important time for dental health around the world, with more people than ever suffering from tooth decay and gum disease. Make sure you’re taking care of your oral health by making the most of your dental health insurance benefits from William Russell.

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Dental health insurance, tailor-made for expats

At William Russell, we have over 30 years’ experience providing international health insurance to expats like you.

Our optional dental health insurance benefits give you access to the highest-quality dental care around the world, covering both the costs of regular check-ups and many common procedures. With the option of Dental Basic and Dental Plus plans, you are free to choose a policy that suits your needs and your budget.

Find out more about our dental health insurance benefits, available with our international health insurance policies, and get a quote online in under two minutes.

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Can You Get Life Insurance If You Smoke? https://www.william-russell.com/blog/smoking-and-life-insurance/ Wed, 09 Apr 2025 10:33:47 +0000 https://wrmainstaging.wpengine.com/?p=42676 Worried about taking out life insurance as a smoker, vaper or ex-smoker? Here’s everything you need to know about life insurance and smoking.

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Yes, you can still get life insurance if you smoke. However, smoking can affect both the cost and the terms of your life insurance policy.

In this guide, we’ve pulled together everything you need to know about taking out international life insurance as a smoker, vaper and ex-smoker.

Male patient with oxygen mask while female doctor listens his chest with stethoscope in hospital emergency room

Life insurance and smoking

Whether you’re an occasional smoker, a heavy smoker, someone who vapes, or someone who smoked in the past, insurance providers will take this into consideration when assessing the risk level of your application. 

The first step when someone dies abroad is obtaining their death certificate.

How do we define smoking?

Different insurance providers may have different criteria for what counts as ‘smoking’. At William Russell, we define smoking as the consumption of any nicotine product.

This includes:

  • Cigarettes
  • Cigars
  • Vapes
  • Nicotine pouches
  • Snus
  • Tobacco snuff
  • Chewing tobacco
  • Nicotine patches
  • Nicotine inhalers
  • Any form of nicotine replacement therapy

Do smokers need life insurance?

Smoking increases your risk of developing life-threatening illnesses such as cancer, chronic obstructive pulmonary disease (COPD) and emphysema, and smokers die on average 10 years younger than non-smokers.

Even so, smokers are just as entitled to take out life insurance as non-smokers – however, you should expect to have to pay more for your premiums, since your life insurance provider will consider you a higher risk.

What is risk?

When calculating your premiums, your insurance provider will consider how likely you are to make a claim during the term of your policy.

The more likely you are to make a claim, the higher your ‘risk’. In order to offset this risk, your insurance provider will likely charge you a higher premium. They may even deny you insurance altogether.

While you may not like to think about the worst-case scenario, having life insurance ensures your family won’t be left struggling financially if something happens to you.

With William Russell, you can insure your life for up to US$2 million. For added peace of mind, you can also include our optional accidental death and permanent disablement cover when setting up your policy. This provides an extra payout of up to US$1mn if your death was the result of an accident, or a lump-sum of up to US$500,00 if you suffer a serious injury resulting in disability—on top of your core life insurance payout

Ultimately, life insurance cover is all about protecting your family and ensuring they’re looked after. For many expats, there’s comfort in knowing that, if the unexpected happens, their loved ones will be cared for.

How do you know if you need international life insurance?
Here’s how life insurance could benefit you and your family

How does smoking impact my policy?

Smoking can have a noticeable impact on both the cost of your premiums and your eligibility for life insurance. Insurance companies see smokers as a higher risk due to the health issues linked to smoking, like heart disease, cancer, and lung problems.

As a result, you might notice your premiums are higher than for non-smokers.

How do life insurance premiums work?

When working out your premiums, your insurer will try to determine how likely you are to die during the term of your policy, and how much your claim will cost them.

Your risk is calculated based on several factors including your age, overall health, where you live, your type of occupation and lifestyle.

For smokers, premiums are typically higher because smoking increases your risk of disease and early death. The greater the risk you represent, the more the insurer will charge you to balance out the risk of them paying out during the term of your policy.

How can you get lower life insurance premiums?

It’s important to be honest in your application for life insurance. You may be tempted not to declare yourself a smoker on your application in order to secure a lower premium, but it’s very likely your insurer will learn about your smoking habits after your death – especially if you pass away from a smoking-related illness. Remember, pathologists and coroners can easily identify smokers from non-smokers during a post-mortem examination.

If you have not declared yourself a smoker but are later found to have smoked, this could invalidate your claim, not only leaving your family without your life insurance benefit, but also putting to waste all the money you’ve paid in premiums up to that point. 

Being upfront about your smoking habits ensures your policy is valid and will protect your loved ones when it matters most.

Thinking about quitting?

Quitting smoking is the best choice you can make for your health – and it may also impact your health insurance too.

If you quit smoking and stay tobacco-free for at least 12 months, you may qualify as a non-smoker for insurance purposes.

Want to know more about how international life insurance works?
Check out our step-by-step guide to international life insurance

Life insurance for smokers

Even if you’re a heavy smoker, you may still be able to get some form of life insurance cover. However, it’s important to understand that this cover could come with additional exclusions or special terms, including if your death is linked to a smoking-related illness.

To get the best possible cover for you and your family, it’s important to be honest in your application, and speak to a member of our friendly, award-winning team if you’re unsure what’s included in your level of cover.

At William Russell, we define a smoker as anyone who has consumed nicotine products in the past 12 months. This includes cigarettes, cigars, chewing tobacco, snuff, heated tobacco, vape products and nicotine patches, among other products.

Different insurers have different classifications for what counts as a smoker. Some focus on the type of products you use (such as strictly tobacco-based products, as opposed to nicotine-based products), or they may look at different timeframes (for instance, anyone who has consumed nicotine within three years).

They may also focus on the quantity of tobacco and/or nicotine consumed within that timeframe – so a person who smokes the occasional cigarette will not be classified as a smoker, but someone who smokes 10 a day will be.

Some providers may run medical tests to prove your smoker status. This can include checking your cotinine levels (a by-product of nicotine).

Being upfront about your smoking habits is the best way to avoid problems. While it might feel tempting to downplay how often you smoke, honesty ensures that your policy remains valid, giving your family the financial protection they need.

A heavy smoker is generally someone who smokes or uses tobacco products daily. Insurers will usually ask how much and how often you smoke when you apply for a policy, as this helps them assess the health risks involved.

For example, someone who smokes 20 cigarettes a day will likely face higher premiums compared to someone who smokes just one or two occasionally. It’s all about the level of risk. The more you smoke, the greater the chance of health complications, and insurers will factor this into your premiums.

Vaping can be a bit of a grey area when it comes to life insurance. Many insurers treat vapers the same as smokers, particularly if you use e-liquid containing nicotine. Even if your vape is nicotine-free, some insurers might still view vaping as a health risk because the long-term effects aren’t fully understood yet.

If you’re a vaper, it’s important to answer any questions truthfully during your application. This means you may not need to declare that you vape, if the question does not ask you about vaping specifically.

For instance, if a question asks ‘Have you smoked tobacco products in the last 12 months?’ it’s fine to answer ‘No.’

However, if the question asks ‘Have you used nicotine products in the last 12 months?’ you should answer ‘Yes.’

