If you’re an expat asking, “When is the best time to buy health insurance?”, you’re asking the right question. It’s also one of the most important ones you’ll ever ask.
Here’s the short answer: you should buy health insurance before you need it because once something happens, your options become limited or disappear entirely.
Why Expats Delay and Why It’s a Risk
Many expats put off buying international health insurance for a few common reasons:
- “I’m young and healthy, I’ll buy it later.”
- “I’m already living in a country with affordable healthcare.”
- “I’ll wait until I need it.”
But here’s the reality: international health insurance is medically underwritten. That means insurers evaluate your current and past health before deciding whether to cover you and on what terms.
If you already have a condition (even something manageable like asthma or anxiety), insurers may:
- Decline your application
- Exclude the condition from coverage
- Charge a higher premium
- Offer restricted benefits
And if you’re applying after something serious happens? Most major insurers will simply say no.
Health Insurance Doesn’t Work Like Travel Insurance
Unlike travel insurance, which offers simple short-term protection for emergencies, international health insurance is designed to provide long-term, comprehensive medical care from doctor visits to surgery, mental health support to cancer treatment.
And just like life insurance, you have to get it before you need it.
The Best Time to Buy: When You’re Healthy
Applying when you’re healthy allows you to:
- Get full coverage with no exclusions
- Lock in lower premiums for future years
- Access top-tier hospitals and specialists worldwide
- Avoid surprises when you need care most
Once you’re diagnosed with a condition, even a minor one, your insurability can change overnight.
Real-World Example: Why Timing Matters
A healthy 38-year-old expat in Thailand delayed buying health insurance. A year later, they were diagnosed with a chronic liver condition. They applied for private coverage afterward, only to be declined by every major insurer due to the diagnosis.
Now they face paying out of pocket for every doctor’s visit, lab test, and medication, often at private hospital prices.
This isn’t rare. We see it all the time.
What If I Already Have a Condition?
Some insurers will consider applicants with pre-existing conditions, but coverage is limited:
- The condition may be permanently excluded from your plan
- You may pay a higher premium
- Only certain plan levels may be available
At Expat Health Group, we help clients navigate these situations, but the earlier you apply, the better your outcome.
Why This Matters More for Expats
As an expat, you’re often living in countries with vastly different healthcare systems. Even if you’re currently somewhere with “affordable” care, things can change fast:
- You may move countries for work or family
- Local access may not meet international standards
- Language and billing can become barriers
- Pre-existing conditions can make switching or upgrading impossible
A true expat health plan gives you flexibility, global access, and long-term protection. It travels with you, protects your renewal rights, and keeps you covered when you need it most.
Final Thought: Don’t Wait for a Wake-Up Call
If you’re healthy and considering a plan, now is the time. Waiting until you’re sick or facing a diagnosis could mean losing access to private international insurance altogether.
At Expat Health Group, we’ve helped thousands of expats worldwide secure the right coverage, whether you’re moving abroad for the first time or re-evaluating your options.