Health Insurance Options and Plans as an Expat in Mongolia

1. What are the available health insurance options and plans for expats in Mongolia?


There are several health insurance options and plans for expats in Mongolia, including:

1. Social Health Insurance: All Mongolian citizens, including expats living and working in the country, are required to have social health insurance. This is a government-run program that provides basic healthcare coverage for individuals and their dependents.

2. Private Health Insurance: Expat employees may also have the option to purchase private health insurance through their employer or on their own. These plans typically offer more comprehensive coverage compared to the social health insurance program.

3. International Health Insurance: For expats who want global coverage and access to healthcare outside of Mongolia, international health insurance plans are available from private companies.

4. Travel Insurance: Short-term visitors or tourists can purchase travel insurance for temporary coverage during their stay in Mongolia.

2. How does the Mongolian social health insurance system work?

The Mongolian social health insurance system is a universal healthcare program that covers all citizens, including expats living and working in the country. It is funded by contributions from employees, employers, and the government.

Under this system, individuals are entitled to receive free or subsidized medical care at state-owned hospitals and clinics. The level of coverage varies depending on an individual’s contribution level and income bracket.

To enroll in social health insurance, expats must obtain a national identification card known as an “IIN” (individual identification number) and register with a local branch of the Social Welfare Organization.

3. What are some key features of private health insurance plans in Mongolia?

Private health insurance plans in Mongolia vary depending on the provider, but some key features may include:

– Comprehensive medical coverage: Private health insurance plans typically offer more extensive coverage than the public social health insurance program.
– Choice of hospitals and doctors: With private insurance, individuals can choose which hospitals and doctors they want to see for medical treatment.
– Higher premiums: Private health insurance plans usually require higher premiums than the social health insurance program.
– Access to international healthcare: Some private plans may offer coverage for medical treatment outside of Mongolia if necessary.
– Additional benefits: Private health insurance plans may include additional benefits such as dental, vision, or prescription drug coverage.

4. Are expats required to have health insurance in Mongolia?

Yes, expats living and working in Mongolia are required to have health insurance. This can be either through the mandatory social health insurance program or through private health insurance.

5. Can expats use their home country’s health insurance while living in Mongolia?

It depends on the specific terms and conditions of an individual’s home country’s health insurance plan. Some international health insurance plans may provide coverage for medical treatment outside of the home country, including in Mongolia. It is important for expats to check with their insurance provider to see if their plan includes coverage while living in Mongolia.

2. Is it mandatory for expats to have health insurance in Mongolia?


According to the Law on Health Insurance in Mongolia, all foreign nationals residing in the country for a period of more than 6 months are required to have valid health insurance. This includes expats who are working, studying, or living in Mongolia. Therefore, it is mandatory for expats to have health insurance in Mongolia.

3. How can expats obtain health insurance in Mongolia?

Expats can obtain health insurance in Mongolia by either enrolling in the national health insurance program or purchasing private health insurance from an international or local insurance provider. Enrolling in the national health insurance program may require a local employer or sponsor, while private insurance can be purchased individually.

4. What does health insurance cover in Mongolia?

Health insurance coverage varies depending on the type of policy and provider chosen. However, most policies typically cover expenses related to medical treatment, hospitalization, and emergency services in case of illness or injury. Some policies also cover prescription medication and dental care. It is important for expats to carefully review their policy to understand what is covered and any limitations or exclusions.

5. Is there universal healthcare available to expats in Mongolia?

The government of Mongolia provides a universal healthcare system for its citizens and permanent residents. However, this system may not be accessible to all expats as only those who are enrolled in the national health insurance program through their employer or sponsor have access to these benefits. Private healthcare options may be necessary for those not eligible for the national program.

6. Are pre-existing conditions covered under Mongolian health insurance plans?

Pre-existing conditions are generally not covered by Mongolian health insurance plans unless specified otherwise by the insurer. Before purchasing a policy, it is important for expats to inquire about coverage for pre-existing conditions and any associated limitations or waiting periods.

7. Can I use my home country’s international health insurance plan while living in Mongolia?

It is possible for some international health insurance plans to provide coverage for expats living in Mongolia. However, it is important to check with your insurance provider to confirm coverage and any limitations that may apply. Additionally, it is recommended to also have a local health insurance policy as well in order to ensure comprehensive coverage while living in Mongolia.

3. What is the average cost of health insurance for expats in Mongolia?


The average cost of health insurance for expats in Mongolia can vary depending on the specific coverage and benefits included in the insurance plan. On average, expats can expect to pay between $1000 to $3000 per year for health insurance in Mongolia. Factors such as age, pre-existing conditions, and choice of coverage options can also impact the cost. It is important to shop around and compare different plans to find one that best fits your needs and budget.

