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Expat Exchange - Health Insurance in the United States
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Clinton, New Jersey


Health Insurance in the United States

By Betsy Burlingame

SJB Global
SJB Global

Summary: Making the move to the United States? One critical choice you'll face is between local health insurance and expat health insurance. Our article provides a comprehensive comparison of both, enriched with insights from expats in the United States on their personal insurance decisions.

Navigating the health insurance landscape in the United States can be a complex endeavor, especially for expats and digital nomads who are not familiar with the system. The U.S. does not have a universal healthcare system, and insurance coverage is typically obtained through private companies or government programs, making it essential for those moving to the U.S. to understand their options and requirements.

Health Insurance Companies in the United States

The United States is home to a multitude of health insurance companies, with some of the most popular being UnitedHealth Group, Anthem, Aetna, Cigna, and Blue Cross Blue Shield. These insurers offer a range of products, from individual plans to employer-provided coverage. Expats are generally eligible to purchase health insurance from these companies, provided they meet certain residency and legal requirements. It's important for expats to compare plans and networks to ensure they choose a policy that best fits their needs and budget.

Expat Health Insurance in the United States

Some expats living in the United States opt for specialized expat health insurance plans. These plans are designed to cater to the unique needs of individuals living away from their home country, offering features like international coverage and assistance services. Expats may choose these plans for their flexibility and the peace of mind that comes with having coverage that travels with them, especially if they frequently move between countries or travel internationally.

Local Health Insurance vs. Expat Health Insurance

When it comes to choosing between local health insurance plans offered by U.S. companies and specialized expat health insurance, the decision often hinges on the individual's circumstances. Expats and digital nomads who plan to stay in the U.S. for an extended period may benefit from a local plan due to its potentially lower cost and wider network of providers. However, those who maintain a more transient lifestyle or who want coverage that extends beyond U.S. borders might find expat health insurance more suitable. It's important to weigh the pros and cons of each option before making a decision.

Considerations for Health Insurance as an Expat

When deciding on health insurance while living overseas, there are several key factors to consider. One is whether the insurer pays the healthcare provider directly or if you must pay out-of-pocket and submit claims for reimbursement. This can significantly impact your cash flow and convenience. Additionally, consider the plan's coverage area, whether it includes repatriation or evacuation services, the size of the provider network, the ease of accessing customer service, and the overall cost, including premiums, deductibles, and out-of-pocket maximums. Understanding these aspects will help ensure that you select a health insurance plan that aligns with your needs and lifestyle as an expat or digital nomad in the United States.

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 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.


SJB Global
SJB Global

SJB Global
SJB Global

Clinton, New Jersey

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GeoBlue

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Top-quality coverage for people who live, work, study and travel internationally.
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