Dominica
Work In Nature (WIN) Extended Stay Visa: health insurance requirements
Yes: health insurance is required
Dominica's Work In Nature (WIN) Extended Stay visa lets remote workers and their families live on the island for up to 18 months while working for employers or clients outside Dominica. It requires expected income of US$50,000 or more over the next 12 months and valid health insurance covering you and all accompanying family. WIN holders pay no Dominica income, capital gains or dividend tax for the duration of the stay.
The requirements at a glance
| Repatriation required | Not required |
|---|---|
| Local-licensed insurer required | No: compliant international IPMI is accepted |
| Accepted proof | A certificate or policy from a recognised insurance company clearly showing you are a valid policyholder, with cover valid in Dominica for you and all accompanying family members. |
Income of US$50,000 or more expected over the next 12 months (or equivalent means to support yourself and family); applicant aged 18+ and of good character with no criminal record; work performed for companies or clients not registered in Dominica; passport valid for the stay; police records, bank reference and proof of family relationships. Fees: US$100 non-refundable application fee, then US$800 (individual) or US$1,200 (family) on approval. Visa valid up to 18 months from arrival.
Our take
The WIN visa names health insurance valid in Dominica covering you and all family members as a condition of approval, but it publishes no minimum coverage figure. That makes the headline number a non-issue and the policy contents the real test: on a small volcanic island the limiting factor is medical evacuation, since serious cases are flown to Martinique, Guadeloupe or the US.
Treat the visa insurance requirement and the on-the-ground risk as one decision. Pick a policy that is valid in Dominica, names you as policyholder so it satisfies the application, and explicitly includes emergency medical evacuation and repatriation, because home-country plans rarely pay for care or a medical flight here.
What happens if you get it wrong
A policy with no medical evacuation cover. It may tick the visa box, but the bill that actually lands here is an air ambulance off the island, and a treatment-only plan leaves you exposed to the one cost that matters most.
Assuming a home-country or travel card plan counts. The government wants cover valid in Dominica naming you as policyholder, and local providers commonly expect cash up front and will not bill an insurer directly, so a vague or non-local policy can fail both the application and the moment you need to claim.
Interactive
Estimated levelWhat would it cost in Dominica without insurance?
Healthcare cost level
Low
National health spending is about $492 per person a year (2023), around the global median of about $470. That is a rough signal of how pricey private care tends to be, not a price you would be quoted.
The one bill that is the same everywhere
A medical evacuation costs the same wherever you are, and it dwarfs everything else.
That is the bill you carry alone. Insurance exists for exactly this.
See what cover costsEstimated cost level from national health-spending data, not local quotes. We haven't hand-verified local prices here yet. Get a quote for a real figure.
FAQ
Yes. Applicants must show health insurance valid in Dominica covering them and all accompanying family members, evidenced by a certificate or policy naming them as a valid policyholder.
No official minimum sum is published. The requirement is simply valid health insurance covering you and your family, so the practical priority is whether the policy includes medical evacuation rather than hitting a set figure.
It is valid for up to 18 months from arrival. The non-refundable application fee is US$100, and on approval the visa fee is US$800 for an individual or US$1,200 for a family.
You must expect to earn US$50,000 or more over the next 12 months, or show equivalent means to support yourself and any accompanying family during the stay.
No. WIN holders are not subject to Dominica income, capital gains or dividend tax for the duration of their stay, though they remain responsible for tax in their home country or tax domicile.
Reviewed by Lukas Schönberg, Founder & researcher, Nomad Insurance Broker OÜ
Nomad Insurance Broker OÜ (Estonia) is an information and matching platform, not currently registered as a regulated insurance intermediary in any jurisdiction. See /how-it-works for the full disclosure.
Source: windominica.gov.dmLast verified
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