Medicare Blog

expat thailand what to do about medicare

by Breanna Smitham Published 2 years ago Updated 1 year ago
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While Thai nationals can make use of free medical care, expats will need to find alternate avenues. If you’re moving to Thailand from the US, you’ll probably want to either save up to pay for your medical expenses on the spot, or rely on a Thailand health insurance policy to cover the fees.

Full Answer

Does Medicare cover medical care in Thailand?

In most cases, Medicare does not cover medical care provided outside of the United States. If you reside in Thailand and have other questions regarding services provided by the Social Security Administration (SSA), you must contact the SSA Federal Benefits Unit (FBU) located in U.S. Embassy in Manila, Philippines.

What are the best health insurance plans for expats in Thailand?

Their Asia Care Plus health insurance plan is one of the best value-for-your-money-plans currently on the market. Offshore insurance is a popular option among expats in Thailand, especially for those who haven’t planned to spend the rest of their lives in Thailand. They usually come with worldwide coverage except for the United States.

Do expats need Medicare Part A if they live abroad?

There is no fee for Medicare Part A for the majority of enrollees. Therefore, most expats should sign up for Part A whether they’re living aboard or not and avoid late enrollment issues down the road. Their next opportunity to join is during the GEP.

How can I Help my expatriate clients with Medicare?

The easiest way to figure out how to help your expatriate clients is by examining the impact on Medicare Parts A, B and D individually. Medicare Part A (hospital, limited home care, rehabilitation and hospice) People need to enroll in Medicare Part A during their initial enrollment period, which is the seven months around their 65th birth month.

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Can I keep my Medicare if I move overseas?

Remember, you can have Medicare while you live abroad, but it will usually not cover the care you receive. Most people qualify for premium-free Part A, meaning you will pay nothing for coverage. If you must pay a premium for Part A, be aware of the high monthly cost for maintaining Part A coverage.

Does Medicare cover you in Thailand?

In most situations, Medicare won't pay for health care or supplies you get outside the U.S. The term “outside the U.S.” means anywhere other than the 50 states of the U.S., the District of Columbia, Puerto Rico, the U.S. Virgin Islands, Guam, American Samoa, and the Northern Mariana Islands.

Can I opt out of Medicare if I leave the country?

If you want to drop your Part B coverage while you are out of the country, you must notify the Social Security Administration. Your Part B benefits — and premiums — will continue for one more month after the month you notify Social Security that you wish to cancel.

How much is health insurance in Thailand for expats?

In Thailand, the average International Private Medical Insurance (IPMI) premium for American expats is roughly $2,000 per year, while the average IPMI premium for families is $10,000.

Is healthcare free in Thailand for foreigners?

Although foreigners working in Thailand have access to free public care, most expats opt for private treatment, as private facilities offer faster and higher quality treatment.

Do I need health insurance to live in Thailand?

As of 2021, all visitors to Thailand, whether short or long term, are required to hold travel or international medical insurance that includes COVID-19 and has minimum coverage of $100,000. We have both travel and global plans that will cover the Thai government's insurance requirements.

Do I have to pay for Medicare if I live overseas?

FAQs: Medicare and Living Abroad You can still keep your Medicare plan if you move abroad, but you generally won't be able to access benefits unless you're in the United States. Do I have to pay for Medicare if I live abroad? If you signed up for Medicare, you still have to pay the premiums while living abroad.

Can you suspend Medicare coverage?

Even if you sign up for Medicare at age 65, you can drop it later if you want to switch to qualifying employer-based coverage. (You also could keep Medicare and pair it with your large-group employer plan, in which case Medicare would be your secondary insurance).

Can I lose my Medicare benefits?

Summary: In most cases, you won't lose your Medicare eligibility. But if you move out of the country, or if you qualify for Medicare by disability or health problem, you could lose your Medicare eligibility.

Do I need health insurance for a retirement visa in Thailand?

As of 31 October 2019, foreigners entering Thailand on a Retirement (O-A) Visa will be required to purchase adequate health insurance, and this will form a mandatory part of the visa requirements.

How much is hospital bill in Thailand?

An annual checkup or regular visit at a private hospital might cost around 3,000 baht or $95. If you stay overnight, you'll pay at least 10,000 baht or $317 a day, and if you need treatment in the ICU, you could pay up to 100,000 baht or $3,127 a day.

