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ACA Requirements for US Citizens Living Abroad

ACA Requirements for US Citizens Living Abroad


Patient Protection and Affordable Care Act (PPACA), also called Affordable Care Act (ACA) or Obamacare, requires most US citizens, permanent residents, and certain other US residents to purchase and maintain a compliant insurance plan that meets the Minimum Essential Coverage (MEC).


If a US citizen spends at least 330 full days outside the U.S. during a given calendar year, they are exempt from maintaining ACA compliant health insurance.

Short term insurance plans, travel insurance plans or even expatriate health insurance plans are not ACA compliant; therefore, they do not count towards maintaining Minimum Essential Coverage.


The situation can be frustrating to US citizens who live abroad for more than 3 months but less than 330 days. They are required to have Obamacare compliant medical insurance, which is most likely not going to cover them abroad or even provide a limited coverage.

Of course, while they are abroad, they should be covered under expatriate health insurance.

When they are visiting the USA temporarily, they can purchase short term travel insurance. If you are already covered under expatriate health insurance with worldwide health coverage, you don't need to purchase any travel insurance.

If they are going to be moving back to the US permanently, they can try to enroll into Obamacare using a special enrollment period. If that does not work out, then purchase domestic short term medical insurance until they can enroll into ACA compliant medical plan.

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Visiting USA?

Healthcare costs are very high in the U.S.

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Did you know that your insurance may not cover you abroad or that it may only provide limited coverage?

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The U.S. Department of State requires all J visa holders to purchase compliant insurance.

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Schengen countries require most non-US citizens to purchase Schengen visa insurance.

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You don't need to purchase travel insurance for every trip.

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