Health Insurance for Foreigners in the USA and the ACA Penalty

Obamacare, commonly known as the Affordable Care Act (ACA), aims to guarantee that every American has access to high-quality, reasonably priced health insurance. Most consumers must purchase a minimal amount of coverage in order for the government to accomplish this.
Who must abide by this regulation?
US nationals residing there

long-term inhabitants

individuals from other countries who have lived in the US long enough to qualify as resident aliens for tax considerations

Who is exempt from adhering to this rule?

non-residents for the first five years of their stay in the US, including foreign students

Individuals in the J category (trainees, educators, au pairs, learners, and tourists) for a period of two years

Individuals who are exempt (more on this later)

Important note: If you don’t match the conditions, you won’t be punished as of 2019.
Who is not bound by the rule?

foreign nationals who are not long-term residents of the United States
Aliens who do not dwell in the country
Aliens with dual status during their first year of residence

Alien non-residents or those with dual status who file a joint return with a spouse in the US
those who submit a dual-status tax return, 1040NR, or 1040NR-EZ, among other tax forms
Visit the IRS website to find out more if you’re unclear of your status or exemptions. It’s important to know how this rule affects you since, as you may recall, its goal is to provide people with access to high-quality health insurance.

If you’re staying in the US for less than a year, consider a travel medical plan. It’s perfect for short-term visitors, especially younger ones, who need basic emergency coverage.
Before entering the US, research if you need travel insurance. Check if you need a policy from your home country, the US, or both.
Travel plans usually cover:
  • Accidents and illnesses
  • Doctor visits and hospital stays
  • Medicine and translation services
For short-term visitors, plans start at $1.50 per day. For older visitors or more comprehensive coverage, it can cost up to $10 per day.
If you’re a non-citizen or international citizen, consider a global medical plan. These plans offer different options:
  • Affordable catastrophic coverage (only covers worst-case scenarios)
  • Comprehensive medical plans (include doctor visits, hospitalization, medicine, and more)
Global medical plans cost between $400 and $40,000 per year, depending on the level of coverage.
Remember, health insurance in the US can be expensive, so it’s essential to plan ahead!

 

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