🇺🇸 United States · Healthcare

How the United States healthcare system works — public vs private care, eligibility, and costs for residents and visitors.

The US has no universal public healthcare; coverage is mostly private (employer plans or the ACA Marketplace at HealthCare.gov), with Medicare for those 65+ and Medicaid for low-income residents. Foreign nationals usually rely on employer or private insurance; lawfully-present immigrants can buy Marketplace plans but typically wait five years for Medicaid/Medicare. Care is costly without insurance.

  • There is no universal system; most people are covered through an employer plan or buy coverage on the ACA Marketplace (HealthCare.gov).
  • Medicare covers people aged 65+ (and some with disabilities); Medicaid covers low-income residents (rules vary by state).
  • Foreign nationals usually need employer or private insurance; lawfully-present immigrants can use the Marketplace but often wait five years for Medicaid/Medicare.
  • Out-of-pocket costs are high without coverage — confirm what your plan covers before treatment.

Official authorities

Official-information aggregation, not legal advice. Always verify on the authority's own site.

Government portals

  • The White House — Official residence and office of the US President — executive orders, policy briefings, press releases
  • U.S. Department of State — US passport and visa services, travel warnings, embassy information worldwide
  • Internal Revenue Service (IRS) — Federal tax filing, refund status, ITIN/EIN applications, and Free File program
  • USCIS — Green card, H-1B and work visas, naturalization, immigration benefits, and case status

This topic in other countries

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