Health Insurance Is Not Required

The immigration medical examination is a self-pay service. You do not need health insurance to schedule or complete your immigration medical exam. In fact, most civil surgeon offices — including ImmigrationMedicalExams.com — do not accept health insurance for immigration medical exams at all.

This is because the immigration medical exam is a specialized federal requirement, not a routine medical service. The exam follows USCIS Technical Instructions and includes specific components — such as required laboratory tests and vaccine administration — that are bundled into a single flat fee.

What Is Included in the Flat Fee?

At ImmigrationMedicalExams.com, our flat all-inclusive fee covers everything required for your immigration medical exam. There are no hidden fees, no surprise charges, and no additional billing after your appointment.

• Complete physical examination by a USCIS-designated civil surgeon
• Required laboratory testing (TB screening, syphilis serology, and others as required)
• Vaccine record review and documentation
• Administration of any required vaccines identified at the exam
• Completion and sealing of Form I-693

Why Doesn't Insurance Cover the Immigration Medical Exam?

Health insurance plans — including employer-sponsored plans, Marketplace plans, and Medicaid — generally do not cover immigration medical exams because the exam is not a medically necessary service in the traditional sense. It is a government-mandated administrative requirement for immigration purposes.

Even if your insurance plan technically covers some components of the exam (such as a physical or blood tests), the civil surgeon's office is not required to bill insurance, and most do not. The immigration medical exam is designed to be a straightforward, transparent self-pay service.

Can I Use an HSA or FSA to Pay?

In many cases, you may be able to use a Health Savings Account (HSA) or Flexible Spending Account (FSA) to pay for your immigration medical exam, as the exam includes medical services such as laboratory testing and vaccine administration. However, eligibility depends on your specific plan. Consult your HSA or FSA administrator to confirm whether immigration medical exam fees qualify for reimbursement under your plan.

How to Prepare for the Cost

Contact our office before your appointment to confirm current pricing. We will provide you with a clear, itemized breakdown of all fees before your appointment so there are no surprises. Payment is typically collected at the time of your appointment. We accept major credit cards, debit cards, and cash.