Research indicates that migrants to Nordic countries experience a mortality advantage relative to native populations, although they may also have more chronic diseases and mental health problems. Studies show that both selection effects and the stress of acculturation play roles in explaining health and mortality differences between migrant and native populations. However, the contextual determinants of migrant population health that may help explain these patterns and paradoxes are understudied, including whether the health of migrants is dependent on whether they arrived before, after, or with family members. Using register data in Denmark, which is an exceptionally rich high-quality data source for socio-demographic characteristics at the individual level, the present study investigates the relationship between spousal order of migration and long term health and how this relationship differs between the two genders and across different migrant groups. The study population consists of all people aged 50 and older who were living in Denmark between January 1, 1980 to December 31, 2014. New individuals residing in Denmark enter the study from the month they turn 50 during 1980–2014 or through immigration into the country after age 50. In this study we use event history models for repeated events to examine the influence of various predictors on hospitalizations after age 50. All individuals are followed until hospitalization, which is the failure event in our analysis, censoring due to emigration, death, or December 31, 2014, whichever comes first. For each spouse in a couple we identify the time of first migration to Denmark and distinguish across couples, in which both spouses migrated to Denmark within 12 months, and in which the second spouse arrived 12 or more months after the first-arriving spouse. All models control for changes in civil status, income, education, and time since arrival to Denmark.