Written by
John Spencer
John Spencer is the founder of Compare Expat Plans, where he focuses on helping people compare health plans for life abroad. He emphasizes clear information, neutral analysis, and practical decision support.
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Moving your family abroad means finding insurance that covers everyone—from maternity and newborn care to children's vaccinations and routine pediatric visits. European families often leave excellent national healthcare systems behind. Here's how to maintain that level of coverage internationally.
Quick Recommendations
- Top Pick: Cigna Global — comprehensive family coverage, strong maternity benefits, excellent global network
- Best for UK Families: Bupa Global — free coverage for children under 10, strong European network
- Budget Option: IMG Global — lower family rates, maternity as add-on for those who don't need it
Our Top Picks for European Families
These insurers understand family needs: maternity coverage, pediatric specialists, vaccinations, and pricing that doesn't penalize you for having children.
Cigna Global — Best Overall for Families
The good: Comprehensive family coverage with maternity benefits included (12-month waiting period). Children get full coverage at reduced rates. Pediatric specialists, childhood vaccinations, and routine checkups all covered. Network of 1.5M+ providers means finding pediatricians and family doctors worldwide. Telemedicine for those middle-of-the-night child illness questions. Mental health coverage for the whole family.
The limits: Higher premiums than some alternatives ($800-1,400/month for family of 4). Maternity waiting period means planning ahead is essential. Annual commitment required.
Best for: European families wanting comprehensive coverage equivalent to what they'd have at home. Particularly good for families planning more children or with ongoing pediatric needs.
Bupa Global — Best for British Families
The good: Children under 10 covered free when both parents are insured—exceptional value for young families. Strong maternity coverage with 10-month waiting period. Excellent network in Europe, Middle East, and Asia. Wellbeing programs for the whole family. Direct billing widely available.
The limits: Free child coverage ends at age 10 (still discounted after). Premium pricing for adults. Network stronger in some regions than others. UK-centric service approach may not suit all Europeans.
Best for: British families and other Europeans with young children (under 10) who want premium coverage. The free child coverage makes it surprisingly competitive despite higher adult rates.
Allianz Care — Best for Continental Europeans
The good: German-headquartered insurer familiar to many Europeans. Strong coverage across Europe and popular expat destinations. Full maternity with 12-month wait. Competitive family pricing. Good claims experience. Multilingual customer service.
The limits: Network can be thinner outside Europe. Less competitive in Americas and Oceania. Customer service quality varies by region.
Best for: German, French, Dutch, and other continental European families who prefer a European-headquartered insurer and plan to stay within Europe or move to regions where Allianz is strong.
IMG Global — Best Value for Families
The good: Lower family premiums than competitors. Flexible plan options. Maternity available as optional add-on (skip it if you're done having children). Good coverage for families who don't need all the premium bells and whistles.
The limits: Maternity costs extra and isn't as comprehensive. Smaller network than Cigna or Bupa. May require more out-of-pocket payment followed by reimbursement. Less premium service experience.
Best for: Budget-conscious European families, those done having children, or families wanting solid coverage without premium pricing.
| Provider | Maternity | Children Pricing | Vaccinations | Family of 4/month |
|---|---|---|---|---|
| Cigna Global | Full coverage (12mo wait) | Reduced rates | Included | $800-1,400 |
| Bupa Global | Full coverage (10mo wait) | Free under 10 | Included | $750-1,300 |
| Allianz Care | Full coverage (12mo wait) | Discounted | Included | $700-1,200 |
| IMG Global | Optional add-on | Reduced rates | With wellness | $600-1,000 |
Moving Your Family Abroad?
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What European Families Need
Comprehensive Pediatric Care
Children need regular checkups, vaccinations, and sick visits. Good family insurance covers routine pediatric care, not just emergencies. Look for plans including well-child visits, developmental screenings, and access to pediatric specialists.
Maternity and Newborn Coverage
If you might have children abroad, maternity coverage is essential. Pregnancy and delivery costs vary wildly by country—$5,000 in some places to $30,000+ in others. Coverage should include prenatal care, delivery, and newborn care from day one.
Vaccination Schedules
Different countries have different vaccination schedules. Good international insurance covers standard childhood vaccinations regardless of local schedules. Your pediatrician can advise on which vaccines your children need based on age and destination.
School Requirements
International schools often require proof of health insurance for enrollment. Comprehensive coverage meets these requirements. Some schools require specific coverage levels or documentation—check requirements before enrolling.
Family-Friendly Networks
Access to English-speaking pediatricians, family doctors, and children's hospitals matters. Major international insurers have networks including family-friendly facilities in popular expat destinations.
Maternity Coverage Explained
Waiting Periods
All international insurers require waiting periods for maternity—typically 10-12 months. This means you must be enrolled for 10-12 months before conception for coverage to apply. Plan ahead if children are in your future.
What's Covered
Comprehensive maternity includes: prenatal visits, ultrasounds and testing, hospital delivery (vaginal or cesarean), complications coverage, and initial newborn care. Some plans include midwife care, home birth options, and extended postpartum support.
Coverage Limits
Some plans cap maternity benefits (e.g., $10,000-30,000 per pregnancy). Others provide unlimited maternity as part of comprehensive coverage. Higher-tier plans typically have higher or no limits. Compare carefully if maternity is important.