While it might feel unfair to be grouped with smokers, being transparent ensures your policy will remain valid. If you have questions about how vaping may affect your policy, it’s best to contact your insurer directly.

If you’ve recently quit smoking or are thinking about it, you’ll be glad to know that quitting can positively impact your life insurance options. Most insurers will reclassify you as a non-smoker if you’ve been tobacco-free for at least 12 months. This means your premiums could be significantly reduced, as you’ll no longer be considered a higher health risk.

The key to qualifying for non-smoker rates is proving that you’ve stayed tobacco-free for the required time. Some insurers may therefore ask you to take a medical exam. While this might sound intimidating, it’s a straightforward process that could lead to substantial savings.

Still unsure of whether you should take out international life insurance?
Here are 8 reasons to take out life insurance when moving abroad

The cost of life insurance for smokers

The exact cost of life insurance for smokers varies depending not only on how often you smoke, but on factors like age, the amount of cover you need, and your general health

Someone who smokes a pack a day will likely pay more than someone who only has the occasional cigarette. Similarly, the type of tobacco product you use – whether it’s cigarettes, cigars, or chewing tobacco – can also influence the premium.

On the other hand, a heavy smoker who is young, in good health, and who chooses a lower level of cover will end up paying less than an older non-smoker with declining health and a high level of cover. It all comes down to your overall risk, rather than any individual factors.

Here are some example premium costs for smokers vs non-smokers with international life insurance from William Russell*:

Age

Nationality

Salary (US$)

Life insurance benefit (US$)

Smoker premium
(US$)

Non-smoker premium
(US$)

38
US national, working as a consultant, living in Botswana
$130,000
$1,500,000
$199
$156
30
German national, working as a civil engineer, living in Malaysia
$150,000
$1,000,000
$84
$65
44
Albanian national, working as a doctor, living in Australia
$300,000
$2,000,000
$453
$354

*These are example 2025 premium prices.

How much life insurance do you need?
Find out with our life benefit calculator

Lying about smoking on your life insurance application

When you apply for life insurance, insurers rely on the information you provide to assess your health risks and determine your premiums

If you’re a smoker but you claim to be a non-smoker when you apply for a policy, you’re taking a risk that your insurer won’t pay your beneficiaries’ claim if you die during your policy term.

Your insurer will request your medical records in the event of a claim and, if you have smoked, it’s usually quite easy to tell – especially if your smoking had an impact on your death.

Honesty is always the best approach. If you’re a smoker, you’ll still have access to international life insurance policies tailored to your needs. And if you quit smoking, you can explore reduced premiums in the future.

Do you have assets in more than one country?
Here’s how to write your will as an expat living abroad

Wherever you go, go with total peace of mind

At William Russell, we have over 30 years’ experience of providing international life insurance exclusively for expats like you.

Become a member today to enjoy worldwide coverage, giving you total peace of mind wherever you move to live and work.

Looking for international life insurance?

Get a Quote

The post Can You Get Life Insurance If You Smoke? appeared first on William Russell.

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What Happens If I Die Abroad As An Expat? https://www.william-russell.com/blog/expat-death-abroad/ Mon, 17 Mar 2025 15:54:22 +0000 https://wrmainstaging.wpengine.com/?p=42384 A practical guide on what to do if someone dies abroad, including the logistics of repatriation, getting a death certificate and funeral planning.

The post What Happens If I Die Abroad As An Expat? appeared first on William Russell.

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Dealing with the death of a loved one is never easy, and navigating the procedures that follow is even more challenging when that person dies abroad.

In this article, we’ll guide you through what happens when someone passes away overseas, including how international life insurance can impact the process, the logistics of repatriation, how to obtain an expat’s death certificate, and arranging a funeral in your home country.

A father talking to his son siting on their sofa at home

Getting a death certificate for an expat

The first step when someone dies abroad is obtaining their death certificate.

This document is formal proof that the person is deceased. It will be required to move ahead with legal and administrative processes such as repatriation, inheritance, and insurance claims

Thinking about international life insurance?

As an expat, international life insurance is important if you want to protect your family’s financial wellbeing and quality of life should you die unexpectedly. Get a quick quote online now – it takes less than 2 minutes!

Get a Quote

Where to obtain a death certificate

The death certificate must be issued in the country where the individual passed away. Local authorities, such as the civil registry office, or equivalent government department, are responsible for issuing the death certificate.

If the person died in hospital or under medical supervision, a doctor typically initiates the process by providing a medical certificate of death. This can be taken to a registrar, who will then provide a formal death certificate. 

If the death occurred outside of a medical setting, you may need to consult local law enforcement. They may need to conduct an autopsy to establish the cause of death before a death certificate can be provided.

If you are having trouble obtaining a death certificate, your national embassy or consulate may be able to help.

How can your embassy help you as an expat?
Learn more about embassies and consulates

Steps to obtaining a death certificate

To simplify the process, we’ve broken it down into steps:

1/ Contact local authorities

Begin by reaching out to the local registry office or its equivalent in the country where the death occurred. If you are unsure of the process, your national embassy or consulate may be able to help.

2/ Provide required documentation

In order to apply for an expat’s death certificate, you will typically need to provide:

  • Identification for both the deceased and the person reporting the death (passport, ID cards, etc.)
  • The medical certificate of death, if one has been issued by a doctor or coroner
  • Any additional information or forms required by local regulations

3/ Request a multilingual certificate

If the death certificate is issued in a language other than your native language, you may need to have it translated and certified.

You may be able to request a multilingual death certificate. If not, you can obtain an apostille through the local authorities, which can simplify its use for international legal purposes.

4/ Register the death in your home country

While not mandatory, it is advisable to register the death with your home country’s authorities. For UK expats, this should be done through the Foreign, Commonwealth & Development Office (FCDO)

Registering the death in your home country will enable you to get a local death certificate, which can make financial and legal processes easier.

Is it difficult to get a death certificate when someone dies abroad? 

Some countries may have more complex processes than others when it comes to registering a foreign death. This may involve additional documentation or longer waiting periods, slowing the process of organising repatriation or arranging a funeral.

Language barriers and unfamiliar legal systems can also pose challenges, especially if you are trying to organise everything over the phone.

Seeking the assistance of your national consulate or a legal representative familiar with local procedures can help you to navigate these difficulties and ease the stress during a difficult time.

Life insurance is there to protect your family if you pass away
Find out more about how international life insurance works

Does having life insurance make a difference?

Whether or not the deceased had international life insurance can make a huge difference in how the situation is managed. Let’s consider both scenarios:

If someone dies abroad with insurance…

To activate a life insurance claim, the family or nominated beneficiary needs to inform the insurer as soon as possible, providing necessary documentation such as the death certificate, proof of identity, and sometimes a medical report detailing the cause of death.

If the deceased held an international health insurance policy at the time of their passing, their insurance provider may be able to help with the process of repatriating their remains, or organising a local burial or cremation. Speak to your insurance provider to understand whether they might be able to help.

If your loved one was a William Russell member, and they had added the funeral and repatriation benefit to their life insurance policy, we’ll pay an additional US$5,000 to their lead beneficiary, who can then use these funds to organise their repatriation. If you would prefer to organise a funeral or cremation in the country where your loved one died, we’ll also pay a benefit to help cover the cost of a local funeral.

