Cayman Islands
Global Citizen Concierge Programme (GCCP): health insurance requirements
Yes: health insurance is required
The Cayman Islands' remote-work route is the Global Citizen Concierge Programme, which lets people employed by or running a business outside Cayman live there for up to 24 months. It is aimed at high earners, with published income minimums of US$100,000 for an individual, US$150,000 with a spouse and US$180,000 with a spouse and/or dependents. Health insurance is built into the application and a local Cayman policy is mandatory within 30 days of arrival.
The requirements at a glance
| Repatriation required | Not required |
|---|---|
| Minimum policy duration | Full duration of stay (with local Cayman cover required within 30 days of arrival) |
| Local-licensed insurer required | Yes: international IPMI alone is usually rejected |
| Accepted proof | Proof of a valid health insurance policy covering the duration of stay submitted with the online application; local Cayman health insurance must then be obtained within 30 days of arrival. |
Must be employed by or own a business registered outside the Cayman Islands, with proof of position and salary. Police clearance certificate required (issued recently, typically within the last 90 days). Annual fee of US$1,469 for up to two people, plus US$500 per additional dependent and a card processing fee. Valid for up to 24 months.
Our take
The GCCP is unusual in that it requires you to convert to local Cayman health insurance within 30 days of landing, not just hold a travel policy. Cayman's own health insurance law sets a standard local contract of CI$100,000 of major medical per year, so that is the floor your local cover should meet, and you will likely keep an international policy alongside it for travel and evacuation.
No GCCP-specific coverage figure is published, so do not treat the visa as the benchmark for how much cover to buy. The real driver is the air ambulance to Florida or Jamaica for serious cases, which means medical evacuation, not just in-territory treatment, should anchor your policy.
What happens if you get it wrong
Showing only an entry-style travel policy and assuming it satisfies the programme. The GCCP wants proof of health insurance for the stay at application and a local Cayman policy within 30 days, and missing the local-insurance step can put your status offside.
Buying a low limit because no minimum is stated. An off-island evacuation can run into tens of thousands of dollars, and a thin policy or one without evacuation cover leaves you choosing the cheaper destination or paying out of pocket.
Interactive
Verified pricesWhat would it cost in Cayman Islands without insurance?
You pay, out of pocket
$125–$150
A private GP or short consultation.
Bars to scale. A flight home is in another league.
That is the bill you carry alone. Insurance exists for exactly this.
See what cover costsTypical private-care estimates for illustration, not a quote. Actual bills vary by hospital, city and severity.
FAQ
Yes. You must submit proof of valid health insurance covering your stay with the application, and within 30 days of arriving you are required to take out local Cayman health insurance.
No GCCP-specific figure is published. Cayman's general health insurance law sets a standard local contract of CI$100,000 of major medical per year, so treat that as the practical floor for your local cover and add evacuation on top.
The published minimums are US$100,000 a year for an individual, US$150,000 with a spouse, and US$180,000 with a spouse and/or dependents, evidenced by employment or business ownership outside the Cayman Islands.
Up to 24 months. The annual fee is US$1,469 for up to two people, plus US$500 per additional dependent and a card processing fee.
Yes, for the residency itself. You can apply with an international policy, but you must obtain local Cayman health insurance within 30 days of arrival to comply with the programme and Cayman's health insurance law.
Reviewed by Lukas Schönberg, Founder & researcher, Nomad Insurance Broker OÜ
Nomad Insurance Broker OÜ (Estonia) is an information and matching platform, not currently registered as a regulated insurance intermediary in any jurisdiction. See /how-it-works for the full disclosure.
Source: gov.kyLast verified
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