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expat healthcare if critical

Healthcare costs in China for expatriates are soaring

Healthcare Is Expensive for Expatriates in China – Health Coverage is Vital

Many people can’t resist the appeal that China has to offer – the beautiful and diverse scenery, the local culture and is one of the main economic hubs of the world. There are so many fantastic career opportunities for expatriates in China where the economy is still growing at a fantastic rate. As an expatriate, it is not easy to resist the temptation to relocate to China – whether it be Hong Kong, Shanghai, Beijing or other major cities within.

Public Care

While taking into account China’s increasing population rates, increasing life expectancy rates and a stimulated economy increasing demand, the cost of China’s health care system is dramatically increasing as the years move forward. With this current trend, there is no foreseeable decrease in these costs, and it is explicitly important for non-native residents to take extra precaution. As China’s non-communicable disease rates are on the rise, the difficulty in obtaining sustainable public health care will continue to decline. As the cost of public healthcare continues to rise, the government is no longer able to support the financial demand – and is therefore forced to lower the standards of care in the general public hospitals. In our experience, expatriates do not seek healthcare in China from the public system and almost always obain medical assistance in the private clinics and hospitals.

Private care

As the general association between the cost of buying and operating in China is generally thought of as being inexpensive, this may lead an expatriate to believe that the cost of obtaining health and medical services would follow the same trend. This may be true for locals in China, as it is possible to find relatively inexpensive care in public hospitals; however, most expatriates will atomically seek medical treatment in private hospitals. It is much better for an expatriate to seek out private care, as it will be more likely to be close to their own standards of care, as well as less limitation with the language barrier. Private hospitals, albeit more expensive than the public ones, will still cost approximately 80% of what one would pay for medical treatment in an American hospital and clinics. In some cases even more than the USA. The levels of care that an expatriate will find in a private hospital is substantially better than what he will find in the public sector; it is even common for the wealthier Chinese nationals to seek private care in the country. Since you are probably from a country outside of China, it is critical that you get a plan that will also cover you back in your home country and throughout the region.

With the idea of private care in mind, it is crucial for expatriates living in any Chinese city to obtain international health insurance coverage for your relocation. Even though China is a major economic hub for many people, the cost of living is still one of the most expensive places in the world and obtaining an international health plan will allow you to have peace of mind and financial protection.

Expat Financial, a division of TFG Global Insurance Solutions Ltd, can easily obtain coverage for most expatriates in China. Our staff has the necessary knowledge to provide you with complete insurance coverage that will protect you while being posted in China. You can get a quote for healthcare in China via our quote page or by clicking the quote button below. Most people can obtain a quote in minutes and many are approved in minutes or after a few days.

Contact Expat Financial today for a more in-depth examination of your global health insurance needs for China and what plans we can offer you. If you require a quote for Chinese expat insurance, contact Expat Financial today. Please send along any relevant risk information that may be available or obtain a quote via the link above for the best plan that we can offer expatriates living in China.

A financial checklist is important for expats moving abroad

Make a Financial Checklist if You Are Moving Abroad!

Financial planning is often considered confusing, frustrating and time-consuming, especially for expatriates who are busy enough living and working abroad. However, don’t let it frighten you off. Financial planning aims to help take control of your life and budget, and achieve your financial goals. This is very important for expats living and working overseas. In order to have a clear picture of what you want, it is recommended that you create a simple financial checklist before moving abroad.

Do you want to own a home or rent an apartment?

Expatriates working overseas will have the chance to own a larger amount of disposable income. A clear financial goal is important if you want to make the most of your money. For expatriates aiming to purchase home overseas, it is suggested to look for neighbourhoods with appropriate community services and excellent schools. This will be attractive for future resale value. If you decided to rent an apartment, make sure to check the entire room before signing the lease contract. Rental agreements will vary, you are responsible to read carefully before signing.

Do you have emergency savings?

Any unexpected events or risks could hurt your financial health. Financial professionals suggest holding at least 3-6 months of income as emergency savings. This is especially important for expatriates living overseas in the event of any financial emergencies. It is recommended to establish a monthly budget to cover day-to-day expenses, protecting cash account being invested or overspending.

Do you have a retirement plan?

