Independent comparison guide
Globily vs Now Health, Aetna, April International, Bupa & GeoBlue
An honest, detailed comparison of the leading international health plan providers — covering coverage limits, claims speed, direct billing networks, customer support, and price.
Get a free quoteWhy this comparison exists
When expats search for international health plan, the same five or six names come up repeatedly: Now Health International, Aetna International, April International, Bupa Global, GeoBlue — and increasingly, Globily.
This guide is designed to be genuinely useful, not a marketing exercise. We'll be honest about where the larger insurers have real advantages, and where Globily offers something meaningfully different. The goal is to help you make the right decision for your situation — even if that means choosing a competitor.
All information is current as of August 2026. Premium estimates are indicative; actual premiums depend on age, coverage area, and plan tier.
Provider profiles
Scores are out of 10. Claims speed, network quality, value for money, and customer support are weighted equally.
Globily
Specialist expat insurer — fast claims, transparent pricing
Best for
Individual expats and families who want fast claims, transparent pricing, and direct team access
Strengths
Weaknesses
Now Health International
Award-winning specialist expat insurer
Best for
Expats in Asia-Pacific and the Middle East seeking flexible, modular plans
Strengths
Weaknesses
Aetna International
US-focused international coverage
Best for
US expats on employer-sponsored plans who want US-style coverage
Strengths
Weaknesses
April International
French-backed specialist for expats worldwide
Best for
Expats who want a specialist European insurer with strong global coverage and flexible modular plans
Strengths
Weaknesses
Bupa Global
Premium positioning, premium price
Best for
Expats who want the most recognised premium brand and are willing to pay for it
Strengths
Weaknesses
GeoBlue
US-focused, Blue Cross network abroad
Best for
Americans abroad who want Blue Cross Blue Shield network access and US-style coverage
Strengths
Weaknesses
Side-by-side comparison
All six providers compared across the factors that matter most to expats.
| Feature | Globily | Now Health International | Aetna International | April International | Bupa Global | GeoBlue |
|---|---|---|---|---|---|---|
| Maximum coverage limit | $1,000,000 | $5,000,000+ | $1,000,000+ | $2,000,000+ | $5,000,000+ | $1,000,000 |
| Claims settlement speed | 24 hours | 5–10 days | 7–21 days | 5–10 days | 5–10 days | 5–10 days |
| Cashless / direct billing | Smart Health Card (190+ countries) | Global direct billing | Good in developed markets | Strong Europe & Asia-Pacific | Extensive global | Blue Cross network |
| Countries covered | 190+ | 195+ | 175+ | 195+ | 190+ | 180+ |
| Customer support | Phone + WhatsApp (US team) | 24/7 multilingual | 24/7 call centre | 24/7 multilingual | 24/7 premium | US-based team |
| Relative pricing | Competitive | Competitive–Mid | Mid–Premium | Mid–Premium | Premium+ | Competitive (US nationals) |
| UAE-specific option | Yes — UAE Only CareZone | |||||
| 24-hour claims payout | Yes — Instant Payout |
Frequently asked questions
Common questions about how Globily compares to the major international health insurers.
The bottom line
No single provider is right for every expat. The best international health plan plan depends on where you live, your budget, your health history, and what you value most in a provider.
If brand recognition and the largest possible hospital network are your priorities — and budget is not a constraint — Now Health International or Bupa Global are the established choices.
If you're an American expat on an employer-sponsored plan, Aetna International or GeoBlue may offer the most familiar coverage structure.
If you're based in Europe and want a specialist expat insurer with flexible modular plans, April International is a strong option.
If you want fast claims settlement, transparent pricing, direct access to a responsive US-based team, and competitive premiums — without paying the brand premium of the household names — Globily is worth a serious look.
Ready to compare your options?
Get a free, no-obligation quote from Globily — valid for 30 days, with a full benefits breakdown for all three plan tiers.
Further reading
Read our detailed blog comparison
Our blog post covers the same comparison in narrative form — useful if you want the full context behind each score.
Read: Globily vs Now Health, Aetna & April International