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Health insurance in the USA

Medical coverage for expats & foreigners

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Access any clinic

Skip wait times, get the best care.

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Visa-compliant coverage

Documents available instantly.

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Top rated: 4.8/5

On 2500+ reviews

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Why get private health insurance in the US?

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.

How does the healthcare system work in the USA?

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Medicare, Medicaid & ACA: the US patchwork health system

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.

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US pharmacies & medication

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.

Emergency services in the United States

Emergency services in the United States

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+.

Who needs expat health insurance?

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Digital nomads

No US Digital Nomad Visa. B-1/B-2 and ESTA visitors are forbidden from productive work, even remote. Domestic ACA plans don't follow you abroad — IPMI is essential.

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Retirees

No US retiree visa. Most use EB-5 (USD 800k+) or family sponsorship. Medicare needs 5 years' residency plus 40 quarters — most retirees rely on private IPMI.

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Families

Maternity is extreme: USD 15,000–30,000 vaginal, USD 25,000–50,000+ C-section uninsured. Child ER USD 1,500–15,000+. Adult dental and vision aren't covered.

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Gap year & job seekers

Employer coverage activates 30–90 days after starting a US job — a dangerous gap. COBRA costs USD 700–2,000+/month. International cover bridges cleanly.

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Students

F-1 students must enroll in a school plan or prove comparable cover. Plans cost USD 1,500–4,500/year; most schools waive for qualifying IPMI at half the price.

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Visa applicants

J-1 visitors need federally mandated cover: USD 100k medical, USD 25k repatriation, USD 50k evacuation, deductible ≤ USD 500. Strong cover also helps Public Charge.

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Plans from €84/month. Set up online in minutes.

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How much is health insurance in the United States?

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.

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Public healthcare in the US

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.

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Private medical insurance

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.

Visa & health insurance requirements for the USA

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.

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Visa

Accepted for all major US visas

Feather plans meet J-1 federal minimums (22 CFR § 62.14) and qualify as comparable cover for F-1 waivers at most US universities.


File

Documents ready when you sign up

Insurance certificate in English instantly — ready for J-1 sponsor checks, F-1 university waivers, and Public Charge.

How does Feather's international health insurance work?

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Choose your plan

Compare Essential and Plus, pick your deductible, and sign up in under 5 minutes. No paperwork, no medical exams.

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Get your documents instantly

Your confirmation and visa-ready proof-of-coverage documents land in your account straight away.

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Visit any doctor

See any licensed doctor, specialist, or hospital in Greece. No referrals, no network restrictions, no pre-approval.

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Upload your bill in the app

Already paid? Open the Feather app, snap a photo of your invoice, and submit your claim in under a minute.

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Get reimbursed to your account

We review your claim and reimburse you directly to your bank account. Most claims are processed within two weeks.

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Cancel anytime after year one

There's a one-year minimum term. After that, cancel whenever you want. No penalties.

Join 200,000+ expats covered with Feather

Get global medical coverage in under 5 minutes.

Why choose Feather?

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200,000+ happy customers

Experience insurance crafted by expats, for expats.

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100,000+ claims processed

Paid out in three weeks on average.

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4.8 Star rating

On over 2,500 reviews.

Languages

English-speaking support

Our team speaks your language.

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All digital

Sign up, file claims, and manage your policy in our app.

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Privacy first

Your data is stored securely in Europe.

Frequently asked questions

See our FAQ page for more answers.

Sorted your health insurance yet?

Takes 2 minutes. From €84 per month. 4.8/5 rated on over 2,500 reviews.

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