
The US spends ~17.6% of GDP on healthcare (double the OECD average). But there's no universal public system: Medicare needs 5 years' residency, Medicaid bars most immigrants for 5 years, and tourists are excluded entirely.
Without coverage, a GP visit runs USD 150–300, and a hospital stay USD 3,000–11,000+ per day.
Plus, J-1 and F-1 visas legally require medical insurance to enter the US.

The US has no single public payer. About 54.5% of Americans get coverage through employers, 18.9% through Medicaid, 18.9% through Medicare (65+), 7.7% through the ACA Marketplace, and ~7.9% are uninsured. Lawfully present immigrants on H-1B, L-1, F-1, J-1, and Green Cards can enroll in Marketplace plans; tourists cannot.

Around 88,000 pharmacies operate nationwide; CVS, Walgreens, Walmart, Costco, and Kroger dominate, with many of them 24/7 in major cities. English is universal; Spanish is widely supported in CA, TX, FL, and NY. Insured patients pay USD 5–50 for generics, USD 30–150+ for brands. GoodRx and coupons help close the gap.

Dial 911: universal across all states for police, fire, and ambulance. Urban EMS averages 7–10 minutes; rural can exceed 30. Dispatch is in English with Language Line in 200+ languages. Under EMTALA, ERs must stabilize you regardless of insurance — but you'll still get billed. An air ambulance can hit USD 50,000+.
Plans from €84/month. Set up online in minutes.

US care costs are unmatched: a GP visit runs USD 150–300 uninsured, a specialist USD 250–500+, a minor ER USD 1,500–3,000+, a hospital day USD 3,000–11,000+, and an MRI USD 1,000–5,000.
There is no universal payer. Medicare tax (FICA) is 1.45% employee + 1.45% employer = 2.9% of wages, with a 0.9% surtax above USD 200k. Employer-sponsored cover averages USD 8,951/year single, USD 25,572/year family. ACA benchmark Silver plans run ~USD 477/month for a 40-year-old before subsidies.
The US is the most expensive country for IPMI — average premium USD 17,969/year (Pacific Prime, 2024-25). Feather plans range from €50/month for basic inpatient cover to €250+/month for comprehensive plans including outpatient, dental, maternity, and medical evacuation.
J-1 visitors need federally mandated cover (USD 100k medical, USD 25k repatriation, USD 50k evacuation, deductible ≤ USD 500) under 22 CFR § 62.14. F-1 students need a school plan or comparable cover.

Feather plans meet J-1 federal minimums (22 CFR § 62.14) and qualify as comparable cover for F-1 waivers at most US universities.
Insurance certificate in English instantly — ready for J-1 sponsor checks, F-1 university waivers, and Public Charge.
Get global medical coverage in under 5 minutes.
“She answered all our questions and provided clear and detailed responses to ensure we select the proper coverage. The whole experience was perfect! I am confident I made the right choice going with Feather!”
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“They don't sugar coat the insurances, if they don't provide the best option, they would help you understand what's the best one.”
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“The representative answered my questions clearly and helped me make sure I was aware of my options! This was the perfect fit for my situation as an expat looking for a job in Spain and needing temporary coverage.”
Erin
Takes 2 minutes. From €84 per month. 4.8/5 rated on over 2,500 reviews.