The US welcomed 72.4 million international visitors in 2024 [NTTO / ITA, 2025], and America’s hosting infrastructure is largely volunteer: host families, congregations, alumni groups, international-student offices. Roughly 300,000 exchange visitors arrive each year on J-1 programs alone [U.S. State Dept, 2025], including an estimated tens of thousands of high-school students living with American host families.
What most visitors don’t know until it’s too late: US healthcare is billed at rates their home coverage was never built for. An uninsured ER visit typically runs $1,500 to $3,000 [Mira Health, 2025]; industry estimates put a hospital day near $3,000 before procedures; and a serious admission can reach $30,000 or more [healthcare.gov-style guidance, 2025]. Uninsured patients are billed full chargemaster rates, often multiples of what insurers pay for the same care, by industry estimates. The visitors most likely to need care, older parents and grandparents on long family stays, are the least likely to be covered.
Visitor-focused medical programs are on the BonaVia roadmap; today, visitors can start with the “Visiting the US” path in our quote flow. Plan availability and coverage specifics are pending.