What happens to my Medicare if I move to another country?

You can still keep your Medicare plan if you move abroad, but you generally won’t be able to access benefits unless you’re in the United States.

Do I have to pay for Medicare if I live abroad?

If you signed up for Medicare, you still have to pay the premiums while living abroad. If you get Social Security or Railroad Retirement Board bene...

Am I covered by Medicare in a foreign country?

In general, Medicare does not cover health care accessed outside of the United States. However, you may be covered for certain services in foreign...

Can I collect my Social Security payments if I live in a foreign country?

You can receive Social Security payments in most countries as long as you’re eligible. Payments will typically be wired to your bank account.

What do you need to know about Medicare for expats?

If you are considering relocating to another country as a senior ex-pat, you may be concerned about Medicare for expats, whether coverage is available. Knowing this is an integral part of learning how to become an expat in your senior years.

What happens if you unenroll when you move abroad?

If you unenroll when you move abroad, you must pay back all the benefits you’ve received to the Social Security Administration (SSA). If this is your situation, it would be in your best interest to continue your enrollment even if the country that you live in does not accept Medicare.

When do you have to enroll in Medicare Part A?

If you are already receiving SSA or Railroad Retirement Board (RRB) benefits, you may be enrolled automatically in Medicare Part A when you turn 65 even if you are living abroad. You’ll need to submit the enrollment forms for Part B and subsequent parts if you wish to enroll in those.

When does Medicare coverage end?

This enrollment period begins on January 1 and ends on March 31 every year. Your Medicare coverage begins on July 1 after enrollment.

Is Medicare for expats accepted?

Medicare for Expats Conclusion. Medicare coverage is not generally accepted outside the United States and its territories. Depending on your personal situation, you may wish to continue your enrollment of certain parts while living abroad.

Do you have to pay Medicare premiums?

You aren’t paying monthly premiums, and you won’t have to repay previous benefits. If you pay a premium for Medicare Part A, you’ll need to determine if the monthly expense is worth continuing. If you plan on returning to the U.S. at some point, you should keep your coverage.

Will Medicare Cover You if You Live in Another Country?

In general, Medicare will not cover care you receive in another country. However, there are occasions when you may wish to keep Medicare coverage even while living abroad. In this article, we’ll look at how to enroll from abroad, the different components of Medicare coverage available to ex-pats, and whether you’ll want to continue paying Medicare premiums or not.

How to enroll in Medicare from abroad?

Figure out a plan for your Medicare coverage. If you want to enroll from abroad, find the nearest U.S. embassy or consulate office to your destination. If you want to disenroll, contact your plan provider, Medicare or Social Security. If you want to keep your Medicare plan, find a method to pay for your premiums overseas.

How to sign up for Medicare in a foreign country?

To sign up for Medicare abroad, you can contact your closest U.S. Embassy or Consulate. The contact information for offices in different countries is listed on the Social Security website. However, there are three situations in which Medicare may pay for Medicare-covered health care services in a foreign hospital.

What is the Department of State's checklist for older travelers?

Checklist for Older Travelers: The Department of State has a downloadable checklist for older travelers, which includes tips on dealing with common travel issues that older adults may face, such as scams, medical incidents and accessibility issues.

What is local health insurance?

Local private health insurance: This type of insurance allows you to access private health care within the country. Local insurance may be less expensive than international health insurance and may be ideal for people who plan to stay in one location.

How long can you stay in a foreign country on Social Security?

Social Security considers you living abroad once you’ve stayed in a foreign country for at least 30 consecutive days. Once you return to the United States and stay for more than 30 consecutive days, you’re no longer deemed living abroad.

Do you have to pay Medicare premiums while living abroad?

If you signed up for Medicare, you still have to pay the premiums while living abroad. If you get Social Security or Railroad Retirement Board benefits, your Part B premium is automatically deducted from benefit payments.

Does Social Security cover overseas?

Social Security has a screening tool for determining your eligibility to receive payments overseas. When deciding on your Medicare plans, consider your budget and how often you’ll be returning to the United States. It may be more convenient to keep your coverage if you plan to move back eventually.

How long does travel insurance last in Thailand?

