European Health Care Guide for US Expats - Americans in Europe (2024)

Information about European Health Care for US Residents

One of the biggest changes you will encounter when moving abroad is health care. European health care is very different than the United States’ healthcare system. Before deciding to move abroad, review the health care system of your new country. Prepare to adjust your previous assumptions about health care services in Europe compared to America.

To begin, you must keep in mind that not all countries in Europe use the same health care system. Although European health care seems like a whole coverage for the EU, every country has its own independent system.

You can begin by assuming that taxation will be very high on the other side of the pond and that there may be universal health care in countries you move to. Germany is a well known European country that has the world’s oldest national health care system.

The Netherlands is an example of a country that has a dual-level system. Long term care that includes taking care of the elderly and the mentally ill is covered socially while all primary care including doctors and hospital visits is covered privately. Overall, Europe’s health system is a large bonus when moving there. A lot of expats choose to move to Europe because of this exceptional quality and it’s important to have knowledge of this system before your move.

Publicly Funded Insurance

A lot of countries in Europe offer publicly funded health insurance. Taxation is the primary means to cover cost and everyone has the option for health care no matter what their situation. Depending on the country, social health care can cover part of or all of prescription medication. In the Netherlands, you must take out a basic level of insurance as an expat within four months of moving to the country. Expatica.com explains that companies cannot refuse coverage no matter what your age or health status. The federal government funds these companies in this situation.

Another country that covers your health care is France. France is one of the best countries in the world for health care and if you work, you will receive all of your health care free. In France, typically 20% of an individual’s gross salary goes toward social security costs which include health care.

Switzerland is a great destination because health care is exceptional. Once you move to Switzerland, you must get health insurance within the first three months of living there. On average, 8% of your income will go towards your health care. Additionally, in Switzerland, each individual family member must be covered and you can’t use umbrella coverage. Depending on your country, you can change your insurance plans about once a year and can also supplement them with private insurance if needed.

European Health Care Guide for US Expats - Americans in Europe (1)

Private Insurance

Private insurance is taken out by those in European countries that need specialty care when not offered for free. In the Netherlands, you will need private insurance to cover doctors visits and specialty visits.

Differing is France which covers all medical occurrences such as dentistry. In France, some individuals choose to purchase private insurance to cover the percentage the government does not cover for prescriptions. Usually this percentage is pretty low such as 35-60%. A lot of people visit France from other countries and pay privately for the top hospitals in the world. In Switzerland, you can purchase private health insurance but it comes at a very high price. Once you move to your new home abroad, you can learn more in depth about your countries’ policies and determine if you would like to purchase private insurance for you and your family.

Health Care Specialists

Some countries will cover specialty health services such as dermatology appointments and psychiatrist visits while others only cover basic doctors office visits. Unfortunately, in the Netherlands specialists are extra and you can take out private insurance to cover them. France is considered top tier because all specialist appointments are free of charge including psychiatry and dentistry. It is really important when moving to a new country to ask what specialty services are included in your health care and which ones aren’t.

Overall Healthcare

Overall, health care in Europe is making huge advances compared to the United States. When moving, you should look into your countries health care system and determine what will bepublicly funded, if you should supplement it with private insurance and which specialty health care services are offered. If you determine these three things, you’ll be on your way to embracing your new countries health care system in no time.

More Info

  • Moving to Europe
European Health Care Guide for US Expats - Americans in Europe (2024)

FAQs

Can US citizens get free healthcare in Europe? ›

No. Outside of emergency treatment, 'medical tourists' need to pay for the health systems in those countries their citizens get for free. If you have residency, you do gain access to Britain's National Health System (NHS). However, it's not completely free.

What happens if you get sick in Europe as an American? ›

If your illness is serious, consular officers can help you find medical assistance. If you want, they can inform your family and friends. If needed, consuls can also help with the transfer of funds from family or friends in the U.S. Payment of hospital and other medical bills are the traveler's responsibility.

Do US citizens need medical insurance for Europe? ›

Do Americans need health insurance in Europe? While not required to enter Europe, a travel insurance policy with emergency medical coverage is a good idea when traveling to Europe, said Baykal of World Nomads.

