United States expat insurancer

International Health Insurance for French expats in the United States

Whether you're moving to the United States, already living there as an expat or having international teams, Alea helps you find the right health insurance plan from the world’s leading insurers.

Compare 50+ Insurers Now

Compare 50+ Insurers Now

Compare 50+ Insurers Now

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~24M

Foreign nationals living in the United States

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World-class

Private hospital network in the United States

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50+

Insurers available

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CFE 🇫🇷

CFE Top Up plans available in the United States

Insurance plan

What's Available

Individual Health Insurance

International or local plans for individuals and families. Worldwide cover, outpatient options, maternity add-ons.

Individual Health Insurance

International or local plans for individuals and families. Worldwide cover, outpatient options, maternity add-ons.

groupd health insurance

Group Health (Companies)

From 2 employees and up. Multi-country setups, flexible benefit structures, HR dashboards included.

groupd health insurance

Group Health (Companies)

From 2 employees and up. Multi-country setups, flexible benefit structures, HR dashboards included.

Family Plans

Comprehensive cover for couples and families with children. Family discounts available across most insurers.

Family Plans

Comprehensive cover for couples and families with children. Family discounts available across most insurers.

How It Works

Three steps, one advisor, free service.

1

Tell Us About You

2

We Compare Plans

3

You Choose We Handle the Rest

Healthcare System

Healthcare in the United States

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United States Healthcare at a Glance

The United States has no universal public healthcare system. Most residents are covered through an employer plan, a plan bought on the Affordable Care Act (ACA) Marketplace, or government programs reserved for specific groups: Medicare for people aged 65 and over, and Medicaid for low-income residents. Newly arrived expats generally do not qualify for either. The quality of care is among the best in the world, but so are the prices: national health spending reached USD 14,570 per person in 2023 according to CMS, the highest of any country.

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Key Private Hospitals

Mayo Clinic (Rochester, Phoenix and Jacksonville), Cleveland Clinic, Johns Hopkins Hospital (Baltimore), Massachusetts General Hospital (Boston), NewYork-Presbyterian (New York) and Cedars-Sinai (Los Angeles) are among the country’s leading medical centers. Mayo Clinic, Cleveland Clinic and Johns Hopkins run dedicated international patient offices that help foreign patients with appointments, cost estimates and coordination with their insurer.

Why private insurance matters

Without cover, medical bills in the United States can be financially devastating. Hospitals spent an average of USD 3,132 per inpatient day in 2023 (KFF), and what they charge patients is typically higher. Note that most international health plans treat the USA as a separate, more expensive coverage area: a plan without USA cover will not pay for treatment there, beyond any limited emergency benefit for short trips.

Visa & insurance requirements

The United States does not require health insurance for most work visas, such as the H-1B or L-1. The main exception is the J-1 exchange visitor visa: under federal rule 22 CFR 62.14, J-1 holders and their J-2 dependents must hold at least USD 100,000 of medical cover per accident or illness, USD 50,000 for medical evacuation and USD 25,000 for repatriation of remains, with a deductible of no more than USD 500. Most universities also require F-1 students to hold a compliant health plan.

Our Partners

Insurers for

United States

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Top Up French Social Security

Top Up French Social Security

United States

United States

Are you an expat? Alea finds competitive insurance options for you, at the best price. Talk to us!

Are you an expat? Alea finds competitive insurance options for you, at the best price. Talk to us!

What Our Clients Say

Thousands of clients trust Alea.

woman smiling wearing denim jacket

Alea's team really sets the standard for client and advisory service, and goes beyond to provide timely health tips and advice from experts. I could not recommend Alea more highly.

Anne C

woman on focus photography

The service by Alea has been exceptional from start to finish. The team is attentive, professional, warm and adaptable. I highly recommend Alea to those looking for health coverage.

Kathleen L

A man sitting on a bench smiling at the camera

Alea has been such a great help to navigate a wide range of offers and identify the best insurance for our needs. Quality after sales service is also much appreciated.

Carlos G

woman in red cardigan smiling

The Alea team brought genuine clarity and transparency to our business health insurance search. They helped us craft a cross-border plan that works for all our employees, with the kind of responsive service every international business needs

CD, COO, Asset Management Company

Need some help?

Talk to an expert who really helps you

What Our Clients Say

Thousands of clients trust Alea.

woman smiling wearing denim jacket

Alea's team really sets the standard for client and advisory service, and goes beyond to provide timely health tips and advice from experts. I could not recommend Alea more highly.

Anne C

woman on focus photography

The service by Alea has been exceptional from start to finish. The team is attentive, professional, warm and adaptable. I highly recommend Alea to those looking for health coverage.

Kathleen L

A man sitting on a bench smiling at the camera

Alea has been such a great help to navigate a wide range of offers and identify the best insurance for our needs. Quality after sales service is also much appreciated.

Carlos G

woman in red cardigan smiling

The Alea team brought genuine clarity and transparency to our business health insurance search. They helped us craft a cross-border plan that works for all our employees, with the kind of responsive service every international business needs

CD, COO, Asset Management Company

Need some help?

Talk to an expert who really helps you

What Our Clients Say

Thousands of clients trust Alea.

woman smiling wearing denim jacket

Alea's team really sets the standard for client and advisory service, and goes beyond to provide timely health tips and advice from experts. I could not recommend Alea more highly.

Anne C

woman on focus photography

The service by Alea has been exceptional from start to finish. The team is attentive, professional, warm and adaptable. I highly recommend Alea to those looking for health coverage.

Kathleen L

A man sitting on a bench smiling at the camera

Alea has been such a great help to navigate a wide range of offers and identify the best insurance for our needs. Quality after sales service is also much appreciated.

