Understanding the Health System in the United States
Summary: Familiarize yourself with the health system in the United States. Understand its usage options and constraints for those who choose to move to and reside there, including expats, digital nomads, and retirees.
When moving to the United States as an expat or digital nomad, you might be wondering if you need health insurance upon arrival. Unlike some countries, the U.S. does not require visitors or immigrants to have health insurance to enter the country. However, it's crucial to understand that the U.S. healthcare system is primarily private, and medical costs can be exceptionally high. While there isn't a specific amount of coverage or length of coverage required by law, having adequate health insurance is highly recommended to avoid financial strain in case of medical emergencies.
Does Expat Health Insurance Meet the Requirements?
Expat health insurance plans often meet the needs of newcomers to the U.S. These plans are designed to provide global coverage, including in the United States. When choosing an expat health insurance plan, ensure it covers essential benefits such as hospitalization, emergency medical care, and outpatient services. Additionally, check if the plan includes evacuation and repatriation benefits, which can be crucial in case of serious illness or injury. Remember, there's no specific minimum coverage amount required by law, but it's wise to opt for a plan with a maximum benefit of at least $1 million to safeguard against high medical costs.
Which Local Health Insurers Offer This Type of Insurance?
Several local health insurers in the United States offer plans suitable for newcomers. Some of the prominent providers include Blue Cross Blue Shield, Aetna, UnitedHealthcare, and Cigna. These companies provide a range of plans, from short-term health insurance to comprehensive major medical insurance. It's essential to compare different plans and providers to find the one that best fits your needs and budget. Consider factors like the provider network, deductibles, copays, and coinsurance when making your decision.
Advice from Expats in the United States about Health Insurance
Expats in the United States often advise newcomers to prioritize securing health insurance before or immediately after arrival. The U.S. healthcare system can be complex and expensive, so having adequate insurance is vital. When looking for a good insurance plan, consider factors like the extent of coverage, deductibles, and out-of-pocket maximums. Be sure to check if your preferred doctors and hospitals are within the insurer's network. Additionally, consider plans that offer telemedicine services, which can be convenient for routine consultations. Lastly, always read the fine print to understand what's covered and what's not before purchasing a plan.
Insider Tips from Expats in United States: How to Navigate the Health System
"Find out before coming if your current insurance is accepted by anyone here. I found that not all clinics accepted Blue Cross, which surprised me! Many locals travel to Guam or the Philippines for serious medical procedures, so keep that in mind if you are not in good health, or would not be able to travel to get care," commented one expat living in Saipan, US.
"Healthcare services in the United States are provided by a mix of public and private providers. The public healthcare system is largely funded by the federal government through Medicare and Medicaid programs. Quality of public healthcare varies by state and region, but generally is considered to be of a high standard. Foreign residents are not eligible for public healthcare in the United States, however, expats in the United States may be able to access public healthcare through the Affordable Care Act. Expats may also purchase private health insurance plans to cover their healthcare needs," mentioned one expat living in the United States.
"There is one hospital on this small island. It is in disarray from top to bottom, and in danger of closing according to local rumor. This is because of corruption in the administration, and inability to keep enough staff due to contract worker visas not being renewed," commented one expat living in Saipan, US.
"In the United States, emergency services are available to provide medical assistance, firefighting, and law enforcement services. To call for an ambulance, you can dial 911, which is the national emergency number. This number is available 24 hours a day, 7 days a week, and is free to call from any phone. When you call 911, you will be connected to a dispatcher who will ask you questions about the emergency and send help to your location," mentioned one expat living in the United States.
About the Author
Joshua Wood, LPC joined Expat Exchange in 2000 and serves as one of its Co-Presidents. He is also one of the Founders of Digital Nomad Exchange. Prior to Expat Exchange, Joshua worked for NBC Cable (MSNBC and CNBC
Primetime). Joshua has a BA from Syracuse and a Master's in Clinical and Counseling Psychology from Fairleigh Dickinson University. Mr. Wood is also a licensed counselor and psychotherapist.
Some of Joshua's articles include Pros and Cons of Living in Portugal, 10 Best Places to Live in Ireland and Pros and Cons of Living in Uruguay. Connect with Joshua 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
- 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


