{"id":8201,"date":"2025-11-26T11:34:22","date_gmt":"2025-11-26T10:34:22","guid":{"rendered":"https:\/\/www.grospiron.com\/guides\/moving-abroad-which-expatriate-health-insurance-should-you-choose\/"},"modified":"2025-12-10T09:53:11","modified_gmt":"2025-12-10T08:53:11","slug":"moving-abroad-which-expatriate-health-insurance-should-you-choose","status":"publish","type":"guide","link":"https:\/\/www.grospiron.com\/en\/guides\/moving-abroad-which-expatriate-health-insurance-should-you-choose\/","title":{"rendered":"Moving abroad: which expatriate health insurance should you choose?"},"content":{"rendered":"\n<p><strong>You are moving abroad and, thanks to our guide on <a href=\"https:\/\/www.grospiron.com\/fr\/guides\/assurance-sante-pour-expatries\/\">health insurance for expatriates<\/a>, you understand how to protect yourself internationally. Now you need to choose the <strong>best mutual health insurance for expatriates. <\/strong>To do this, should you take out <strong>first euro health insurance<\/strong> or rather <strong>CFE supplementary insurance<\/strong>? And what are the advantages of <strong>international health insurance<\/strong> compared to local private health insurance?\r\n<\/strong><\/p>\n\n\n<div class=\"block-content-editor block block-spacing has-transparent-bg-color\"  id=\"ancre1\">\n    <div class=\"container\">\n        <div class=\"inner-content-container\">\n            <div class=\"wysiwyg-content anim-element translate-y\">\n                <h2><strong>1. <\/strong><strong>\u2018First euro\u2019 insurance or \u2018CFE supplement\u2019 insurance: what is the difference?<\/strong><\/h2>\n<p>Choosing the right health cover when moving abroad is one thing, but understanding which one is best for you is another. French expatriate health insurers generally offer a choice between two types of policies:<\/p>\n<ul>\n<li><strong>\u2018First euro\u2019 insurance<\/strong> means that the insurer reimburses your medical expenses from the first medical bill, without going through a basic organisation (S\u00e9cu or CFE). This is a comprehensive, stand-alone solution that is particularly suitable for first-time expatriates and expatriates who want to simplify their lives and avoid lengthy reimbursement procedures.<br \/>\n \tConversely, \u2018CFE supplementary insurance\u2019 is based on a two-tier protection system: the Caisse des Fran\u00e7ais de l&#8217;Etranger (CFE) provides basic reimbursement (like the French social security system), and the international expatriate policy supplements this coverage in the same way as a mutual insurance company would. This is known as CFE supplementary insurance. This solution is generally suitable for those who wish to maintain a link with the French system and comprehensive social protection, including basic pension, for example.\n<\/ul>\n<p>The choice then depends on what is most advantageous for your destination, your family situation, your budget, but also your repayment habits and coverage requirements. In most cases, the same package will be available in both management modes.<\/p>\n<p>A <strong>first euro<\/strong> plan offers more flexible international management, while a <strong>CFE supplementary contract<\/strong> may be more economical in the long term, especially for families or expatriates in countries where medical costs are moderate.<\/p>\n            <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n\n<div class=\"block-content-editor block block-spacing has-transparent-bg-color\"  id=\"ancre2\">\n    <div class=\"container\">\n        <div class=\"inner-content-container\">\n            <div class=\"wysiwyg-content anim-element translate-y\">\n                <h2><strong>2. <\/strong><strong>International health insurance or local private insurance?<\/strong><\/h2>\n<p>With private health insurance available in your host country, you may legitimately wonder whether it is worthwhile taking out expatriate health insurance in this case.<\/p>\n<p>Local private insurance is often attractive due to its competitive rates and coverage integrated into the local healthcare system. However, it has several limitations for expatriates: coverage restricted to the country of expatriation, reimbursement limits that are sometimes low or particularly numerous, frequent exclusions, a mandatory healthcare network, no repatriation guarantee, and the possibility of annual termination by the insurer. These policies most often meet the needs of local residents, not necessarily those of expatriates, even those who are well established (<em>source: <\/em><a href=\"https:\/\/www.international-sante.com\/assurance-expatrie\/dossiers\/trouver-meilleure-assurance-sante-internationale\/\" ><em>https:\/\/www.international-sante.com\/assurance-expatrie\/dossiers\/trouver-meilleure-assurance-sante-internationale\/<\/em><\/a> ).<\/p>\n<p>Conversely, international health insurance is specifically designed for expatriates. It offers worldwide coverage, including the country of residence, the country of origin, and more, depending on the coverage area chosen.