Author Topic: Health Insurance vs travel insurance? USA based.  (Read 889 times)

REAL WORLD EXPAT

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Health Insurance vs travel insurance? USA based.
« on: July 27, 2020, 07:27:04 AM »
HI!

Looking for a bit of opinion here for a couple considering travelling for a year after quitting our jobs. We could both get COBRA for 18 months ~$4,000 per year for the premium alone or we could get travel health insurance. Now I know the travel insurance will be for medical emergencies only as opposed to the COBRA. Now assuming we travel outside of the US I assume COBRA would be a waste as it would not cover outside the US (and if it did I am sure it would only be emergencies?). What about our US portion of our trip would it work in different states, we have United and Blue Cross HD/HSA plans.

If keeping COBRA makes sense it may alter our itinerary (we'd do USA first) possibly.

Both in good health (50/45).

Thanks for any wisdom you can share.

RWE

MrThatsDifferent

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Re: Health Insurance vs travel insurance? USA based.
« Reply #1 on: July 27, 2020, 01:50:53 PM »
Traveling for a year during a global pandemic? Personally, I’d postpone this idea for 12-18 months. The world needs to get its shit together. When you do travel, you’ll need US healthcare in the US and an international policy outside the US. Google will give you those options or check out expat blogs for ideas.

Sibley

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Re: Health Insurance vs travel insurance? USA based.
« Reply #2 on: July 27, 2020, 01:53:55 PM »
Considering last I checked plenty of countries were either closing their boarders to the US, requiring 2 week quarantines upon entry, etc - stay home. Great plan, bad timing. Try again next year.

ROF Expat

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Re: Health Insurance vs travel insurance? USA based.
« Reply #3 on: July 27, 2020, 02:11:37 PM »
Before you make any decisions, you need to read the details of your current plans that you might COBRA.  I know expats who use Blue Cross overseas so I assume some Blue Cross plans must have good overseas benefits. 

It is a real bonus to have an insurance company that handles a lot of overseas cases.  I am told that even companies that theoretically can cover you overseas often freak out when your hospital reports and prescriptions are written in a foreign language, when the drugs aren't exactly the same as a US doctor would prescribe, and when your bills are in a foreign currency.  My insurance company is very comfortable with these things, but I usually end up paying my bills out of pocket and then being reimbursed by my insurance company because they aren't set up to do direct payments with doctors and hospitals around the world. 

You should also look hard at where you'll be traveling and whether you will want to have medical evacuation coverage.  Even if you have pretty good general insurance coverage overseas, it might not include air evacuation from remote areas or across international borders to get you to a hospital with the services you need.  This might not be an issue where you plan to travel, but if you need it, there are some specialist companies that provide medevac coverage. 

As an American, even if I had a travel insurance policy for my year traveling, I would be reluctant to let my US policy lapse.  It would be a real nightmare to have a heart attack or cancer overseas and then have trouble getting insurance when you come home.   

REAL WORLD EXPAT

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Re: Health Insurance vs travel insurance? USA based.
« Reply #4 on: July 27, 2020, 02:41:37 PM »
Sorry forgot to add - travel plans are about 2 years away! 2022 - 2023 time frame!