If someone dies abroad without insurance…

If someone dies abroad and they do not have a life insurance policy in place, the family will need to shoulder the logistical, administrative and financial responsibilities themselves. This includes the costs of repatriating their loved one’s remains and organising a funeral.

There are many companies around the world that specialise in supporting families whose loved ones have passed away in a foreign country. These companies can help with the process of repatriation and in organising a funeral. A funeral arranger in your own country may be able to help organise this, even if your loved one has passed away abroad.

Families may also wish to organise a local funeral or cremation for their loved one. This may be a more affordable option, although the costs of funerals around the world can range up to US$25,800/£20,000, depending on the country in which their loved one died, and the circumstances around their death.

How much life insurance do you need?
Find out with our life benefit calculator

Repatriation after death

Repatriation is the process of returning a person’s remains to their home country for burial or cremation. While it provides closure for families by ensuring their loved one rests in their chosen location, repatriation can be complex and costly, especially if there is no life insurance cover in place. 

How much does it cost to repatriate a dead body? 

The cost of repatriating a dead body depends on a number of factors, including the countries you need the body to travel between, the distance to be covered, type of flight and the type of coffin. 

The average cost of repatriating remains worldwide is between US$3,800 and US$7,800 (£3,000 and £6,000). These costs are determined by a number of factors, including:

  • The cost of storing the remains in preparation for transport to another country
  • The cost of transporting the remains to and from the mode of international transport
  • The cost of transporting the remains overseas, which will vary based on which mode of transportation you choose
  • The cost of storing the remains on the other side of this journey

In some exceptional cases, the cost of repatriating a deceased person can range up to US$26,000/£20,000. This could be the case if you are travelling a long distance, if you need to store the remains for a long time, or alternatively if you are working to an extremely tight schedule for religious reasons.

If you’re planning on a cremation and are happy for that cremation to take place overseas, repatriating ashes is usually less expensive, costing around US$1,300 to US3,800 (£1,000 to £3,000). 

Remember to check your loved one’s will before committing to any decision, as they may have outlined specific wishes concerning their funeral.

When choosing a repatriation service, there are a few things that should be included in the price. These include:

  • Local transport – The cost of transporting your loved one from their current resting place to an intermediate space for mortuary care, and then onwards to their international mode of transport
  • Mortuary care – Preparing and dressing your loved one ready for repatriation
  • International embalming – Preparing your loved one’s remains for travel by air
  • Coffin – Safe repatriation typically requires a coffin that is lined with zinc or has a zinc cladding. This helps to ensure the safety and hygiene of your loved one during transportation, as well as the safety of fellow passengers
  • Free from infection certificate – This document will be issued by a medical professional, confirming that your loved one is safe to travel
Still unsure of whether you should take out international life insurance?
Here are 8 reasons to take out life insurance when moving abroad

Funeral arrangements

When a loved one passes away abroad, deciding on funeral arrangements is an important step in honouring their memory. One key decision is whether to hold the funeral in the country where they passed away, or bring them home for burial or cremation.

A local funeral can sometimes be quicker and easier to organise, especially in countries with clear legal and cultural frameworks for handling the deceased. However, it’s worth considering whether the local customs align with your family’s wishes and traditions.

If your loved one’s final resting place is to be at home, you’ll likely organise the funeral after their repatriation. Many funeral directors in your home country can coordinate repatriation services to ensure a smooth process, allowing you to focus on planning a meaningful service for family and friends.

Whether local or at home, the key is finding the right support to guide you through the process, ensuring your loved one’s wishes are fulfilled with dignity and respect.

How much do funerals cost around the world? 

The cost of a funeral can vary significantly depending on the location, cultural traditions, and the services chosen. If the deceased wished for cremation, this may be a less expensive option in many regions, but the costs still depend on local practices. For example, cremation is often more common and affordable in countries like India or Japan, whereas burial might be the standard in Muslim countries like Saudi Arabia, or Catholic countries such as Italy and Poland. 

To get an idea of how funeral costs differ around the world, we’ve put together a list of the average cost of a funeral in 20 countries:

Country

Average cost of funeral (US$)

Japan
$30,970
Germany
$8,670
United States
$8,132
Netherlands
$7,532
United Kingdom
$6,131
China
$5,891
New Zealand
$5,435
France
$4,916
Australia
$4,317
$3,713
Norway
$3,341
Portugal
$3,302
Sweden
$3,237
Italy
$2,357
South Africa
$1,736
Denmark
$1,352
Mexico
$934
Columbia
$599
Brazil
$497
India
$133
Do you have assets in more than one country?
Here’s how to write your will as an expat living abroad

Checklist: What to do if someone dies abroad

1/ Contact the local embassy

Regardless of whether there is a life insurance policy in place, the first step is to contact the local embassy or consulate. They will be able to provide you with guidance on local procedures and legal requirements.

2/ Get a death certificate

You’ll need a death certificate from the local authorities in the country where the death occurred. This document is essential for repatriation, legal processes, and settling financial matters. If the certificate is not in your language, you may need to arrange for a certified translation.

3/ Contact the deceased’s insurer

If your loved one had international life insurance, now is the time to give their insurer a call. Many policies include support for repatriation, funeral costs, or other assistance that can help ease the burden during this difficult time.

4/ Check their will

Locate your loved one’s will, if they had one, to understand their wishes regarding funeral arrangements, distribution of assets, and other important matters. The will can provide some comfort and guidance during a challenging time. 

5/ Decide if you want their body repatriated

Consider whether you wish to bring your loved one back home or have the funeral in the country where they passed. Repatriation requires coordination with a funeral director experienced in international transportation and may involve additional costs and paperwork.

6/ Prepare for their funeral

Whether the funeral is held abroad or at home, you’ll need to coordinate with funeral directors to make arrangements that respect your loved one’s wishes. Consider cultural and religious traditions, as well as any preferences they may have expressed about burial or cremation.

7/ Inform family and friends

Once key decisions have been made, inform relatives and close friends. They may want to help with arrangements or attend the funeral, whether in person or remotely.

Want to know more about making a claim for life insurance?
We’ll ensure your claims process as straightforward as possible

International life insurance designed with you in mind

Our international life insurance policy is tailor-made for expats. It offers worldwide coverage, so no matter what happens while you’re living or travelling abroad, you can enjoy total peace of mind.

For over 30 years, William Russell has specialised in helping expats like you get the insurance they need at a great price. We are proud of our award-winning customer service and our comprehensive policies that have helped families live their lives to the full.

Could your family benefit from international life insurance?

Get a Quote

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Changes We’re Making To Health Insurance Policies Starting Or Renewing In 2025 https://www.william-russell.com/blog/changes-health-insurance-2025/ Mon, 09 Dec 2024 12:51:34 +0000 https://wrmainstaging.wpengine.com/?p=41112 Our annual changes to our health plans include more competitive premiums in many regions.

