Health coverage outside the U.S. | UCnet (2024)

If you’re planning to travel or live abroad, it’s important to check with your health plan to find out about your coverage and costs outside the U.S. All of UC’s medical and dental plans cover emergency/urgent care and prescription drugs wherever you are, but plans differ in their coverage of follow-up and continued care.

A few things are important to note regardless of your medical plan:

  • You should expect to pay your costs out-of-pocket and file for reimbursem*nt.
  • UC’s pharmacy plans cover the same prescription drugs outside the U.S. Since prescription drugs have different brand names outside the U.S., though, it’s crucial that the prescriber specifies the active ingredient(s) on the prescription.
  • Evacuation costs back to the U.S. for medical care are not covered by UC’s medical plans. Consider purchasing a travel insurance plan that includes coverage for medical evacuation.

HMO plans

When you’re traveling, medical and dental HMO plans only cover emergency/urgent care. (For medical HMOs, coverage extends only to trips that are less than three months in duration.) Medical HMO plans do not cover elective procedures, services or medications while outside the U.S. You’ll need to return to network providers in the US for follow-up and continued medical and/or dental treatment.

HMO members must live in a covered region within California. If you plan to remain outside the U.S. for more than three months, it is considered a “life event” that allows you to switch to a PPO plan outside Open Enrollment.

PPO plans

For coverage outside the U.S., care should be coordinated through the Blue Cross Blue Shield Global Core network.

  • CORE and UC Care: When coverage is coordinated through the Blue Cross Blue Shield Global Core network, you pay 20% of the cost after the deductible.
  • UC Health Savings Plan: Only urgent and emergency services are covered. When coverage is coordinated through the Blue Cross Blue Shield Global Core network, you pay 20% of the cost for urgent and emergency services after the deductible.

Medicare plans

Medicare does not cover care received outside the US, so your coverage outside the U.S. comes only from your UC health plan. This means that if you have a Medicare PPO plan you may be responsible for the portion of the costs that would normally be covered by Medicare. You should check the international benefits of your plan since UC plans differ in coverage outside the U.S.

Health coverage outside the U.S. | UCnet (2024)

FAQs

How does health insurance work outside of the US? ›

U.S. Medicare and Medicaid do not cover medical costs overseas. Private U.S. insurance policies also might not cover any or all expenses. Check with your insurance before traveling to see if it provides coverage overseas. More information is also available on the CDC insurance page.

Does United Healthcare cover you outside the United States? ›

In general, United States health insurance plans don't carry over to other countries. Once you leave the United States, you'll need additional protection so you can get medical care if needed while you're abroad. The best way to do that is to get a travel health insurance plan.

Does health insurance cover everything USA? ›

Health insurance typically covers most doctor and hospital visits, prescription drugs, wellness care, and medical devices.

Why is there a lack of health insurance in the United States? ›

uninsurance has been attributed to a number of factors, including rising health care costs, the economic downturn, an erosion of employer-based insurance, and public program cutbacks. Developing effective strategies for reducing uninsurance requires understanding why people lack insurance coverage.

How does insurance work in a foreign country? ›

U.S. health insurance plans typically do not cover regular and routine medical care required overseas. This means your health insurance won't pay for care if you need to visit a doctor for a prescription medicine, or if you need treatment for a condition that is not considered an emergency.

Is there such a thing as international health insurance? ›

International health insurance is designed to provide a comprehensive level of health care to those relocating from their home country for a sustained period of time, whereas travel insurance provides cover for emergency treatment while you are in another country for a shorter space of time.

What countries accept US Medicare? ›

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 you use United Healthcare everywhere? ›

With UnitedHealthcare Options PPO health plans, you can use any doctor, clinic, hospital or health care facility in the national network. Staying in the network — a group of health care providers and facilities that have a contract with UnitedHealthcare — saves you money.

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.

Which health insurance covers all 50 states? ›

The Blue Cross and Blue Shield Association is a national federation of independent, community-based and locally operated Blue Cross and Blue Shield companies. Healthcare coverage is one of the most important decisions you make. Choose the card that opens doors in all 50 states.

Is there a limit on health insurance in USA? ›

Insurance companies can no longer set yearly dollar limits on what they spend for your coverage. Previously, health plans set an annual limit — a dollar limit on their yearly spending for your covered benefits. You were required to pay the cost of all care exceeding those limits.

What happens if you have no health insurance in America? ›

What Are the Consequences of Having No Health Insurance? Not having health insurance can lead to large debt, affect your health if you delay care and may even hurt you at tax time, depending on your state.

What is the biggest problem with US healthcare? ›

A 2023 survey found that over half of U.S. individuals indicated the cost of accessing treatment was the biggest problem facing the national healthcare system. This is much higher than the global average of 31 percent and is in line with the high cost of health care in the U.S. compared to other high-income countries.

Why is US healthcare so expensive? ›

There are many possible reasons for that increase in healthcare prices: The introduction of new, innovative healthcare technology can lead to better, more expensive procedures and products. The complexity of the U.S. healthcare system can lead to administrative waste in the insurance and provider payment systems.

Who is the least likely to have health insurance in the United States? ›

Most uninsured people are in low-income families and have at least one worker in the family. Reflecting the more limited availability of public coverage in some states, nonelderly adults are more likely to be uninsured than children.

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

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.

Can non US citizens have health insurance? ›

If you're a “qualified non-citizen,” you're generally eligible for coverage through Medicaid and the Children's Health Insurance Program (CHIP), if you meet state income and residency rules.

Is Blue Cross Blue Shield valid in other countries? ›

If you need medical care outside the U.S, Puerto Rico, and the U.S. Virgin Islands you can rest assured that the Blue Cross and Blue Shield Service Benefit Plan offers worldwide coverage. Through the Overseas Assistance Center, you're covered when working or traveling overseas.

Do I need health insurance when traveling abroad? ›

Get travel insurance.

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.

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