Health Insurance in the United States
Summary: As you plan your move to the United States, a key decision awaits: selecting the right health insurance. Should you go with local or expat coverage? This article explores the options and includes experiences shared by expats in the United States, offering a glimpse into what might work best for you.
The healthcare system in the United States is primarily funded through a mix of private and public health insurance. It's essential for expats and digital nomads to understand this system, as the US does not have a universal healthcare system, making insurance a necessity.
Health Insurance Companies in the United States
Some of the most popular health insurers in the United States include Blue Cross Blue Shield, UnitedHealthcare, and Aetna. These companies offer a wide range of health plans, from individual and family plans to employer-provided group plans. Expats are generally eligible to purchase health insurance from these companies, provided they meet certain residency requirements. Blue Cross Blue Shield is known for its extensive network of providers, while UnitedHealthcare is the largest health insurer in the US, offering a wide range of plans. Aetna, a CVS Health company, also provides various health plans, including individual and group insurance.
Expat Health Insurance in the United States
Some expats living in the United States opt to buy specialized expat health insurance tailored for living abroad. These plans often provide benefits not typically included in local plans, such as emergency evacuation, repatriation, and coverage in multiple countries. Additionally, expat health insurance plans may offer more flexibility in choosing healthcare providers and be more inclusive of pre-existing conditions.
Local Health Insurance vs. Expat Health Insurance
Whether expats and digital nomads choose local health insurance or specialized expat health insurance providers depends on their specific needs and circumstances. Local plans may offer more comprehensive coverage within the US and access to a broader network of providers. However, expat health insurance plans often provide more flexibility and international coverage, which can be beneficial for those who travel frequently or have pre-existing conditions.
Considerations When Choosing Health Insurance Overseas
When deciding about health insurance while living overseas, it's crucial to consider factors such as the extent of coverage, the cost of premiums and deductibles, and the claims process. Some insurers may pay the medical bills directly, while others might require you to pay out-of-pocket and submit claims for reimbursement. Additionally, it's essential to evaluate the network of healthcare providers, the inclusion of pre-existing conditions, and the availability of international coverage.
Expats talk about Health Insurance in United States
"Aside from what I said above, we use my husband's Blue Cross insurance with no trouble. It costs the same as elsewhere, being a benefit of his federal job (he transferred here). Our copays are the same as in Hawaii," commented one expat living in Saipan, US.
About the Author
Betsy Burlingame is the Founder and President of Expat Exchange and is one of the Founders of Digital Nomad Exchange. She launched Expat Exchange in 1997 as her Master's thesis project at NYU. Prior to Expat Exchange, Betsy worked at AT&T in International
and Mass Market Marketing. She graduated from Ohio Wesleyan University
with a BA in International Business and German.
Some of Betsy's articles include 12 Best Places to Live in Portugal, 7 Best Places to Live in Panama and 12 Things to Know Before Moving to the Dominican Republic. Betsy loves to travel and spend time with her family. Connect with Betsy on LinkedIn.
Additional Information:
- United States Guide
- Healthcare & Health Insurance in United States
- Members Talk about Healthcare & Health Insurance in United States
- Best Places to Live in United States
- Real Estate in United States
- Guide to Real Estate in United States
- Pros & Cons of Living in United States
- Cost of Living in United States
- Ten New York City Suburbs For Expats
- Top 10 Things To Do For Expats Living in New York City
- Transportation in New York Tri-State Area
- 2026 Guide to Living in United States
- Pros and Cons of Living in United States 2026
- 2026 Guide to Moving to United States


