Travel Insurance for U.S. Citizens Visiting the USA 2026

Searching for US expat travel insurance for visits to the USA? Most international plans don’t cover treatment in the US.These plans offer protection for medical emergencies, hospitalization, and urgent care needs. Get insured from as low as $1 per day.

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Travel Medical Insurance for U.S. Citizens Living Abroad Visiting the US

Many of U.S. citizens live, work, study, or retire outside the United States then come back now to see family, catch certain holidays, or just take time in the USA. But finding travel medical insurance for Americans living abroad who are visiting the United States can get tricky, because a good number of typical insurance plans aren't really set up for people whose primary residence is outside the country.

Still, there are several travel health insurance and medical insurance choices made for U.S. citizens abroad who plan to be in the United States only temporarily. With these options, you may be able to cover unexpected medical crises , sudden sicknesses, accidents, hospitalization, plus other qualified healthcare costs during that short visit.

US citizens viviting USA

At American Visitor Insurance, you can compare top travel medical insurance plans for U.S. citizens visiting the USA, review benefits and prices, and choose affordable coverage that fits your travel needs and budget.

workspace_premium Best Plans

Which Is the Best Travel Health Insurance for U.S. Citizens Visiting the USA?

The best travel health insurance for U.S. citizens visiting USA is Patriot America Plus, Patriot America Platinum, iplomat America, Visitors Protect, and Diplomat Long Term insurance plans available from American Visitor Insurance.

Patriot America Lite Travel Insurance

star Rating: A Excellent edit_square Underwriter: Sirius International Insurance Corporation

Patriot America Lite is a budget-friendly travel insurance for us expats visiting USA, delivering strong core benefits for healthy travelers during short-term visits. It is perfect for those returning to the U.S. for vacations or family visits.

  • Coinsurance: In-network - After deductible, plan pays 100%, Out-of-network - After deductible, pays 90% of eligible expenses up to $500, then 100%.
  • Direct billing: Through First HealthCare or United HealthCare
  • Emergency medical evacuation: Up to $1,000,000
  • Urgent care: $30 per incident; no copayment if deductible is $0
  • Repatriation of remains: Up to maximum limit
  • The cost of Patriot America Lite insurance starts at $72 for one month for a 40 year old traveler, with a medical maximum of $50,000 and a $250 deductible.
Policy Maximum ?
$50,000 to $1,000,000
Deductible Options ?
$0 to $2,500
Period of Coverage ?
5 days to 12 months, renewable up to 24 months
Maximum Age Limit
Up to 99 years

Patriot America Plus Visitor Insurance

star Rating: AM Best A- edit_square Underwriter: Sirius International Insurance Corporation

Patriot America Plus is a top visitor medical insurance for U.S. citizens living abroad visiting the US., offering excellent coverage for the acute onset of pre-existing conditions for travelers up to age 70, along with comprehensive emergency medical benefits. It is best for U.S. citizens returning to the United States for vacations, family visits, or short stays.

  • Coinsurance: In-network - After deductible, plan pays 100%,Out-of-network - After deductible, pays 80% of eligible expenses up to $1,000, then 100%.
  • Direct billing: Through First HealthCare or United HealthCare
  • Acute onset of pre-existing conditions: Up to policy maximum for ages up to 70 years
  • Emergency medical evacuation: Up to $1,000,000
  • Urgent care: $30 per incident; no copayment if deductible is $0
  • Repatriation of remains: Up to maximum limit
  • The cost of Patriot America Plus insurance starts at $77 for one month for a 40 year old traveler, with a medical maximum of $50,000 and a $250 deductible.
Policy Maximum ?
$50,000 to $1,000,000
Deductible Options ?
$0 to $2,500
Period of Coverage ?
5 days to 12 months, renewable up to 24 months
Maximum Age Limit
Up to 70 years (pre-existing)

Diplomat America is a best travel medical insurance for u s citizens living abroad visiting us, providing protection for the acute onset of pre-existing conditions up to 70 years and comprehensive emergency medical coverage.

