Travel insurance

Travel Insurance for the USA: Medical Costs & Coverage

American skyscrapers viewed from street level, travelling in the United States
Coverage recommended by Yupwego
500 000 €
Health risks
All-private healthcare, no agreement with French social security. Emergency room: $1,000 to $2,000
Vaccinations
No vaccinations required for entry. Routine vaccinations recommended (including measles)
Required documents
Valid biometric passport
Entry requirements
ESTA required for stays up to 90 days; visa required beyond that
Currency
US Dollar (USD)
Best time to visit
Spring (April-June) and autumn (September-October)
Recommended mobile provider
eSIM (Airalo, Holafly) on AT&T, T-Mobile or Verizon networks
Emergency numbers
911 (medical, police, fire)
Contents
  1. Is travel insurance compulsory in the USA?
  2. Why take out travel insurance for the USA?
  3. What your Yupwego USA travel insurance covers
  4. Health and healthcare in the USA
  5. Entry requirements for the USA
  6. Car hire and road accidents in the USA

In the United States, there is no social security agreement with France: every cent of medical treatment is your responsibility. A GP visit costs between $150 and $250, and a single night in hospital can top $5,000. Without the right travel insurance, one medical emergency could leave you facing tens of thousands of dollars in bills.

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Is travel insurance compulsory in the USA?

Travel insurance is not legally required to enter the United States. In practice, however, it is essential: American medical costs are among the highest in the world, and there is no reimbursement agreement between the French social security system and the US healthcare system. Yupwego recommends medical cover of at least 500 000 €.

Why take out travel insurance for the USA?

  • Sky-high medical bills: A night in hospital costs between $2,000 and $5,000; a simple fracture can run from $10,000 to $35,000. Without insurance, you pay before you even receive treatment.
  • Medical repatriation: A medical evacuation from the United States to France can run to tens of thousands of euros. Your insurer arranges and covers it, around the clock.
  • Transatlantic flight cancellation: Return flights and pre-paid hotels can represent a significant outlay. If you have to cancel before departure due to illness or accident, trip cancellation cover reimburses your non-refundable costs.
  • French-speaking assistance, 24/7: In an emergency, a round-the-clock helpline guides you through the local healthcare system and can liaise directly with the hospital on your behalf.

What your Yupwego USA travel insurance covers

For a trip to the United States, Yupwego recommends medical cover of at least 500 000 €, essential given American healthcare costs.

  • Medical expenses and hospitalisation: Yupwego settles the US hospital bill directly, so you pay nothing upfront, even for a night in intensive care.
  • Medical repatriation: If your condition requires it, a medically supervised return to France is arranged and funded by your insurer.
  • Trip cancellation: Transatlantic flights and pre-paid hotels are refunded if you cancel for a reason covered by your policy.
  • Baggage and personal belongings: Theft, loss or delayed baggage in transit is compensated in accordance with your policy terms.

Health and healthcare in the USA

The US healthcare system is entirely private for foreign visitors: there is no social security agreement between France and the United States. A GP consultation costs between $150 and $250, an emergency room visit between $1,000 and $2,000, and a single night in hospital can reach $5,000. No vaccinations are required to enter the United States, but it is advisable to bring your routine vaccinations up to date, including measles, given the rise in cases flagged by France Diplomatie. Choosing a policy with direct billing means you never have to pay the hospital before receiving care.

Entry requirements for the USA

French nationals must obtain an ESTA authorisation (valid for 2 years, stay limited to 90 days) before boarding; stays beyond 90 days require a visa. A valid biometric passport is mandatory. For longer stays in the United States, our long-stay travel insurance is better suited; students and working-holiday participants can turn to our travel insurance for young people, students and working holidays.

Car hire and road accidents in the USA

Hiring a car is the natural way to explore the United States. Most rental companies accept a French driving licence, but some may require an international driving permit, so check before you book. Take out CDW (Collision Damage Waiver) cover directly with the rental company: travel insurance does not cover damage to the hire vehicle itself. However, if you are injured in a road accident, your medical expenses and repatriation are covered by your travel insurance, subject to your policy terms.

Frequently asked questions

Is travel insurance compulsory in the United States?

No, no insurance is required to enter the United States. That said, medical costs there are among the highest in the world and there is no agreement with the French social security system. Yupwego recommends cover of at least 500 000 € for genuine peace of mind.

How much does a hospital stay cost in the United States?

A single night in hospital averages between $2,000 and $5,000. A simple fracture can reach between $10,000 and $35,000, and an appendectomy between $15,000 and $30,000. Without insurance, you will be expected to settle these bills on the spot.

Does my bank card really cover me in the United States?

Some premium cards include travel cover, but the limits are generally too low for American medical costs and the duration of cover is restricted. A dedicated travel insurance policy offers far more suitable protection for this destination.

Do French nationals need a visa to travel to the United States?

French nationals can enter the United States without a visa for a tourist stay of up to 90 days, provided they hold a valid ESTA and a biometric passport. Beyond 90 days, a visa is required.

What level of medical cover should I choose for the United States?

Look for a policy covering at least 500 000 € in medical expenses, with medical repatriation included and direct billing (no upfront payment required). For stays longer than 3 months, a long-stay or expatriate insurance policy is more appropriate.

Does travel insurance cover road accidents in the United States?

If you are injured in an accident, your medical expenses and repatriation are covered by your travel insurance. However, damage to a hire vehicle is not covered: make sure to take out CDW (Collision Damage Waiver) insurance directly with the rental company.

Sources

  • Coût d'une nuit d'hospitalisation aux États-Unis : entre 2 000 $ et 5 000 $ ; fracture simple : 10 000 à 35 000 $ ; appendicectomie : 15 000 à 30 000 $ ; consultation généraliste : 150 à 250 $ expat-assurance.com
  • ESTA ou visa obligatoire pour les ressortissants français ; frais médicaux entièrement à la charge du voyageur ; hausse des cas de rougeole signalée ; numéro d'urgence 911 diplomatie.gouv.fr
  • Séjour limité à 90 jours avec ESTA pour les ressortissants français ; passeport biométrique obligatoire diplomatie.gouv.fr
  • Airalo et Holafly recommandés pour la couverture mobile aux États-Unis sur réseaux AT&T, T-Mobile et Verizon monito.com
  • Les frais médicaux et d'hospitalisation sont couverts par l'assurance voyage Yupwego en cas de blessure ; les dommages matériels au véhicule loué et la responsabilité civile tiers ne sont pas couverts yupwego.com

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