Medicare Blog

medicare spouse eligibility when working internationally

by Mr. Mathew Quigley PhD Published 1 year ago Updated 1 year ago

Basic Medicare does not cover medical services you get outside the U.S. and its territories, except in very specific situations. If you or your spouse work overseas and you have qualifying insurance (as defined by the U.S. government), you generally can avoid late-enrollment penalties if you sign up for Medicare later than age 65.

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.

Full Answer

Can a foreign spouse of an American get Medicare?

If you are under age 65 but your foreign spouse is 65 or older. If you already have sufficient work credits to qualify for Medicare at 65, your spouse (whether American or foreign) can become eligible for Medicare on your work record when you reach age 62. If you are in a same-sex marriage.

Can I maintain medicare eligibility if I live overseas?

Residency Requirements: First, eligibility for Medicare A and B are not dependent on U.S. residency, only citizenship. Therefore, you may maintain both A and B while living overseas. Second, eligibility for Medicare Advantage and Prescription Drug Plans require permanent U.S. residency, so you cannot maintain them while living overseas.

Can a non-working spouse receive Medicare?

A non-working spouse’s eligibility to receive Medicare depends largely on the age of both that person and their partner. All of the following scenarios assume the non-working spouse has not paid Medicare taxes for 40 quarters (ten years) in their lifetime.

Who qualifies for Medicare if you have a spouse?

A person may qualify for Medicare based on the work record of their spouse. The spouse of a Medicare plan holder becomes eligible for their own plan upon turning 65 years of age, even if they never worked outside the home. The spouse qualifies based on their spouse’s work record.

Can my foreign spouse get Medicare?

If you don't have sufficient credits, your foreign spouse could obtain Medicare only if he or she becomes an American citizen or has lived as a legal resident in the United States for at least five years.

How does Medicare work if you move to another country?

Medicare generally does not cover health services outside the United States. If you move outside the United States: Medicare Part A (hospital insurance), is available to you if you return. No monthly premium is withheld from your Social Security benefit payment for this protection.

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

See an individual plan's details for guidelines. Medicare Supplement Insurance plans, more commonly known as Medigap, only require you to be a U.S. resident at the time you joined the plan. As long as you keep paying your premiums, you may keep your Medigap plan – even if you move to another country.

Can you draw Medicare from your spouse?

To qualify for Medicare, you need to have paid into the Social Security system. Just like with Social Security benefits, you can qualify for Medicare coverage under your spouse's record. That continues if you divorce, provided you meet certain conditions outlined by the Social Security Administration.

Should I register for Medicare if I live overseas?

If you're living abroad temporarily and plan to travel back to the United States, it would be beneficial to enroll in Medicare. That way, you'll be able to access Medicare benefits upon your return.

How long can a retired U.S. citizen stay out of the country?

As is not the case with Medicare, retirees who decide to move to another country are still entitled to Social Security benefits. Once a retiree has been outside the country for 30 days in a row, he or she is considered outside the United States and the rules for collecting benefits apply.

Do any countries accept U.S. Medicare?

Here's what you need to know:Medicare doesn't normally cover healthcare costs outside the U.S. (The official definition of the U.S. includes the 50 states and the District of Columbia, Puerto Rico, Guam, the U.S. Virgin Islands, American Samoa, and the Northern Mariana Islands—you can use your Medicare benefits in ...

Can I use Australian Medicare overseas?

You'll need to prove you're from Australia and eligible for Medicare when you're in another country. To be covered under a Reciprocal Health Care Agreement (RHCA) with Australia, you'll need to meet the agreement conditions.

How long do you have to live in the U.S. to get Medicare?

five yearsYou qualify for full Medicare benefits if: You are a U.S. citizen or a permanent legal resident who has lived in the United States for at least five years and. You are receiving Social Security or railroad retirement benefits or have worked long enough to be eligible for those benefits but are not yet collecting them.

Can my wife get Medicare if she never worked?

Can I Get Medicare If I've Never Worked? If you've never worked, you may still qualify for premium-free Medicare Part A. This is based on your spouse's work history or if you have certain medical conditions or disabilities. It's also possible to get Medicare coverage if you pay a monthly Part A premium.

Does marital status affect Medicare?

No, getting married does not affect your eligibility for Medicare or Social Security benefits. Any person who has paid into the Medicare system as part of their employment for the equivalent of 40 credits, or about 10 years, of work is eligible to receive full Medicare benefits at the age of 65.

How much does a non working spouse get in Social Security?

The maximum Social Security benefit of a nonworking spouse is up to 50 percent of the working spouse's benefit at FRA. So if, for example, your FRA benefit is $2,000/month, your spouse would be able to collect up to $1,000 at his FRA.

How long does it take to get Medicare for a foreign spouse?

If you don’t have sufficient credits, your foreign spouse could obtain Medicare only if he or she becomes an American citizen or has lived as a legal resident in the United States for at least five years .

Can same sex couples get Medicare?

Under the Defense of Marriage Act, same-sex couples—even if legally married under the laws of their state or their country—are not entitled to Medicare benefits on the basis of their domestic partner’s work record. Patricia Barry is a senior editor at the AARP Bulletin.

When does a spouse of a Medicare plan holder become eligible for their own plan?

The spouse of a Medicare plan holder becomes eligible for their own plan upon turning 65 years of age, even if they never worked outside the home.

How long does it take to get Medicare after SSDI?

A person receiving Social Security Disability Insurance (SSDI) automatically receives Medicare Part A and Part B after receiving SSDI benefits for 24 months.

How many credits can you get from Medicare in 2020?

Medicare credits link to Social Security work credits. In 2020, a worker receives one work credit per $1,410 they earn. They can earn up to four credits annually.

