MSH International
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MSH International has spent 50 years building dedicated expat health coverage. The company operates across 180 countries and serves Americans, Europeans, and other nationalities abroad through plans like First'Expat+. Membership exceeds 500,000 individuals and families relying on their network.
First'Expat+ comes in four tiers, letting you choose coverage depth that matches your location risk, income, and how long you'll stay abroad. Best for professionals working on company assignments or self-employed Americans living full-time overseas who want an insurer that speaks expat logistics without requiring a US domestic address.