All immigrant visa applicants, including Diversity Visa applicants and fiancé(e) applicants, regardless of age, must submit a medical examination prepared by a panel physician. The medical exam is only valid for (at most) six months, and must be valid in order for an applicant to travel to the United States. It is therefore recommended that applicants obtain their medical exams two weeks before the interview date.
The current basic examination fee for applicants age 15 and older is $250 USD. For applicants under the age of 15, the current basic examination fee is $125 USD. The fee for a chest x-ray is $35 USD. Applicants are responsible for these costs, as well as for the costs associated with additional tests or more specialized examinations as determined necessary by the panel physician.