If you have a retirement plan at hand, you will be clear when making major decisions such as what lifestyle you can afford, how much to save and where you will retire. The earlier you get the retirement plan ready, the more comfortable retirement. A lot of factors will help to design your retirement plan: investment returns, cash flow, country-specific benefits, etc. You should talk to an expat investment expert who may be able to guide you in the right investment plans and investments. Generally, the closer you are to retirement the less risk you may want to take. Expats may want to think about if your investment accounts are consolidated and organized?

There are also many retirement hot spots for expat retirees such as Costa Rica, Mexico, Thailand, etc. There are many reasons why expats choose to retire overseas: lower cost of living compared to western countries, beautiful beaches, cuisine, climate, etc. Check out our Expat Retiree page to read more about international health coverage needs for your current or upcoming retirement plan.

Have you undertaken adequate tax planning and preparations before moving abroad?

Tax issues can be complicated, especially for international citizens. Moving abroad can involve significant tax implications – some positive and some negative. For example, some Canadians become non-residents for tax purposes when they move abroad along with significant tax savings depending on the country they will be residing in. For American expats, it can be quite complex as well. It is recommended to visit your local tax office and consult expat tax experts before moving overseas. We often recommend that expatriates talk to an expat tax expert such as Citizen Abroad Tax Advisors. We also list several other firms on our links page.

Have you made financial arrangements in your new home country?

If possible, it is wise to arrange for a new bank account in your new country of residence and bring adequate ID and financial letters from your home bank. You may also need to transfer money into a new currency – we recommend our foreign exchange associates at OFX and use them ourselves. You should also check into money restrictions and regulations in your existing and new country of residence.

Do you have international health insurance to protect you and your family while living abroad?

Yes, as you can guess global healthcare is near and dear to our heats! We work with many expats who reside where the local healthcare system is usually not the best choice. That local health coverage may not even be available, especially if you are residing in the developing world. You may not even be eligible for local healthcare or it simply may be substandard. The cost of using private medical care is usually very high in many parts of the world, especially in parts of Asia and of course the USA.  It is common that you may be living in a country where medical care is inadequate, and you may need to see medical care regionally or globally. The expense of emergency medical evacuation is also quite expensive. For example, we know of a friend of ours who was charged 75,000 USD for a short evacuation flight from one island to another. A large medical bill can destroy your financial goals and hurt your financial future. If your employer is providing health coverage, make sure it is adequate coverage for both you and your family. Note that some companies do not extend coverage to dependent spouses and children.

With an appropriate international medical plan in place, many individual expats and their families are covered around the globe (except in the USA unless you add it as an optional benefit). International health insurance plan provides day-patient care and full hospital coverage, preventive medical care, extensive cancer coverage, maternity and baby care (conditions may apply), dental & vision care and international medical evacuation and repatriation. This is especially important for expats going to visit the more rural areas in some less developed countries.

How to obtain international health insurance 

Expat Financial can source global medical insurance plans for expatriate families that can provide excellent coverage and premiums. We have been offering international health insurance coverage on an individual basis for many years. For more information, please check out our International Health Insurance page.

Top 10 Questions to Ask Your International Health Insurance Provider

Important Questions to Ask Your Global Insurance Broker & Insurance Company

Choosing global health coverage can be very difficult and one of the many things you have to do if you are moving abroad or already living overseas. Obtaining excellent international health insurance is vital if you and your family are expatriates. A major illness or injury could put your health at risk if you can’t access adequate medical care, but also your finances.

Most experts will agree that it makes sense to work with an expat insurance specialist firm such as ours. To help you in your global journey, we have put together 10 questions that you should ask before purchasing international health insurance broker

Question #1: Does your company cover expats for life?

Many people are moving abroad for long time periods or when they are older, so obtaining a global health plan that will cover them for life is vital. This is especially important for those planning to retire abroad. We often get requests from senior expats who want to retire in the Caribbean or in Asia. There are many international health care plans out there which will not cover you past a certain age or restrict benefits once you reach 65. Therefore, it is important that you ask if the plan can keep you and your partner covered for life. Of course, premiums will increase with age, but no-one wants to get kicked off a plan when they need coverage the most.

Question #2: Are there doctors in my city and country that I can access?

