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    Healthcare for expats in the USA

    USA

    Healthcare for expats in the USA

    Published on 25. Nov. 2022

    Young man walking across the road in the USA with yellow taxis behind him

    Despite the high standards of medical facilities in the USA; healthcare can still be very costly in comparison to most developed countries, and the system can be quite confusing for expats.

    Comprehensive health cover is essential for expatriates relocating to the US in order to avoid colossal hospital bills. Anyone without health cover runs the risk of not getting medical attention without payment in advance, or having to pay huge bills for emergency treatment.

    US Healthcare in a nutshell

    The US offers different health insurance types, and there is a plethora of insurance companies with different exclusions and special conditions. The Affordable Care Act – a recent healthcare reform – has made efforts to give more people in the country access to healthcare, and to protect patients with pre-existing conditions from being denied coverage.

    The system comprises two bodies; PPOs (Preferred Provider Organizations) and HMOs (Healthcare Management Organizations). Both offer subscription to their own medical network and discounted treatment rates. Furthermore, the federal government offers two programmes for people who cannot afford healthcare – Medicare, aimed to assist retired citizens; and Medicaid, designed to help those with a low income.

    Expats living in the US can choose to purchase an international policy, or to get cover from the different health insurance types in the country. The Agency of Healthcare Research and Quality offers guidance for choosing a health plan.

    In most cases, expat employees are able to take advantage of their employer’s group health plans, which can often be extended to cover their family.

    Why expats choose IPMI policies

    Individual private medical insurance (IPMI) policies can often be advantageous to expats, in comparison to local policies. The international coverage provided by IPMI policies is especially convenient for globally mobile citizens, as they can offer access to healthcare in multiple countries.

    Medical insurance is strongly advised for expatriates relocating to the US. A proper health cover can not only keep you away from expensive hospital bills, but also ensure that you will receive high quality medical treatment when you need it – and give you complete peace of mind.

    Discover more about Cigna International Health Plans.

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    ©Cigna 2025

    This article has been prepared for general information only and is not intended to provide or constitute advice. Although reasonable steps have been taken to verify the accuracy of the information contained in this article as at the date of production, the position may change at any time. As a consequence, we cannot guarantee that the information contained in this article is accurate or up to date and it should not be solely relied upon. To ensure you have the most accurate and up to date information available, we recommend that you consult government agencies or seek independent legal, financial or medical advice regarding residency, insurance or healthcare rights and requirements in relation to the relevant country or territory.

    © Cigna Healthcare. Alle Rechte vorbehalten.

    * Bitte beachten Sie, dass dies eine Darstellung der verfügbaren Leistungen ist und die für jede Leistung geltenden spezifischen Bedingungen und Ausschlüsse hier nicht enthalten sind. Die Leistungen können geändert werden. Einige Leistungen sind Teil des optionalen Moduls. Ausführliche Informationen finden Sie im Kundenleitfaden.

    Diese Website wird zur Verfügung gestellt von Cigna European Services (UK) Limited, einem in England und Wales eingetragenen Unternehmen mit Sitz 13th Floor, 5 Aldermanbury Square, London EC2V 7HR und Registernummer 00199739. Der Name und das Logo von Cigna Healthcare sowie andere Cigna Healthcare Marken sind Eigentum von Cigna Intellectual Property, Inc. und für die Verwendung durch die Cigna Group und ihre operativen Niederlassungen lizenziert.

    Unsere Policen werden gezeichnet von Cigna Global Insurance Company Limited, einer Gesellschaft mit beschränkter Haftung nach dem Recht von Guernsey, mit Firmensitz in PO Box 155, Mill Court, La Charroterie, St Peter Port, Guernsey, GY1 4ET, und Unternehmensnummer 41925. Cigna Global Insurance Company Limited ist von der Guernsey Financial Services Commission für die Durchführung von Versicherungsgeschäften in Guernsey zugelassen und wird von ihr reguliert.

    Diese Mitteilung wird von Cigna Insurance Management Services (DIFC) Limited herausgegeben und/oder verbreitet, das von der Dubai Financial Services Authority reguliert wird.