Best long term travel insurance for Americans in Europe

Looking for the best international travel medical insurance for U.S. citizens? Compare benefits of top-rated plans and buy the best plan!

We offer the best Best international travel medical insurance for us citizens designed by top US Insurance providers. International travel insurance plans vary based on the different coverage benefits offered. To help travelers make an informed decision, we provide filter options based on coverage benefits so that travelers find visitor insurance plans that best fit their requirements. After filtering and narrowing the list of plans, customers can compare details, get quotes and buy the best health insurance for visitors online.

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Which is the best long stay Europe visa insurance?

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worldtrips logo Atlas International Insurance

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star Rating: AM Best A++ (Superior) edit_square Underwriter: TMHCC Insurance SPC Ltd and Houston Casualty Company
  • Coinsurance: After deductible, plan pays 100% up to policy maximum
  • Direct Billing: No Provider network
  • Acute onset of pre-existing condition: Up to the overall maximum limit
  • Emergency medical evacuation: Up to $1,000,000
  • Maternity: Covers complications of pregnancy in the first 26 weeks
  • Urgent Care : 15 per incident; no copayment if deductible is $0
  • Personal liability : Lifetime maximum - $25,000
  • Adventure Sports: Includes coverage for eligible sports injuries and illnesses during vacation at no additional cost
  • Trip delay: Up to $100 a day after a 12-hour delay period, maximum of 2 days
  • Optional add-on benefits
  • Trip Interruption:Up to $10,000
  • Renewable: Can be renewed and extended up to 364 days
  • Repatriation of Remains: Equal to the elected overall maximum limit
  • Policy maximum?
    $50,000, $100,000, $250,000, $500,000, $1,000,000, $2,000,000

  • Deductible options?
    $0, $100, $250, $500, $1,000, $2,500, $5,000

  • Period of coverage?
    364 days

IMG logo Patriot International Lite Insurance

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star Rating: AM Best "A" (Excellent) edit_square Underwriter: SiriusPoint Specialty Insurance Corporation
  • Coinsurance: After deductible, plan pays 100% up to policy maximum
  • Direct Billing: Through IPA Network
  • Acute onset of pre-existing condition: Up to policy maximum for ages up to 70 years
  • Emergency medical evacuation: Up to $1,000,000
  • Urgent Care : $25 per incident; no copayment if deductible is $0.
  • Optional add-on benefits
  • Renewable: Can be renewed and extended up to 24 months
  • Personal liability : $25,000 maximum limit
  • Repatriation of Remains: $100,000 maximum limit
  • Policy maximum?
    $50,000, $100,000, $250,000, $500,000, $1,000,000

  • Deductible options?
    $0, $100, $250, $500, $1,000, $2,500

  • Period of coverage?
    5 days to 364 days

Seven Corners logoTravel Medical Choice Insurance

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star Rating: AM Best “A (Excellent)” edit_square Underwriter: HDI Global Specialty SE
  • Coinsurance: After deductible, plan pays 100% up to policy maximum
  • Direct Billing: Through WellAborad.com
  • Acute onset of pre-existing condition: Up to policy maximum for ages up to 80 years
  • Emergency medical evacuation: Up to $500,000
  • Urgent Care : URC to medical maximum; $20 copay
  • Trip Delay : $100 per day, 2-day limit per occurrence
  • Optional add-on benefit
  • Renewable: Can be renewed and extended up to 364 days
  • Trip Interruption:Up to $5,000
  • Repatriation of Remains:Up to $500,000
  • Policy maximum?
    $50,000, $100,000, $250,000, $500,000, $1,000,000

