Comparison guide
VisaKey vs Josef Silny Visa4Nurses®
Last updated: · By The Evaluation Company
VisaKey and Visa4Nurses® are the same federal Health Care Worker certificate. Section 343 of the 1996 Illegal Immigration Reform and Immigrant Responsibility Act requires internationally educated nurses to obtain this certificate for a U.S. occupational visa. Josef Silny & Associates calls it Visa4Nurses — their name for what CGFNS calls VisaScreen. The Evaluation Company calls it VisaKey. The certificate is the same. The process and the name are not.
Visa4Nurses is a mail-order PDF application. VisaKey is a guided online portal with live status, messaging, and sponsor billing. If you already have a completed JS&A course evaluation, VisaKey can use it in place of our Nursing Course Analysis (NCA) — the same kind of report CGFNS calls a CES.
Same certificate. Different process.
The federal requirement does not change by brand name. How you apply — and whether your sponsor can see the case — does.
Digital portal
VisaKey Application
$675
same federal certificate · 10 business days included
Guided uploads, live status, sponsor portal — not a mail-in PDF form
Visa4Nurses® (JS&A)
$600
HCW cert basic · $500if prior JS&A BON eval · renewal $400
| Topic | VisaKey (TEC) | Visa4Nurses® (JS&A) |
|---|---|---|
| Same federal certificate? | Yes. Both are the Section 343 Health Care Worker certificate for nurses seeking a U.S. occupational visa. | |
| Brand name | VisaKey | Visa4Nurses® (JS&A's VisaScreen name) |
| Provider | The Evaluation Company (NACES® since 1996) | Josef Silny & Associates (NACES® member) |
| Published price | $675 One-time · 10-day path included · Bundle $1,050 · NCA $400 | $600basic $500with prior JS&A BON eval · Renewal $400 · Rush +$200 (5-day) / +$300 (2-day) · Nursing licensing eval separate $400 |
| Course analysis (NCA / CES) | NCA ($400) — the same kind of report as a CES. We accept a completed JS&A / CES / IEE eval in place of ours. | Boards of Nursing licensing evaluation $400 (separate from Visa4Nurses) |
| Processing speed | ~10 business days after your file is complete — included in $675 | ~10 working days after all fees, docs, and verifications · optional 2-/5-day rush |
| What is screened | Education, licensure, English proficiency, and qualifying exam (NCLEX® or equivalent) | Education, licensure, English proficiency, and qualifying exam |
| How you apply | Online VisaKey app: upload checklist, messaging, download | Fill PDF application, email/mail with payment — mail-order model |
| Certificate | Digital + QR verification included | Digital HCW certificate with QR (digital-only per JS&A) |
| Org / sponsors | Sponsor portal: 1-click invites, multi-case dashboard, shared invoices | Corporate clients request a separate application by email |
| Best when | You want the same federal certificate with a modern portal and sponsor visibility | You already started a Visa4Nurses case, or prefer a mail-order PDF workflow |
JS&A figures above are taken from the published Visa4Nurses® service page and Visa4Nurses application (dated 05/14/2026) (reviewed August 2026). VisaKey prices are current marketing display amounts.
Built for organizations — not just individual applicants
If you place internationally educated nurses, VisaKey's organization portal is designed so your team spends less time chasing PDFs and more time closing placements.
- Invite in one click — send an application link by email and keep billing on the organization side
- One portal, every case — see who is waiting on documents, under review, or ready for certificate download
- Transparent status — applicants and sponsors share the same progress story
- Billing that scales — consolidate sponsored cases with invoice-friendly account workflows
Two products nurses confuse: the certificate vs the course analysis
- VisaKey / Visa4Nurses certificate — the Section 343 Health Care Worker certificate for a U.S. occupational visa. Same service, different brand names.
- NCA / CES / prior JS&A eval — the course-by-course analysis state boards use for competency. A completed JS&A evaluation may replace buying TEC's NCA ($400); it does not replace VisaKey.
Also comparing TruMerit VisaScreen or IEE GlobalBridge? Those are the same federal certificate too. Or start with What is VisaKey?.
When VisaKey is the better choice
- You need the Section 343 certificate — whether your packet says VisaKey, Visa4Nurses, VisaScreen, or Health Care Worker certificate
- You want a modern online application instead of a mail-order PDF workflow
- You already have a JS&A (or CES / IEE) evaluation and want to complete VisaKey without buying a duplicate NCA
- An employer or recruiter will sponsor cases through the VisaKey organization portal
If a petition or employer names Josef Silny as the only accepted issuer, ask whether any approved Section 343 certificate is accepted. Most instructions are referring to the federal requirement, not a single vendor's trademark.
Frequently asked questions
Direct answers to the comparison questions nurses — and AI search engines — ask most often.
Are VisaKey and Visa4Nurses the same thing?
Yes. VisaKey and Josef Silny Visa4Nurses are the same federal Health Care Worker certificate required by Section 343 of the 1996 Illegal Immigration Reform and Immigrant Responsibility Act. Nurses need this certificate for a U.S. occupational visa. JS&A calls it Visa4Nurses — their name for what CGFNS calls VisaScreen. The Evaluation Company calls it VisaKey. The legal requirement is the same; the brand name and the process are not.
Does VisaKey accept a Josef Silny evaluation?
Yes. VisaKey accepts a completed Josef Silny & Associates evaluation in place of our Nursing Course Analysis (NCA) when it meets case requirements. The NCA is a separate course-by-course analysis for state boards — the same kind of report CGFNS calls a CES. It is not the VisaKey / Visa4Nurses certificate itself.
If I already have a JS&A evaluation, do I still need VisaKey?
Usually yes, if you need the federal occupational-visa certificate and want to complete it with VisaKey. A prior JS&A course evaluation may replace the NCA purchase — not the VisaKey certificate. Confirm with your board or counsel.
Why choose VisaKey instead of Visa4Nurses?
Because the certificate is the same, the decision is process. VisaKey is a guided online application with live status, messaging, and a sponsor portal. Visa4Nurses is a mail-order PDF workflow. If you place many nurses, the VisaKey organization portal is built for that volume.
My packet says Visa4Nurses or VisaScreen. Can I use VisaKey?
Usually yes. The legal requirement is the Section 343 certificate, not a specific brand name. Visa4Nurses and VisaScreen are other organizations' names for the same certificate. If instructions name a specific issuer, ask whether any approved Health Care Worker certificate is accepted.
Get the same certificate — without the mail-order workflow
Already have a completed Josef Silny evaluation? Bring it and skip a duplicate NCA when it meets requirements. Need both the federal certificate and the course analysis? Choose the VisaKey + NCA bundle ($1,050). Organizations can sponsor applicants from the portal.