How many credits do you need to work for Social Security?

A person who develops a disability between 31–42 years of age will require 20 work credits for Social Security disability benefits.

How many credits do you need to qualify for Medicare?

Anyone born after 1929 must have a minimum of 40 work credits, or have 10 years’ worth of credits, to become eligible for Medicare. People born before this require fewer credits. The number of qualifying credits for people who have a disability varies according to the age at which they developed the disability.

Does Medicare cover spouses?

Medicare does not cover spouses specifically. However, some spouses qualify based on the work record of their spouse or a former spouse. Some spouses may qualify by reaching 65 years of age and having their own eligible work and tax record. Others, however, may not have worked for the required number of quarters.

Is Medicare Part A or B?

Medicare Part A is hospital insurance, while Medicare Part B refer s to medical insurance. Part A is free for those with the qualifying number of Social Security credits. However, Part B requires a monthly premium.

How long do you have to be married to get Medicare?

*You must be married for at least one year before an older spouse can be eligible for Medicare based on your work record.

How long does a non-working spouse have to pay Medicare?

All of the following scenarios assume the non-working spouse has not paid Medicare taxes for 40 quarters (ten years) in their lifetime.

What are the benefits of Medicare Advantage?

Some Medicare Advantage plans may also offer additional benefits such as prescription drug coverage and coverage for dental, vision and hearing care. To learn more about Medicare Advantage plans for you and your spouse, call to speak with a licensed insurance agent today.

Can a non-working person get Medicare based on their spouse's work history?

Can a non-working person become eligible for Medicare based on their spouse’s work history? Yes, although the following restrictions may apply.

Can a spouse get Medicare if they are not on their own?

While there are of course some exceptions and special circumstances that apply, Medicare can and does provide coverage for the spouse of a beneficiary, even if that person does not qualify for Medicare on their own.

Do other parts of Medicare cover spouses?

Can a non-working spouse also become eligible for other types of Medicare coverage?

If you are retired and neither you nor your spouse works while abroad

In this situation, you have a difficult decision to make: Either pay monthly Medicare Part B premiums for coverage you can’t use outside the United States, or delay enrollment until you return to the U.S. and then become liable for permanent late penalties.

If you or your spouse is working while abroad

You can delay Medicare enrollment in Part B (and avoid its premiums) if you have health care coverage from:

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What Happens If One of You Becomes Eligible for Medicare Before the Other?

Unless you and your spouse were born in the same month of the same year, one of you will become eligible for Medicare before the other. If you both are covered by your employer health insurance, and one of you turns 65, you’ll have decisions to make about Medicare. In this case, it will depend on the employer and their rules around covered dependents of Medicare age. Some employers may require spouses who are eligible to get Medicare to do so at age 65 in order to remain on the employer plan.

How old do you have to be to get Medicare?

You must be at least 62 years old and eligible for Social Security benefits before your spouse can enroll, because his or her qualification is based on your work record. You don’t have to actually start getting your Social Security benefits; you just need to be old enough to file for them if you wanted to. If you are younger than 62, your spouse may choose to pay the premium for Medicare Part A, if needed, until the premium-free benefit kicks in.

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What happens if you have both health insurance and one turns 65?

If you both are covered by your employer health insurance, and one of you turns 65, you’ll have decisions to make about Medicare. In this case, it will depend on the employer and their rules around covered dependents of Medicare age.

Can a spouse and spouse have Medicare?

The answer is no. Medicare is individual insurance, so spouses cannot be on the same Medicare plan together. Now, if your spouse is eligible for Medicare, then he or she can get their own Medicare plan. But, what’s interesting is that there are some things to think about in regards to your non-working spouse and Medicare.

When do you have to make decisions about Medicare?

You’ll need to make some decisions about Medicare when you become eligible, whether or not you continue working past age 65.

Can my spouse continue to work and keep my employer's coverage?

Your spouse may continue coverage through your employer plan if you keep working and keep the employer coverage .

How long does it take to get Medicare if you live overseas?

Separately, if you live overseas and don’t qualify for free Part A, and you sign up for Medicare later than age 65, you get a three-month window once you move back to the U.S. to enroll. In that situation, there are no late penalties.

How much is the Medicare penalty for traveling abroad?

That penalty amount is based on the “national base premium,” which in 2019 is about $33. For people already on Medicare and heading overseas for a set amount of time, you could consider travel medical insurance for coverage while abroad.

What happens if you miss your Medicare enrollment?

According to Medicare expert Patricia Barry, author of “Medicare for Dummies,” if you miss your initial enrollment period at age 65, these are the circumstances when you would be entitled to what’s called a special enrollment period — which comes with no late-enrollment penalties:

How long does a special enrollment period last?

For instance, if you get a special enrollment period because you had qualifying coverage and were employed, that window starts when you lose that coverage (or employment, whichever is first) and lasts eight months. In that situation, your coverage begins the month after you sign up.

What does it mean to live abroad?

For many people, living abroad means access to cheaper health-care coverage. The Statons, for instance, said they pay $81 monthly for coverage through Ecuador’s national health plan. It comes with no deductible and no restrictions for pre-existing conditions.

How long does it take to get Part D coverage?

For people living abroad who sign up for Part D upon returning to the U.S., there is no late-enrollment penalty as long as you get coverage within a certain time frame of relocat ing (either two or three months, depending on the specifics of your situation).

When does Medicare enrollment end?

However, if you don’t have a qualifying health plan and sign up late for Medicare, you can only enroll in the general enrollment period, which lasts from Jan. 1 to March 31. Then you have to wait for coverage to be effective July 1. Getty Images.

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