The size and quality of an international health insurance company’s medical network for direct reimbursement is critical, so it makes sense to ask your potential insurer or broker for a list of medical providers in your new country or region. Most expats want to be able to show a card and not have to pay out of pocket for medical expenses at a hospital or if they are in the USA, most clinics, hospitals, doctors and pharmacies. Most quality insurers will be able to give you a list of doctors and hospitals that you can work with.

Question #3: Is there a free choice of hospitals and doctors in the plan?

When picking a global health plan for you and your family, it is important to get a plan that will allow you to choose whichever medical doctor or hospital that you wish to utilize. That hospital may not be in the provider network mentioned above, but you can at least get treated there, pay out of pocket and get reimbursed by the insurance company. Note that in some countries and cities, you may not be able to find a hospital in the insurers network and some facilities simply do not want to work with an international insurer.

Question #4: Can the insurer provide a guarantee of payment to the hospital if outside of the network?

For large medical expenses incurred at a hospital overseas that is not in the medical network, it makes sense to deal with an insurance company that has 24/7 claims support with the ability to give the hospital a guarantee of payment if required. This should allow you to receive medical treatment without having to pay out of pocket as the hospital can call the insurer and make sure that they will receive payment for approved medical procedures. You can also get a medical second opinion at the same time.

Question #5: Can the insurance company cover my pre-existing medical condition?

We often get this question for expats or those about to venture abroad. A previous illness or injury or ongoing pre-existing ailment has to be disclosed when you apply for international health insurance. All individual expat health plans are medically underwritten and the insurer will either decline, accept, ask for extra premium or exclude the condition. People often get angry when their condition is excluded but can ask us to advocate on their behalf and supply more information to the insurer, especially from the doctor. If the insurer still excludes the condition, we can give you a rough idea of how other insurers will view the condition. It usually makes sense to take the policy, especially if the condition will not cause to much financial harm if not covered.

Question #6: Should I add coverage for the USA and how much will it cost?

Most global health plans will give you worldwide medical treatment excluding the USA or the ability to add treatment there for an extra fee. If you are an American expat, it almost always makes sense to add this coverage option as you will probably want to return home for medical treatment where your regular doctors and family reside. Adding a US coverage option can increase your premium dramatically, but not necessarily too much for American expatriates with the Cigna plan that we offer online. If you are an expatriate living near the USA, it is often a good idea to include care in the USA as your local country may not be able to properly treat you there.

Question # 7: How much will I save if I pay annually versus monthly?

Most expat insurance partners that we work with will offer a 7 to 10% savings if you pay for your premiums on an annual basis verus monthly. For my son who recently move abroad to study, I took this option because the savings were simply too large to ignore. If you can afford it, we definitely recommend paying annually.

Question #8: When can I apply?

We often get requests from people who are thinking about moving abroad in 6 to 12 months, but most insurers will not allow you to apply for coverage until you are 30 to 45 days out from leaving your country of residence. If you are already living abroad, you can usually request an effective date the very next day – assuming you are approved. Apply today for our most popular global health plan from Cigna.

Question #9: Does the plan cover maternity expenses?

If you are planning to add to your expat family or have children for the first time, it is a good idea to check if your international health plan will cover maternity and newborn expenses. Some plans will exclude maternity fully while others will include it with a fee or as part of the insurers more deluxe coverage. All individual health plans have a 9 or 12 month waiting period before maternity expenses will be reimbursed. Some group expat health plans will cover maternity expenses without a waiting period. It is critical to have your maternity coverage if you will be having a child abroad as the costs can be quite enormous.

Question  #10: How much will the premium cost for international health insurance?

Perhaps the most obvious and important question to ask your global insurance broker and insurance provider is how much a global health policy will cost. The cost of any international health plan will depend on a variety of factors, such as your age, occupation, gender, occupation, citizenship, where you reside, deductible level, the options you choose and much more. There are so many different options to choose from, such as getting outpatient care, evacuation, maternity coverage, dental and if you want access to medical care in the USA. It makes sense to talk to our expat insurance expert advisors at Expat Financial and discuss your requirements. It is very easy to examine all the options and obtain a quote online from one of our many international health insurance providers, such as IMG, Cigna and GeoBlue. Note that premiums will increase as you age an also if you add your partner or dependent children to a policy. Please contact us today to discuss your global insurance requirements and answer your international health insurance questions today. The above article primarily relates to individual policies but is also relevant to the group expat medical plans that we offer multinational employers.

global medical

When should you apply for international health insurance?

