
International students in the US are generally exempt from the Affordable Care Act (ACA), also known as Obamacare. This is because international students are typically in the US for a short period of time and are considered non-residents for tax purposes. However, after five years in the US, international students may be subject to ACA compliance depending on their visa status. While Obamacare is not an option for international students, they can purchase health insurance plans offered by their educational institution or through private insurance companies. These plans are designed to cater to the specific needs of international students, such as coverage for medical expenses, emergency medical evacuation, and accidental death and dismemberment.
| Characteristics | Values |
|---|---|
| Who is eligible for Obamacare? | US citizens and residents |
| Are international students eligible for Obamacare? | No |
| What are the alternatives for international students? | Student health insurance from private insurance companies, University health insurance, or plans offered by their institution or employer |
| What factors influence the cost of international student insurance? | Student's age, coverage duration, medical benefits, deductible, and co-insurance |
| What is typically not included in health insurance plans? | Dental and vision care |
| What is the typical cost range for international student insurance per month? | $30 to $115 |
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What You'll Learn

International students are exempt from Obamacare
International students are generally exempt from Obamacare, also known as the Affordable Care Act (ACA), during their first five years in the United States. This is because they are considered non-resident aliens for tax purposes during this period. After five years, international students need to apply for a "Substantial Presence Test" to determine their tax status and whether they are required to purchase ACA-compliant health insurance.
International students on F, J, M, or Q visas are exempt from the ACA mandate for their first five years in the US. F visa holders are exempt from ACA requirements for the entirety of their stay. J visa holders, which include teachers, au pairs, trainees, work-and-travel participants, and high school students, are exempt for up to two years.
International students are not eligible for Obamacare plans or state insurance marketplace plans. Instead, they typically purchase health insurance offered by their educational institution or through an employer. These plans are often cheaper than ACA-compliant plans and offer similar coverage, but they are not Obamacare-compliant. International student plans do not include benefits like wellness and preventative care, allowing students to pay out of pocket for these services and keep costs within their budget. Additionally, these plans provide essential travel-related benefits like emergency medical evacuation, emergency reunion coverage, and repatriation in the event of a student's death.
While Obamacare prohibits insurance companies from denying coverage based on pre-existing conditions for US citizens and residents, this does not apply to international students. Therefore, international students can be denied coverage or charged higher premiums based on pre-existing health conditions.
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University health insurance plans
International students are generally not eligible for Obamacare or plans available on state insurance marketplaces. This is because, as non-residents for tax purposes, they are exempt from the Affordable Care Act (ACA), also known as Obamacare. However, after their first five years in the US, international students may be subject to ACA compliance depending on their visa status.
Most universities require international students to have health insurance, and many insist that it is ACA-compliant. While ACA-compliant plans are designed to provide lifetime coverage, they can be expensive and may include benefits that are unnecessary for an international student. University health insurance plans are typically more expensive than other international student insurance plans, which can offer similar coverage for a lower price.
International students can purchase health insurance plans from private insurance companies that satisfy their needs, such as Compass Student Insurance, which offers various plans for international students. These plans are designed to meet the needs of F-1, J-1, M-1, and H-1B visa holders and those on OPT. They work with UnitedHealthcare PPO, one of the largest US networks, and support waiver approvals for most US universities.
Students can also purchase insurance plans from companies like American Visitor Insurance and StudentHealthUSA, which offer plans that meet the insurance requirements of most US colleges, universities, and visa categories. These plans can be purchased before arriving in the US, and refunds are available if the plan isn't approved by the school.
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Student visa requirements
International students wishing to study in the US must obtain a student visa. The most common types of student visas are F-1 and M-1 visas. F-1 visas are for full-time international students pursuing academic studies, while M-1 visas are for those in vocational or other non-academic programs. To obtain an F-1 or M-1 visa, students must enrol in courses certified by the Student and Exchange Visitor Program (SEVP) and meet other requirements, such as demonstrating English proficiency and having sufficient funds for their studies.
In addition to the F-1 and M-1 visas, there are other types of student visas available. The J-1 exchange visitor visa is for foreign nationals participating in work-and-study exchange programs, including scholars, camp counselors, au pairs, and research assistants. The requirements for obtaining a J-1 visa may differ from those of F-1 and M-1 visas, and eligibility may depend on the specific program or exchange.