  • Coinsurance: After deductible, plan pays 80% of eligible costs up to $5,000, then 100% up to the medical maximum.
  • Direct billing: No PPO, visit any doctor or hospital.
  • Acute onset of pre-existing conditions: Up to policy maximum for those up to age 69.
  • Emergency medical evacuation: Up to $250,000
  • Repatriation of remains: Up to $50,000
  • The cost of Diplomat America insurance starts from $143 for one month for a 40 year old traveler, with a medical maximum of $50,000 and a $250 deductible.
Policy Maximum ?
$50,000 to $1,000,000
Deductible Options ?
$0 to $5,000
Period of Coverage ?
15 days to 364 days
Maximum Age Limit
Up to 69 years (pre-existing)

Patriot America Platinum Insurance

star Rating: A Excellent edit_square Underwriter: Sirius International Insurance Corporation

Patriot America Platinum is a premium travel insurance for expats travelling in the United States, offering first-class medical coverage with policy maximums up to $8,000,000 and comprehensive benefits for travelers seeking top-tier protection during their visit.

  • Coinsurance: In-network - After deductible, 100% coverage,Out-of-network - After deductible, plan pays 100% upto policy maximum.
  • Direct billing: Through First HealthCare or United HealthCare
  • Acute onset of pre-existing conditions: Up to policy maximum for ages up to 70 years
  • Emergency medical evacuation: Up to maximum limit
  • Urgent care: $30 per incident; no copayment if deductible is $0
  • Repatriation of remains: Up to maximum limit
  • The cost of Patriot America Platinum insurance starts at $152 for one month for a 40 year old traveler, with a medical maximum of $1,000,000 and a $250 deductible.
Policy Maximum ?
$1,000,000 to $8,000,000
Deductible Options ?
$0 to $25,000
Period of Coverage ?
5 days to 12 months, renewable up to 36 months
Maximum Age Limit
Up to 70 years (pre-existing)

Visitors Protect Insurance

star Rating: AM Best A- edit_square Underwriter: Sirius International Insurance Corporation

Visitors Protect insurance is a travel health insurance for U.S. citizens living abroad visiting the U.S., offering temporary medical coverage for the pre-existing conditions up to age 99. It provides comprehensive protection and is an excellent option for families hosting elderly parents or travelers on long-term stays.

  • Coinsurance: In-network - After deductible, pays 75%,Out-of-network - After deductible, pays 60% up to $5,000, then 100% to the max limit.
  • Direct billing: Through First HealthCare or United HealthCare
  • Pre-existing conditions coverage: Covers up to 99 years, $25,000 under 70, $20,000 for 70+
  • Emergency medical evacuation: Up to $25,000
  • Urgent care: $15 per incident; no copayment if deductible is $0
  • Repatriation of remains: Up to overall maximum limit
  • The cost of Visitors Protect insurance starts from $765 for 3 months for a 40 year old traveler, with a medical maximum of $50,000 and a $250 deductible.
Policy Maximum ?
$50,000 to $250,000
Deductible Options ?
$250 to $5,000
Period of Coverage ?
30 days to 364 days
Maximum Age Limit
Up to 99 years

Diplomat Long Term is the best travel insurance for U.S. citizens living abroad visiting the U.S., offering extended coverage for the unexpected recurrence of pre-existing conditions and comprehensive medical benefits for long-term stays.

  • Coinsurance: After deductible, plan pays 80% of eligible costs up to $5,000, then 100% up to the medical maximum.
  • Direct billing: No PPO, visit any doctor or hospital.
  • Sudden recurrence of pre-existing conditions: Up to $20,000 ($2,500 for 65+)
  • Emergency medical evacuation: Up to $250,000
  • Repatriation of remains: Up to $250,000
  • The cost of Diplomat Long Term insurance starts from $715 for 3 months for a 40 year old traveler, with a medical maximum of $50,000 and a $250 deductible.
Policy Maximum ?
$500,000 to $1,000,000
Deductible Options ?
$0 to $5,000
Period of Coverage ?
30 days to 364 days, renewable up to 36 months
Maximum Age Limit
Up to 65+ (recurrence coverage)
payments Pricing Guide

How Much Does Travel Health Insurance Cost for U.S. Citizens Visiting the USA in 2026?

The cost of travel medical insurance for US citizens visiting the USA starts from $46 per month. These prices are based on one-month quotes with a $250 deductible for most plans. However, the Visitors Protect plan requires a minimum purchase of 3 months, so its pricing is shown for a 3-month duration instead of monthly.

