Cigna Global vs Now Health International in Hong Kong (2026): Benefits & premium comparisons
Choose Cigna Global if you want standard private room accommodation across all plans, modular outpatient limits, and structured chronic care maintenance. Choose Now Health International if you prefer full refund doctor visits built into mid tiers, high entry hospital limits, and a shorter 12-month maternity waiting period.
Reviewed by a licensed advisor
Selecting medical protection in Hong Kong often comes down to choosing between Cigna Global and Now Health International. Cigna Global structures its coverage across three plan tiers: Silver, Gold, and Platinum. Now Health International offers four WorldCare tiers: WorldCare Essential, WorldCare Advance, WorldCare Excel, and WorldCare Apex. Both insurance providers deliver private healthcare options designed to help you secure the best expat health insurance in Hong Kong 2026.
Cigna Global vs Now Health International : Key comparison
Feature | Cigna Global | Now Health International |
Plans | Silver, Gold, Platinum | WorldCare Essential, WorldCare Advance, WorldCare Excel, WorldCare Apex |
Annual limits | USD 1,000,000 to Paid in full | USD 3,000,000 to USD 4,500,000 (EUR 2,400,000 to EUR 3,600,000) |
Area of cover | Worldwide incl. USA or Worldwide excl. USA | Worldwide Excluding USA (USA elective optional up to USD 1,500,000) |
Hospital room | Private room across all plans | Hospital charges full refund across all plans |
Deductibles | Core: USD 0 to USD 10,000; Outpatient: USD 0 to USD 1,500 | Standard Nil; optional USD 1,000 to USD 15,000 |
Cost share / Coinsurance | Optional cost share 0% to 30% with out of pocket maximum | Optional 10% or 20% outpatient coinsurance; optional excess USD 15 or USD 25 |
Outpatient | Optional International Outpatient module | Full refund on Advance, Excel, Apex; pre/post hospital on Essential |
Maternity | Gold and Platinum; 24 months waiting period in Hong Kong | Apex only (USD 17,500); 12 months waiting period |
Dental | Optional International Vision and Dental module | Built into Excel and Apex; 9 months waiting period |
Evacuation | Optional International Medical Evacuation module | Full refund across all plans |
Pre-existing conditions | Full Medical Underwriting | Full Medical Underwriting |
Outpatient care: Cigna Global vs Now Health International
Cigna Global and Now Health International use different structures to reimburse outpatient visits, therapies, and prescription medications.
Plan Tier | Outpatient Annual Limit | Doctor Visits | Prescribed Drugs |
Cigna Plans | |||
Core (No module) | Limited outpatient only | Inpatient and daypatient only | Inpatient and daypatient only |
Silver Module | USD 15,000 | Up to USD 2,500 | Up to USD 1,500 |
Gold Module | USD 35,000 | Up to USD 7,500 | Up to USD 4,500 |
Platinum Module | Paid in full | Paid in full | Paid in full |
Now Health Plans | |||
Essential | Pre/post hospital only (USD 2,000) | Pre/post hospital only | Included in hospital claim |
Advance | Up to plan maximum (USD 3,500,000) | Full refund | Included in outpatient care |
Excel | Up to plan maximum (USD 4,000,000) | Full refund | Included in outpatient care |
Apex | Up to plan maximum (USD 4,500,000) | Full refund | Included in outpatient care |
Our Expert’ commentary on outpatient care (Cigna Global vs Now Health Insurance)
Cigna Global: Platinum provides full outpatient coverage, and core plans include outpatient oncology, mental health, and advanced imaging without adding the module. However, Silver and Gold enforce annual caps on consultations.
Now Health International: Consultations on Advance, Excel, and Apex are reimbursed with a full refund up to the plan limit, and physiotherapy on Excel and Apex carries no session caps. However, Essential excludes routine clinic care unless upgraded.
Maternity timelines and benefits: 24 months in Hong Kong with Cigna Global vs 12 months with Now Health International
Waiting periods and plan tier restrictions create significant differences for maternity care in Hong Kong. Reviewing these rules helps when evaluating the best expat maternity insurance.
Maternity Benefit | Cigna Global (Gold / Platinum) | Now Health International (Apex) |
Eligible plans | Gold and Platinum | WorldCare Apex only |
Hong Kong waiting period | 24 months | 12 months |
Routine delivery allowance | Gold: USD 7,000; Platinum: USD 14,000 | Apex: USD 17,500 (EUR 14,000) |
Complicated delivery allowance | Gold: USD 14,000; Platinum: USD 28,000 | Included within routine limit; conditions full refund |
Fertility benefits | Platinum: Carrot guidance; Infertility up to USD 10,000 | Excluded (reproductive medicine not covered) |
Newborn protection | First 90 days: Silver USD 25,000; Gold USD 75,000; Platinum USD 156,000 | Essential/Advance: USD 100,000; Excel: USD 125,000; Apex: USD 150,000 |
Our Expert’ commentary on maternity benefit (Cigna Global vs Now Health Insurance)
Cigna Global: Platinum includes Carrot support without a waiting period, and newborn care limits reach USD 156,000. However, the 24 months waiting period in Hong Kong requires two consecutive years before delivery benefits begin.