  • Deductible options?
    $0, $100, $250, $500, $1,000

  • Period of coverage?
    5 days to 12 months

worldtrips logoAtlas Premium International Insurance

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star Rating: AM Best A++ (Superior) edit_square Underwriter: TMHCC Insurance SPC Ltd and Houston Casualty Company
  • Coinsurance: After deductible, plan pays 100% up to policy maximum
  • Direct Billing: No Provider Network
  • Acute onset of pre-existing condition: Up to policy maximum for ages up to 79 years
  • Emergency medical evacuation: Up to $1,000,000
  • Maternity: Covers complications of pregnancy in the first 26 weeks
  • Urgent Care : 15 per incident; no copayment if deductible is $0
  • Personal liability : $25,000 maximum limit
  • Trip Delay : Up to $100 a day for up to 2 days after a 12-hour delay
  • Adventure Sports: Includes coverage for eligible sports injuries and illnesses during vacation at no additional cost
  • Renewable: Can be renewed and extended up to 364 days
  • Trip Interruption:Up to $15,000
  • Repatriation of Remains: Equal to the elected overall maximum limit
  • Policy maximum?
    $50,000, $100,000, $250,000, $500,000, $1,000,000, $2,000,000

  • Deductible options?
    $0, $100, $250, $500, $1,000, $2,500, $5,000

  • Period of coverage?
    364 days

Trawick International logoSafe Travels Outbound Insurance

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star Rating: AM Best "A" (Excellent) edit_square Underwriter: Nationwide Mutual Insurance Company
  • Coinsurance: After deductible, plan pays 100% up to the policy maximum
  • Direct Billing: No Provider Network
  • Pre-existing condition: Covers after 6 months of waiting period
  • Emergency medical evacuation: Up to $500,000
  • Renewable: Can be renewed and extended up to 180 days
  • Trip Interruption:Up to $7,500
  • Trip Delay:Up to $2,000 including accommodations,($150/day for 12 hours)
  • Repatriation of Remains:Up to $50,000
  • Policy maximum?
    $50,000, $100,000, $250,000, $500,000

  • Deductible options?
    $0, $50,$100, $250, $500, $1,000, $2,500, $5,000

  • Period of coverage?
    5 days to 180 days

IMG logoPatriot International Platinum Insurance

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star Rating: AM Best Rating "A" (Excellent) edit_square Underwriter: SiriusPoint Specialty Insurance Corporation
  • Coinsurance: After deductible, plan pays 100% up to policy maximum
  • Direct Billing: Through IPA Network
  • Acute onset of pre-existing condition: Up to policy maximum for ages up to 70 years
  • Emergency medical evacuation: Up to maximum limit
  • Urgent Care : $25 per incident; no copayment if deductible is $0
  • Personal liability : $25,000 maximum limit
  • Optional add-on benefits
  • Renewable: Can be renewed and extended up to 36 months
  • Repatriation of Remains:Up to overall maximum limit
  • Policy maximum?
    $1,000,000,$2,000,000, $5,000,000, $8,000,000

  • Deductible options?
    $0, $100, $250, $500, $1,000, $2,500, $5,000, $10,000, $25,000

  • Period of coverage?
    5 days to 364 days

geoblue logoGeoblue Voyager Choice

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star Rating: AM Best "A- (Excellent)" edit_square Underwriter: 4 Ever Life
  • Primary health plan required to purchase this plan
  • Coinsurance: 100% coverage after deductible
  • Direct Billing: Freedom to choose any international doctor or facility for services
  • Pre-existing conditions: Coverage includes both medical services and medical evacuation.
  • Trip Interruption:Up to $500
  • Hazardous activitiesMaximum benefit up to $25,000
  • Emergency medical evacuation: Up to $1,000,000
  • Policy maximum?
    $50,000, $100,000, $500,000 $1,000,000

  • Deductible options?
    $0, $100, $250, $500

  • Period of coverage?
    1 day to 182 days

Why US Citizens need long term Europe Visa insurance?

If you're an American citizen looking to spend over 90 days in Europe, you will generally need a long-stay visa (usually referred to as a Type D visa or national visa) from the country you're visiting. Comprehensive travel health insurance is required by most Schengen nations as part of the procedure for issuing a long-stay visa. Without this insurance, your visa application will be denied

What kind of travel insurance do I need for a long-term visit to Europe?

For long stays in Europe, especially in Schengen countries, your insurance must meet these requirements:

  • A minimum of €30,000 (about $50,000) in medical expense coverage
  • Validity across all Schengen Area countries
  • Coverage for the entire duration of your stay
  • Inclusion of emergency medical care, hospitalization, and medical repatriation to your home country
long term europe travel insurance usa

How much does long stay Europe visa travel insurance cost for Americans?