Moving abroad is one of the most important and exciting decisions you will ever make. Living abroad, either permanently or temporarily, can be a challenging and rewarding experience. To stay healthy and fit while living and working abroad, there are many health risks that you will want to avoid. In fact, to better plan and prepare a safe journey before departure, one of the most important considerations would be applying for an appropriate international health insurance plan. In this article, we will discuss steps that should be taken to apply for international health insurance before or after you have moved abroad.

Start Looking Early

Generally speaking, most insurance companies require a health insurance application at least 30 to 45 days before departure. You should allow for a week or two for the health insurance underwriters to process your request, but also they need to check whether there are geographical exclusions that may apply depending on the level of cover or due to a pre-existing medical condition. It is suggested for future expatriates to start researching your destination’s health care situation and contact your employer to find out whether you are covered under your employee benefits package.

Yes You Can Apply After You Move Abroad

Note that you can apply if you have already moved abroad – some people will purchase emergency travel medical insurance and then transition to a global health plan. Sometime you may simply want to move to another insurance company. Or you may be striking out on your own and have to leave your employer’s group expat benefit plan.

What to Look For in Global Medical Coverage?

International health insurance provides essential coverage for inpatient, day patient care, accommodation costs, cancer care, mental health care, and many more. The Cigna Gold and Platinum plans can also provide inpatient maternity care after a waiting period. The earlier you apply, the earlier that waiting period will be removed – which is key if you plan to have children while living abroad. Some employee health insurance plans are focused on basic local coverage, and this is not applicable to expats who are internationally mobile. It is important for expatriates to obtain an appropriate international health insurance plan with flexible and comprehensive cover.

What if You Have a Pre-existing Medical Condition?

There are many chronic medical conditions or pre-existing conditions that expats and their families may suffer from. The top 5 most well-known chronic conditions are heart disease, arthritis, HIV, diabetes, and depression. If expats with pre-existing medical conditions are travelling in a location where the healthcare facilities are substandard, it is all the more important to have full coverage. An untreated medical problem can quickly become more serious. If you have a pre-existing medical condition, it is even more important that you apply as soon as possible. It will often take time to gather previous medical history and tests, and the underwriters may have to write to your doctor to obtain additional information. This can all take a lot of time, and you may not get a decision from the underwriter before you leave.

In many cases, pre-existing medical conditions should be placed on the group benefit plan before the effective date. Individual expatriate health insurance plans will either exclude previous medical conditions, decline the application or raise the premium. However, we work with global medical insurance companies who can provide full coverage for pre-existing medical conditions on the medical coverage for both the employees and dependents if the employer has more than 25 or 30 global employees – including both expats and local nationals. To learn more, please read our blog article “Expat Benefit Plans – Make sure pre-existing conditions are covered!

Talk to Expat Financial to Discuss Your Global Medical Insurance Needs

It makes sense to obtain a quote and apply as early as possible. It also is critical that you talk to an expatriate insurance expert that can discuss your requirements and provide quotes from a variety of global medical insurance providers based on your unique needs. We offer a range of excellent global medical plans that can meet almost any need and budget. For more information and to review the plans that we offer, contact our office or visit our international health insurance page. If your organization has a group of two or more expatriate employees, our firm can source international group insurance plans.

7 Tips for managing expat finances

For expats, those retiring offshore or even those going abroad for over a year, managing expat finances is critical. For most, moving abroad and working overseas can be one of the most exciting moments of your life. However, expats will want to plan ahead to preserve and grow expat finances and investments. It is very important for individuals and families to plan ahead and maximize their expat finances. In this article, we will discuss 7 great tips for managing and protecting expat finances and investment while living and working abroad.

1. Know Your Expat Tax Status 

A common misunderstanding about expat tax is when expats move abroad, they believe they are instantly exempt from their home nation’s tax system; however, this is usually not the case. For example, a British expat living abroad who is no longer a UK resident, he or she may still be responsible for the tax of the profits of a UK business or property situated in the UK, and UK pension income. With other countries such as Argentina, joint filling income tax is not available. For American expats, the complexity of expat tax can be quite daunting. Expat tax issues can be very complicated and it often makes sense to work with a professional firm. It is important to research and visit your local tax office before moving overseas to make sure that you know the rules. We often recommend that expatriates talk to an expat tax expert such as Trowbridge.

