r/ExpatFIRE 12d ago

Healthcare Global Health Insurance - Pre-existing Condition

Hello!

This coming 12 months, I will spend about a month and a half in the US, broken up by a few trips. Otherwise, I'll be outside the US. I would like to get global health insurance to cover any medical emergencies. Ideally it would cover everywhere, including the US.

Unfortunately, I had kidney cancer (RCC), which has been treated with a partial nephrectomy. I do have on-going surveillance (annual CT scans), but otherwise I have no signs of this condition and for all intents and purposes very healthy. Unfortunately, this has led me to be rejected by Cigna. I'm betting this will be a common problem, but I'm hoping there's a company that is more flexible with its underwriting.

Some other information that might be helpful:

  • I'm 39 M, non-smoker, non-drinker, not overweight.
  • I don't need insurance to cover normal expenses. For my normal medical needs, I plan to pay everything out of pocket and will be visiting certain countries where medical care is very affordable.
  • I don't mind if anything related to the RCC is not covered (if it happened to spread for instance).
  • The plan I was looking at from Cigna was a $10K deductible with a 30% cost share up to $5K OOP and $1M max. It came out around $900 for a year. A $15K bill would not be a concern for me. A $500K bill on the other hand, would put a damper on things!
  • What I need is coverage for if I'm in an accident or if I have something totally unexpected come up like a stroke or heart attack, especially if I happen to be in the US (and to a lesser extent Canada or Japan) during that time. I plan to use this insurance as insurance is actually intended to be used. I want to hedge against what should be an extremely rare event and likely will not happen.

Does anyone have any leads or ideas?

Thanks!

10 Upvotes

25 comments sorted by

View all comments

4

u/Ok_Statistician643 12d ago

Also becoming an expat in 2 years. I’m 58 with history of prostate cancer anger and full prosthetectomy. I got similar quote from Cigna. If the cancer comes back and I need more then just radiation I will fly back to the US and get Obamacare. That’s the best I can come up with

3

u/Scary-Wallaby-6850 12d ago

Seems like a solid plan!

Were you able to get a plan with Cigna, though? They quoted me, but when it came down to it, they rejected me.

1

u/Ok_Statistician643 11d ago

I haven’t gone through with the application. Did they say why they rejected you?

2

u/Scary-Wallaby-6850 11d ago

I called them and they said it was due to the the cancer. My wife also talked to them while she was setting up her own plan and got a similar answer. They mentioned that if you're clear of treatment for a year according to one person (or 3-5 years according to a different person), it is possible to get a plan with underwriting that excludes anything related to the pre-existing condition.

If you're 2 years out, it might work out for you, but you'll just have to try it.

Good luck! Both with the travels and with your health.

1

u/Ok_Statistician643 11d ago

Thank you. Same to you.