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Journal · Visas & Residency

Health Insurance Requirements for Bali's Long-Stay Visas

Residents' gym at Sanuuri Residences in Sanur with training equipment and natural light

Health insurance is a formal requirement for Indonesia's E33F Retirement KITAS, and agents routinely ask for proof of cover on other long-stay permits too. The rules publish no minimum benefit level, so the real question is not the visa checkbox but buying cover that would actually pay for treatment in Bali after 60.

Key takeaways

  • The E33F Retirement KITAS lists proof of health insurance among its documentary requirements; no specific minimum benefit level is published.
  • The E33E Silver Hair and E33 Second Home visas centre on deposits and income proof; agents commonly ask for insurance evidence anyway.
  • Medicare, the NHS and European public schemes do not cover treatment in Indonesia.
  • Sensible cover for a retiree prioritises inpatient treatment and medical evacuation; outpatient care in Bali is cheap enough to self-fund.
  • Sanur is the best-served town in Bali for hospitals, with Bali International Hospital open since 25 June 2025 about 8 minutes from Sanuuri.

Insurance is the least glamorous document in a visa application and the one with the highest stakes attached. A visa can be reapplied for; an uninsured heart attack at 68 cannot. This guide covers what each long-stay visa actually demands, what a sensible policy looks like for the 60-to-75 age band, and what the treatment landscape in Sanur means for the cover you choose.

Do Bali's long-stay visas require health insurance?

One of them requires it explicitly: the E33F Retirement KITAS lists proof of health insurance among its application documents, per the Directorate General of Immigration. The E33E Silver Hair Visa and E33 Second Home Visa are built around financial requirements instead, though agents commonly ask applicants for proof of cover in practice.

The table below summarises the position across the permits a retiree or near-retiree would realistically hold. Where practice varies by agent and immigration office, we say so; confirm the current position before you apply, ideally with the checklist from our retirement KITAS guide.

Health insurance position by Indonesian visa type, July 2026
VisaInsurance formally required?What to expect in practice
E33F Retirement KITAS (1 year, age 60+)Yes, proof of health insurance is a listed documentNo published minimum benefit level; agents judge adequacy, and their standards vary
E33E Silver Hair Visa (5 years, age 60+)Headline requirements are the USD 50,000 deposit and income proofAgents commonly request proof of cover; confirm current practice
E33 Second Home Visa (5 or 10 years, no age limit)Headline requirement is IDR 2 billion at a state-owned bankAgents commonly request proof of cover; confirm current practice
Visa on arrival (30 + 30 days)NoTravel insurance strongly advisable; hospitals expect payment or a guarantee

What does the E33F Retirement KITAS require exactly?

The E33F application bundles health insurance with proof of a pension or passive income of about USD 3,000 per month, a bank statement showing roughly USD 2,000, and proof of accommodation. Immigration publishes no minimum sum insured, benefit list or approved insurer roster for the policy itself.

That vagueness cuts both ways. It means a modest international policy, or in some cases a solid Indonesian domestic policy, will usually satisfy the paperwork; requirements as applied by agents can vary, so confirm current practice with yours. It also means the visa checkbox is a floor, not a standard. A certificate that satisfies an immigration clerk may still leave you personally liable for an ICU bill. Treat the two questions separately: what gets the visa granted, and what protects your savings. Australians should note the second question is entirely on them, since Medicare does not follow you to Indonesia, a subject we cover fully in our guide to Medicare and health insurance for Australians in Bali.

What cover is actually sensible for a retiree in Bali?

Prioritise two benefits: inpatient hospital treatment and medical evacuation. Day-to-day outpatient care in Bali is inexpensive enough that many retirees self-fund GP visits and dentistry, but surgery, cardiac events and evacuation to Singapore or Australia are the scenarios that destroy uninsured budgets.