As I said above, some insurance companies offer short-term coverage in the form of travel insurance. Short-term coverage can range from a few weeks to a few years. You can get travel insurance if you apply from your home country, not while you’re in Thailand.

How old do you have to be to get cheap insurance in Thailand?

Above the age of sixty, you won’t be able to find cheap insurance coverage. Insurance plans in Thailand don’t subsidize older age groups with premiums from younger members. This means coverage at an advanced age comes at a much higher price than you’d pay back home.

How much does WorldCare limit organ transplants?

Some insurers have limits on donor costs for organ transplants. Now Health International’s WorldCare Excel plan limits them to $50,000.

Is Cigna Global the cheapest health insurance?

You can check out Cigna Global. Although they are not the cheapest, the health insurance plan they offer is one of the most comprehensive plans currently on the market.

Does insurance cover medical evacuation in Thailand?

Medical Evacuation. Some insurance companies offer medical evacuation as an add-on. The usefulness depends on where you live in Thailand. Most competitive-priced plans won’t fly you to your home country, but to the next suitable hospital, which in most cases will be in Bangkok.

Is medical inflation high in Thailand?

Medical inflation in Thailand is high. Most insurance companies say they’ll raise yearly premiums by less than 10%.

Do you need health insurance to fly to Thailand?

Everyone flying to Thailand is now required to have health insurance or travel insurance coming with at least $100,000 USD medical coverage or equipvalent. It must also cover COVID-19. It’s a new requirement from the Thai government. In general, most health insurance plans pass this requirement.

How much does Medicare Part B cost?

Medicare Part B requires an annual income-related premium of $1,260-$4,030 per person or $2,520-$8,060 per couple.

How long can you use Part B SEP?

The Part B SEP can be used at any time during those coverages and up to eight months after the employee stops working or health coverage ends.

What happens if you don't have Medicare Part B?

without SEP eligibility, they will pay a 10% per year penalty for every year without Part B coverage. That penalty can be costly and is paid in perpetuity on top of regular premiums.

How long will Medicare be postponed?

The consequence is that their access to Medicare coverage will be postponed for a period of months during which time they will have to pay for health care in full as well as pay lifelong penalties. The easiest way to figure out how to help your expatriate clients is by examining the impact on Medicare Parts A, B and D individually.

When do you have to enroll in Medicare Part A?

Medicare Part A (hospital, limited home care, rehabilitation and hospice) People need to enroll in Medicare Part A during their initial enrollment period, which is the seven months around their 65th birth month. ( The three months before and the three months after.)

Do expats have to sign up for Medicare?

There is no fee for Medicare Part A for the majority of enrollees. Therefore, most expats should sign up for Part A whether they’re living aboard or not and avoid late enrollment issues down the road. Their next opportunity to join is during the GEP.

Is Medicare Part D required for Tricare?

Medicare Parts A and B enrollment are required. Medicare Part D is not. An additional bonus of Tricare for Life is coverage of international health care services. Additional information can be found on www.tricare.mil/tfl.

How long do you have to maintain Medicare A and B?

The requirements for an Advantage Plan are maintaining active Parts A and B and permanent residency in the plan’s coverage area for a minimum of six months per year (some plans have expanded this to allow you to remain outside of your coverage area for up to 12 months). Most Advantage Plans have low or zero premiums and include worldwide emergency medical coverage. The requirements for a Supplement Plan are maintaining active Parts A and B and residency in the issuing state at the time of enrollment. Several Supplement Plans include worldwide emergency services during the first 60 days of each trip out of the U.S. You pay a $250 deductible, 20% of all service costs, and all amounts over the $ 50,000-lifetime maximum. Payment for services is required upfront and proof of payment must be submitted to your carrier for reimbursement.

What is Medicare?

Medicare is the federal health insurance program for people age 65 and over. It also extends to certain younger people with disabilities and those with ESRD (permanent kidney failure).

How Does Medicare Work?

Medicare is divided into parts A, B, C, and D. Parts A and B make up Original Medicare and are usually automatically received at age 65. Part A covers hospital stays, care in a skilled nursing facility, and home healthcare under certain circumstances . Part B covers medical services received from a doctor and supplies that are medically necessary to treat your health condition.

What happens if you don't enroll in Medicare Part B?

