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J Exchange Visitor Health Insurance Requirements

All J-1 & J-2 Exchange Visitors are required to carry medical insurance for the duration of their program in order to maintain lawful J-1 status. This health insurance coverage is required to meet the minimum criteria set by the U.S. Department of State as outlined below.  J-1 Exchange Visitors may be eligible for health insurance through Johns Hopkins.  If not, Exchange Visitors are responsible for selecting and obtaining health insurance coverage for themselves and any J-2 dependents for the duration of their J-1 program. Exchange Visitors will be required to submit a completed Health Insurance Pledge provided by the OIS prior to the creation of their initial DS-2019 and any time their DS-2019 is extended and/or amended. 

Health Insurance Minimum Requirements

  • Medical benefits of at least $100,000 per person per accident or illness
  • Deductible of no more than $500 per accident or illness
  • Medical Evacuation up to $50,000
  • Repatriation of remains up to $25,000
  • Covers pre-existing conditions after a reasonable waiting period 
  • Includes provision for co-payment that does not exceed 25% co-pay by the Exchange Visitor
  • Does not exclude benefits for perils inherent to the activities of the Exchange Visitor’s program
  • Must be underwritten by an insurance company that meets the rating requirements of the Department of State or is backed by the full faith and credit of the Exchange Visitor’s government.

J-1 Exchange Visitors and their J-2 dependents may be subject to the requirements of the Affordable Care Act. (Per 22 CFR 62.14(a))

Failure to Maintain Health Insurance

Willful failure on the part of the Exchange Visitor and/or any J-2 dependents to maintain the required insurance will result in the termination of their J-1 exchange visitor program.

Private Health Insurance Providers

J-1 Exchange Visitors who are not eligible for Johns Hopkins insurance benefits are responsible for selecting an insurance plan that meets the criteria of the J-1 Health Insurance requirement above.  It is important to contact your Johns Hopkins host department/school before purchasing an outside plan to make sure that the plan meets any requirements your host department/school may have that are above and beyond the J-1 requirements. 

You have many options to choose from for health insurance coverage. OIS does not endorse or make specific recommendations for any insurance plan option. You are advised to read any plan you are considering carefully and make the best decision based on your personal situation. More information is provided below.  

Insurance from your Home Country

Some Exchange Visitors are provided with health insurance coverage by their home country. This is a good option if your insurance meets all the J-1 requirements above and covers you while you are in the U.S. for the duration of your J-1 Program. Insurance must be backed by the full faith and credit of your home country’s government.

Insurance from another U.S. Insurance Provider

Many U.S.-based insurance options do not meet the J-1 requirements. However, there are some private companies that offer insurance plans designed specifically for J-1 Exchange Visitors, which meet the J-1 requirements and are easily found online. You should confirm the legitimacy of any plan by verifying that it meets the J-1 regulatory requirements described in 22 CFR 62.14 and reflected in the “Health Insurance Minimum Requirements” section above.

If you enroll in one of these plans that meets the J-1 requirements, please be sure that you are also enrolling in a plan that meets your specific insurance needs and preferences. You can find additional helpful information on health insurance terms and definitions, and factors to consider when choosing an insurance plan on the website.


If you have questions about J-1 Exchange Visitor status, please contact the OIS at