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Can You Switch Health Insurance Provider With A Pre-Existing Medical Condition? https://www.william-russell.com/blog/switching-insurance-pre-existing-condition/ Mon, 18 Nov 2024 16:59:52 +0000 https://wrmainstaging.wpengine.com/?p=40747 We look at everything you need to know about switching insurance providers with a pre-existing medical condition.

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Are you thinking about switching your health insurance provider, but you’re worried about a pre-existing medical condition? We look at everything you need to know about switching insurance providers if you have pre-existing medical conditions.

A mature woman who is battling cancer during a picnic with her husband at park

Are you thinking of changing your health insurance provider?

Switching your health insurance provider can be a long and complicated process if you have pre-existing medical conditions.

So if you’re thinking moving to a different provider, we’re here to help. Here’s a quick guide to switching providers if you have pre-existing medical conditions.

What counts as a pre-existing medical condition?

A pre-existing medical condition is any medical condition for which you’ve sought medical advice or treatment—or for which you’ve experienced symptoms—at any time prior to the start of your new health insurance policy.

A pre-existing medical condition can be diagnosed or undiagnosed. An undiagnosed pre-existing condition could mean one the following:

  • A genetic abnormality or hereditary illness that runs in your family and you have not yet medically ruled out the possibility of you having it
  • Symptoms that could indicate a long-term condition but for which you’ve not yet sought medical advice
  • A situation where you’re waiting the results of a diagnostic screen or health assessment
Thinking about purchasing international health insurance?
Here’s everything you need to know about pre-existing conditions

Examples of pre-existing medical conditions

The following conditions are examples of possible pre-existing medical conditions. Please note it’s not an exhaustive list!

  • Cancer—Any type of previously-diagnosed cancer, including those deemed in remission
  • Heart disease—Including any history of heart attacks or angina
  • Kidney disease—Includes loss of a kidney or kidney function, history of dialysis or transplant
  • Mental health disorders—Includes major depression, bipolar disorder, anxiety disorder, eating disorders, and schizophrenia
  • Organ transplant—Includes heart, liver, lung, kidney
  • Lung disease—Includes chronic obstructive pulmonary disease (COPD) and emphysema
  • Diabetes—Type 1 and type 2, and potentially including pre-diabetes
  • Spinal disorders—includes herniated discs and chronic back pain
  • Parkinson’s disease
  • Alzheimer’s disease
  • High blood pressure (i.e., hypertension)
  • Stroke
  • Rheumatoid arthritis
  • Asthma
  • HIV/AIDS
  • Epilepsy or seizure disorders
  • Multiple sclerosis (i.e., MS)
  • Hepatitis B or C
  • Crohn’s disease
  • Ulcerative colitis

What doesn’t count as a pre-existing medical condition?

Minor injuries and common and short-term illnesses such as colds and flus do not count as pre-existing medical conditions. You don’t need to declare these on your application for a policy.

Similarly, COVID-19 doesn’t count as a pre-existing medical condition, unless you have experienced long-term complications (i.e., ‘long COVID’).

You may have heard certain myths and rumours about health insurance
We debunk 6 common myths about health insurance

Switching to William Russell with a pre-existing medical condition

If you have a pre-existing medical condition, we’re here to make the switching process simple and straightforward.

There three ways to switch to William Russell. These are known as Continued Personal Medical Exclusions (CPME), Full Medical Underwriting (FMU), and Moratorium.

Let’s explore these options in more detail, so you know what to expect.

1/ Switching with Continued Personal Medical Exclusions (CPME)

If you want to switch to William Russell from your current health insurance provider with no break in coverage and approximately the same level of cover, then CPME could be right for you.

How do I switch with CPME?

To switch with CPME, the underwriting type of your policy with your current health insurance provider must be full medical underwriting or moratorium. Not sure of your policy’s underwriting type? Your certificate of insurance should tell you.

Simply complete our CPME application form, and return to us with a copy of your certificate of insurance and a benefits table from your current health insurance provider. We’ll then take care of the whole switching process for you.

Benefits of switching with CPME

  • Your new policy begins as soon as your current policy ends, with no break in coverage
  • We won’t subject your application to fresh medical underwriting
  • The waiting periods that apply on certain benefits won’t apply to your policy
  • You’ll maintain a similar level of cover from our current policy

Important notes for CPME

Your current insurance provider must be a recognised international health insurance provider, and your current policy must be an international health insurance policy. There can be no break in cover between your current policy and your new policy. You cannot switch with CPME if your policy has already expired. If you’re over the age of 50, you can only switch with CPME if your current policy started within the last 5 years. If you have a major health condition, we might not accept your request to switch with CPME. Your new policy must have the same level of cover or lower—meaning you cannot upgrade your level of cover when you switch.

2/ Switching with Full Medical Underwriting (FMU)

You’ll need to switch health insurance policies with FMU if:

  • you’ve been diagnosed with a new pre-existing medical condition since the start of your last insurance policy;
  • you have a history of major illness;
  • you’re taking out international health insurance again after a break in coverage; or
  • you’re not eligible to switch with CPME.

How do I switch with FMU?

When switching with FMU, we’ll ask you to complete an application form that asks questions about your medical history and lifestyle.

Based on your responses, we’ll decide the terms on which we can offer you an insurance policy. It’s important that you disclose full details about any pre-existing medical conditions that you’re aware of—both for yourself and your dependants.

Once we’ve reviewed your application, we may accept you for a policy with standard terms or we may exclude certain medical conditions from your policy and increase your premium.

Benefits of switching with FMU

  • You can upgrade on the level of cover your current policy provides
  • We’ll calculate your premium according to your exact needs
  • If you have no pre-existing medical conditions, your application will be quick

Important notes for FMU

You must tell us about any pre-existing medical conditions and related conditions. We won’t pay claims for treatment you receive for a pre-existing medical condition (or related condition) that we have not explicitly agreed to cover under the terms of your policy. FMU is the only underwriting type available if you’re switching from a life insurance or income protection insurance policy.

What is health? And how does insurance protect it?
Learn more about why you actually need international health insurance

3/ Switching with Moratorium

If you’ve suffered non-serious or non-chronic medical conditions in the past, and you’re not eligible for switching with CPME, you could consider switching with Moratorium.

With Moratorium underwriting, we may cover your pre-existing medical conditions if:

  • you haven’t consulted a doctor;
  • you haven’t taken medication; or
  • you haven’t experienced symptoms of them for 2 years or more.

How do I switch with Moratorium?

When switching with Moratorium, we’ll ask you to complete a simple application form. Moratorium is only available if you’re under age 39 and you’ve selected a Bronze or Silver plan.

Benefits of switching with Moratorium

  • We may cover pre-existing medical conditions after you’ve had your policy for 2 years
  • Your application will be quick

Important notes for Moratorium

The premiums for a health insurance policy with Moratorium underwriting are about 4% more expensive than FMU. Though the application for a policy with Moratorium is quicker, it may take longer to process your claims. Each time you claim, we’ll need to check your medical history to establish whether your condition is pre-existing or not. There are some pre-existing medical conditions your policy will never cover, regardless of how long you’ve been insured by it.

Are you comparing different expat health insurance plans?
We guide you through the process so you get the right cover for you

Is there anything else I need to know?