It is important to note that student visas do not guarantee entry into the United States. The process of obtaining a student visa typically involves an interview with a consular officer, who will determine whether the applicant meets the necessary requirements under US law. As part of the application process, ink-free digital fingerprint scans are usually taken. After the visa is approved, applicants may need to pay a visa issuance fee, depending on their nationality.
International students on F-1 or M-1 visas may be eligible to work in the US, but their employment options may be limited to on-campus jobs or positions related to their field of study. Those with J-1 visas must contact their responsible officer to determine their eligibility for working outside their program of study.
It is also worth mentioning that the Affordable Care Act (ACA), also known as Obamacare, does not typically apply to international students on F-1 or J-1 visas. These students are not eligible for ACA plans and can instead purchase health insurance offered by their institution or through private insurance companies that cater to their specific needs as international students.
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Non-compliant, cheaper insurance plans
International students in the US are generally exempt from the Affordable Care Act (ACA), also known as Obamacare. This is because international students are usually in the US for a short period of time and are considered "non-resident aliens" for tax purposes. After five years in the US, international students need to apply for a "Substantial Presence Test" to determine their tax status and when they must buy appropriate coverage.
International students can purchase cheaper non-compliant insurance plans from private insurance companies, which are designed to meet their needs while studying in the US. These plans are not ACA-compliant but are also not required of international students. The cost of these plans ranges from $30 to $115 per month, depending on factors such as the student's age, coverage duration, medical benefits, deductible, and co-insurance.
Some international insurance plans may also provide limited international benefits. These plans are generally much less expensive than ACA-compliant plans. However, it is important to note that these plans may not cover all the necessary benefits that an international student needs while studying away from home. For example, ACA-compliant plans offer lifetime coverage and a wide range of benefits, including wellness and preventative care, which may not be covered by international plans.
International students on F1 visas are not limited to buying US student health insurance and can purchase short-term travel health insurance, which is cheaper and works well when students are not enrolled in classes. Additionally, international students with an employer may be provided with health insurance by their employer, either for free or at a reduced cost.
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Tax status and health insurance
International students in the US are generally considered non-residents for tax purposes and are not required to comply with the Affordable Care Act (ACA), also known as Obamacare. This means that international students are not eligible for ACA plans or plans available on state insurance marketplaces.
International students on F, J, Q, and M visas have a "'non-resident alien' tax status" and are exempt from Social Security and Medicare taxes on wages earned in the US. They are also not required to purchase health insurance that complies with the ACA until after their first five years in the country. After this initial period, students may be subject to ACA compliance depending on their visa status and the number of years they have lived in the US. Students on F visas are exempt from ACA requirements for the first five years, while students and exchange visitors on J visas are exempt for up to two years.
During their time in the US, international students can purchase their own student health insurance from private insurance companies that cater specifically to international students. These plans are typically cheaper than university health plans while offering similar coverage. The cost of international student insurance plans ranges from $30 to $115 per month, depending on factors such as the student's age, coverage duration, medical benefits, deductible, and co-insurance.
It is important to note that while Obamacare is not mandatory, many universities require health insurance that is PPACA compliant. Additionally, some visa types, such as J1 and J2 visas, have specific criteria for health insurance mandated by the US State Department. Therefore, international students should carefully review the insurance requirements of their university and visa type to ensure they have the necessary coverage.
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Frequently asked questions
No, international students are not eligible for Obamacare plans or plans available on each state's insurance marketplace. International students are generally in the U.S. for a short period of time and are non-residents for tax purposes, so they are not required to comply with the Affordable Care Act (ACA), also known as Obamacare.
International students can purchase a plan offered by their educational institution or through an employer. They can also buy student health insurance from private insurance companies that satisfy their needs as students. These plans are more affordable for international students and offer similar coverage to university health plans.
The international student insurance cost per month ranges from $30 to $115. The price depends on factors such as the student's age, coverage duration, medical benefits, deductible, and co-insurance.
International student insurance plans typically include emergency medical evacuation, emergency reunion coverage, and repatriation of remains. They also offer travel-related benefits like lost checked luggage, trip delay, and trip interruption.








