2. The Cost of Living for Expats

Before accepting a job offer overseas, you should definitely do some detailed research on the cost of living in your destination country. This may include any additional costs you may face. The cost of living for expatriates can vary significantly from one place to another and will often be more expensive than what the locals pay. For example, according to Numbeo, in Mexico, renting a 3 bedroom apartment in city centre costs over $500 USD; Whereas in Singapore, a 3 bedroom apartment rent per month could almost $4,000 USD. Knowing the cost of living in your destination country will give you peace of mind and let you plan ahead.

3. Currency Management is Critical for Expats

It is common for expats to exchange currencies from their hometown bank accounts into destination country’s currency. However, banks may charge high flat rates and currency exchange rates which expats will want to avoid. This is especially important for expat families with international payments across countries. Some international banks offer a fixed exchange rate for a specific period of time. Expats should explore different methods of managing currencies as this can save quite a bit of money and time. You can obtain more information on currencies and currency issues on our Foreign Exchange page.

4. Organize your Expat Investment Portfolio

You should organize and take stock of all your current investments before you become an expatriate. You should try to make sure you will be able to manage your various stock, bank and investment properties from abroad or if you will have to sell some of those investments before you go offshore, especially for tax reasons. Many expatriates often sell their homes before living abroad, but when they return they find that they should have retained and rented the home as housing values have increased dramatically – this is especially trued for many Canadian and Australian expatriates.

Your risk profile may change because you will be living abroad. Will you have the time and ability to manage your investment portfolio and will your new expat location impact your investment decisions. If you have a private or company pension plan, you should examine how living abroad will impact your retirement savings and taxes. It makes sense to talk to an investment expert before you live abroad.

5. Have You Cancelled Payments in your Hometown?

This is obvious, however, many expats may forget to cancel their orders in hometown and receive penalty charges. Remember to cancel any subscriptions such as phone, internet, magazines, etc. before you move abroad.

6. Do you have Adequate Life & Disability Insurance? 

One of the most overlooked parts of protecting you and your family’s financial future is making sure that you have adequate life and disability coverage. While your employer may provide some coverage, more often than not it will be inadequate to fully protect you and your family members from the financial hardships associated with a death or disability. Many expats employers only provide medical coverage and expats are expected to obtain their own life insurance or disability income cover. However, when you are living abroad, you may not qualify for local coverage and such life coverage may not be desirable or even available in your new home country. Also, expats need something both global and portable. Note that most expat life and disability plans are not portable back to your country of citizenship and if you have existing coverage, it’s probably a great idea to see if you can retain the policies as expat plans are usually more expensive.

To learn more about your expat life and disability requirements & the policies available, contact our firm for more information.

6. The Importance of Obtaining International Health Insurance

To many expats living and working abroad, the local healthcare system is usually not the best choice. The cost of using private medical care is usually very high in many parts of the world or you may be living in a country where medical care is inadequate and you may need to see medical care regionally or globally – sometime you may have to be evacuated. Either way, a large medical bill can wipe out your investments and put your financial future in peril.

With an appropriate international medical plan in place, many individual expats and their families are covered worldwide (except in the USA unless you add it as optional benefit). International health insurance plan provides day-patient care and full hospital coverage, extensive cancer coverage, maternity and baby care (conditions may apply), dental & vision care and international medical evacuation and repatriation. This is especially important for expats going to visit rural area in some less developed countries.

Expat Financial offers independent advice, solutions and ongoing service and support to clients around much of the world and we have extensive experience in sourcing medical cover for individual expats and expat employers worldwide. We can source plans from large and secure global insurance companies with excellent global service and support.

If you have questions about international medical insurance plans we offer to individual expats or your company requires a global expatriate group insurance plan, please contact us or complete the quote form. We look forward to hearing from you soon.