Should you bring your insurance card to Europe? ›

Understand what medical services your health insurance will cover overseas before traveling. Carry your insurance card and a claim form if your policy covers you outside the United States. Medicare does not cover medical care when you travel the United States. Visit Medicare.gov for more information.

Is Medicare free in Europe? ›

In most situations, Medicare won't pay for health care or supplies you get outside the U.S. The term “outside the U.S.” means anywhere other than the 50 states of the U.S., the District of Columbia, Puerto Rico, the U.S. Virgin Islands, Guam, American Samoa, and the Northern Mariana Islands.

Can Americans get free healthcare in Spain? ›

Can an American Get Free Healthcare in Spain? American expats can access Spain's universal national healthcare system if they work and pay taxes in Spain.

What is the best international travel health insurance for Europe? ›

The Best Europe Travel Insurance Companies
CompanyAverage Plan CostCOVID-19 Coverage
Our Top Pick Faye EXPLORE PLANS$256Yes
Travelex EXPLORE PLANS$202Yes
Nationwide Travel Insurance EXPLORE PLANS$206Yes, limited
Seven Corners Travel Insurance EXPLORE PLANS$206Yes
4 more rows
Jun 17, 2024

What insurance do I need for Europe? ›

What should my cover for Europe include?
  • Emergency medical and hospital expenses.
  • Repatriation to the UK for ongoing medical treatment.
  • Cancelling or cutting short your trip.
  • Lost or stolen luggage and property.
  • Loss or theft of passports and travel documentation.
  • Flight delays or cancellations.
  • Personal liability cover.

Do I need additional medical insurance when traveling abroad? ›

Make sure you have a plan to get care overseas, in case you need it. Consider buying additional insurance that covers health care and emergency evacuation, especially if you will be traveling to remote areas.

What happens if you have a medical emergency in a foreign country? ›

Although hospitals or clinics might look slightly different overseas, they should still mostly resemble a typical health care center like here in the United States. Most professionals from other countries, especially in urbanized areas, will be able to provide you with the necessary medical care.

What happens if I get ill abroad? ›

Your insurance policy should have given you an international number that you can use to get in touch with your insurers. Your call will usually be dealt with by an assistance company which is appointed by the insurer to arrange the necessary medical treatment.

Should I bring my Social Security card to Europe? ›

You'll be very glad you did this, if your wallet gets lost during the trip. Some examples of wallet items best left at home: Social security card. ID cards you won't need on the trip.

What happens if an American gets sick in Italy? ›

What happens if an American gets sick in Italy. Healthcare in Italy for US citizens guarantees access for urgent care to tourists who are in Italy up to 90 days. Tourists will be required to pay a fee for the services provided, called ticket.

Can a US citizen get free healthcare in UK? ›

IMPORTANT: Anyone in the UK can receive treatment at an NHS facility, no matter their residency status. However, tourist visitors to the UK do not typically qualify for free NHS treatment. Any care beyond emergency treatment and certain other services will likely incur a fee.

What happens if you have to go to the hospital in another country? ›

Find out if your health insurance covers medical care abroad. Travelers are usually responsible for paying hospital and other medical expenses out of pocket at most destinations. Make sure you have a plan to get care overseas, in case you need it.

Is healthcare free in Italy for tourists? ›

No, Americans do not get free health care in Italy, though emergency medical assistance is provided to anyone in need of it. To avoid expensive upfront costs, medical travel insurance is recommended.

Top Articles
Latest Posts
Article information

Author: Sen. Ignacio Ratke

Last Updated:

Views: 5816

Rating: 4.6 / 5 (56 voted)

Reviews: 95% of readers found this page helpful

Author information

Name: Sen. Ignacio Ratke

Birthday: 1999-05-27

Address: Apt. 171 8116 Bailey Via, Roberthaven, GA 58289

Phone: +2585395768220

Job: Lead Liaison

Hobby: Lockpicking, LARPing, Lego building, Lapidary, Macrame, Book restoration, Bodybuilding

Introduction: My name is Sen. Ignacio Ratke, I am a adventurous, zealous, outstanding, agreeable, precious, excited, gifted person who loves writing and wants to share my knowledge and understanding with you.