Carlos G

woman in red cardigan smiling

The Alea team brought genuine clarity and transparency to our business health insurance search. They helped us craft a cross-border plan that works for all our employees, with the kind of responsive service every international business needs

CD, COO, Asset Management Company

Need some help?

Talk to an expert who really helps you

FAQ

Frequently Asked Questions

How do we choose the providers we work with?

Working with trustworthy health insurance providers is fundamental to our business. We work with international health insurance providers. For any offshore plans recommended, we ensure all providers are subject to regulations that both Alea and its customers hold in high regard.

How do you stay on top of their products?

We know our products from top to bottom! Alea advisors are not only rigorous and detail-oriented, they also receive weekly training sessions with the insurance providers we work with. We’re in constant conversation with our partners to stay abreast of any and all updates, keeping our communication mutually open and transparent.

Why does choice matter?

Providing choice is incredibly important for a number of reasons, including that your needs and personal situation may change over time. Maternity, child cover, planning for retirement, the onset of a chronic illness - we can't always plan for exactly how life will unfold. Additionally, some health insurance products may simply become too expensive over time.

How do we recommend one provider versus another?

There is no “best” insurer and there is no “one-size-fits-all” health insurance plan. Every product has its own strengths & weaknesses and because we know them all by heart (it's our specialty!), we know - for instance - which plans are more flexible on pre-existing conditions or which may be discontinued. Each proposal and recommendation is tailored to suit your own needs and situation.

Why do close relationships matter?

Trust is pivotal to our business and we maintain close relationships with each of our 50+ providers, working with them hand-in-hand to make sure you receive the best service and outcomes. These relationships mean we can better advocate for you when you are facing a difficult claim issue. Our multiple points of contact enable us to resolve any critical issues that may arise.

Have we ever stopped working with a provider?

Absolutely. We’ve ceased relationships with insurance providers whose products we believed to be unsustainable and with some who’ve made business decisions we felt were unfair and/or unfavourable to our clients. When making such decisions, we carefully analyse facts and data and undertake robust internal consideration.

How do we stay independent?

The Code of Conduct For Licensed Insurance Brokers specifically mentions that our fiduciary duties are owed to clients. While there are insurance providers we work with more than others, no one partner represents more than 20% of our total revenues. We partner with 25+ insurance providers, allowing us to provide choice and remain completely independent. We don’t work for insurance providers, we work for you.

What is our business model?

As brokers, we receive a percentage commission of the insurance premium you pay directly to the insurance provider. This commission is automatically included in the premium, not in addition to it. It is not less expensive to buy direct from the insurer! The advisory services we provide to you are free of charge. For individual and family plans, the average commission rate we receive each year varies between 15-20% of the annual premium. For group employee health benefits (group schemes), commission rates generally vary between 10-15%.

How do we choose the providers we work with?

Working with trustworthy health insurance providers is fundamental to our business. We work with international health insurance providers. For any offshore plans recommended, we ensure all providers are subject to regulations that both Alea and its customers hold in high regard.

How do you stay on top of their products?

We know our products from top to bottom! Alea advisors are not only rigorous and detail-oriented, they also receive weekly training sessions with the insurance providers we work with. We’re in constant conversation with our partners to stay abreast of any and all updates, keeping our communication mutually open and transparent.

Why does choice matter?

Providing choice is incredibly important for a number of reasons, including that your needs and personal situation may change over time. Maternity, child cover, planning for retirement, the onset of a chronic illness - we can't always plan for exactly how life will unfold. Additionally, some health insurance products may simply become too expensive over time.

How do we recommend one provider versus another?

There is no “best” insurer and there is no “one-size-fits-all” health insurance plan. Every product has its own strengths & weaknesses and because we know them all by heart (it's our specialty!), we know - for instance - which plans are more flexible on pre-existing conditions or which may be discontinued. Each proposal and recommendation is tailored to suit your own needs and situation.

Why do close relationships matter?

Trust is pivotal to our business and we maintain close relationships with each of our 50+ providers, working with them hand-in-hand to make sure you receive the best service and outcomes. These relationships mean we can better advocate for you when you are facing a difficult claim issue. Our multiple points of contact enable us to resolve any critical issues that may arise.

Have we ever stopped working with a provider?

Absolutely. We’ve ceased relationships with insurance providers whose products we believed to be unsustainable and with some who’ve made business decisions we felt were unfair and/or unfavourable to our clients. When making such decisions, we carefully analyse facts and data and undertake robust internal consideration.

How do we stay independent?

The Code of Conduct For Licensed Insurance Brokers specifically mentions that our fiduciary duties are owed to clients. While there are insurance providers we work with more than others, no one partner represents more than 20% of our total revenues. We partner with 25+ insurance providers, allowing us to provide choice and remain completely independent. We don’t work for insurance providers, we work for you.

What is our business model?

As brokers, we receive a percentage commission of the insurance premium you pay directly to the insurance provider. This commission is automatically included in the premium, not in addition to it. It is not less expensive to buy direct from the insurer! The advisory services we provide to you are free of charge. For individual and family plans, the average commission rate we receive each year varies between 15-20% of the annual premium. For group employee health benefits (group schemes), commission rates generally vary between 10-15%.

Ready to find your plan?

Free, no-obligation quote

Expert, human advice

Save time & money

Compare 50+ Insurers Now

Ready to find your plan?

Free, no-obligation quote

Expert, human advice

Save time & money

Compare 50+ Insurers Now

Ready to find your plan?

Free, no-obligation quote

Expert, human advice

Save time & money

Compare 50+ Insurers Now