Now Health International: The 12-month waiting period on Apex allows delivery claims a full year earlier than Cigna Global in Hong Kong, and pregnancy medical conditions receive a full refund across all tiers. However, routine maternity is restricted to Apex.
Deductible and cost-sharing mechanics: Out of pocket caps on Cigna Global vs Now Health International
Both insurers offer mechanisms to lower your health insurance cost with deductibles and coinsurance, but their rules differ significantly.
Deductible Feature | Cigna Global | Now Health International |
Standard deductible | USD 0 across all plans | Nil across all plans |
Inpatient deductible options | USD 375, USD 750, USD 1,500, USD 3,000, USD 7,500, USD 10,000 | USD 1,000, USD 2,500, USD 5,000, USD 10,000, USD 15,000 |
Outpatient deductible | USD 150, USD 500, USD 1,000, USD 1,500 | Optional USD 15 or USD 25 per visit (Advance, Excel, Apex) |
Coinsurance / Cost share | Optional cost share: 0%, 10%, 20%, or 30% | Optional 10% or 20% on outpatient treatments |
Out of pocket protection | Core: USD 2,000 or USD 5,000; Outpatient: USD 3,000 | None published |
Deductible linking rules | Core and Outpatient deductibles selected independently | Selecting an inpatient deductible requires outpatient cost sharing |
Our Expert’ commentary on deductible options (Cigna Global vs Now Health Insurance)
Cigna Global: Deductibles start at USD 375, and out of pocket maximums protect policyholders from high cost-share expenses. However, selecting deductibles on both modules creates two separate excess requirements.
Now Health International: Standard plans begin with a Nil deductible, and per-visit excess options of USD 15 or USD 25 keep routine outpatient claims simple. However, choosing an inpatient deductible forces members to accept outpatient cost sharing.
Which one to choose
Choose Cigna Global Platinum if you want inpatient hospital care paid in full with standard private room accommodation and comprehensive worldwide protection.
Choose Now Health WorldCare Apex if you want high core coverage of USD 4,500,000, full refund outpatient consultations, and a 12-month maternity waiting period.
Choose Cigna Global Gold if you want a balanced core plan of USD 2,000,000 with the flexibility to select outpatient, dental, and evacuation modules independently.
Choose Now Health WorldCare Advance if you want all-round inpatient and outpatient medical protection starting with a standard Nil deductible.
Questions to ask before you buy
Do you prefer a modular plan where outpatient and evacuation are separate riders, or a plan with evacuation built in?
Are you planning a pregnancy in Hong Kong that requires delivery coverage within the next 12 to 24 months?
Would you prefer an annual deductible capped by an out of pocket maximum, or a per-visit outpatient excess?
Do you require guaranteed private room hospital accommodation across all plan tiers?
Do you have pre-existing conditions that could benefit from structured outpatient maintenance benefits?
Alea's analysis
The choice between Cigna Global and Now Health International centers on modular flexibility versus core benefit depth. Cigna Global delivers a globally established structure with private room accommodation across all tiers, paid in full inpatient care on Platinum, and unique outpatient maintenance benefits for older adults with chronic conditions. Now Health International offers comprehensive plans with full refund doctor visits from the Advance tier upward, higher base hospital limits starting at USD 3,000,000, and a shorter 12-month maternity waiting period on Apex. If you want modular control with protected cost-share maximums, Cigna Global is a strong choice. If you seek full refund outpatient care and high entry hospital ceilings, Now Health is a compelling alternative.
How we compared them
We compared these products using official plan rules and benefit schedules.
Alea is a licensed insurance broker in Hong Kong that compares more than 50 insurers, including Bupa Global and Cigna Global.
We help you save time, money and worry by explaining all your options and we work for you, not the insurer. Plus, you always get the best prices as our premiums are never higher than if you went directly with the insurers!
Why Choose Alea: We simplify health insurance. We have helped thousands of locals, expats, and families find the perfect coverage. Beyond securing your policy, our dedicated customer care team advocates for you year-round, ensuring you have expert support whenever you need it most.
Contact us to get a quote to compare both insurers for your age and needs.
What are the maternity waiting periods and benefit limits for both insurers in Hong Kong?
Now Health International covers routine maternity exclusively on the WorldCare Apex plan up to USD 17,500 after a 12-month waiting period, while covering pregnancy and childbirth medical conditions with a full refund across all four tiers. Cigna Global enforces a strict 24 months waiting period in Hong Kong on Gold (USD 7,000 routine, USD 14,000 complications) and Platinum (USD 14,000 routine, USD 28,000 complications), while excluding maternity care on Silver.
Can I get private room hospital accommodation under both insurers?
Yes, both insurers cover private rooms in Hong Kong.

Written by
Shannon Kapoor
Head of Customer Care & Insurance Specialist

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