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XN Global

XN Global international health insurance for expats in Africa

XN Global Solutions is a newer international plan with a clean five-tier ladder, high annual maximums and full-refund core hospital cover, administered by XN Global and underwritten at Lloyd's. IPMIAfrica explains how it works and the one trade-off on the entry tier.

Last updated: 15 October 2026 · Reviewed by IPMIAfrica
In short: XN Global Solutions is a five-tier international plan, Base, Elevation, Ascent, Summit and Apex, with annual maximums from US$/€3m and hospital, dialysis and transplant care at full refund on every tier, underwritten at Lloyd's. It suits expats in Africa who want high limits and big-event cover at a competitive price; anyone managing a chronic condition should start at Elevation, because Base does not cover routine chronic management.
Key takeaways
  • Annual maximums are US$/€3m on Base, US$/€3.5m on Elevation and US$/€4m on Ascent, rising further on Summit and Apex.
  • From Elevation upward routine chronic management is covered at full refund, subject to the outpatient aggregate limit.
  • Inpatient psychiatric care runs 30 days on Base and Elevation, 45 on Ascent and 60 on Summit and Apex.
  • XN Global is an MGA in the Henner Group that administers the plan; the risk is underwritten by Underwriters at Lloyd's.
  • Evacuation and repatriation terms are not published in the source material, so ask for the wording with your quote.
Plan tiersBase · Elevation · Ascent · Summit · Apex
Annual maximumFrom US$/€3m on Base, rising by tier
Underwritten byUnderwriters at Lloyd's
Distributed byXN Global, an MGA and part of the Henner Group
CurrenciesUSD or EUR, with identical numeric limits
Chronic conditionsRoutine management not covered on Base; covered from Elevation up

Five tiers that scale together

XN Global sells XN Global Solutions, an international private medical insurance (IPMI) plan for individuals and families. The design is a straightforward ladder: each tier raises the annual maximum and the benefit limits, so cover and premium move together and there are no modules to assemble.

TierAnnual maximumPosition
BaseUS$/€3,000,000Entry level, the leanest premium
ElevationUS$/€3,500,000Adds outpatient and chronic cover
AscentUS$/€4,000,000Higher limits across the board
SummitHigher stillBroad, high-limit cover
ApexTop tierThe most comprehensive

Plans are available in US dollars or euros with identical numeric limits in either currency. Exact limits and the area of cover are confirmed at quote.

Full-refund core cover, even at Base

What sets XN apart is how much is paid at full refund on every tier, including the entry one:

In practice this means the entry tier is not a cut-down version of the big-event protection. The difference between tiers is the outpatient and chronic cover around it, the psychiatric days, and the ladder benefits. Our guide to inpatient versus outpatient cover explains why that outpatient layer is the first thing to decide.

The trade-off on Base: chronic conditions

Base does not cover routine management of chronic conditions. From Elevation upward, routine chronic management is covered at full refund, subject to the plan's outpatient aggregate limit, and the allowance increases with each tier. If you manage an ongoing condition, the entry tier may therefore be a false economy: the premium saving is real, but so is the gap. Step up to at least Elevation.

Your medical history is assessed at application and the exact terms are confirmed before you buy. How that assessment usually works, and what the alternatives look like, is explained in our pre-existing conditions guide.

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Who carries the risk

It helps to understand the arrangement behind the plan. XN Global is a Managing General Agent (MGA), part of the Henner Group, and it distributes and administers XN Global Solutions. The insurance risk itself is underwritten by Underwriters at Lloyd's, meaning Lloyd's of London syndicates. XN Global is the administrator you deal with; the cover sits behind the Lloyd's market.

Using XN Global from Africa

XN's published material confirms the area of cover at quote rather than listing fixed regions, so readers in South Africa, Kenya, Nigeria, Ghana, Egypt, Morocco, Tanzania and Mauritius should ask two things when quoting: which area the plan is issued for, and whether it includes the countries you would realistically travel to for complex treatment. Our guide to regional versus worldwide cover explains how to weigh a wider area against its price.

Medical evacuation and repatriation terms are not set out in the XN Global material this page is based on; the emergency road ambulance benefit is published at full refund on every tier. If a flight for treatment is a realistic scenario where you live, ask for the evacuation wording with the quote. Our evacuation guide explains what it should cover.

The choice of US dollars or euros, with identical limits in each, is practical for members paid in either currency. The full-refund core on hospital, dialysis and transplant care means the entry tier protects well against the expensive event, which is often the priority for an expat in a country where private hospital bills for serious illness are the real risk. IPMIAfrica quotes XN Global alongside the rest of the market so the ladder's price steps show as real numbers, and so the Base-versus-Elevation decision for anyone with a chronic condition is made with the price difference in front of you.

Who XN Global suits

XN Global is a strong fit if you want high benefit limits and full-refund core cover at a competitive price, and you like a simple tier ladder that scales. Base is a keen entry point if you mainly want protection against big events.

It is worth comparing alternatives if you manage a chronic condition, in which case start at Elevation rather than Base, or if you would prefer a longer-established insurer brand. Browse all insurers we cover to see XN beside the rest.

Frequently asked questions

Who underwrites XN Global?
XN Global is a Managing General Agent, part of the Henner Group, that distributes and administers XN Global Solutions. The cover is underwritten by Underwriters at Lloyd's, the Lloyd's of London market.
What are the XN Global plan tiers?
Five: Base, Elevation, Ascent, Summit and Apex. Annual maximums start at US$/€3,000,000 on Base, rise to US$/€3,500,000 on Elevation and US$/€4,000,000 on Ascent, and continue higher on Summit and Apex.
Does XN Global cover chronic conditions?
Not on Base, which does not cover routine chronic condition management. From Elevation upward it is covered at full refund, subject to the plan's outpatient aggregate limit, and the allowance increases with each tier.
What currencies are available?
US dollars or euros, with identical numeric benefit limits in either currency. Pick the one you earn or hold.
Does XN Global include evacuation for members in Africa?
Emergency road ambulance is published at full refund on every tier. Evacuation and repatriation terms are not set out in the material this page is based on, so ask for the wording with your quote if you live somewhere where complex treatment may mean a flight.
How does IPMIAfrica compare XN Global?
Nomi quotes XN Global alongside more than twenty international insurers for your country in Africa and chosen currency, then ranks them on real price. IPMIAfrica charges no fee, and an experienced adviser confirms the area, terms and underwriting before you buy.

XN Global against the whole market

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This page is general information, not personal or medical advice, and is based on XN Global Solutions plan documentation and XN Global's published information; exact terms, limits and underwriting are confirmed at quote. Prices are indicative. XN Global, Henner and related names and logos are the property of their respective owners.