<\/p>\n<p><strong>Expatriate insurance from the first euro or as a supplement to CFE<\/strong> also gives you access to the doctors of your choice without an imposed network (except in the USA), flexible and comprehensive cover according to your needs, a level of reimbursement adapted to private sector rates, and practical services and options such as teleconsultation, repatriation assistance, preventive care, and even civil liability. Provident insurance policies are also available to cover accidents and protect your future abroad.<\/p>\n<p>This is the most flexible solution for mobile expatriates who work remotely, but also for those who reside in countries with inadequate healthcare facilities or, conversely, particularly high healthcare costs. Or for those who simply wish to maintain the same level of health cover they are used to in their country of origin.<\/p>\n            <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n\n<div class=\"block-push-single block block-spacing\" >\n    <div class=\"container\">\n        <div class=\"inner-content-container anim-element translate-y\">\n            <div class=\"text\">See our country guide<\/div>\n                            \n<div class=\"wrapper-buttons horizontal anim-element translate-y\">\n                        <a\n            href=\"https:\/\/www.grospiron.com\/en\/guides\/categorie\/demenagement-international\/\"\n            title=\"Download the country guide\"\n            target=\"\"\n            class=\"btn btn-filled btn-black btn-white-hover\"\n        >\n            <span class=\"btn-text\">Download the country guide<\/span>\n        <\/a>\n        <\/div>\n\n                        <div class=\"pattern\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"604\" height=\"604\" viewBox=\"0 0 604 604\" fill=\"none\">\n  <path d=\"M585.631 352.815L546.707 313.88C542.337 309.509 538.062 305.342 534.593 302.05C538.103 298.757 542.432 294.55 546.707 290.287L585.617 251.353C594.658 242.309 602.921 233.593 603.986 231.995V228.498C602.921 226.899 594.658 218.183 585.617 209.14L394.905 18.3743C385.864 9.33061 377.123 1.05191 375.484 0H372.11C370.472 1.06557 361.744 9.33061 352.69 18.3743L313.78 57.2951C309.751 61.3252 305.653 65.8471 302.403 69.7815C299.07 66.2706 294.741 61.8307 290.207 57.2951L251.283 18.3743C242.242 9.33061 233.501 1.05191 231.862 0H228.489C226.85 1.06557 218.109 9.33061 209.068 18.3743L18.3829 209.153C9.34169 218.197 -0.0409723 229.686 0.655557 231.544C1.36574 233.402 9.34169 242.323 18.3829 251.366L57.2929 290.301C61.5677 294.577 65.8971 298.771 69.3934 302.05C65.9381 305.328 61.6497 309.509 57.2793 313.88L18.3692 352.801C9.32803 361.845 1.06528 370.561 0 372.159V375.656C1.06528 377.255 9.32803 385.97 18.3692 395.014L209.082 585.793C218.123 594.837 227.574 603.676 228.503 603.853C229.431 604.031 230.947 604.031 231.876 603.853C232.805 603.676 242.242 594.85 251.297 585.793L290.22 546.872C294.632 542.46 298.852 538.129 302.157 534.659C305.326 538.184 309.423 542.514 313.793 546.872L352.717 585.807C361.758 594.85 371.209 603.689 372.138 603.867C373.066 604.044 374.582 604.044 375.511 603.867C376.44 603.689 385.877 594.864 394.918 585.807L585.631 395.041C594.672 385.998 602.948 377.282 604 375.683V372.186C602.935 370.588 594.672 361.872 585.631 352.828V352.815ZM99.5081 313.88C95.1377 309.509 90.8629 305.342 87.3939 302.05C90.8902 298.771 95.2333 294.563 99.5081 290.287L290.22 99.5083C294.632 95.0957 298.852 90.7651 302.157 87.2952C305.326 90.8198 309.423 95.1367 313.793 99.5083L504.506 290.287C508.767 294.55 513.11 298.757 516.62 302.05C513.164 305.328 508.876 309.509 504.506 313.88L313.793 504.659C309.764 508.689 305.667 513.211 302.417 517.145C299.084 513.634 294.755 509.195 290.22 504.659L99.5081 313.88Z\" \/>\n<\/svg><\/div> \n        <\/div>\n    <\/div>\n<\/div>\n\n\n<div class=\"block-content-editor block block-spacing has-transparent-bg-color\"  id=\"ancre3\">\n    <div class=\"container\">\n        <div class=\"inner-content-container\">\n            <div class=\"wysiwyg-content anim-element translate-y\">\n                <h2><strong>3. <\/strong><strong>The legal framework: an advantage for expatriate insurance under French law<\/strong><\/h2>\n<p>Beyond medical coverage, the legal framework of the expatriate contract is a decisive factor.<br \/>\nBy choosing international health insurance governed by French law, you benefit from the most protective framework for policyholders.<\/p>\n<p>The French Insurance Code requires, in particular, the <strong>pooling of risk<\/strong>. This means that premiums cannot be adjusted individually based on your state of health or medical history over time. While you may be subject to a premium increase or partial exclusion upon enrolment, once you have been accepted under these specific conditions, premium increases are applied collectively, based on the overall performance of the expatriate insurance product. This contrasts with the practice generally followed by insurers abroad, which operate on an \u2018experienced rated\u2019 basis.<\/p>\n<p>Another significant advantage is the lifetime guarantee. As long as you pay your premiums, the insurer cannot terminate your contract, even in the event of serious illness or an increase in risk over the years. Conversely, many local or even international insurance companies not subject to French law can revise your terms and conditions at each renewal: exclusion of certain conditions, increase in the excess, sharp rise in premiums, or worse, refusal to renew.