2017 Travel Destinations: Best of China for Expats & Visitors

Why international health insurance is critical for expats in Beijing

Beijing is the capital of China and is located in northern China. It is a city that is well known for its cultural heritage sites such as the Forbidden City, Temple of Heaven, Summer Palace, Ming Tombs and of course, the Great Wall. Besides being the economic center of China, this fascinating city is home to many multinationals from abroad and local Chinese companies headquarters. Many firms are willing to bring in new expats from abroad with western education and experience. In this article, we will discuss healthcare in Beijing, why international health insurance is critical for expats and expatriate group insurance plans for international employers if wishing to open a market in Beijing.

Healthcare in Beijing

Generally speaking, the standard of the healthcare system in Beijing is higher than in most cities in China. Since Beijing is the capital city of China with a large population, many well-known doctors and medical experts reside there. Many patients travel to Beijing just to see a renowned doctor in one of the many hospitals that are located there. Public hospitals in Beijing are not only serving residents, but also patients come from all over the places in China. As a result, most public hospitals in Beijing are often overcrowded, with long waiting periods and long line-ups. One should also note that the air pollution is a significant concern for both locals and expatriates in China. The health impacts of that pollution will impact the health of expatriates in Beijing and having medical coverage, and preventative healthcare is critical.

Private hospitals and clinics are also available in Beijing. These private medical facilities usually have English speaking doctors and medical staff. Some of them are even expatriates from western countries. High end private international clinics such as Beijing United Family Hospital are one of the options for foreigners. Such private medical firms can provide faster medical appointments and urgent medical treatment. Many private international clinics offer direct billing with global insurance companies, which is very convenient for expatriates living and working in Beijing. Therefore, most expats in Beijing would want to choose the city’s private medical centers.

The High Cost of Medical Care in Beijing & the Rest of China

Like most of China, private health treatment has become extremely expensive in Beijing, even rivalling the United States. Even at public hospitals with special foreign or VIP departments, medical costs are rising, according to recent reports. For example, an uncomplicated birthing procedure at private international clinics Beijing United Family Hospital costs over $13,000 USD. The cost of one standard private hospital room can be thousands of US dollar per night. In case of a medical emergency, the costs are estimated to double or triple. Without an appropriate medical coverage plan, expatriates could end up with paying tens of thousands of US dollars or even more.

expat healthcare if critical

Why is International Health Insurance Critical For Expats In Beijing? 

Many expats working in Beijing may qualify for the local public health insurance system. However, the public health insurance plans does not meet most expat needs, especially if you want to get treated at a private facility or outside of China. As noted above, medical treatment fees in Beijing are relatively high, and expats may find that they still need to pay a certain amount of co-payment when going to public hospitals.

For expats who prefer private hospitals and clinics, it is critical to obtain an international health insurance plan. A typical international health insurance plan will provide coverage options such as hospital coverageoutpatient treatment, medical emergency evacuation, routine health check-ups, dental & vision care and US coverage options. It will help you maintain your health and avoid financial risks while working and living in Beijing. It is also imperative to have an international health insurance plan that provides international emergency evacuation and repatriation coverage.

International Group Insurance Plans For Expatriate Employees in Beijing

While we can source individual medical plans for expats in Beijing and the rest of China, Expatriate group insurance plans are critical for international employers who wish to open an office in Beijing or already have expat employees there. An international group insurance plan for expats in Asia will usually include life insurance, health insurance, dental, evacuation and disability insurance to expatriate employees and even some key local nationals. It will not only protect expatriate employees in Beijing, but also will protect an employer’s business as providing medical coverage is a key fiduciary responsibility. The international expat group insurance plans can be tailored to meet the needs of your employees working in Beijing so that your business objectives can be achieved. It is critical that a global benefit plan cover pre-existing medical conditions and provide easy access and direct payment to the hospitals in the city and the rest of China.

Get Insurance From Expat Financial for Beijing Expats

Expat Financial offers independent advice, solutions and ongoing service and support to clients around much of the world and we have extensive experience in sourcing medical cover for individual expats and expat employers in Beijing and the rest of China. We can source plans from large and secure global insurance companies with excellent global service and support. Our firm can offer a wide array of individual expat health insurance plans for expats in China and even Chinese expatriates living overseas. If you have questions about our international medical insurance plans and expatriates group insurance plans or you want to discuss your needs and produce a customized quote, please contact us or complete the quote form. We look forward to hearing from you soon.