Review carefully
Review carefully
Quality of life index out of 100
American Samoa
Pacific Ocean · English
American Samoa
Where fa'a Samoa—a living culture, not a museum piece—shapes daily life at a fraction of Western costs, and the matai system keeps community bonds stronger than anywhere you've left behind.
What it's like to live in American Samoa
American Samoa is an unincorporated territory of the United States located in the South Pacific Ocean, situated approximately 2,300 miles southwest of Hawaii. This archipelago consists of five main volcanic islands and two coral atolls, with a total...
Your American Samoa Roadmap
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Healthcare
- American Samoa's healthcare system is primarily public, centered around the LBJ Tropical Medical Center and community health centers, heavily subsidized by the government.
- Access to public healthcare is largely through Medicaid for eligible residents, with very limited private healthcare options available in the territory.
- Expats who are U.S. citizens with original Medicare plans may find coverage, but others should secure comprehensive travel medical insurance, including medical evacuation.
American Samoa, an unincorporated U.S. territory, maintains distinct entry requirements separate from the mainland United States. US citizens and nationals (including those with U.S. visas, visa waivers, or green cards) enjoy visa-free entry for up to 30 days for tourism or business, requiring only a valid U.S. passport or certified birth certificate with photo ID. A 30-day visitor permit can be applied for online in advance via the American Samoa Legal Affairs website or obtained upon arrival at Pago Pago...
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Cost of living, housing, income, and purchasing power overview
Income tax, corporate tax, and fiscal overview
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Political system, government structure, and key policies
Location overview, cost of living index, and purchasing power
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Data Source: Safety, crime, and quality metrics are sourced from Numbeo, a crowd-sourced global database of reported data.
All scores are relative comparisons on a 0-100 scale, where 50 = global average. Higher scores mean better than average, lower scores mean worse than average.

Community, cultural integration, and expat life