Medicare Blog

medicare when traveling in europe

by Mrs. Anita Halvorson DVM Published 2 years ago Updated 1 year ago
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However, if you travel to Europe, Latin America, Canada or any other location outside the U.S., traditional Medicare will not cover you. That said, there are four exceptions to this basic rule. If you live in the U.S., experience a medical emergency, and the nearest hospital is in a foreign country, Medicare will cover that emergency care.

Full Answer

Does Medicare Cover Me in Europe?

Since Medicare (and possibly your supplement) will not cover you in Europe, you'll have to get travel insurance on your own that will cover medical expenses. They usually cover a lot of other things also. There are many companies that offer a variety of coverages. Do some comparison shopping to see what will best serve your needs.

Does Medicare cover you when traveling abroad?

Original Medicare alone typically won't cover you while traveling abroad. Fortunately, you may be able to receive some coverage through Medigap or Medicare Advantage. And if you qualify for Medicare through the Railroad Retirement Board (RRB), you may have bonus international coverage in Canada.

Do I need travel health insurance if I have Medicare Advantage?

If you plan to circumnavigate the globe or live abroad, you may need to look elsewhere for coverage, such as travel health insurance. Medicare Advantage is an optional plan that allows enrollees to receive their Medicare benefits in a way that's more like employer-sponsored coverage.

Does Medicare pay for emergencies in another country?

Many medicare supplemental plans or medicare advantage plans do cover emergencies anywhere in the world but usually on a you pay the provider, save the receipts, and then they reimburse - but often only at at percentage, usually 80%. You need to check your supplemental plan carefully and ask questions if unclear.

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Does Medicare cover you when traveling in Europe?

Yes. Because Medicare has limited coverage of health care services outside the U.S., you can choose to buy a travel insurance policy to get more coverage. An insurance agent or travel agent can give you more information about buying travel insurance.

Can I use my Medicare in another country?

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 me when I travel overseas?

Medicare supplement insurance (Medigap) policies may cover emergency care when you travel outside the U.S. Because Medicare has limited travel medical coverage outside the U.S., you may choose to buy a travel insurance policy to get more coverage.

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

If you're enrolled in Medicare and move to another country, you won't be disenrolled unless you request it or renounce your American citizenship. (Remember, Medicare eligibility requires being either a U.S. citizen or permanent legal resident.)

Do I need travel insurance if I have Medicare?

Do I need travel insurance if I have Medicare? The short answer: Yes. According to Medicare.gov, health care you get while traveling outside the U.S. isn't covered.

Can I keep my Social Security if I move to another country?

If you are a U.S. citizen, you may receive your Social Security payments outside the U.S. as long as you are eligible for them.

Does Medicaid cover international travel?

In general, Medicare and Medicaid do not cover medical costs overseas.

Does Medicare cover travel expenses?

Does Medicare Cover Travel Expenses? Generally, Medicare doesn't cover any type of travel expenses, even if they're necessary to receive medical care. Gasoline, airfare, bus fare and other expenses are your responsibility, as are the costs of food and accommodations.

Does Medicare cover vaccinations for foreign travel?

Original Medicare doesn't cover voluntary vaccinations against preventable disease you may acquire while traveling overseas. You will likely need to pay for these vaccines yourself. Medicare Advantage plans with prescription drug coverage may provide some benefits for travel vaccinations.

Should I register for Medicare if I live overseas?

You can find the Federal Benefits Unit serving your location here: ssa.gov/foreign/foreign.htm . The single most basic fact to remember is that you are NOT covered by Medicare while living abroad (with very rare exceptions). That said, you may still need to consider enrolling in one or more parts of Medicare.

Does Medicare work in Italy?

Retirees who are moving to a foreign country cannot use Medicare to pay for health care while they are living overseas. The options for retirees are to buy private coverage, to pay into a government-sponsored system in their new country of residence, or to go without coverage.

How do I suspend my Medicare?

To disenroll, you're required to submit a form (CMS-1763) that must be completed either during a personal interview at a Social Security office or on the phone with a Social Security representative. For an interview, call the Social Security Administration at 1-800-772-1213, or your local office.

What to do if you are traveling overseas?

There are two ways to do this: Buy travel insurance that will pay for medical services incurred during your trip, and/or provide for emergency evacuation back to the U.S.

How much does Part B premium increase?

The Part B premium will increase by 10 percent for each 12-month period you were eligible but didn't pay premiums. The Part D premium will increase by about 32 cents for each month that you forgo paying premiums despite being eligible.

Is Medicare a deal breaker for overseas travel?

The Medicare issues described above aren't necessarily deal-breakers for your overseas adventure, whether it's just a short vacation or a more permanent move. But they're definitely something to cover on your checklist.

Does Medigap cover overseas travel?

