Private Health Insurance for Expats in Portugal
Private Health Insurance for Expats in Portugal
Insurance requirements for a D7 Visa application explained
Please note: I’m not an insurance expert. I am merely sharing what I have learend about private health insurance for Portugal and what our experience has been. You should consult a health insurance professional for advice before making any purchase of private health insurance in Portugal. I have listed resources within this post for more information.
Many people considering a move from the U.S. to Portugal get confused with the health insurance requirement when applying for a D7 resident visa or other type of resident visa. This article may help to clarify some of the confusion and is based on our personal experience only.
When you attend your appointment with VFS (or a consulate depending on where you reside) in the U.S. for your D7 resident visa, you will have to show proof of medical insurance. This can be done by purchasing a minimum of 4 months of travel insurance (check with your local VFS or consulate to verify the number of months required as this can change), with coverage that includes at least $30,000 per person in medical coverage plus repatriation. VFS has added the requirement of Covid coverage. Portugal must be a specified covered country and the policy should be in the names of all the parties covered (in our case husband and wife).
The policy does not need to have a start date effective on the date you attend your D7 visa appointment, but it does have to start on the date you expect to arrive in Portugal. So, for example, we purchased a 6-month travel/medical insurance policy in May 2021 and had our VFS appointments in San Francisco on June 2nd, but we made the policy have an effective date of August 28, 2021, since that was the expected date that we planned to arrive in Portugal.
Travel/medical policies vary and can be expensive, and the older you are, the more expensive it can be, so it is good to shop around at least 4-6 weeks prior to your visa appointment. Some resources that you can check out are marketplace sites that compare pricing and policies for several brands. Squaremouth is one resource and another is Aardy.
Other resources include:
VFS Global offers travel insurance with medical.
MedJet Assist offers a 1-year Expat plan.
GED Insurance located in Portugal may also be able to assist with a travel/medical plan.
If you’re concerned about risk, look for a policy that offers a cancel at any time clause. This means that if for some reason your application for residency is denied, you can cancel the policy (usually recovering only a partial refund) prior to going on the trip. The moment you get on the plane to Portugal, the cancel at any time clause becomes invalid.
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Private Health Insurance After you arrive in Portugal
Once you have arrived in Portugal, you will have to obtain proof of private health insurance prior to your appointment with AIMA (Agency for Integration, Migration and Asylum). There are a variety of choices, but they narrow down considerably the older you are. Pre-existing health conditions can also narrow down the choices. After age 71, the choices are more sparse and more expensive.
Some health plans will not cover pre-existing conditions at all or will require a waiting period from 90 days to 365 days for coverage to begin. Pre-existing conditions are subjective meaning that what you may think is not a pre-existing condition may be one in Portugal. Shopping around and asking questions is key.
When you open a bank account in Portugal, some banks offer other products and services including health insurance. Millennium bank is one such bank that offers health insurance but only up to a certain age.
Other resources are:
What we purchased.
In 2021, after reviewing several policies and plans, we decided on a private health insurance plan with Allianz primarily because of our ages but also because we felt the coverage was adequate.
In 2023, Allianz increased their rates across the board to 60%. They also reduced some of the benefits. So, we consulted with our concierge health service Serenity Portugal to discuss other options. In 2024, we switched to Mgen.
Wrapping it up
Keep in mind that once you become a resident of Portugal, you can also access the public health system if you need it although you are still required to have some form of private health insurance. The public health system in Portugal is good - but you may not have as many choices of providers and some surgeries are scheduled many months in advance.
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Until next time…
Obrigada!
Carol.
Hello Michael,
Thanks for your comment. I’m not an expert on this but here is a high-level overview regarding your question. Note that an immigration relocation professional will be better qualified to answer this.
There are two steps to this process.
Step 1 - When you apply for a D7 Visa and have been approved, you will receive a visa stamp in your passport which gives you permission to move to Portugal. You have 120 days from the visa stamp validity date to convert this visa into a residence permit. The resident permit happens when you’re living in Portugal, and you have an appointment with SEF (Portuguese Homeland Security) – see Step 2.
As part of the D7 application process, you must prove that you have medical/travel insurance per applicant that meets the Schengen Area requirements which includes:
Minimum coverage for at least €30,000 in medical expenses.
It should cover all member states of the Schengen Area. Portugal should be highlighted in the policy as a covered state.
The policy should cover any expenses which might arise in connection with repatriation for medical reasons.
If you already have an insurance policy that covers these requirements, be prepared to provide proof of insurance at the time of your application for a D7 Visa.
Step 2 – Once you have moved to Portugal, you will have an appointment with SEF to finalize your residency permit which is valid for 2 years and renewable thereafter. Before that appointment, you are required to secure private health insurance. This is different than the temporary travel/medical insurance required at the time you applied for the D7 Visa.
The basis of this requirement is that Portugal does not want foreign residents to obtain a Visa for the sole purpose of access to free or inexpensive public health care as it would tax an already overburdened public health system and be unfair to the citizens who have paid into the system through taxes and social security.
I did reach out to someone that has health insurance coverage because of a military career in the United States. I was told that she did purchase private health insurance but is unsure it is necessary.
I hope this helps! - CW
I am currently a civilian employee of the U.S. federal government. If I move to Portugal on a D7 visa, I will still be covered by my current health insurance plan, which I get to keep as a federal retiree. Does anyone know whether Portugal will accept that as proof of insurance, or do I still have to buy an insurance policy through a private company?