In short
  • Travel insurance covers acute emergencies, not continuous care.
  • Geographic scope drives both premium and value, above all US cover.
  • Pre-existing conditions are underwritten and may be loaded or excluded.
  • Deductible, annual limits and waiting periods define your real protection.
  • Direct billing with hospitals and medical evacuation are practical must-checks.
  • Apatridus refers, licensed intermediaries advise and place the policy.

Who this setup is built for

Entrepreneurs who have deregistered their residence or are about to, and anyone living permanently across several countries. It also fits when you hold residency in one country but spend most of the year elsewhere. Families with children have their own requirements, which we treat separately.

What is included

A structured needs assessment covering countries of stay, travel pattern, age, medical history and budget frame. A licensed intermediary then screens the market, and you get a plain comparison of the shortlisted plans plus support through application and underwriting. After placement you keep one point of contact for changes, relocations and claims.

Where plans actually differ

The decisive factors are geographic scope, the annual benefit limit, the deductible and how pre-existing conditions are treated. Then come waiting periods and whether dental, maternity, mental health and chronic conditions are included. Guaranteed lifetime renewability and the insurer's right to cancel often matter more over time than the first year premium.

US cover and geographic scope

Including the USA, and often Canada, raises the premium sharply because treatment costs there are the highest in the world. Many plans are therefore sold as worldwide excluding the USA, sometimes with limited emergency cover for short trips. If you are in the USA regularly, that has to be built into the plan from day one.

Requirements and process

We need your countries of stay, an honest medical history and, depending on the insurer, proof of your residence or of its termination. The sequence: needs assessment, shortlist, application with medical questions, underwriting and issue of the policy. Incomplete disclosure at application is the single most common reason claims get declined later.

What is not included

Apatridus does not give insurance advice itself and cannot promise that a given insurer will accept you. Existing conditions cannot be insured retroactively. Whether you remain subject to compulsory insurance in your home country is a question for the competent authority, not for this setup.

Who this is not for

Not for you if you live permanently in one country with a functioning compulsory scheme, where the local solution is usually better and cheaper. It also does not fit if you plan to hold back information at application. Anyone with serious chronic conditions should expect exclusions and go in knowing that.

Your next step

The Business Freedom Score places your cover gap inside the wider picture of structure and residency. If your deregistration is imminent, a call is faster, because sequence and timing matter. You leave knowing which cover you need and when.

Frequently asked questions

What is the difference between travel insurance and international health insurance?
Travel insurance covers acute emergencies on time limited trips. International health insurance is designed for the long term and includes preventive care, ongoing treatment and planned procedures.
Can I get cover without a fixed residence?
Yes, several plans are written for people without a permanent home base. Insurers will ask about your travel pattern and main countries of stay, since both drive scope and premium.
Are pre-existing conditions covered?
That is decided in underwriting. The outcome can be inclusion, a loading or an exclusion, and undisclosed conditions can put the whole policy at risk.
Do I need US cover?
Only if you spend meaningful time in the United States. Including it raises the premium noticeably, so an honest look at your travel pattern pays off.
Can I return to my home country scheme later?
That depends on your status when you return and has to be checked case by case. If a return is plausible, clarify your options with the competent body before you deregister.
How quickly can cover start?
After application and underwriting, cover can often start at short notice. Waiting periods may still apply to specific benefits such as dental work or maternity.
Bastian Köhler
US LLC, HK Ltd & Growth

Bastian Köhler

Responsible for this topic within the Apatridus expert network. This article is a general orientation and does not replace advice in an individual case. Apatridus develops strategies and brokers the execution, the advice itself is provided by licensed partners.