The cost of Europe long-stay travel insurance cost for Americans ranges from $101 to $146 for 90 days duration at American Visitor Insurance. The cost of long-stay travel insurance depends on factors like the traveler’s age, trip length, coverage amount, deductible, and any add-ons such as adventure sports or pre-existing condition coverage. Premiums vary widely, with longer trips and higher coverage limits generally costing more.

Plan name Visa letter 90 days 180 days 364 days
Atlas International WorldTrips insurance ID cards via Client Zone $101 $202 $408
Patriot international Lite IMG insurance ID cards via Client Zone $105 $209 $423
Travel Medical choice Seven Corners insurance ID cards via Client Zone $137 $274 $555
Atlas Premium International WorldTrips insurance ID cards via Client Zone $141 $283 $571
Safe Travels Outbound Trawick International insurance ID cards via Client Zone $146 $292 Not available
Geoblue voyager choice Geoblue insurance ID cards via Client Zone $130 $261 Not available

What problems can U.S. citizens face in Europe without long-term visa insurance?

Problems U.S. ctizens can face in europe without long-term visa insurance:

  1. Visa denial or entry refusal: Most European countries, particularly those in the Schengen Area, require travelers applying for long-stay visas to provide proof of adequate travel medical insurance. If you fail to present this documentation, your visa application may be denied, or you could be refused entry when you arrive at the border.
  2. High out-of-pocket medical costs: U.S. health insurance plans, including Medicare, generally do not provide coverage for medical services outside the United States. Without European travel insurance, you would be responsible for paying all medical expenses out-of-pocket, including emergency room visits, hospitalizations, surgeries, specialist consultations, and diagnostic tests. These costs can add up quickly and become financially overwhelming.
  3. No emergency or repatriation coverage: In case of serious illness or accident, you might have to be emergency-evacuated or repatriated to the U.S. Without insurance, these expenses which can run into tens of thousands of dollars have to be borne by you or your relatives.
  4. Financial loss from trip interruptions: Long term travel insurance often covers trip interruptions, or delays. Without it, you risk losing pre-paid, non-refundable expenses if your travel plans are disrupted due to illness, family emergencies, or other unforeseen events.
  5. Lack of support for lost luggage or personal belongings: Insurance can reimburse you for lost or delayed luggage and assist with replacing essential items. Without coverage, you bear the full cost and inconvenience of lost belongings.
  6. Difficulty accessing quality healthcare: In many European countries, some private hospitals and clinics may refuse treatment unless you can provide proof of insurance or pay the full cost upfront. Without travel insurance coverage, you risk facing delays in receiving necessary medical care or, in some cases, being denied treatment altogether.
  7. Legal and Immigration consequences: Overstaying your visa without valid insurance can result in fines, deportation, or being banned from re-entering Schengen countries in the future.

Summary:Traveling or residing in Europe without long-term visa insurance exposes U.S. citizens to significant financial, legal, and health risks. Comprehensive insurance is essential for both meeting visa requirements and ensuring peace of mind during your stay.

What should I consider when choosing long-stay travel insurance for Europe?

When selecting long-stay travel insurance for Europe, it’s important to consider several key factors:

Factors Why It Matters
Comprehensive Medical Cover Meets visa rules and protects you from expensive medical bills abroad.0
Policy Duration Covers your entire stay without gaps, providing continuous protection.
Inclusions/Exclusions Clarifies what is covered and what isn’t, preventing unexpected costs or denied claims.
Cost vs. Benefits Helps you get the best coverage for your budget.
Claims Process A smooth claims process guarantees timely assistance and reimbursement when needed.
Extra Features Additional benefits like telemedicine or lost luggage coverage offer extra peace of mind.
Flexibility Allows adjustments or extensions if your travel plans change.