We want to provide you with an insurance policy you can rely on, so it is important that you fully understand the scope of the cover we provide. Answers to the most common questions on switching health insurance providers are here, but feel free to get in touch and speak to our award-winning team. We’d be glad to help.

Yes. We have 3 underwriting types for people looking to switch to William Russell from a different insurance provider. We detail these in the content above.

Yes. You can switch to William Russell if there’s an outstanding claim with your current insurance provider.

Insurance policies are contracts. In the case of health insurance, policies are usually annual contracts. Your current insurance provider must honour the terms of your current policy. If you made an eligible claim during the policy year of your current policy, your insurance must pay out—even if you intend to switch to a different provider.

If you have a prescription for an ongoing medical condition, make sure your access to these medications will not be affected during the switch.

You could, for example, maintain a stock of medication in the lead up to your switch—just in case it takes longer than expected.

Yes, you can switch health insurance providers if you’re pregnant.

In the UK and Europe, health insurance providers are not allowed to ask you if you’re pregnant. However, most health insurance providers apply waiting periods to maternity benefits. This means you won’t necessarily be able to claim for private maternity treatment as soon as your policy starts.

At William Russell, you will need to wait at least 12 months after your policy starts before you can claim for private maternity treatment.

Learn more about maternity benefits
Want to know more about how international insurance works?
We’ve created a step-by-step guide to walk you through the process

Choose William Russell for your international health insurance

At William Russell, we have over 30 years’ experience providing international health insurance to expats like you.

We are proud of our exceptional customer service, which has earned us the Feefo Platinum Trusted Service Award. We believe in offering a personal touch with every policy, providing all members with their own dedicated account manager and access to our 24-hour claims line. Read why so many of our members recommend us here.

If you’re thinking about changing health insurance provider, take the stress out of it by choosing William Russell. Find out more about our international health insurance policies and get a quote online in under two minutes today.

Looking at switching health insurance provider?

Get a Quote

The post Can You Switch Health Insurance Provider With A Pre-Existing Medical Condition? appeared first on William Russell.

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6 Common Myths About Health Insurance – Debunked https://www.william-russell.com/blog/health-insurance-myths/ Wed, 02 Oct 2024 13:49:47 +0000 https://wrmainstaging.wpengine.com/?p=40567 We bust some of the most common myths you may have heard about health insurance.

The post 6 Common Myths About Health Insurance – Debunked appeared first on William Russell.

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Whether you’re purchasing international health insurance for the first time, or you’ve been with your health insurer for a number of years, it’s likely you may come across certain myths, rumours and stories of bad experiences that could put you off the idea of health insurance altogether.

We know this, because we often get asked about these things by William Russell members. Sometimes it’s because a friend or colleague has told them that their health insurer will try everything possible not to pay out on their claim, or that if they do claim their premiums will skyrocket next year.

We’d like to debunk some of the most common rumours and myths that seem to circulate about insurance. This is to reassure you that the right health insurance policy will always be a benefit to your quality of life and well-being, especially if you are living abroad as an expat.

Female doctor with her senior male patient talking about his medical report after an examination at a hospital reception desk

Myth: Health insurance only benefits me if I make a claim

Truth: Health insurance is just like any other form of insurance – there for when you need it

We do not overlook the fact that, for many people, health insurance can be a significant expense. In 2023, the average yearly premium for an individual insured with us was US$4,871.

And while there are many ways to lower the cost of your health insurance premium, you may question whether you are seeing any value at all from these expenses. For instance, if you go a year without making a claim, you may wonder what you’ve actually spent your money on.

You may even think that you are supposed to claim on your health insurance, in order to derive value from your policy. So, whether it’s a slight cough, a stubbed toe or a small scald from the kettle, you might be inclined to visit the nearest emergency room, simply to ensure you’re making use of your expensive health insurance policy.

But health insurance is a form of insurance, and insurance is there to do one thing: mitigate risk.

Health insurance covers you against the kind of expenses you could not otherwise afford, such as life-saving and emergency treatments for major illnesses and injuries. Health insurance ensures you’ll have access to the high-quality treatments you need, when you need them.

So, yes, you can buy a health insurance policy that covers you for doctor visits and routine check-ups. However, you’ll end up paying more for that cover in the form of higher premiums.

It’s not like a gym membership

Some people think of health insurance like a gym membership. If you buy an expensive contract at your gym, the best way to ensure you’re deriving the most value from it is to go to the gym as often as possible.

But health insurance is not a membership – it’s insurance – and so the opposite is true. If everyone claims as much as possible on their health insurance for medical expenses, premiums will become more and more unaffordable.

Health insurance is there to protect you when you can’t afford expensive medical bills. You may only need to use your policy a few times during your whole life, but you will be glad to have it when the time comes.

Having health insurance is important not because it gives you access to lots of small expenses, but because it can help to pay for astronomical expenses—such as treatment for major illnesses and injuries. This is when you’ll derive value from your health insurance. 

The cost of healthcare is increasing around the world
Learn more about rising healthcare costs

Myth: If I claim, my premiums will skyrocket

Truth: William Russell won’t increase your premium because you make a claim—but prices rise for everyone if we receive more claims than expected

We can’t speak for all insurers – because we know some insurers do increase their members’ premiums after they’ve made a claim – but at William Russell, we never hike an individual’s premiums after they make a claim. Let us explain why…

It might be useful to imagine William Russell as a pot of money. Each year, our members fill that pot with their premiums. 

When a member makes a claim, we’ll dip into the pot of money to pay their expenses.

If a lot of members need to make a lot of claims, the pot of money may deplete faster than expected. In this case, we may increase the cost of premiums across the board, so that we can refill the pot. In other words, if the pot empties faster than it fills, we’ll ask everyone to chip in a little more.

In simple terms…

  • Every member contributes to a money pot through their premiums
  • When a member makes a claim, we pay from the money pot
  • If the pot gets low, everyone’s premiums may go up slightly
  • But if the pot gets too full, there is less pressure on us to increase premiums

Please note: these are not the only reasons your premiums may change.

What causes health insurance premiums to increase?

What we will never do is penalise one individual for making a claim. That’s what the money pot is there for, after all! We feel this is the fairest way to provide insurance. You buy a policy from us in good faith – if we were to penalise you for using your policy in the way it was intended, then we’d be nothing more than sharks.

Furthermore, if we penalised a member with higher premiums, we would eventually make their policy unaffordable—leaving them without insurance cover.

That’s a lose-lose situation for everyone: they have to give up their health insurance, and the pot loses out on their contributions. So, we make sure to avoid that scenario.

There are other reasons your premiums may increase over time, but with William Russell making a claim will never be one of them.

The fee you pay for your health insurance policy is called a premium
We explain how we calculate your health insurance premium

Myth: I can get away with lying on my application form

Truth: Not really, and even if you could it would be a terrible idea

When taking out health insurance for the first time, you’ll be given a medical questionnaire to fill out.

This is the first step in a process called underwriting. We use this process to figure out your level of risk – in other words, how likely you are to make a claim.

Some people believe that they can get away with lying at this stage. For instance, if someone knows they have a long-term back condition, they might choose to downplay their condition or not to declare it at all, knowing that if they do they will either:

  1. Have to pay a higher premium
  2. Be denied health insurance altogether
  3. Have their back condition excluded

This is known as non-disclosure, which is a form of insurance fraud. This could lead to several consequences, including claims not being paid, or the whole policy being cancelled.

