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.
Quick Verdict
Most Common
Cigna Global
Used by most international schools. Best for transitioning from school plans to individual. Largest network.
Get Cigna QuotePremium Service
Bupa Global
Premium coverage and service. Lifetime renewal. Best for long-term international educators.
Get Bupa QuoteBest Value
Allianz Care
Comprehensive coverage at 30% less. Best mental health benefits. Great for budget-conscious teachers.
Get Allianz QuoteInternational teachers fall into two categories: those with school-provided insurance and those who need their own. Cigna dominates the international school market. If your school provides coverage, you're likely on Cigna or Bupa. For individual coverage, Allianz offers the best value.
Side-by-Side Comparison
| Feature | Cigna Global | Bupa Global | Allianz Care |
|---|---|---|---|
| Group Plans | Extensive | Good | Growing |
| Individual Plans | Yes | Yes | Yes |
| Coverage Limit | Unlimited | Unlimited | €1M - €3M |
| Mental Health | Good | Good | Best |
| Summer Home Coverage | Optional | Optional | Optional |
| Continuation Options | Excellent | Excellent | Good |
| Maternity | Add-on | Add-on | Add-on |
| Best For | International schools | Premium service | Value choice |
Cigna Global
Cigna Global is the most common insurer for international schools. If your school provides insurance, there's a good chance it's Cigna. This matters because transitioning from school coverage to individual is easiest when you stay with the same insurer.
Strengths:
- Most international schools use Cigna
- Easy transition from group to individual
- Best mobile app and digital experience
- Largest provider network (1.5M+)
- Fast claims processing
- Unlimited coverage
Weaknesses:
- Most expensive individual rates
- Strict pre-existing condition handling
- 24-month mental health waiting period
Best for: Teachers at international schools with Cigna group coverage. Those who may switch schools but want continuity. Teachers wanting the largest network.
Bupa Global
Bupa Global is the premium choice for career international educators. Lifetime renewal means you can't be dropped, important for teachers planning decades abroad. Premium service and excellent continuation options from group plans.
Strengths:
- Lifetime renewal guarantee
- Excellent continuation from group plans
- Premium customer service
- Good maternity coverage
- No-claims discount available
- Strong for long-term planning
Weaknesses:
- Most expensive option
- App not as polished as Cigna
- Smaller network than Cigna
Best for: Career international educators. Teachers who've been abroad for years. Those who value lifetime renewal and premium service.
Allianz Care
Allianz Care offers the best value for teachers buying their own insurance—comprehensive coverage at 30% less than Cigna or Bupa. Mental health benefits are strongest, important for teachers dealing with the stresses of life abroad.
Strengths:
- 30% cheaper than Cigna/Bupa
- Best mental health coverage
- Shorter mental health waiting period (12 months)
- Flexible on pre-existing conditions
- Good for ESL/TEFL teachers
- Monthly payment available
Weaknesses:
- €3M coverage limit
- Smaller network
- Less common for school group plans
Best for: ESL/TEFL teachers buying own insurance. Budget-conscious educators. Teachers prioritizing mental health benefits.
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Pricing Comparison
Teachers buying individual coverage see significant price differences. Allianz saves $1,200-3,600/year vs. Cigna—money that matters on teacher salaries.
| Profile | Cigna Global | Bupa Global | Allianz Care |
|---|---|---|---|
| Single Teacher, Age 30 | $250-380/mo | $270-420/mo | $170-250/mo |
| Single Teacher, Age 40 | $350-500/mo | $380-550/mo | $220-330/mo |
| Teacher + Spouse, Age 35 | $550-800/mo | $600-880/mo | $380-550/mo |
| Teacher Family of 4 | $900-1,400/mo | $1,000-1,500/mo | $650-950/mo |
*Estimated individual rates (not group). Group plan pricing depends on school contracts.
What Teachers Need to Consider
School-Provided vs. Individual
Two scenarios:
- International school teachers: Usually get group insurance through school (often Cigna or Bupa)
- ESL/TEFL teachers: Usually need to buy own insurance (Allianz often best value)
Summer/Holiday Coverage
Teachers often go home for summer. Make sure your plan covers you:
- All three offer home country coverage add-ons
- Without it, summer visits home may not be covered
- Group plans may or may not include this—check yours
Changing Schools
International teachers often switch schools every 2-3 years. Consider:
- Staying with same insurer when possible
- Continuation options when leaving a school
- Pre-existing conditions developed at one school carry to next
Mental Health
Teaching abroad is rewarding but challenging. Mental health coverage matters:
- Allianz: Best—50 sessions/year, 12-month wait
- Bupa: Good—30-40 sessions/year, 12-month wait
- Cigna: Good—20-30 sessions/year, 24-month wait
Families and Maternity
Many teachers start families abroad:
- All three offer maternity add-ons (10-12 month waiting period)
- Bupa has highest maternity limits
- Check if school plan includes maternity
Which Is Best For You?
Choose Cigna Global if you...
- Have Cigna through your current school
- Plan to switch international schools
- Want the largest provider network
- Value the best digital experience
- Can afford premium pricing
- Want easy school-to-individual transition
Choose Bupa Global if you...
- Are a career international educator
- Want lifetime renewal guarantee
- Plan to teach abroad for many years
- Have Bupa through your current school
- Value premium customer service
- Want no-claims discounts
Choose Allianz Care if you...
- Are an ESL/TEFL teacher buying own insurance
- Are budget-conscious
- Prioritize mental health coverage
- Have pre-existing conditions
- Want good coverage at fair prices
- Don't have school-provided insurance
Frequently Asked Questions
Should I keep my school's insurance or get my own?
Usually keep the school's plan—it's free and covers you. But consider supplementing with your own if: (1) school plan has gaps, (2) you have conditions that developed while teaching that you want protected when you leave, or (3) you want portability.
What happens to my insurance when I change schools?
School coverage ends when employment ends. If your new school uses the same insurer, transition is easy. If different, you may need to apply fresh—and any conditions developed become pre-existing for the new insurer.
Is insurance included in most teaching contracts?
International schools (IB curriculum, etc.) typically include insurance. ESL/TEFL positions often don't—or provide minimal local coverage. Check your contract carefully.
Can I continue my school plan when I leave?
Usually yes, through a "continuation" option. You pay the full premium yourself. Contact your insurer 60-90 days before leaving to arrange this. Cigna and Bupa have the smoothest continuation processes.
What about coverage during job searches between schools?
Don't let coverage lapse. Either continue your old school's plan or get individual coverage. Gaps reset pre-existing condition timelines and can leave you exposed during job transitions.
Disclaimer: School-provided insurance varies by contract. This comparison covers general patterns and individual plan options. Check your specific school contract for your actual coverage details.