If you do not enroll in Medicare Part B during your Initial Enrollment Period, and you do not qualify for one of the Part B Special Election Periods, you will incur Part B Late Enrollment Penalties if you choose to enroll at a future time.

Why do Medicare Parts A and B become your advocate?

Reason #2: Medicare Parts A and B Become Your Advocate. When you are enrolled, Medicare negotiates with hospitals, clinics, doctors, and other service providers for all qualified medical expenses. When a bill is submitted to Medicare, they determine if it is a Medicare-approved service.

How much does Medicare pay for approved services?

Medicare then pays its 80% share of the approved, and the remainder is the responsibility of the beneficiary.

When does Medicare Advantage start?

In the case of Advantage Plans, if you are free of end-stage renal disease (ESRD), coverage may start the first day of the following month in which you enroll. If you enroll on April 28, your coverage will start May 1.

Why did Thailand implement the new health insurance rule?

The Thai government says that they implemented the new health insurance rule in response to an increase in unpaid medical bills from expats. In 2018, 680,000 expats out of 3,420,000 who visited Thai hospitals did not pay their bills, resulting in a total of 305 million baht in unpaid bills with the majority of unpaid bills are owed by retirees..

How long does it take to get a change of visa?

You will then need to request an application for a “change of visa” based on your retirement and apply for a non-immigrant O visa. It can take up to 15 days to complete the procedure, so make sure you plan ahead.

How long do you have to wait to apply for an extension after switching to a non-immigrant visa?

After switching to a non-immigrant O visa, you must wait until you are halfway through the visa or within the last 30 days of the visa before applying for a one-year extension.

Does the O-A visa rule apply to non-immigrants?

As of today, the rule only affect applicants or holders of the non-immigrant O-A visa.

Can I return to Thailand as a tourist?

If you do not intend to return to your home country, you can simply fly to one of Thailand’s neighbouring countries and return as a tourist. You have the option of returning on a 60-day tourist visa or a 30-day visa exemption. If questioned by an immigration officer upon your return, you can claim you’re switching to a non-immigrant O visa based on retirement. You will open a Thai bank account as soon as you return to Thailand as a tourist to fulfil the financial requirements.

Can foreign retirees be taken care of in Thailand?

Foreign retirees can rest assured that they will be cared for if they become ill or injured in Thailand thanks to the health insurance rules. The Thai government can also use this rule to prevent foreigners from avoiding hospital bills by trying to leave the country.

How many years of Medicare taxes are required?

Eligible citizens must have contributed enough through paying Medicare taxes while living in the United States. This is currently the equivalent of 10 years of taxes or 40 quarters.

What is Medicare?

Medicare is a social insurance program that provides eligible American citizens with health care coverage. The underlying principle of Medicare is to allow vulnerable American citizens with access to medical care later in life. Generally speaking, all American citizens that are over the age of 65 and have been a legal resident in the USA for at least five years are eligible for healthcare coverage under Medicare. However, the system is funded and financed via payroll taxes. As such, citizens must have contributed a minimum amount of tax payments while they were working in the U.S.

How long do you have to be a resident to get medicare?

Generally speaking, all American citizens that are over the age of 65 and have been a legal resident in the USA for at least five years are eligible for healthcare coverage under Medicare. However, the system is funded and financed via payroll taxes.

Do expats need to be aware of Medicare?

American expats who retire abroad need to be aware of how this decision can effect the access to healthcare under Medicare that they are entitled to.

Is Medicare available for expats?

Unfortunately Medicare is only available for the provision of healthcare services inside U.S. borders . This means that Medicare is really only of use to those that live in America and expats who want to benefit from the health insurance that they have previously contributed have only two main options:

Do expats have to take out health insurance?

They may choose to do this on an ‘as-required’ basis or can choose to take out long-term health insurance.

Do American expats who work abroad need to contribute to Medicare taxes?

If you currently live and work abroad and are not expecting to return to the U.S. for your retirement you may wish to cease your Medicare tax contributions as it is highly likely that you will never use the service. However, it is worth noting that the system may change and, in the future, healthcare may be offered and foreign soil. Furthermore, if you did return to the U.S. at any point and wanted to access the system, you would be required to pay extremely large premiums (10% extra per year you have not made payments) to gain access to just the most basic element of Medicare, namely Part A. As such, many U.S. citizens living abroad continue to make contributions to Medicare

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