When comparing policies, look hard at five terms: the age limit for new applicants, since many international insurers stop accepting new customers somewhere between 65 and 75; how pre-existing conditions are handled, whether excluded, underwritten or covered after a moratorium; whether the policy is guaranteed renewable for life; the geographic scope, since plans excluding the USA are markedly cheaper; and the deductible, which is the honest lever for managing premiums after 60. Premiums climb steeply with each age band and vary so much by insurer, excess and health history that any single figure would mislead; get dated quotes from two or three insurers rather than relying on forum anecdotes. A couple budgeting USD 2,350 to 3,450 per month for a comfortable Sanur life, per bali.com's 2026 guide, should treat health insurance as a real line item on top, not an afterthought inside it.

How do age and health change the picture between 60 and 75?

Age changes three things: premiums rise with every band, insurers' doors close for new applicants at their entry-age cut-offs, and pre-existing conditions accumulate. The practical consequence is that the best time to buy a lifetime-renewable policy is before you move, not after your first Bali hospital visit.

Retirees who arrive at 62 in good health have the full menu of insurers. At 74 with a cardiac history, the menu is short and expensive, and a moratorium policy that ignores conditions older than a set number of years may be the only realistic route. This is also the strongest argument against spending your first years in Bali on tourist visas with travel insurance: those policies are built for trips, not residence, and they do not build any continuity of cover. Whatever policy you buy, disclose fully; a claim denied for non-disclosure at 70 is the worst financial outcome available.

Where would you actually be treated in Sanur?

Sanur has become the best-served town in Bali for healthcare. Bali International Hospital opened on 25 June 2025, inaugurated by President Prabowo, inside KEK Sanur, Indonesia's first health special economic zone: 41.26 hectares with around USD 620 million in projected investment under Government Regulation 41 of 2022.

Beyond the new hospital, the established options are BIMC and Siloam Hospital Bali in the island's south, the latter JCI-accredited, plus a dense layer of clinics along Sanur's main streets. For a Sanuuri resident the new hospital sits about 8 minutes away, which changes both how you use healthcare and what insurance you need: with credible tertiary care nearby, evacuation becomes a genuine last resort rather than the default plan. The full landscape, including clinics and pharmacies, is mapped in our guide to healthcare in Sanur. The insurance conclusion is simple: buy the policy as if you will be treated in Indonesia, because increasingly, you will be, and well.

This article is general information, not legal, tax or financial advice. Rules change and individual circumstances differ. Confirm current requirements with a licensed agent or adviser before acting.

Frequently asked questions

Is health insurance mandatory for the Bali retirement visa?

Yes. Proof of health insurance is among the documentary requirements for the E33F Retirement KITAS, alongside income proof, a bank statement and proof of accommodation. The rules do not publish a specific minimum benefit level, so agents assess whether your policy looks adequate; requirements as applied by agents can vary, so confirm current practice.

Does the Second Home Visa require health insurance?

Health insurance is not among the E33 Second Home Visa's headline requirements, which centre on the IDR 2 billion proof of funds at an Indonesian state-owned bank. In practice agents commonly ask applicants for proof of cover, and going uninsured in a country where you have no public healthcare entitlement is unwise regardless of the checkbox.

Does Medicare or the NHS cover treatment in Bali?

No. Australian Medicare does not cover treatment in Indonesia, and the NHS does not fund care abroad. Long-stay residents need private cover or the means to self-fund, because hospitals in Bali expect payment or a guarantee before non-emergency treatment.

Can travel insurance satisfy the KITAS insurance requirement?

Travel insurance is designed for short trips and typically lapses or excludes claims once you become a long-term resident, so it is the wrong instrument even where an agent accepts the certificate. What agents expect to see, and what actually protects you, is a health or expat medical policy that covers you while resident in Indonesia.

Sources

  1. Directorate General of Immigration, Republic of Indonesia, evisa.imigrasi.go.id, 2026
  2. Government Regulation 41 of 2022, Republic of Indonesia (KEK Sanur special economic zone)
  3. bali.com, cost of living guide, 2026
  4. BPS Bali (Statistics Indonesia, Bali Province), foreign arrivals data, 2025
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Oliver Heliste is the founder of Investland Bali, the developer behind Sanuuri Residences in Sanur. His team handles legal structuring, construction and rental management for international owners.

See what living here looks like

Sanuuri sits about 8 minutes from Bali International Hospital, with a gym, sauna and pool downstairs for the years you will not need it.