Antigua and Barbuda
Nomad Digital Residence (discontinued): health insurance requirements
No insurance mandate for this visa
Antigua and Barbuda discontinued its two-year Nomad Digital Residence visa by government notice dated 10 November 2025, effective 15 November 2025, and named no successor. Remote workers now use ordinary visa-free entry. Published guidance conflicts on how long that lasts, and the insurance condition that belonged to the visa ended with it.
The requirements at a glance
| Local-licensed insurer required | No: compliant international IPMI is accepted |
|---|---|
| Accepted proof | Nothing is checked on entry. While the NDR ran, applicants had to supply a certificate showing medical insurance for the period of intended stay, with no minimum sum ever published. |
Visa-free entry for US, British, Canadian and Australian passport holders, with a passport valid six months, an onward or return ticket and proof of means. Sources disagree on length: the FCDO states 90 days, while Antiguan immigration material indicates up to six months at the officer's discretion. Antigua and Barbuda levies no personal income tax.
The discontinuation notice is dated 10 November 2025 with effect from 15 November 2025, and the programme's official application domain has since been resold to an unrelated operator, while the High Commission in London still points applicants at it.
Our take
Be careful where you read about this one. The programme's own application website has lapsed and been resold to an unrelated commercial operator, and the High Commission in London still lists the NDR as open. Anyone offering to process an application is working from stale information at best.
With the visa gone, no Antiguan process asks about cover at all. Two islands share one public hospital, Barbuda has an eight-bed facility, and anything beyond local capability means an air ambulance to Puerto Rico, Martinique or the US mainland. That is the exposure, and now nothing prompts you to address it.
What happens if you get it wrong
Booking a long stay on the assumption of six months at the border. The two official sources disagree, so plan around 90 days and treat more as the officer's decision.
Sending documents or money to an NDR application site. The government let the domain lapse and it now belongs to someone else entirely.
Interactive
Verified pricesWhat would it cost in Antigua & Barbuda without insurance?
You pay, out of pocket
$2,100–$7,000
A serious private admission or common surgery.
Bars to scale. A flight home is in another league.
That is the bill you carry alone. Insurance exists for exactly this.
See what cover costsTypical private-care estimates for illustration, not a quote. Actual bills vary by hospital, city and severity.
FAQ
No. The Nomad Digital Residence was discontinued by government notice on 15 November 2025, and no replacement route was announced. Guides describing it as open have not caught up.
Official sources conflict. The FCDO states 90 days for British visitors, while Antiguan immigration material indicates up to six months granted at the officer's discretion. Plan around the shorter figure.
Not any more. The insurance condition belonged to the nomad visa and ended with it, and visa-free entry carries none. The evacuation exposure is unchanged: one public hospital on Antigua, eight beds on Barbuda, and serious cases flown abroad.
Antigua and Barbuda levies no personal income tax at all, so foreign earnings are not taxed locally on any route.
What policy actually satisfies this visa
This route does not make insurance a condition of the application, so nobody will ask you for a certificate. That is worth separating from the question of whether you should carry cover, because the immigration rule and the hospital bill are decided by different people.
The countries that impose no insurance rule are not, as a group, the countries where being uninsured is cheap. Several of them expect payment before treatment and fly serious cases abroad. The absence of a rule is not the absence of a risk, and the calculator above puts a figure on the difference.
The visa tells you the minimum. It does not tell you what to actually carry. Those are different questions, and the paperwork minimum is nearly always the smaller of the two answers.
- InsuranceWhat cover actually costs in Antigua and Barbuda, and what care costs without it
- Country guideHealthcare, hospitals and the local reality in Antigua and Barbuda
- Compare visasInsurance rules for every nomad visa, side by side
- EligibilityNot sure you clear the bar? Check against every nomad visa
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