Insurance fraud affects us all

According to the United States Coalition Against Insurance Fraud, insurance fraud costs every consumer around US$900 per year in excess premiums, adding up to over US$100 billion in the health insurance sector alone.

Stamping out insurance fraud is everyone’s responsibility if we want to ensure the best quality insurance at the fairest price.

As an insurance provider ourselves, we go to great lengths to prevent fraud. This is not just to protect our own financial interests, but the interests of all our members.

When going through the underwriting process, we make a calculation of each member’s risk. We depend on their honesty to give us a fair picture of their health, in order to calculate this risk accurately.

If someone lies about or tries to cover up a known condition, we may end up under-charging them. When they make a claim, they will be effectively taking money from the pot that every other member has paid into fairly.

When someone is dishonest, it’s usually very easy to spot. For example, if a member makes a claim for treatment related to type-1 diabetes a few months after their policy starts, it’s quite likely that the member has been a long-term sufferer of diabetes.

At William Russell, we have software that flags unusual activity and strange patterns in claims. Fortunately, we find that instances of bad faith claims are very rare, but we do have policies for dealing with them when they arise.

Rest assured we take a firm approach to fraud for the benefit of all our members. We don’t want anyone paying the price for someone else’s deception, and we’re proud to say we have paid out on 100% of all legitimate claims.

Are you applying with a pre-existing medical condition?

If you have a known medical condition – either an ongoing condition or one you’ve experienced in the past – you may find it difficult to take out health insurance.

If you do have a pre-existing condition, please don’t try to hide it. Instead, talk to us about it and see if there are options available to you.

Learn more about pre-existing medical conditions

Are you thinking about switching health insurance providers?
What should you do if you have a pre-existing medical condition?

Myth: I can just set some money aside every month to pay for my own medical treatment if I need it

Truth: While you may be able to afford minor costs like doctor appointments, the cost of treatments for major illnesses and injuries is way outside most peoples’ budgets

So, you’re moving to another country and you’re thinking about whether or not to take out health insurance.

While some people choose not to take out insurance and rely on their own income or savings, this passes all the risk onto their own finances.

If you choose to go this route yourself, you’ll need to be comfortable with the fact you may end up paying huge expenses out of your own pocket – especially if you will be living in a place where the cost of healthcare is very high. 

To put the potential costs in perspective, we have previously paid out a single claim that totalled over US$390,000.

There are, of course, other options. You could subscribe to your new home country’s state healthcare system. For this, you will need to make sure you are eligible, which may be difficult as a new expat – some countries even require expats to have private medical cover

You’ll also need to think about the quality of state healthcare where you’re moving. Will you have access to top-quality medical equipment, highly-trained staff and clean, comfortable hospitals? Does the country have long waiting lists for treatments or overcrowding in hospitals? Will you be able to speak with medical professionals who are fluent in English?

If you would prefer private medical care, but don’t want to take out health insurance, you may consider keeping some of your own money aside in case you do need to go to hospital.

Another thing to think about is what to do if you fall sick or become seriously injured while out and about. With William Russell’s private health insurance, you’re covered for medical evacuation to a top-quality medical facility if you’re facing a life or limb-threatening emergency and local treatment isn’t available. But if you are covering your own expenses, you may have to call upon a very expensive rescue and ambulance transfer out of your own pocket.

Health insurance is designed to protect you from these potentially extreme costs, should the worst happen. If you are thinking of covering your own expenses, you may want to calculate the cost of any potential worst case scenario before you commit to foregoing health insurance.

Can I survive with just travel insurance?

Travel insurance does protect your health in a foreign country, but is typically intended for short trips (up to 30 or sometimes 90 days).

You may find the cost of travel insurance to be more expensive in the long-term, because it is not just intended to insure your health, but the cost of your luggage, delays and cancellations too.

What’s the difference between international health and travel insurance?

Myth: With a health insurance policy, I shouldn’t have to pay a penny for healthcare

Truth: Your insurance can cover anything and everything, but it’s best to only use it for the ‘big’ stuff

We’ve talked about how health insurance can help cover the cost of expensive treatments like cancer. But what if you want to cover the cost of the less expensive things too, like routine health check-ups, visits to the doctor and physiotherapy sessions?

The short answer is that you can choose a level of cover that includes smaller expenses. Some refer to this as a ‘never out of pocket’ approach to insurance.

If you choose to use your insurance like this, it’s important to remember that what you gain on the swings you lose on the roundabouts; for a higher level of cover, you’ll also pay a higher annual premium. In the end, the added cost to your premium may outweigh the value you gain.

State healthcare and private health insurance

Some health insurance providers offer policies that complement the state healthcare system.

In the UK, for example, certain policyholders can benefit from NHS treatments as usual, while private health cover kicks in should they need to be referred to a specialist.

This is a common strategy that allows people to get the most out of their health insurance for the best possible price.

On the other hand, if you take out private health insurance while still being prepared to pay minor expenses out of your own pocket, you can actually reduce the cost of your policy by setting a higher excess. This is the amount you will pay out of pocket when making any claim, and you can only claim for treatments that cost more than your excess.

By setting a higher excess and receiving a lower premium, you may end up making a net saving overall—even if you pay for a few low-cost treatments out of your pocket over the course of the year.

Therefore, choosing a health insurance policy that only covers major expenses may end up being the more economic option for you.

Your policy, your choice

You are always free to choose the level of cover you desire.

At William Russell, we offer four levels of cover as standard, with added extras such as maternity cover, dental cover, mental health care and cancer care.

Before committing to a policy, make sure you have read our full guide to levels of coverage and that you know the policy that’s right for you.

If you have any questions, please don’t hesitate to get in touch with our friendly, award-winning team—we’d be happy to help.

Get a Quote

All health insurance policies come with exclusions
Learn more about what our policies don’t cover

Myth: My insurer is just going to reject my claims anyway

Truth: At William Russell, we will never deny a legitimate claim

Unfortunately, many people have a poor opinion of insurance companies. The 1997 film The Rainmaker, starring Matt Damon, has a lot to answer for there.

And while it is true that some insurance companies have a bad reputation for denying claims, the good news is that this rarely happens when the customer takes out an insurance policy with a reputable company in a country with robust contract laws and consumer protections.

Insurance is, after all, a contract – and is subject to all contract laws in the territory where it is purchased.

For this reason, it’s important to only take out an insurance policy for a reputable provider based in a territory you know and trust. Before taking out a policy, you should know where your insurer is based, and what the laws surrounding insurance contracts are in that country. 

In the best case scenario, you’ll want to find an insurance provider based in a country with a strong rule of law and a robust system of financial services regulation.

Ideally, there should be a governing body, such as an ombudsman, who you can refer to in the case of a dispute. You may also want to choose an insurer based in a country where you are familiar with the local legal language, e.g. English.

Why might my claims still be denied?

Even if you know and trust your insurance provider, you may still find your claims denied.

This sometimes occurs in situations where you have misread the terms of your policy. The main reason is when you make a claim for something that your policy doesn’t cover. It may also occur if you weren’t entirely truthful and realistic in your application, and new information comes to light while you are making a claim.