Filter by age:
Plan Name Max Coverage Age 20 Age 40 Age 60 Age 70
Patriot America Lite
IMG
$50,000 $46 $72 $162 $264
Patriot America Plus
IMG
$50,000 $50 $77 $174 $303
Diplomat America
Global Underwriters
$50,000 $71 $143 $261 $403
Patriot America Platinum
IMG
$1,000,000 $100 $152 $377 $643
Visitors Protect
IMG
$50,000 $432 $765 $1,092 $2,627

Prices verified for the 2026 travel season · Source: American Visitor Insurance®

Looking for Broader Travel Insurance Options?

If you want more comprehensive coverage beyond travel health insurance for visiting the USA, explore international travel medical insurance plans designed for U.S. citizens traveling abroad with wider benefits including emergency medical care and global coverage flexibility.

Compare international travel medical insurance plans »
price_check Why So Expensive?

Why Is Travel Insurance for the USA So Expensive?

  • Travel insurance for the USA is expensive mainly because healthcare costs in the country are extremely high, and insurance prices directly reflect these medical expenses.
  • Some USA travel insurance plans cost more due to higher medical coverage for older travelers and options that include coverage for pre-existing conditions.
  • Patriot America Plus for U.S. Citizens Living Abroad

  • Patriot America Plus and Patriot Platinum America can be purchased by U.S. citizens who live abroad and are visiting the U.S. for a short stay.
  • Patriot America Plus, a popular plan for short-term visitors to the USA, offers coverage for the acute onset of pre-existing conditions up to the policy maximum for travelers under age 70.
  • The plan includes new urgent care copays of $25 and walk-in clinic copays of $15, which replace the deductible when these services are used.
  • A sports rider is available for an additional cost, covering activities such as skiing, snorkeling, surfing, and other recreational sports.
  • Travelers under age 70 can get up to $1 million in maximum coverage with the Patriot America Plus plan.
live_help Do I Need It?

Do I Need U.S. Health Insurance If I Live Abroad?

If you are a U.S. citizen living abroad, you may wonder whether you need U.S. health insurance when you return home for a short visit. The simple answer is: Yes . you generally need temporary U.S. health insurance while visiting the USA.

Travel medical insurance for U.S. citizens living abroad visiting the USA can help cover unexpected medical emergencies, accidents, illnesses, and other eligible healthcare expenses during a short visit home.
  • Most foreign or expat insurance does not cover medical treatment inside the United States.
  • Old U.S. health plans you had years ago typically do not remain active once you move abroad.
  • Medicare cannot be used outside the U.S., and even when visiting the U.S., you must be officially a resident to enroll.
  • U.S. healthcare costs are extremely high even a short ER visit can cost several thousand dollars.
person_check Eligibility

Who Can Buy Travel Health Insurance for U.S. Citizens Visiting the USA?

Are You Eligible for Visitor Insurance?

check_circle You ARE eligible if:


check U.S. citizen with primary residence abroad
check Living outside the U.S. for 6+ continuous months
check Visiting the U.S. temporarily for vacation, family, or business
check Intend to return to your home country outside the U.S.
check Do not have active U.S. domestic health insurance
check Puerto Rican residents visiting the continental U.S. (select plans)

cancel You are NOT eligible if:


close You are relocating permanently back to the U.S.
close You already have active U.S. domestic health insurance
close You plan to enroll in Medicare or Medicaid
close Your visit is for the specific purpose of seeking medical treatment
close You have not maintained a foreign primary residence
home

Moving back to the USA permanently?

Visitor insurance is not the right fit. Compare short-term health insurance plans designed to provide temporary coverage while you transition to permanent domestic health insurance.

vaccines Flu Shot & Coverage

Flu Shot Coverage In Travel Insurance

Flu shot is a preventive care which is taken annually or as prescribed by the Physician. Flu shots act as preventive care before a person contracts influenza (flu). Most insurance providers do not cover preventive care in the travel insurance policy. Unless mentioned in the policy documents.