Complications and High-Risk Pregnancies
Pregnancy complications—gestational diabetes, preeclampsia, premature birth—can cost significantly more than routine delivery. Good maternity coverage handles complications without separate limits. Verify this explicitly.
Newborn Coverage
Newborns should be covered from birth under your family plan. Some insurers require notification within 30 days; others add newborns automatically. NICU coverage for premature or ill newborns is essential—costs can exceed $100,000.
Planning to Have Children Abroad?
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Children's Coverage
Pricing Models
Insurers handle children's pricing differently. Bupa offers free coverage for under-10s (with both parents insured). Cigna and others offer reduced rates. IMG and some others charge per child. Calculate total family cost, not just adult premiums.
Age Transitions
Child pricing typically applies until age 18-25 depending on insurer. After that, children transition to adult rates or need their own policies. Understand when transitions happen and how costs change.
Dental and Vision for Children
Children's dental (orthodontics especially) and vision care add up. Some plans include basic dental and vision; others require add-ons. If braces or glasses are likely, factor these into plan selection.
Mental Health for Children and Teens
Moving abroad can be challenging for children. Access to child psychologists, family counseling, and teen mental health support matters. Verify mental health coverage includes pediatric and adolescent services.
EU Healthcare Considerations
Leaving EU Healthcare Behind
European families often have access to excellent national healthcare—NHS, French Sécurité sociale, German Krankenkasse. Moving outside the EU means losing this access. International insurance needs to replace what you had, not just provide emergency coverage.
Moving Within the EU
Intra-EU moves are different. The EHIC/GHIC provides some coverage in other EU countries. For longer stays, you may join the local system. However, international insurance still provides benefits: choice of private providers, no waiting lists, English-speaking doctors, and coverage during transitions.
S1 Forms and Posted Workers
Some EU workers abroad can maintain home country coverage via S1 forms. If your employer handles this, international insurance becomes supplementary rather than primary. Understand your specific situation before purchasing.
Brexit Considerations (UK Families)
British families no longer have automatic EU healthcare access post-Brexit. Moving to EU countries now requires private insurance for visa purposes in most cases. UK families need international coverage more than before.
Popular Destinations for European Families
UAE (Dubai, Abu Dhabi)
Many European families relocate for work. Health insurance is mandatory. Private healthcare is excellent but expensive. International schools require insurance proof. All major insurers have strong UAE networks.
Singapore
Popular for families seeking excellent schools and safety. Healthcare is expensive. International insurance essential for anything beyond basic care. World-class pediatric facilities available.
Hong Kong
Traditional expat destination with excellent private healthcare. Costs high but quality exceptional. International insurance provides access to top private hospitals.
United States
Healthcare costs are the highest in the world. International insurance covering the US costs significantly more. Essential if relocating—a single emergency could cost tens of thousands without coverage.
Australia and New Zealand
Good public healthcare exists but private insurance provides faster access and more options. Many European families use international insurance for the transition period before residency qualifies them for local systems.
Know Your Destination?
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Family Pricing
Typical Family Costs
Family of 4 (2 adults 35-40, 2 children): $600-1,400/month for comprehensive coverage. This varies significantly by: destination (US coverage adds 40-60%), plan level (basic vs premium), and deductible chosen. Young families pay less; older parents pay more.
Per-Child vs Free Child Models
Compare total family cost, not per-person rates. Bupa's free under-10 coverage can make it cheaper despite higher adult rates. Cigna's reduced child rates work out similarly for many families. Run the actual numbers for your family size and ages.
Deductible Strategies
Family deductibles apply across all members. A $1,000 family deductible might be met quickly with multiple children. Higher deductibles ($2,500-5,000) reduce premiums but mean more out-of-pocket for a family likely to use healthcare.
Multi-Year Planning
Children age out of child pricing eventually. A plan that's cheapest today may not be cheapest in 5 years. Consider long-term costs, not just current premiums. Switching insurers means new waiting periods for maternity.
Common Questions
Can newborns be covered from birth?
Yes. All major international insurers cover newborns from birth when the mother has active maternity coverage. Most require notification within 30 days of birth. The newborn is then added to the family policy with full coverage.
What's the waiting period for maternity?
Typically 10-12 months from policy start. You must be enrolled for this period before conception for maternity to be covered. This means planning ahead—sign up for coverage before you start trying for a baby.
Are vaccinations covered for children?
Comprehensive plans include standard childhood vaccinations as part of preventive care. This covers both routine schedules and travel-specific vaccines needed for your destination. Verify specifics with your chosen insurer.
Do international schools require insurance?
Most international schools require proof of health insurance for enrollment. Comprehensive international insurance meets these requirements. Some schools specify minimum coverage levels—check with your target school.
What about orthodontics for children?
Dental coverage varies by plan. Some comprehensive plans include basic orthodontics; others require dental add-ons. If braces are likely for your children, verify orthodontic coverage specifically—it can cost $3,000-8,000 out of pocket.
Can we keep our European coverage while abroad?
It depends on your home country and circumstances. Some countries allow continued enrollment for temporary moves. However, European coverage typically doesn't work well outside Europe. International insurance provides proper coverage abroad while you may maintain European coverage for visits home.
This information is for educational purposes. Coverage details, pricing, and family benefits vary by insurer and plan. Verify specific terms before purchasing. Consider your family's specific health needs and destination requirements. Last updated: April 2026.