Life in the States
About U.S. Culture
Some 285 million people call the U.S. home, but in fact their origins span the
globe. Cultural diversity is maintained in American society more than the traditional
"melting pot" image might lead you to believe. You may find that larger U.S. cities
are made up of ethnic neighborhoods and concentrations of immigrant populations
such as "Little Italy" and "Chinatown". Many of these neighborhoods retain a certain
level of their own customs and social traditions. However, almost everyone merges
in some aspect of daily life - in schools, sports and business.
Wide geographical distances and differences also result in profound differences
in attitudes and values across the country. For example, a traditional New Englander's
point of view may be as different from a Southerners as a traditional British
outlook is from the French.
Check out the following web sites for facts about the United States:
http://www.lburkhart.com/elem/bkmkstate.htm
Onward links to various sites with facts, maps and quizzes about the U.S.
http://www.ipl.org/youth/stateknow/
Indepth information about each state, including rankings based on population,
size, etc.
http://www.odci.gov/cia/publications/factbook/geos/us.html
Site containing information about the geography, demographics and politics of
the U.S.
http://www.lonelyplanet.com/destinations/north_america/usa/index.htm
The Lonley Planet website containing a real guide to living in the U.S. and other
countries around the world.
http://www.mce.k12tn.net/noamerica/factsusa.htm
General site containing interesting facts about North America.
Health & Safety
Unlike many countries, the United States does not have a National Health Care
System. Only in extreme cases are some emergencies and prescription drugs covered
by public funds, but it will not be the case for visitors. As the majority of
Americans depend on private insurance companies for emergency and health care
fees, the United States Information Agency also requires that all visitors be
insured for illness, emergencies and third party liability. The insurance provided
to you by Council Exchanges is specifically designed to cover all of the above
requirements .
Health Insurance provided by CCUSA
The insurance policy provided by CCUSA is complete, and unless you plan to practice
dangerous sports, will be facing particularly hazardous tasks in the workplace,
and/or have a pre-existing condition, you will not need any other kind of coverage
unless you plan on purchasing a car. It is very important that you read all the
insurance information provided by your local CCUSA office or representative before
departing from your home country. This will make sure that you understand your
coverage, what to do in an emergency and how to file an insurance claim should
the need arise.
Hospitals, Clinics, and Emergency Rooms
If you need to see a physician, it is best to make an appointment first, once
in the waiting room you'll have to fill out a form with your: name, address, social
security number and information regarding your health insurance. Unless you need
immediate treatment, it is best NOT to go to a hospital "Emergency Room" to see
a doctor. You should use these facilities for emergencies only as they tend to
be quite costly.
If a doctor treats you for a non-emergency, you may have to pay the bill first
and then file a claim with the insurance company for reimbursement. Please see
your insurance booklet for a claim form. It is therefore important to keep careful
records and receipts of all medical services.
As in most countries, medical fees will vary depending on the doctor, the type
of facility, and its location in the country. In certain areas of the country,
especially large cities, medical care will be significantly more expensive. When
you have established yourself in an area it is a good idea to find a private doctor.
You can ask friends or colleagues or call your local hospital for recommendations.
Your country's consulate may also be able to provide a list of approved physicians.
"Walk-in clinics" have sprung up all around the country in recent years. They
offer an alternative to seeing a private physician or going to a hospital emergency
room. They tend to be less costly, and for people who do not have a continuing
relationship with a doctor they can be a good choice.
If you are hospitalized for an emergency it will usually be the hospital to contact
the insurance company. Please make sure to have the policy number and emergency
phone numbers easily accessible so others can find them if necessary.
Please also refer to the web-links below for specialized search-engines through
which you can find physicians and hospitals in your area.
Medicine
If you require medicines containing controlled drugs or narcotics (e.g., cough
medicine, heart drugs, sleeping pills or stimulants), you should have all these
products properly packaged and labeled before leaving your home country. You will
not be able to have foreign prescriptions for controlled drugs filled in the U.S
without seeing a U.S. registered doctor. You should also have a statement or prescription
from your doctor translated into English indicating that the medicine is being
used under a doctor's direction and is necessary for your physical well-being.
Once the doctor has examined you, you will be given a "Prescription" to get the
appropriate medication, and an invoice and the forms you'll need to send to your
insurance. To obtain your medicine you will have to go to a pharmacy such as:
Walgreens, Eckerd, Publix, Wall-Mart, K-Mart, Winn Dixie...
Most of the time antibiotics can be bought in pill format, these are expensive
and the price may vary from 40$ to 150$. Keep in mind, not all "over the counter"
medicines and preparations are easily available in the United States. The dispensing
of birth control is not a free service in the United States, and it is best to
bring a supply of these prescriptions to cover your entire stay to avoid additional
costs.
Dentists
Dentists, like general practitioners and other specialists, usually have private
practices and are expensive. Many large hospitals, particularly those associated
with universities, have dental clinics that are open to the general public and
can be much less expensive than those charged for private treatment. Only emergency
dental treatment is covered by your CCUSA insurance policy, so if it is not an
emergency make sure to inquire about fees before going to a dentist.
Please also refer to the web-links below for specialized search-engines through
which you can find dentists in your area.
Useful links
There are a number of extremely useful web sites through which you can find physicians
and hospitals in your area:
www.healthfinder.gov
www.hospitalselect.com
www.helathnexus.com
Other useful links:
www.surgeongeneral.gov
www.webmd.com
www.healthonline.com
www.westernunion.com
Banking & Money
Opening a Bank Account
You will want to open a bank account as soon as possible after settling in the
U.S. You will need several forms of identification:
1. Your passport
2. Driver's license or state identification card
3. Social Security card (link to SS section)
4. Proof of where you are living (e.g. phone, electricity bill, or lease)
5. Letter from your employer verifying employment
Social Security & Taxes
In order to work legally in the United States, you must apply for a Social Security
number as soon as possible after entering the country. This number is used by
the government to track tax payments, and is a crucial form of identification
- Americans are issued a social security number at birth!
When you attend Work Experience USA orientation in the U.S., social security
staff will be present to process your application, or else you will be directed
to your local Social Security office.
When applying for a Social Security number, you will need to provide an address
so that your Social Security card can be mailed to you. Your social security card
should be mailed to you within 15-30 days from your application.
To find out more about the social security application process, please refer
to your participant handbook.
Taxes: What You Have to Pay
As a foreign student working in the U.S., you have to pay some, but not all,
of the taxes that an American has to pay:
You do pay:
1. Federal income taxes
2. State income taxes
3. City income taxes
U.S. Income Tax
You MUST pay U.S. income tax. Failure to pay any taxes you owe could cause problems
for you in the future if you apply for any visas to return to the U.S. Please
make sure that these taxes are being withheld from your paycheck.
In the U.S., income taxes are imposed by the federal, state and local governments.
Your employer generally withholds income tax from your salary and pays it directly
to the government. Approximately 10 to 15 percent of your salary will be withheld
for federal income tax, a portion of which you may be able to claim back as a
refund at the end of the year.
States and cities may charge extra income tax according to local laws. State
income taxes are approximately 5 to 8 percent. If applicable, state and local
income taxes will be withheld from your paycheck. Ask your employer about the
local tax situation. You may be able to claim a refund for a portion of these
taxes at the end of the year.
You do not pay:
1. Social Security & Medicare Tax (FICA)
2. Federal Unemployment Tax (FUTA)