What are the best insurance options for U.S. travelers staying over 90 days in Europe

Insurer & Plan Maximum Coverage Duration Key Features
GeoBlue Voyager Essential Up to 182 days For US citizens up to age 95, $50,000–$1,000,000 limits, 100% coinsurance, no primary health plan required, covers pre-existing conditions after 180 days, 24/7 support.
GeoBlue Voyager Choice Up to 182 days For US citizens up to age 95, $50,000–$1,000,000 limits, 100% coinsurance, primary health plan required, no exclusion for pre-existing conditions, 24/7 support.
Atlas International 5 days to 365 days Customizable duration, meets visa requirements, provides visa letter, suitable for seniors under 80.
Patriot International Lite 5 days to 365 days (renewable up to 2 years) Customizable duration, meets visa requirements, provides visa letter, suitable for seniors under 70.
Safe Travels Outbound Up to 180 days For travelers over 80, $50,000+ coverage, meets visa requirements, provides visa letter.
Travel Medical Choice Up to 364 days (single trip) Robust medical coverage, emergency medical evacuation, flexible deductible and coverage options, suitable for long-term travelers, meets Schengen visa requirements

Long stay Europe travel insurance - Frequently asked questions

1. What is long-stay travel insurance and who needs it?

Long stay travel insurance is a type of travel insurance designed for people traveling abroad for an extended period, usually longer than 30 days and up to a year or more. It provides coverage for medical emergencies, trip interruption, lost or stolen belongings and loss or theft of belongings. Some policies also include cover for adventure activities. This insurance is ideal for backpackers, gap year students, digital nomads, retirees on extended vacations, and anyone spending a long time overseas. It offers peace of mind and helps protect against unexpected costs while traveling.

2. Is travel insurance mandatory for US citizens visiting Europe?

Travel insurance is not required for U.S. citizens visiting most European countries for short stays of up to 90 days within a 180-day period, due to visa-free agreements with Schengen Area countries. However, if you're staying longer than 90 days or applying for a long-stay or Schengen visa, you must have travel insurance that covers at least €30,000 in medical expenses and repatriation. Even when not mandatory, purchasing travel insurance is highly recommended. U.S. domestic health insurance, including Medicare and Medicaid, typically does not provide coverage overseas, and medical care in Europe can be expensive. Travel insurance can help cover unexpected medical emergencies, trip interruption, and other unforeseen events.

3. What does Europe long-stay travel insurance typically cover?

Europe long-stay travel insurance typically covers a range of essential protections for travelers staying in Europe for extended periods. Key coverage areas usually include:

  • Emergency medical treatment and hospitalization
  • Medical evacuation and repatriation
  • Trip interruption
  • Lost, stolen, or damaged possessions and luggage
  • Personal liability
  • 24/7 customer support

4. Are pre-existing conditions covered by long-stay travel insurance?

Coverage for pre-existing conditions varies by provider. For example, Atlas International and Travel Medical Choice cover the acute onset of pre-existing conditions for travelers up to 79 years old, while Patriot International Lite from IMG covers acute onset up to age 70.

5. Which are the best travel insurance plans for long stays in Europe?

6. Can I buy or renew travel insurance after arriving in Europe?

Some providers allow you to purchase or renew a policy after departure, but coverage may be limited or subject to waiting periods. It is generally recommended to arrange insurance before leaving the US to ensure full protection from day one.

7. Is emergency evacuation or repatriation included in long-stay plans?

Emergency medical evacuation and repatriation are standard benefits in long-stay travel insurance. Plans like Atlas International, Patriot International Lite, and Voyager Choice typically cover up to $1,000,000, while Safe Travels Outbound and Travel Medical Choice offer coverage up to $500,000.

8. Does my US health insurance or Medicare cover me in Europe?

Most US health insurance plans and Medicare do not provide coverage outside the US, or only offer very limited emergency benefits. This is why travel insurance is strongly recommended for Americans visiting Europe.

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Which are the best travel insurance companies in USA?

You can find reliable US insurance providers like International Medical Group(IMG), Seven Corners, WorldTrips, Global Underwriters, Travel Insure, GeoBlue, HTH Worldwide, INF insurance, HTH Worldwide and Venbrook International.

Which are the best visitors insurance companies in USA?

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HTH Worldwide
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Expertise in offering travel insurance
20+ years!
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Customers from
All U.S. states!
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Customers from over
180 countries!