Health insurance for the Dominican Republic Rentista (171-07) / Tourist-card extension visa

Cigna Healthcare (Cigna Global Insurance Company Limited) · International health insurance

Cigna Global is a worldwide international full-health plan (Silver $1M / Gold $2M / Platinum unlimited) with no upper age limit, so selecting a coverage area that includes the Dominican Republic yields exactly the 'comprehensive policy with DR coverage' that Law 171-07 residence requires, and no published minimum has to be met.

• ✓ Three core tiers with annual maximums of $1M/€800k (Silver), $2M/€1.6M (Gold) and paid-in-full with no overall cap (Platinum)
• ✓ No upper enrollment age (18+); insurer states it does not terminate policies based on age
• ✓ Modular design: outpatient, evacuation & crisis assistance, health & wellbeing, vision & dental can be added; deductibles ($0-$10,000) and cost shares (0-30%) reduce the premium

Foyer Global Health S.A. (Foyer Group, Luxembourg) · International health insurance

Foyer Global Health offers worldwide (Region 1, incl. the Americas) international health with unlimited inpatient cover and assumes a stay abroad of at least 3 months, matching a permanent move to the DR; its only exclusion (US permanent residents) is irrelevant here, so it plausibly meets the comprehensive-policy-with-DR-coverage requirement.

• ✓ No overall annual or lifetime limit on core medical cover in all three plans; unlimited inpatient benefits confirmed on the official plan comparison
• ✓ Insurer FAQ explicitly confirms cover in the home country as well as the country of expatriation; worldwide or worldwide-ex-USA regions
• ✓ Luxembourg-regulated insurer (Foyer Group); 24/7 medical assistance, evacuation, teleconsultation and second medical opinion included in all plans

APRIL International Care France (health risk insured by Groupama Gan Vie; assistance/personal liability by CHUBB European Group SE) · International health insurance

APRIL MyHealth International is a worldwide full-health plan ($500k-unlimited) that would cover DR treatment, but enrollment is limited to ages 16-60 and to residents of 13 listed countries while requiring residence outside one's country of nationality, so eligibility for someone relocating to the Dominican Republic must be confirmed.

• ✓ Four plan tiers with annual limits from EUR/USD 500,000 (Explore) up to unlimited (Extensive/Elite; capped at EUR/USD 2M-4M for treatment in China, Hong Kong, Japan, Singapore, USA)
• ✓ Enrollment from age 10 up to 74 in most countries; one-year contract with automatic renewal
• ✓ Hospitalisation, medical evacuation and cancer treatment at 100% on all tiers, with hospital direct billing and free unlimited 24/7 telehealth (Teladoc)

SafetyWing (underwritten by SafetyWing Insurance I.I., Puerto Rico; Complete health portion by VUMI Group I.I.) · Nomad subscription

SafetyWing Nomad (Complete, USD 1.5M annual) is globally buyable and covers the Dominican Republic for the full stay, but it is a travel-medical subscription and SafetyWing itself warns it cannot guarantee acceptance by every visa authority, so its fit against the 'comprehensive policy' wording of Law 171-07 needs checking.

• ✓ Subscription model: Essential auto-extends every 28 days (5-364 days per policy) and can be bought while already abroad; coverage in 170+ countries
• ✓ No deductible on either plan; Essential also includes travel benefits (lost checked luggage, trip interruption, evacuation from local unrest)
• ✓ Complete is full health insurance (USD 1.5M/year) including routine and preventive care, mental health, cancer treatment and limited maternity; renewable for life if enrolled before age 64

Genki UG (policyholder/agent); underwritten by Squarelife Insurance AG, Liechtenstein · Long-stay travel insurance

Genki Traveler is a worldwide long-stay travel policy (EUR 1,000,000/yr) available to buyers globally and covering the DR, but as a travel-type product without routine/chronic care it may fall short of the 'comprehensive policy' the residence process expects, so DR acceptance should be verified.

• ✓ Up to EUR 1,000,000 medical coverage valid in every country for up to 12 months, with monthly billing and cancellation possible after the first month
• ✓ Sign-up is possible while already abroad and up to age 69; insurance certificate for visa applications and border checks is issued immediately after the first payment
• ✓ 24/7 emergency assistance (MCI Assist) with direct payment for inpatient hospital stays and no deductible on inpatient treatment

Care Concept AG (Bonn, Germany) · Long-stay travel insurance

Care Concept Care Expatriate is a worldwide long-stay expat/travel policy (>EUR 30k, marketed as authority-recognised) that is buyable globally and covers the DR, but it carries per-benefit sub-limits rather than full health insurance, so whether it satisfies the comprehensive-policy requirement for Law 171-07 needs verification.

• ✓ Contract terms from 3 months up to 5 years; max entry age 74 (Care Expatriate); Germans/Austrians abroad can re-extend repeatedly until their 74th birthday
• ✓ Home-country visits insured: 30 (Basic) / 45 (Comfort) / 90 (Premium) days per insurance year
• ✓ Official insurer FAQ states products generally meet Schengen visa requirements; instant online confirmation issued at booking and products are recognized by German authorities (>EUR 30,000 coverage)