A merican healthcare is simultaneously the most expensive and one of the most confusing in the world — and understanding it is genuinely one of the most important things you can do as a new expat in the United States. Honestly, the consequences of getting this wrong are severe in a way that simply does not apply in countries with public healthcare systems. A single hospital emergency visit without insurance can cost USD 5,000 to USD 30,000. A surgery without coverage can bankrupt a family. Medical debt is the leading cause of personal bankruptcy in the United States. This is not said to frighten you — it is said to make clear exactly why health insurance in America deserves your complete attention from the moment you arrive. The American health insurance system is complex, expensive and filled with terminology that even many Americans do not fully understand — deductibles, copays, coinsurance, out-of-pocket maximums, in-network, out-of-network, PPO, HMO, HSA. Each of these terms ha...