To mitigate the chance of this happening, you should make sure you read all the wording of your policy carefully before agreeing to it, and that you are honest and transparent in your application.

If you need help or advice, you may benefit from speaking to an insurance broker.

You may also find the answers to your questions in our blog.

Discover more in our blog

It is also up to you to follow your insurer’s proper procedure when making a claim.

Make sure you keep a copy of your insurance certificate and membership card on hand. If your policy states you must receive treatment at a certain hospital or clinic, don’t try to claim for treatment you receive at a different hospital.

Be aware of exclusions in your policy and understand that these will not be covered. Make sure you keep all receipts and paperwork, and that you file every claim accurately and on time.

Remember:

Most legitimate insurance providers will be happy to help you, rather than trying to work against you.

They will always offer to help you to file a correct and accurate claim as this is for your benefit as well as theirs. At William Russell, we’re proud to offer fair and transparent services to all our members. We have paid out 100% of all legitimate claims, and we will continue to do so.

We’re incredibly proud of our reputation for great customer service
What does customer service mean to us and why does it matter?

Choose William Russell for your international health insurance

At William Russell, we have over 30 years’ experience providing international health insurance to expats like you.

We are proud of our exceptional customer service, which has earned us the Feefo Platinum Trusted Service Award. We believe in offering a personal touch with every policy, providing all members with their own dedicated account manager and access to our 24-hour claims line. Read why so many of our members recommend us here.

Take the stress out of health insurance by choosing William Russell. Find out more about our international health insurance policies and get a quote online in under two minutes today.

Looking for international health insurance?

Get a Quote

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Where Will You Need International Health Insurance For Overseas Study? https://www.william-russell.com/blog/health-insurance-international-students/ Fri, 14 Jun 2024 10:00:29 +0000 https://wrmainstaging.wpengine.com/?p=39953 If you're planning to study abroad, you might be wondering if you need international health insurance.

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If you are thinking of moving abroad to study – whether for a semester, an academic year, or a multi-year course – you may be asking whether you will need international student health insurance.

International health insurance is a specially-designed policy intended for people who intend to live in another country, including international and foreign exchange students. International health insurance offers worldwide coverage, giving you access to the highest-quality medical facilities if and when you need them. That means you can relax and enjoy your time studying in another country without worrying about the cost of healthcare.

International health insurance can also help you to secure a student visa in countries that require foreign students to have private health insurance. In this article, you’ll discover which countries require students to have health insurance if they intend to live and study, and how to choose the right international student health insurance.

Group of multiracial international exchange university student friends sitting on the grass in the college campus

Which countries require health insurance for international students?

While only a few countries specify that international students must have health insurance, universities tend to recommended that all international students look into private health insurance.

According to TU Delft, international students are significantly more likely to phone for emergency services than their non-international counterparts, highlighting how anxiety-inducing it can be to experience a medical episode in a foreign country, and the extra reassurance you might need to feel comfortable and secure.

Countries that require students to have health insurance

  1. Australia
  2. Canada
  3. China
  4. Germany
  5. South Korea
  6. United Kingdom
  7. United States of America

International health insurance guarantees that, if you need medical attention while living abroad, you will always be referred to the highest-quality medical treatment centre, without being left out-of-pocket for the expenses. Many policies also include the option of mental health and maternity care support, for extra reassurance.

International health insurance is a great option to have no matter where you study, but if you’re moving to one of these countries, it could be absolutely essential.

Looking for international health insurance for studying abroad?
Here’s what William Russell’s international health insurance covers

Australia

Students studying in Australia will need to have Overseas Student Health Cover (OSHC) for the duration of their stay. OSHC is a government-mandated policy.

Australia ranks as our fourth-best country for international students in 2024. The cities of Sydney and Melbourne boast six and five world-leading universities respectively.

You will need OSHC in order to apply for a visa, then maintain it continuously for the entire length of your stay in Australia. OSHC is mandatory for international students of all nationalities, except citizens of Belgium, Sweden and Norway, who are covered under reciprocal health insurance schemes.

When moving to Australia to study, you will have two options. You can either choose the OSHC policy recommended by your university, or you can choose a private OSHC provider. The advantage of choosing a private provider is that you could benefit from country-wide cover, while sticking with your university’s recommended provider may only give you cover in one state.

OSHC typically costs around AUD$478/US$300 for 12 months of cover for a single person, or AUD$2,600/US$1,640 for 12 months of couples cover and AUD$4,200/US$2,650 for 12 months of family cover

Taking out international health insurance for the first time?
Our step by step guide explains how it works

Canada

As an international student coming to Canada, you may need to take out private medical insurance for the duration of your stay, depending on which province you’ll be moving to.

Canada ranks as our fifth-best country for international students in 2024.

While Canada is widely praised for its healthcare system (it’s one of the top 10 healthiest countries in the world), the North American country is not in the business of just giving it away.

Before you move to Canada, you should check with the government of your province to determine whether you will need health insurance, and how much coverage you’ll need. Some provinces offer public health insurance for international students who intend to be in the country for longer than 6–12 months, while others will require you to have private health insurance at all times.

See the table below to understand whether you will be eligible for public health insurance as an international student in Canada:

Province

Public health insurance available?

Terms

Alberta
Alberta Health Care Insurance Plan (AHCIP) available to students staying longer than 6 months. Only covers basic expenses
British Columbia
Medical Services Plan (MSP) available to students staying longer than 6 months. Must apply as soon as you arrive in Canada; applications take 3 months to purchase
Manitoba
Private health insurance essential
New Brunswick
Medicare available to students staying longer than one year
Newfoundland and Labrador
Medical Care Plan (MCP) available to students staying longer than one year
Northwest Territories
Northwest Territories Healthcare (NWTHC) available to students staying longer than one year
Nova Scotia
Private health insurance essential
Ontario
Private health insurance essential
Prince Edward Island
PEI Health Card available to students staying longer than 6 months, however students can only apply for the card after they have lived in the province for 3 months, during which time private health insurance will be required
Québec
Some students may be eligible for state healthcare under a reciprocity agreement. All others will be automatically enrolled onto their university’s own healthcare scheme, unless they choose private health insurance
Saskatchewan
Saskatchewan Health Card available to students staying longer than 6 months
Yukon
Health insurance will be provided by Yukon College, unless you choose private health insurance

Your college or university may be able to help you by offering their own health insurance schemes for international students. But if you want to guarantee the best policy at a great price, with coverage that extends across the whole country and worldwide, it’s a good idea to shop around for your own international health insurance policy.

China

International students in China must have both private medical insurance and accidental death and injury insurance for the entire duration of their stay.

Beijing is on our list of the most popular cities for international students in 2024, while Wuhan, Nanjing and Guangzhou are among the cheapest student cities.

You will need to take out your health and accident policies soon after you arrive in China, but you won’t need proof of insurance in order to acquire an entry visa.

If you intend to study in China for longer than a year, you will need an X1 visa, for which you will need to undergo a medical assessment.

