With either an F-2 or an H-4 visa, you won't be able to get work authorization, both of which are dependent on you fiance. If you want a visa that allows you to work or study, the best solution is for you to find an employer or school willing to assist you.
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As a fiancé you are not an immediate relative and you are not eligible for any type of visa based on that relationship.
Depending on your profession in the health care field you may be eligible for a visa or even a LPR status.
I suggest you consult with an experienced immigration attorney to determine your alternatives.
Try for an H1b if you have a bachelor's degree and you have a U.S. employer that requires that level of training and education.
The above is intended only as general information, and does not constitute legal advice. You must speak with an attorney to discuss your individual case.
I agree with my colleagues.
(213) 394-4554 x0 Mr. Shusterman is a former INS Trial Attorney (1976-82) with over 35 years of immigration experience. His response to your question is general in nature, as not all the facts are known to him. You should retain an attorney experienced in immigration law to review all the facts in your case in order to receive advice specific to your case. Mr. Shusterman's statement above does not create an attorney/client relationship.