<\/p>\n<p>It should also be noted that the Caisse des Fran\u00e7ais de l&#8217;Etranger (CFE) is a unique organisation that provides basic cover without medical selection and offers specific cover for long-term conditions; a French exception that has no equivalent.<\/p>\n<p>In summary, an expatriate health insurance policy under French law offers stability, transparency and long-term security. This is a major advantage for long-term expatriation.<\/p>\n            <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n\n<div class=\"block-content-editor block block-spacing has-transparent-bg-color\"  id=\"ancre4\">\n    <div class=\"container\">\n        <div class=\"inner-content-container\">\n            <div class=\"wysiwyg-content anim-element translate-y\">\n                <h2><strong>4. Frequently Asked Questions<\/strong><\/h2>\n<p><strong>Do I need to complete a health questionnaire?<br \/>\n<\/strong>Yes, all expatriate health insurance policies require a medical questionnaire upon enrolment. This allows the cover to be tailored to your medical history and any potential treatment costs. Unlike the CFE, which does not require one, supplementary health insurance schemes also require it.<\/p>\n<p><strong>Am I covered in my country of origin?<br \/>\n<\/strong>With international health insurance, yes: you are generally covered both in your country of residence and in your country of origin, if the latter is part of the same geographical zone or a lower zone. You are often covered in an emergency if it is in a higher zone.<\/p>\n<p><strong>Are there any waiting periods?<br \/>\n<\/strong>Some policies have waiting periods for non-urgent care (approximately 3 months), maternity (9 to 12 months) or optical and dental cover (6 to 9 months). However, emergencies and accidents are generally covered immediately. As a supplement to the CFE, an expatriate policy cannot start until the CFE waiting period has expired, so it is possible to start your membership from the first euro.<\/p>\n<p><strong>Is there a minimum membership period?<br \/>\n<\/strong>Yes, most international insurance policies require a minimum term of one year, which is automatically renewable. Some hybrid or flexible policies, which are less common, may accept stays of only a few months.<\/p>\n<p><strong>Can I take out a policy at any age?<br \/>\n<\/strong>Most insurers usually accept new policyholders up to the age of 65 or even 70. Beyond that, the options become more limited, so it is advisable to take out a policy before reaching the age limit for expatriate insurance.<\/p>\n<p><strong>Am I covered in my private and professional life?<\/strong><br \/>\nYes, international health cover from the first euro protects you for care related to your private and professional life, except in specific cases of accidents at work or occupational risks requiring separate insurance. This is also the case with CFE supplementary cover, if the \u2018professional\u2019 options are taken out.<\/p>\n            <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n\n<div class=\"block-content-editor block block-spacing has-transparent-bg-color\" >\n    <div class=\"container\">\n        <div class=\"inner-content-container\">\n            <div class=\"wysiwyg-content anim-element translate-y\">\n                <p>Choosing the best <strong>expatriate health insurance<\/strong> means accurately assessing your healthcare needs. Whether you choose 1<sup>st<\/sup> euro or CFE supplementary cover, the benefits will often be identical; the difference mainly lies in how reimbursements are managed and the price (which may be more advantageous depending on your profile). Comparing offers with an <strong>international health insurance expert<\/strong> is still the best way to make an informed choice. Well-chosen health cover is one of the keys to a successful expatriation.<\/p>\n<p><b>Need help with your expatriation? <a href=\"https:\/\/www.grospiron.com\/en\/contact-form\/\">Contact our experts<\/a>!<\/b><\/p>\n            <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>You are moving abroad and, thanks to our guide on health insurance for expatriates, you understand how to protect yourself internationally. Now you need to choose the best mutual health insurance for expatriates. To do this, should you take out first euro health insurance or rather CFE supplementary insurance? And what are the advantages of [&hellip;]<\/p>\n","protected":false},"featured_media":8174,"template":"","categorie-guide":[34],"class_list":["post-8201","guide","type-guide","status-publish","has-post-thumbnail","hentry","categorie-guide-health-education"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Health insurance for expatriates - Grospiron<\/title>\n<meta name=\"description\" content=\"Expatriate health insurance: differences between first euro and CFE, benefits of international cover, and how to choose the right plan.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.grospiron.com\/en\/guides\/moving-abroad-which-expatriate-health-insurance-should-you-choose\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Health insurance for expatriates - 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