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Healthcare and Health Insurance in United States | Expat Exchange
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15 Expats Talk about Health Insurance and Healthcare in the United States

By Joshua Wood, LPC

Last updated on Jan 03, 2024

Summary: The quality of medical care in the United States is generally considered to be among the best in the world. Emergency services are highly developed and well-equipped, with ambulances and paramedics available to respond to medical emergencies. To call for an ambulance, dial 911 or the local emergency number for your area.

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How are healthcare services the United States?

When we asked expats and global nomads about the quality of medical care in the United States, they replied:

"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," said an expat in Saipan.

"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," commented one expat living in United States.

What are medical services in the United States like?

When we asked expats and global nomads about the quality of medical care in the United States, they replied:

"In the United States, medical services are generally of a high quality and are widely available. Patients have access to a wide range of medical professionals, including doctors, nurses, and specialists, as well as a variety of treatments and procedures. The US healthcare system is largely based on private insurance, although there are also public programs such as Medicare and Medicaid that provide coverage for certain individuals. Patients have the right to choose their own healthcare provider and can access a variety of services, including preventive care, emergency care, and specialty care," remarked one expat living in United States.

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William Russell

William Russell's private medical insurance will cover you and your family wherever you may be. Whether you need primary care or complex surgery, you'll have access to the best hospitals & doctors available. Unlike some insurers, we also include medical evacuation and mental health cover in our plans (except SilverLite). Get a quote from our partner, William Russell.

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Are healthcare and health insurance expensive in the United States?

"Healthcare and health insurance in the United States can be expensive. The cost of healthcare services, such as doctor visits, hospital stays, and prescription drugs, can be high. Health insurance premiums can also be costly, and many people struggle to afford the cost of coverage. Additionally, many health insurance plans have high deductibles and copays, which can make it difficult to access care," wrote an expat living 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," said an expat in Saipan.

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William Russell's private medical insurance will cover you and your family wherever you may be. Whether you need primary care or complex surgery, you'll have access to the best hospitals & doctors available. Unlike some insurers, we also include medical evacuation and mental health cover in our plans (except SilverLite). Get a quote from our partner, William Russell.

William RussellWilliam Russell

William Russell's private medical insurance will cover you and your family wherever you may be. Whether you need primary care or complex surgery, you'll have access to the best hospitals & doctors available. Unlike some insurers, we also include medical evacuation and mental health cover in our plans (except SilverLite). Get a quote from our partner, William Russell.
Get Quote

What are emergency services like in the United States?

When we asked about emergency services, members in the United States wrote:

"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," said one expat living in 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," mentioned one expat in Saipan.

William Russell

William Russell's private medical insurance will cover you and your family wherever you may be. Whether you need primary care or complex surgery, you'll have access to the best hospitals & doctors available. Unlike some insurers, we also include medical evacuation and mental health cover in our plans (except SilverLite). Get a quote from our partner, William Russell.

Learn MoreGet Quote

William Russell

William Russell's private medical insurance will cover you and your family wherever you may be. Whether you need primary care or complex surgery, you'll have access to the best hospitals & doctors available. Unlike some insurers, we also include medical evacuation and mental health cover in our plans (except SilverLite). Get a quote from our partner, William Russell.

Learn MoreGet Quote

Will I need to travel to see a specialist?

"Cities across the United States are known for having top-notch medical specialists. Some metropolitan areas with a high concentration of highly trained specialists include New York City, Washington, DC, Los Angeles, San Francisco, Boston, Miami, and Houston. Other popular cities for medical specialists include Chicago, Philadelphia, Dallas, Seattle, Denver, and Phoenix. For specialized health care, many people also look to more remote areas like the Appalachians and Pacific Northwest, which boast world-class medical centers and resources," said an expat in United States.

"I have not yet traveled to get care, but my friends do it as a matter of course, to Guam where the care is very good. I do have to get my natural hormone replacement therapy from a practitioner in Hawaii (our previous home), as I haven't been able to find someone to prescribe it here," commented one expat living in Saipan, US.

Are common prescription medications available in the United States?

"Yes, common prescription medications are available in the United States. These medications are typically prescribed by a doctor or other healthcare professional and can be obtained from a pharmacy. Common prescription medications include antibiotics, pain relievers, hormones, antidepressants, and other medications used to treat a variety of medical conditions," mentioned one expat in United States.

"Prescription medications are available here, at several pharmacies. It's a little more expensive up front, as I need to pay the full price and then get reimbursed by my insurance afterward (didn't work that way in the states). Compounded medicines are a different story..," commented one expat who moved to Saipan, US.

Do you have anything more to add about local medical facilities in the United States?

"Anne Arundal Medical Center is located in Annapolis. This 425-bed hospital serves Anne Arundal region. They are recognized for emergency heart attack response and cancer care. Many specialists and primary care physicians also have offices in Annapolis," mentioned one expat in Annapolis.

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As a foreigner living in the United States, will I have access to public healthcare? What is it like?

"As a foreigner living in the United States, you may have access to public healthcare depending on your immigration status. Generally, non-citizens who are lawfully present in the United States are eligible for some public health benefits, such as Medicaid and the Children's Health Insurance Program (CHIP). However, undocumented immigrants are not eligible for most public health benefits. The quality of public healthcare in the United States varies from state to state, but generally it is considered to be of good quality," said one expat.

What have your experiences during the pandemic with the local healthcare system been like?

We asked expats in the United States if they have access to public healthcare in the United States. And, if they do have access, what is it like. They wrote...

"The pandemic has had a significant impact on the local healthcare system in the United States. Many hospitals and healthcare facilities have had to adjust their operations to accommodate the influx of patients with COVID-19. This has led to longer wait times for appointments and treatments, as well as a shortage of medical supplies and personnel. Additionally, many healthcare providers have had to shift to telemedicine services to provide care to patients remotely. This has allowed for more efficient and safe care, but has also created challenges for those without access to technology or reliable internet. Despite these challenges, healthcare providers have worked hard to ensure that patients receive the care they need during this difficult time," remarked one expat living in United States.

What advice do you have for expats having a baby in the United States?

We asked expat moms who gave birth in the United States about their experiences and advice they have for other moms to be. They said:

"First and foremost, make sure you are familiar with the US healthcare system. Research various hospitals and health providers in your local area to find a doctor and provider that you trust. It is also important to get in touch with local expat communities for advice and support. Look out for classes and seminars about pregnancy and childbirth. Additionally, if you are eligible for health insurance, make sure you research what is covered and what isn't prior to the birth. Last, but not least, remember to relax and enjoy this exciting time in your life," wrote a person living in United States.

Are healthcare services good in the United States?

We asked people if they have access to good medical care in the United States. They wrote:

"Healthcare services in the United States vary greatly depending on where one lives. Generally speaking, access to healthcare is reliant on having health insurance, either through private plans or through the public programs such as Medicaid or Medicare. Most healthcare services are provided by private physicians in private clinics, though at different levels of quality. There are also a number of government-run healthcare services, such as community health centers, clinics, and hospitals. The overall cost for healthcare services in the US is typically high, with nationwide insurance plans and price regulations that vary from state to state. Furthermore, the US healthcare system is not always well-tailored to the needs of its citizens, with some areas lacking in certain services, or with care being highly concentrated in certain areas," remarked one expat in United States.

About the Author

Joshua Wood 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.

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