Flu shot is preventive care hence it is not covered automatically if there is an existing travel insurance policy active, unless mentioned in the policy documents. Travelers can check with the insurance providers for more clarity.
As long as travelers contract the flu after the inception date of the policy then it will be covered as a fresh illness. Any Flu which has been there prior to the start date of the travel insurance policy may not be covered.
policy Coverage Details

What Does Travel Health Insurance for U.S. Expats Visiting the USA Cover?

Travel insurance for US citizens living abroad is designed to protect you during short trips home by covering unexpected medical expenses not routine or preventive care. These plans help shield you from extremely high U.S. healthcare costs during a temporary visit.

Typically Covered

  • Emergency medical treatment & hospitalization
  • Emergency room visits
  • Urgent care & walk-in clinic visits
  • Surgery & specialist consultations
  • Ambulance services
  • Prescription drugs (related to covered condition)
  • Emergency medical evacuation
  • Repatriation of remains
  • Accidental death & dismemberment
  • Acute onset of pre-existing conditions (plan-dependent)

Typically Not Covered

  • close Routine check-ups & preventive care (including flu shots)
  • close Pregnancy, maternity & childbirth
  • close Mental health & psychiatric treatment
  • close Dental care (except emergency)
  • close Vision / optical care
  • close Elective or cosmetic procedures
  • close Pre-planned or medical-purpose travel
  • close Ongoing chronic condition management
  • close Experimental treatments
  • close Self-inflicted injuries
Note: Visitors Protect plan through American Visitor Insurance offers coverage for pre-existing conditions and certain chronic conditions, even for travelers over age 70, unlike many other visitor insurance plans.
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How to Buy Travel Health Insurance Before Your USA Visit?

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When Should You Buy?

Travel insurance for U.S. citizens visiting USA should be purchased before arriving in the United States to ensure immediate protection during your trip. Coverage typically ranges from 5 days to 364 days. For travelers who need longer coverage, plan-specific options are available. Patriot America Plus allows renewals for up to 2 years, while Patriot Platinum and Diplomat LongTerm plans offer renewals for up to 3 years, providing flexibility for extended stays.

checklist Buying Guide

What To Look for When Buying Travel Health Insurance for U.S. Citizens Living Abroad?

  • Medical maximum limit: The total amount the plan will pay for covered medical expenses.
  • Deductible amount: The portion you pay out-of-pocket before the insurance starts paying.
  • Network hospitals: Hospitals and clinics where the insurance can be directly used.
  • Acute-onset coverage details: Whether the plan covers sudden flare-ups of pre-existing conditions.
  • Evacuation limits: Coverage for emergency medical evacuation or transport.
  • Renewability: Whether the plan can be extended or renewed for longer stays.
forum Forum

U.S. Citizen Health Insurance for Visiting the USA - Forum

N
Nancy Expat in Costa Rica · USA visitor

Hello, I am looking for medical travel insurance for frequent short trips to the US from Costa Rica where we are currently living. I am a US resident and wondering if I qualify for this insurance.

support_agent
Customer Care Team verified AVI Licensed Agent American Visitor Insurance

Dear Nancy, thank you for contacting American Visitor Insurance with your inquiry! There are plans that are available for US citizens residing abroad and visiting the US for a short period of time. However, annual trip plans for people traveling frequently are available for US and Non US citizens traveling outside their home country. Since you are a US citizen and want coverage in the US which is your home country we will not be able to suggest annual trip plans but you can buy other plans for visiting the US for short period of time.

Patriot America Plus Insurance

Hope this helps! Warm regards,

support_agent Customer Care - American Visitor Insurance
americanvisitorinsurance.com call (877) 340-7910
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compare_arrows Quick Comparison

Compare the Best Travel Insurance Plans for U.S. Citizens Visiting the USA

Feature Patriot Lite Patriot Plus Patriot Platinum Diplomat America Visitors Protect Diplomat LongTerm
Max Policy Limit Up to $1M Up to $1M Up to $8M Up to $1M Up to $250K Up to $1M
PPO Network First Health/UHC First Health/UHC First Health/UHC No PPO Required First Health/UHC No PPO Required
Acute Onset Pre-existing Not Covered under 70 under 70 under 69 up to age 99 Sudden recurrence
Emergency Evacuation $1,000,000 $1,000,000 Policy max $250,000 $25,000 $250,000
Min Coverage Period 5 days 5 days 5 days 15 days 30 days 30 days
Max Renewable Term 24 months 24 months 36 months 364 days 364 days 36 months
Sports Rider Not Available Optional Add-On Optional Add-On Selected Sports Covered Not Available Selected
Urgent Care Copay $30/visit $30/visit $30/visit Deductible applies $15/visit Deductible applies
Best For Budget travelers Most expats Premium coverage Any hospital access Seniors & chronic conditions Long-term stays
help FAQS