International health insurance is important to have in China, as the quality of healthcare can be hit-or-miss depending on where you study. Especially in rural areas, hospitals may seem under-equipped and short-staffed (China has the fifth lowest number of nurses per person in the world). Some hospitals in major cities have ‘VIP’ sections for foreign nationals, where you may find doctors who can speak English, but you may still find waiting lists to be very long for these services.

Therefore, it’s recommended you take out a comprehensive international health insurance policy that will allow access to high-quality private medical facilities. William Russell’s international health insurance policy includes personal accident cover as an additional extra, and can help to ensure you’ll have access to our network of medical facilities while you study in China.

Learn more about moving to China in our essential handy guide
Here’s everything you need to know about living in China as an expat

Germany

As an international student, you won’t be eligible to use public healthcare services until you achieve settled status in Germany and start paying national insurance.

Germany is the third-best country in the world to study in 2024, recommended especially for the quality of its universities and student culture in major cities Berlin and Munich.

Germany has an excellent public healthcare system, and is particularly renowned for the quality of its mental health services. However, these services are only available to permanent residents.

Therefore, in the meantime, you will need to take out private medical insurance. In fact, you will need to demonstrate that you have health insurance before enrolling at your German university and applying for your student visa.

There are some exceptions. Naturally, citizens of the EU will be able to move to Germany visa-free and won’t need a private health insurance policy. You will also be able to transfer your existing state policy to Germany if you are moving from one of these countries;

  • Bosnia & Herzegovina
  • Iceland
  • Liechtenstein
  • Morocco
  • Macedonia
  • Montenegro
  • Norway
  • Switzerland
  • Serbia
  • Tunisia
  • Turkey

Germany offers international students a reduced rate for access to the state national insurance scheme, at a cost of €110/US$115 per month. Once you complete your third year of university, or turn 30 years old, you will need to pay the full rate of €190/US$200 per month.

Prioritising mental health has never been more important
Germany is on our lists of the best countries for mental health

South Korea

Health insurance is a must-have if you are over 20 years old and intend to study in South Korea for longer than one year.

As well as being the eighth-best country for international students in 2024, South Korea’s capital Seoul has the third-highest number of internationally-renowned universities.

While applying for your D-2 or D-4 visa, you will need to register with the country’s official health insurance scheme and start paying for this service monthly, to the tune of US$30 per month.

You are also free to choose your own health insurance policy, if you wish to receive a higher quality of care. South Korea is among the best countries in the world for the quality of its healthcare, but waiting lists can be exceptionally long and there is no guarantee you will have access to English-speaking medical professionals, even in major cities. If you choose a private health insurance policy, you may still be obligated to pay into the state-funded health insurance system.

Seoul in South Korea is one of the best cities in the world for healthcare
Find out the best and worst cities for healthcare

United Kingdom

International students in the UK will need to pay an Immigration Health Surcharge (IHS) in order to access the healthcare system.

The UK is the second-best country in the world for international students. London has the highest number of world-renowned universities in its midst, and is particularly known for its excellent business and medicine courses.

While the UK is known around the world for its excellent state-funded healthcare system, the NHS, international students will need to pay the Immigration Health Surcharge of £470/US$570 a year in order to access this service.

Furthermore, if you only intend to study in the UK for less than six months, you will not be eligible to apply for a student visa and will therefore need to take out short-term private health insurance.

Either way, international students may find they benefit from a comprehensive private health insurance policy. Waiting lists in the UK can be notoriously long, and the quality of health services can vary dramatically by region.

Private healthcare in the UK comes with a cost
Learn more about healthcare options and average costs

United States of America

International students studying in the USA require private medical insurance.

The USA dominates the leaderboards for the best universities in 2024. We’ve named it the number one country for international students.

While it should come as no surprise to anyone who is familiar with the American healthcare sector, it bears mentioning that international students will absolutely require private medical insurance if they intend to study in the USA.

In fact, during the process of applying to your college or university in the United States, you may find that the institution automatically enrol you onto one of their own health insurance programmes. According to Forbes, these policies can cost as much as US$5,000 per year. However, you are not obligated to accept these plans, and you can often find a better deal by searching elsewhere.

When it comes to finding health insurance in the USA, you will need to find a specialist health insurance provider. Because the cost of healthcare is so expensive in America, many international health insurance providers (including us at William Russell) do not include the USA in their areas of cover. Some international health insurance providers offer USA-only plans, or you could try looking for local health insurers in the state you’ll be moving to.

The cost of prescription medication is rapidly increasing
Discover which US states are spending the most on healthcare
Young students at the college campus walking to class holding their books open discussing something

Which countries require all foreign nationals to take out private health insurance?

It is always advisable to have international health insurance if you are living or working overseas to provide you with emergency health and medical coverage in the event of an accident, injury or sickness beyond your control.

Some countries require all visits, whether tourists or expats, to be covered by a private medical insurance policy when they arrive.

Find out which countries require international health insurance for entry here.

Brazil

While health insurance is not mandatory in Brazil, and international students will be eligible to apply for state-funded healthcare, it’s highly recommended you take out private medical insurance if you intend to study in Brazil. The Brazilian healthcare system is notoriously under-funded, leading to poor quality medical care and long waiting lists. With up to 75% of the country’s hospitals being private, the best way to ensure access to high-quality healthcare in Brazil is through a private health insurance policy.

São Paulo is a fantastic place for international students, ranking among the cheapest cities in the world to study at a leading university.

France

As an international student, you will be eligible to apply for French social security after living in the country for four months, after which you will be able to partake in France’s excellent state-funded health system. However, during this initial period, you will need to show that you have private health insurance. This is an essential stage in the application process for a French student visa. EU citizens will not need to apply for health insurance if they hold a valid European Health Insurance Card (EHIC).

In 2024, France ranks as the sixth-best country for international students, with the capital city Paris having the second-highest number of internationally-renowned universities.

Learn more about international student health insurance
Read our full guide on health insurance for students

Health insurance tailor-made for international students

If you’re thinking about moving abroad to study, go with total peace of mind. William Russell’s international health insurance is designed with international students like you in mind.

With William Russell, you’ll have access to an extensive network of over 40,000 medical facilities worldwide, offering you the highest-quality, flexible healthcare, wherever you need it. Our policies includes optional mental health cover, plus up to US$500,000 of benefits if you are injured in an accident.

Unfortunately, we are not able to offer discounted rates to students. However, with William Russell you can be sure you’ll always receive the best quote relative to your age, general health and living situation.

Get an online quote today and start your studies overseas with total peace of mind.

Looking for international health insurance while studying abroad?

Get a Quote

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How To Get International Health Insurance In Brazil https://www.william-russell.com/blog/health-insurance-brazil/ https://www.william-russell.com/blog/health-insurance-brazil/#respond Mon, 06 Nov 2023 08:56:38 +0000 https://wrmainstaging.wpengine.com/?p=34746 Learn how to get health insurance in Brazil in this full guide.

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How To Get Health Insurance In Myanmar As An Expat https://www.william-russell.com/blog/health-insurance-myanmar/ https://www.william-russell.com/blog/health-insurance-myanmar/#respond Fri, 13 Oct 2023 14:56:22 +0000 https://wrmainstaging.wpengine.com/?p=34125 Discover how to get health Insurance in Myanmar as an expat.

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