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Annual renewal: should you reassess your contract?
By Laurent Charret · Published on 7 novembre 2025 · 4 min read
Every year, as the renewal date approaches, the same question returns: should you keep your contract as is, or review it? On international health insurance, inertia has a cost, but change does too. The right approach is neither to cancel by reflex nor to renew without looking, but to carry out a lucid review based on a few clear signals.
Why your premium rises
A premium increase at renewal is, in itself, not abnormal. It reflects several factors: medical inflation, which affects the whole sector, the ageing of insured members, and portfolio claims. Understanding the origin of the increase is the first step: a moderate, general rise is not to be analysed like a double-digit increase, which deserves close examination.
Signal 1: a premium increase to examine
When the increase becomes noticeable, it is legitimate to ask your broker why, and to compare. Sometimes the increase is justified and the contract remains the best placed. Sometimes the market has shifted and an equivalent offer has become more competitive. Only a comparison at truly comparable guarantees allows you to decide.
Signal 2: a change in family situation
The arrival of a child, the departure of a child who has come of age, a separation, a return from expatriation: each of these movements can change which contract is most relevant. Cover tailored for a childless couple is no longer the same as that of a family of four, and the reverse is just as true. Renewal is the right moment to realign the policy with the household's reality.
Signal 3: a change of country
This is the most decisive signal. A move from Monaco to London, or from Europe to the United States, radically alters the necessary coverage zones and appropriate ceiling levels. The United States, in particular, almost always involves separate pricing and a distinct zone. A change of residence not reflected in the contract can create a coverage gap at the worst moment.
Arbitrating does not mean cancelling
A point of vigilance, for honesty's sake: changing contract is not neutral. A new contract may involve a new medical questionnaire, and therefore the risk that a condition that appeared since first subscription is treated as pre-existing. Waiting periods may also restart from zero. Preserving seniority has value. This is precisely the arbitration a broker helps you make: does the expected gain from a change justify the possible loss of these acquired rights?
In summary
The annual review takes an hour and can decide significant savings, or risks. Three signals justify in-depth examination: a marked premium increase, a change in the family, a change of country. But arbitrating means weighing the gain against the loss of seniority. It is one of the moments when a broker's support takes on its full meaning.
Frequently asked questions
Is an annual premium increase abnormal?
No. It reflects medical inflation, members' age and claims. A moderate increase is common; a marked increase, on the other hand, deserves examination and comparison.
Does changing contract make me lose my seniority?
It is a real risk. A new contract may involve a new medical questionnaire and waiting periods that restart from zero. This is why a change is decided by weighing the gain against this potential loss.
How often should you review your contract?
At least once a year, as renewal approaches, and at each significant event: family change, move, noticeable premium increase.
Does a change of country require changing contract?
Not necessarily, but it requires verifying that the coverage zone and ceilings remain suitable. A move to the United States, in particular, almost always requires a review.
Further reading
International Private Medical Insurance (IPMI): definition, cover and advice
What is IPMI? Definition, differences with a French mutuelle, covered guarantees and criteria to choose well. A clear guide from a Monaco-based broker.
Independent broker or direct insurer: why the role changes everything.
A direct insurer sells its own products. An independent broker compares the market. For IPMI, this nuance redefines the quality of advice.

