Can I stay in U.S. without health insurance?

Asked by: Marcelle Prosacco  |  Last update: April 24, 2025
Score: 4.7/5 (52 votes)

The United States government does not require most expatriates or even US citizens to obtain health insurance in America. However, the cost of medical services in the US is so high that you risk spending all your savings to pay the bills.

Can you live in the USA without health insurance?

The federal government has since repealed the health coverage requirement and penalty known as the individual mandate. But, some states still require their residents to have health insurance. Having a qualified health plan to avoid fines is essential in these locations.

How to survive in the USA without medical insurance?

Being uninsured or underinsured does not mean there are no avenues to get health coverage. Hospitals that accept federal money must provide a certain amount of free or reduced fee care. Check with the hospital's financial aid department to see if you qualify for reduced or charity care.

What happens in the USA if you have no health insurance?

What are the financial implications of being uninsured? Uninsured individuals often face unaffordable medical bills when they do seek care. These bills can quickly translate into medical debt since most people who are uninsured have low or moderate incomes and have little, if any, savings.

Is there a penalty for not having health insurance in USA?

The fee for not having health insurance (sometimes called the "Shared Responsibility Payment" or "mandate”) ended in 2018. This means you no longer pay a tax penalty for not having health coverage. If you don't have health coverage, you don't need an exemption to avoid paying a tax penalty.

Can I go to the ER without health insurance?

19 related questions found

Do you legally need health insurance USA?

Individual mandate vs employer sponsored plans

However, the federal individual mandate was effectively eliminated in 2019, meaning there is no longer a federal requirement for individuals to have health insurance. This change in the individual mandate does not impact employer-sponsored health insurance plans.

Is it cheaper to not have health insurance in the US?

The Bottom Line. Healthcare is expensive—even with insurance. However, those who don't have insurance coverage will be at a much greater disadvantage. The inability to seek treatment for health conditions and the crushing weight of medical bills are two big reasons to obtain coverage.

What happens if a tourist gets sick in the USA without insurance?

If a tourist gets sick in the USA without insurance, they are responsible for covering all medical expenses out of pocket. Healthcare in the USA is expensive, and even basic treatments or emergency services can result in significant bills.

What happens in America if you can't afford healthcare?

One in four adults say that in the past 12 months they have skipped or postponed getting health care they needed because of the cost. Notably six in ten uninsured adults (61%) say they went without needed care because of the cost. The cost of prescription drugs prevents some people from filling prescriptions.

Can you get health insurance in the US if you are not a citizen?

Remember, you can only get insurance through the Marketplace if you are lawfully present in the United States. That means undocumented immigrants and DACA recipients generally can't get insurance through the Marketplace, Medicaid and CHIP, but may be eligible for emergency Medicaid or state-funded programs.

What happens if you go to hospital in America with no insurance?

If you have a serious medical problem, hospitals must treat you regardless of whether you have insurance. This includes situations that meet the definition of an emergency. Some situations may not be considered true emergencies, such as: Going to the ER for non-life-threatening care.

Can I buy health insurance and use it immediately?

Many, but not all, short term health insurance plans can take effect the day after your application is received.

Do you need insurance to live in the US?

1, 2019, having health insurance is not mandatory at the federal level. But there are exceptions depending on the state you live in. If you've moved to a new state or are wondering about your individual or family health insurance options, here's what you should know about health insurance requirements.

Can you get health insurance if you are visiting the US?

Non-United States residents who are traveling to the USA can buy Travel Medical USA Visitor. You may buy coverage for yourself, your spouse, your children, and your traveling companions. To be covered, you must be at least 14 days of age and younger than 100 years of age.

Who pays for uninsured patients?

Hospitals do get help with the unpaid bills – from taxpayers. The majority of hospitals are non-profits and are exempt from federal, state and local taxes if they provide a community benefit, such as charitable care. Hospitals also receive federal funding to offset some of the costs of treating the poor.

How many Americans without health insurance?

An estimated 26 million Americans, or 8 percent of the U.S. population, lacked health insurance in 2023.

How much is health insurance in America per month?

Monthly premiums for Affordable Care Act (ACA) Marketplace plans vary by state and can be reduced by premium tax credits. The average national monthly health insurance cost for one person on an Affordable Care Act (ACA) plan without premium tax credits in 2024 is $477.

What if I need surgery but can't afford my deductible?

In cases like this, we recommend contacting your insurance, surgeon, or hospital and asking if they can help you with a payment plan. Remember that your surgery provider wants to get paid so they may be very willing to work with you on a payment plan.

Who gets free healthcare in the US?

Medicaid and the Children's Health Insurance Program (CHIP) provide free or low-cost health coverage to some low-income people, families and children, pregnant women, the elderly, and people with disabilities. Some states expanded their Medicaid programs to cover all people below certain income levels.

Is it legal to stay in US without health insurance?

There currently is no federal law that makes health insurance a legal requirement. However, a few states across the U.S. make it mandatory to have healthcare coverage. If you live in a state where having health insurance is the law, you will have to pay a tax penalty for not complying.

Can I see a doctor without insurance?

Even if you don't have health insurance, it's still possible to see a healthcare provider; however, it may come at a fee. There are clinics that cater to the uninsured, known as cash-only clinics, concierge clinics, or direct care providers.

What happens if a foreigner goes to the hospital in the US?

The Reality of Healthcare Accessibility for Foreigners

In the United States, healthcare is not free for citizens or foreigners. The U.S. healthcare system is primarily privatized, meaning that most healthcare services require payment, either out-of-pocket or through insurance.

How to live without medical insurance?

Other than through Medicaid, the most affordable health care without private insurance is likely to be through charity or community clinics. If it isn't free, it may be more affordable and a person may be able to split the fees into payments.

How much does a 3 day stay in the hospital cost?

It's easy to underestimate how much medical care can cost: Fixing a broken leg can cost up to $7,500. The average cost of a 3-day hospital stay is around $30,000.

What is the penalty for not having health insurance in the US?

There is no longer a federal penalty for not having health insurance.