4. Are there any government-sponsored health insurance programs for expats in Mongolia?

Yes, the Mongolian government offers a universal health insurance program called the Health Insurance Program (HIP) for all citizens, including expats. Foreigners living in Mongolia are eligible to participate in the HIP by paying monthly premiums. The program provides coverage for basic medical services such as hospital stays, doctor’s visits, and prescription drugs. Some private hospitals and clinics may also have their own health insurance plans for expats.

Additionally, employees working in Mongolia are required to contribute to the Social Insurance Fund (SIF), which provides coverage for occupational injuries and diseases, maternity leave benefits, and pensions.

5. Can I use my home country’s health insurance while living in Mongolia?

It is always best to confirm with your home country’s health insurance provider about their coverage and policies for international travel or living abroad. In most cases, your home country’s health insurance will only cover emergency medical treatment while you are in Mongolia. It is recommended to also purchase additional travel or international health insurance that covers your extended stay in Mongolia and any pre-existing conditions you may have.

5. Can I use my home country’s health insurance while living in Mongolia?


It depends on your home country’s health insurance policy. Some insurance companies may offer coverage for overseas travel and residency, while others may not. It is important to check with your insurance provider to see what coverage options are available for living in Mongolia. Additionally, you may also want to consider purchasing additional international health insurance that can provide coverage specifically for living abroad.

6. How does the healthcare system work for expats in Mongolia?

The healthcare system in Mongolia varies in quality and accessibility depending on the individual’s location and financial status.

1. Public Healthcare:
Mongolia has a national healthcare system that is funded by the government and covers a majority of the population. Treatment in public hospitals is free for all citizens; however, these hospitals are often overcrowded, understaffed, and may lack modern medical equipment and supplies. The quality of care can also be inconsistent.

2. Private Healthcare:
Private healthcare facilities are typically found in major cities such as Ulaanbaatar and offer better standards of care compared to public hospitals. Expats can access private hospitals and clinics, but they will have to pay out-of-pocket or have private health insurance.

3. Health Insurance:
It is recommended for expats to have international health insurance that includes coverage for emergency medical evacuation in case of serious illness or injury.

4. Medications:
Prescription medications are available at pharmacies, but it is recommended to bring an adequate supply of any necessary medication when traveling to Mongolia.

5. Emergency Services:
In case of an emergency, dial 103 (ambulance) or 101 (fire department) for assistance.

6. Language Barriers:
Many doctors and medical staff in public hospitals may not speak English, so it is advisable to seek out private facilities with English-speaking staff.

7. Vaccinations:
Expats should ensure they are up-to-date on routine vaccinations before traveling to Mongolia. Additionally, some recommended vaccinations include Hepatitis A & B, typhoid fever, Japanese encephalitis, rabies, and tick-borne encephalitis depending on activities and length of stay.

Overall, expats should be prepared for lower-quality healthcare services compared to what they may be used to in their home country. It is important to research healthcare options carefully and potentially consider purchasing additional health insurance coverage for peace of mind while living in Mongolia.

7. Do I need to have a certain level of income to be eligible for health insurance as an expat in Mongolia?


As an expat in Mongolia, there are no specific income requirements to be eligible for health insurance. However, it is recommended to have sufficient income to cover the cost of health insurance premiums and any potential medical expenses.

8. Are pre-existing conditions covered under the expat health insurance plans in Mongolia?

This depends on the specific insurance plan you purchase. Some plans may offer coverage for pre-existing conditions, while others may have exclusions or limitations for these conditions. It is important to carefully review the coverage details and fine print of your chosen insurance plan before purchasing to ensure that it meets your specific needs and covers any pre-existing conditions you may have. You may also want to disclose any pre-existing conditions when applying for insurance, as this can affect your eligibility and coverage options.

9. What is the process of applying for health insurance as an expat in Mongolia?


The process of applying for health insurance as an expat in Mongolia may vary depending on the specific insurance provider, but generally it involves the following steps:

1. Do some research: Research the different health insurance options available in Mongolia and decide which one best suits your needs and budget.

2. Choose a reputable insurance provider: Make sure to choose a reputable insurance company that has a good track record and offers coverage for expats living in Mongolia.

3. Gather necessary documents: Make sure you have all the necessary documents required by the insurance provider, such as your passport, visa, residence permit, and proof of address.

4. Fill out an application form: Complete the application form provided by the insurance company.

5. Choose your coverage: Select the type of coverage you need based on your healthcare needs and budget. This may include coverage for inpatient care, outpatient care, emergency evacuation, etc.

6. Submit your application: Once you have completed all the necessary steps and gathered all required documents, submit your application to the insurance provider either online or at their office.

7. Wait for approval: The insurance company will review your application and make a decision on whether or not to approve it.

8. Pay premiums: If approved, you will be required to pay the agreed-upon premiums either monthly or annually.

9. Obtain your health insurance card: Once you have paid your premiums, you will receive your health insurance card which serves as proof of coverage.

It is recommended to start the process of applying for health insurance before moving to Mongolia so that you can have coverage in place as soon as possible upon arrival.

