Do international students need health insurance in the US

International students in the US almost always need health insurance. Most schools require it, the visa rules expect it, and medical care in the US is extremely expensive without it.

Why insurance is required

Universities usually make health insurance mandatory because a single emergency can cost thousands of dollars. Schools either enroll students in a campus plan automatically or ask them to provide proof of a private plan that meets specific standards. F‑1 visa rules don’t list a formal requirement for regular students, but in practice schools treat it as non‑negotiable. J‑1 students must have it under federal law.

What “health insurance” means in the US

• Premium: The fixed amount paid each semester or month to keep coverage active.
• Deductible: The amount paid out of pocket each year before the insurance starts paying.
• Co-pay or co-insurance: A small payment every time a service is used, even after the deductible.
• In-network providers: Doctors and hospitals that have contracts with your insurance. Using them keeps costs lower.

Common options for international students

• University student plan: Easiest and usually meets all requirements. Costs are predictable but not always the cheapest.
• Approved private plan: Only allowed if the school accepts waivers. Students must show the plan covers major emergencies, mental health, prescriptions, and has no large limits.
• J‑1 plan: Must meet federal rules, including coverage for medical evacuation and repatriation.

What happens without insurance

• Huge medical bills: Even a short ER visit can exceed 3,000 dollars.
• Registration holds: Schools can block enrollment if insurance is missing.
• Visa complications: For J‑1 students, not having insurance can violate status.

Practical next steps

• Check the university’s health insurance webpage for rules and waiver deadlines.
• Confirm what the campus plan covers, especially mental health, prescriptions, and emergency care.
• If using a private plan, make sure coverage works in the state where you will live.