What health insurance actually costs in Tbilisi
Georgian health insurance is cheap by European standards and priced monthly. Advertised entry points run from about 22 GEL for a student policy to around 120 GEL for the top individual tier at a mid-market insurer. What that spread buys you is limits, not access: the cheap tier and the expensive tier often use the same clinic network, but one caps hospitalisation at 15,000 GEL and the other at 50,000.
Corporate cover is a separate conversation and usually cheaper per head. If you run a Georgian LLC with three or more staff, ask every insurer on this list for a group quote before you buy individual policies.
How to choose between them
Start with the provider list, not the price
The only question that matters on day one is whether the hospital you would be taken to in an emergency is in network. Ask for the provider list as a document. Unison publishes one in English. Others will email it. If a clinic you already use is missing, the policy is worth less to you than the price suggests.
Then check the payment mechanics
Two things separate a good Georgian policy from a frustrating one: whether the insurer bills partner clinics directly, and whether you can pay monthly rather than annually. Both are negotiable-looking features that are actually fixed by product, so confirm before signing.
Then check who answers the phone at 2am
Most Georgian insurers advertise English service. Fewer staff an English line around the clock. GPI Holding runs two 24/7 hotlines. If you do not speak Georgian or Russian, ring the medical line before you buy and see what happens.
Red flags
- An agent who quotes a price without sending the limits table. The premium is meaningless without the annual caps and co-payment percentages.
- Vague answers on pre-existing conditions. Get the exclusion in writing. Verbal reassurance from a sales agent is not a contract term.
- Pressure to buy an annual policy in cash today. Every serious insurer here sells online with a card.
- A policy issued only in Georgian. Since January 2026 the mandatory cover for foreigners has to be issued in Georgian or English, and you cannot argue a claim you cannot read.
When you do not need to pay for this
Georgian out-of-pocket medical prices are low enough that plenty of foreigners skip insurance and pay cash for GP visits, dentistry and routine diagnostics. That is a defensible choice for small stuff. It stops being defensible the moment you consider a night in intensive care or an air ambulance home, which is where the four and five-figure bills live.
Two situations change the calculus. If you are a foreign national entering Georgia, the 30,000 GEL minimum cover is now a legal requirement, not an optional extra. And if you have anything chronic, buy early: waiting periods and pre-existing exclusions get harder to work around the longer you leave it.
For help comparing quotes across several insurers at once, see our list of insurance brokers in Tbilisi.