10. Are routine check-ups and preventative care covered under expat health insurance plans in Mongolia?


Yes, most expat health insurance plans in Mongolia cover routine check-ups and preventative care. However, coverage for specific services may vary depending on the plan you choose. It is important to carefully review your plan’s benefits and coverage before purchasing or utilizing any healthcare services.

11. Can I choose my own doctor or hospital with the provided health insurance options in Mongolia?


The availability of doctors and hospitals may vary depending on the health insurance plan selected in Mongolia. It is important to check with the insurance provider about their network of healthcare providers and if you can choose your own doctor or hospital within that network. In some cases, you may be able to choose from a list of approved doctors and hospitals, while in others you may have more flexibility to choose any healthcare provider. It is best to research and compare different health insurance options to find one that best meets your needs.

12. What documents do I need to provide when applying for health insurance as an expat in Mongolia?


When applying for health insurance in Mongolia as an expat, you will typically need to provide the following documents:

1. Passport or other form of identification: You will need to provide a valid passport or another form of identification such as a national ID card.

2. Residence permit or work visa: As an expat, you will need to show proof of your legal status in Mongolia, which can include a residence permit or work visa.

3. Proof of income/employment: Some health insurance providers may require proof of income or employment to determine eligibility and premium rates.

4. Previous health insurance coverage: If you have had health insurance coverage in another country, you may be required to provide documents that prove your previous coverage and claims history.

5. Medical records: You may be asked to provide copies of your medical records, particularly if you have any pre-existing conditions that may affect your coverage.

6. Dependent information: If you are applying for coverage that includes dependents (e.g. family members), you will need to provide their personal information and supporting documents such as birth certificates or marriage certificates.

7. Proof of address: Some providers may require proof of your current address in Mongolia, such as a utility bill or rental agreement.

It is best to check with the specific health insurance provider for a complete list of required documents for your application. Additionally, requirements may vary depending on your specific circumstances and the type of health insurance plan you are applying for.

13. Do I have to pay upfront for medical treatments or will my claims be reimbursed by the insurer?


This depends on the specific terms and conditions of your health insurance policy. Some policies require you to pay upfront for medical treatments and then submit a claim for reimbursement, while others may have direct billing arrangements with healthcare providers. It is important to review your policy or contact your insurance provider to understand their claims process.

14. Are prescription drugs covered under expat health insurance plans in Mongolia?


It depends on the specific expat health insurance plan. Some plans may include prescription drug coverage while others may not. It is important to carefully review the details of the plan before enrolling to ensure that prescription drugs are covered if necessary.

15. In case of emergencies, does the health insurance cover medical evacuation expenses?


It depends on the specific health insurance plan. Some plans may include coverage for medical evacuation in case of emergencies, while others may not. It is important to carefully review your health insurance policy to understand what expenses are covered in case of emergencies. You can also contact your insurer directly for more information.

16. Are dental and vision care included in expat health insurance plans in Mongolia?


It depends on the specific expat health insurance plan you choose. Some plans may offer coverage for dental and vision care, while others may not. It is important to carefully review the details of your plan to see what is covered and what is not.

17. How long does it take to get coverage after purchasing a plan as an expat in Mongolia?

The time it takes to get coverage after purchasing an expat health insurance plan in Mongolia can vary depending on the specific insurance provider and policy. Some policies may offer immediate coverage upon purchase, while others may have a waiting period before coverage begins. Generally, it is recommended to purchase a plan at least a few weeks before your planned trip or relocation to ensure coverage is in effect when you arrive in Mongolia. It’s always best to check with your insurance provider for specific details about the timeline for coverage.

18. Can I tailor my coverage based on my specific needs and budget as an expat living in Mongolia?

It is possible to tailor your insurance coverage based on your specific needs and budget, but this will depend on the insurance provider you choose. Some providers may offer customizable plans for expats living in Mongolia, allowing you to select and pay for only the coverage you need.

Other providers may have set plans with different levels of coverage at varying prices. In this case, you may be able to choose from a range of plans that best suit your needs and budget.

It’s important to carefully review the details of any insurance plan before purchasing it and speak with an insurance agent or representative if you have any questions or concerns about tailoring your coverage.

19.For how long can I keep my international/expat health insurance if I decide to leave Mongolia and move to another country?


The length of time for which you can keep your international or expat health insurance will depend on the specific terms and conditions of your policy. Some policies may allow you to continue coverage even after moving to another country, while others may only cover you while living in a specific geographic region. It is best to consult with your insurance provider directly to determine the extent of your coverage in different countries.

20. Are there any exclusions or limitations on coverage for expats in Mongolia?


It is possible that certain pre-existing conditions may be excluded from coverage for expats in Mongolia. Additionally, there may be limitations on coverage for high-risk activities or extreme sports. It is important for expats to thoroughly review their insurance policy to understand any exclusions or limitations on coverage.