Coverage in the USA

Expatriate Health Insurance in the USAGlobal Medical Insurance for Expats in the USA

Traveling abroad is exciting. Living abroad, especially in the USA, is a whole different level of adventure. An expatriate, also called an expat, is a person who has left their home country to live somewhere else. The transition to a new country comes with challenges. One of those challenges is securing adequate international health insurance to cover you in the United States as well as your home country and other countries you may travel to.

Health Coverage for Expats in the USA

If you are relocating the United States, it is important to know that the US does not require all expatriates (or US citizens) to have medical coverage. However the risk of being in the US without medical coverage is massive hospital bills or even no access to medical care. There are newer requirements for certain expats on select visa types that may require you to have health coverage.

Medical costs in the US tend to be higher than other countries for a couple of reasons. American doctors tend to order more tests and scans then in other countries and the US deals with a relatively high rate of medical inflation.

Expat Medical Care in the USA

The quality of medical care available in the United States is generally of a high standard. In the United States, health care is provided by private hospitals and clinics. This requires citizens to have private medical insurance. Often, an employer provides insurance that covers the employee and their immediate family. Increasingly, due to rising costs, employees are required to help cover the cost of that medical insurance.

If health coverage is not provided through an employer or the coverage is inadequate, most individuals purchase their own international medical insurance.

A federal Medicare program is available for retirees. There is also Medicaid, which is federal medial aid for the poor.

The Cost of Medical Coverage for Expats in America

Premiums, or the cost of the medical coverage, are based on a number of factors including country of origin, age, medical history, etc. It is generally advised to have more comprehensive insurance for US medical coverage because it can cost a lot, but the costs of not having it can be much higher. For example, the tests and scans doctors often run are costly and typically not covered in budget medical insurance plans.

Read: How Much does Insurance Cost in the USA

Are all Individuals or Expats Living in the United States Subject to the Individual Shared Responsibility Provision?

The shared responsibility provision is part of the Affordable Care Act, also known as Obamacare. In short, if you do not have a compliant plan you may have to pay a penalty which would be deducted from future tax returns.

Any non-resident aliens, including international students on F, J, M and Q visas (and certain family members of students) are not subject to the individual mandate for their first 5 years in the U.S. All other J categories (teacher, trainee, work and travel, au pair, high school, etc.) are not subject to the individual mandate for 2 years (out of the past six).

Details: All U.S. citizens living in the United States are subject to the individual shared responsibility provision as are all permanent residents and all foreign nationals who are in the United States long enough during a calendar year to qualify as resident aliens for tax purposes. This category includes nonresident aliens who meet certain presence requirements and elect to be treated as resident aliens. For more information see Pub. 519. More: Shared Responsibility from the IRS (See Question 11)

Travel Medical Insurance for Visitors to the US

If you are an expatriate living in the US, additional medical coverage should be purchased for the period of time that you will be in the country. You will want to ensure this coverage protects you in case of accident, a medical emergency as well as repatriation. You should investigate if you will need this insurance prior to entering the country and if the insurance needs to come from your home country, the U.S. or both!

For periods of less than 1 year in the US, a travel medical plan may be enough to cover your needs. For younger travelers wanting basic emergency medical insurance (instead of comprehensive major medical cover), a travel medical plan will work well. Most travel medical insurance plans provide coverage for accidents or illness, saving you from large medical bills if you require a visit to the doctor or hospital while in the U.S. as well as give you access to universal pharmaceutical care and translation services, should they be required. For more, see:

If you are looking for a global medical plan to cover you as an expat or international citizen living in the USA, or anywhere in the world, visit International Health plans or you can Compare Global Medical Plans.