International Health Insurance for U.S. Citizens Living Abroad - FAQs

Travel medical insurance plans are suitable for US citizens visiting the USA, as long as they are only temporarily visiting and intend to return to live in another country. Health insurance for US travelers to US offer coverage for medical expenses due to sudden sickness or injury.
Some recommended medical insurance for US citizens visiting USA include Diplomat America, Diplomat Long Term, Patriot America Lite, Patriot America Plus and Visitors Protect Insurance.
US citizens who have been living abroad and are moving back to the USA may consider purchasing Short term medical insurance, which does not require a period of prior residence in the US before purchasing.
Travel insurance in USA for US citizens typically includes coverage for travel assistance, personal liability, accident and sickness, loss or delay of baggage, and hijack cover. Additionally, some plans offer an automatic extension of coverage in the event of hospitalization abroad.
Travel health insurance for U.S. citizens is not mandatory, but it is still recommended as it is beneficial in certain situations. It depends on your risk tolerance and trip plans. Here are some factors to consider:
  • Trip Cost: For expensive trips with non-refundable bookings (flights, hotels, tours), travel medical insurance for us citizens can offer financial protection if you need to cancel.
  • Medical Concerns: If you have pre-existing medical conditions or are concerned about medical emergencies, travel insurance for American citizens can help cover unexpected medical costs.
  • Activities: For adventurous activities (skiing, snowboarding, etc.), some plans offer coverage for trip interruptions or injuries sustained during those activities.
No, U.S. citizens are not legally required to have health insurance when visiting the United States. However, having travel medical insurance from American Visitor Insurance is highly recommended for those living abroad, as it provides protection against costly medical emergencies during short-term or long-term visits.
Top plans from American Visitor Insurance include Patriot America Plus, Patriot America Platinum, Diplomat America, Visitors Protect, and Diplomat Long Term insurance, covering emergency medical care and the acute onset of pre-existing conditions.
Some plans, such as Patriot America Plus, Patriot America Platinum, Diplomat America, provide coverage for the acute onset of pre-existing conditions. For travelers seeking full pre-existing condition coverage, especially for long-term stays or elderly visitors, Visitors Protect is the best option.
Yes. Plans like Visitors Protect provide coverage for travelers up to age 99, making them ideal for parents or seniors visiting family in the U.S.
Yes. Visitors Protect through American Visitor Insurance provides temporary medical coverage for pre-existing conditions and is one of the few visitor plans to offer extended protection for older travelers.
  • For travelers under 70, coverage is up to $25,000.
  • For travelers 70 years and older, coverage is up to $20,000 with a $1,500 deductible.
  • The plan is designed for visitors staying at least three months in the U.S.
Yes, certain plans like Visitors Protect may cover emergency care for chronic conditions if a sudden medical situation arises during your visit. Routine checkups and ongoing medication management are not included.
Most visitor insurance plans do not require a medical exam, but coverage and eligibility may depend on your age and health history.
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Summary of U.S. Citizens Visiting the USA

Travel insurance for U.S. citizens visiting USA is essential for expats and Americans living abroad who are returning home temporarily. Many foreign or old U.S. insurance plans do not cover treatment in the U.S., and healthcare costs are extremely high.

These visitor medical insurance plans, including Visitors Protect, Patriot America Plus, Patriot America Platinum, and Diplomat Long Term insurance through American Visitor Insurance, provide coverage for emergencies, accidents, hospitalization, acute onset of pre-existing conditions, and urgent care visits.

Whether you're visiting for vacation, family, or business, this insurance ensures you are protected from unexpected medical expenses during your stay. Coverage can range from a few days to multiple years, depending on the plan, making it a flexible and affordable solution for U.S. citizens living abroad.

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