Not all Medigap policies include this coverage, so you need to look closely to make sure overseas travel is included. Often these policies can only be purchased during open enrollment periods, so you'll need to think ahead if you're planning travel overseas.

Does Medicare cover outpatients?

For most people, Medicare Part A, which covers hospital expenses, doesn't require a premium, so you should still be eligible for coverage if you return to the U.S. However, since Medicare doesn't cover you overseas, you might be tempted to think you'll be able to stop paying Medicare Part B premiums that cover outpatient expenses (currently $104.90 per month per person) and Part D premiums for prescription drugs (which can range from $30 to $50 per month). Or you might think that if you or your spouse or partner get really sick, you can just return to the U.S. for treatment and start paying these premiums.

How does Medicare Advantage work?

Medicare Advantage plans are different than Original Medicare. Private companies offer the plans. Medicare pays the company a set monthly figure to cover your Medicare expenses. Coverage when you are traveling outside the U.S. depends on the plan. The law requires Advantage plans to cover the same limited travel situations as Original Medicare. Some Advantage plans may offer additional coverage for traveling abroad. You will need to read the Plan Document containing all the details on specific coverages to determine its policy on foreign travel.

What to do if you are traveling to a foreign country?

If you are traveling to a foreign country, be prepared for any medical expenses you may encounter. If you have concerns, purchase travel coverage. If you are moving to another country, plan ahead to cover your health care needs. You will not have Medicare to fall back on.

Does Medicare cover retirees who live abroad?

Others pick places like Mexico or Costa Rica where the cost of living is considerably less than in the U.S. The foreign country does not matter. Medicare will not cover retirees who live abroad.

Does Medicare cover foreign hospitals?

Medicare will also cover particular health care services you get in a foreign hospital, even if it is not emergent, when you live in the U.S. , but the hospital closest to your home is in a foreign county.

Does Medicare cover medical emergencies?

If you live in the U.S., experience a medical emergency, and the nearest hospital is in a foreign country, Medicare will cover that emergency care.

Do expats need medical insurance?

Expatriates must find other options for medical coverage. Some countries have national medical plans and allow foreign residents to buy into those plans. Other expats purchase private insurance. If you live abroad and need private insurance, it is important to tailor your coverage to meet your needs. If you are living in a place with poor health care, it is vital to have “evacuation” coverage that will fly you to a quality hospital. If you live in a country with decent health care but high costs for doctor visits, you need a plan that covers outpatient visits to physicians. You may also need a plan that covers preexisting conditions.

Does Medicare cover cruises?

Medicare provides coverage if you are on a cruise ship, the ship is either in a U.S. port or within 6 hours of arrival or departure from a U.S. port. The physician who treats you must be authorized to provide medical care aboard a cruise ship.

What is Medicare Advantage?

Medicare Advantage is an optional plan that allows enrollees to receive their Medicare benefits in a way that's more like employer-sponsored coverage. Advantage plans cover everything Original Medicare covers (including international coverage under the rare circumstances mentioned above).

What happens if you delay enrolling in Medicare Part B?

If you delay enrolling in Medicare Part B or Part D without having creditable coverage, you’ll rack up LEPs that will increase your premiums if you decide to enroll later.

Does Medicare cover medical equipment?

All services must be medically necessary, and you may need to meet any applicable Medicare deductibles first (although most Medigap plans also cover the Part A deductible). Because this coverage applies only to emergency care, it's not for things like medical equipment or preventative care.

Does Medicare cover travel abroad?

Original Medicare alone typically won't cover you while traveling abroad. Fortunately, you may be able to receive some coverage through Medigap or Medicare Advantage. And if you qualify for Medicare through the Railroad Retirement Board (RRB), you may have bonus international coverage in Canada.

Is Medicare creditable?

To be creditable, your insurance must be as good or better than Medicare, and most international plans fall short of this goalpost in the eyes of the Medicare program. That leaves you with the choice of enrolling in coverage you can’t use or risking exorbitant health costs later—neither of which is appealing.

Does Medicare cover traveling internationally?

Medicare wasn't made to cover Americans while traveling internationally. But if you want to get the most from the international coverage Medicare does provide, speak with a licensed Medicare agent. Sources: 1. Transamerica Center, “ 18th Annual Transamerica Retirement Survey of Workers ”.

Do foreign hospitals have to file Medicare claims?

If you receive coverage in one of these situations, be prepared to file your own insurance claims. Foreign hospitals aren’t required to file Medicare claims for you like US hospitals are.

How long can you go without health insurance if you don't pay for Part B?

If you fail to pay for Part B while abroad, when you move back to the U.S. you may go months without health coverage. This is because you may have to wait until the General Enrollment Period (GEP), which runs January 1 through March 31 each year, with coverage starting July 1.

Does Medicare cover medical expenses when you live abroad?

Although Medicare does not typically cover medical costs you receive when you live abroad, you still need to choose whether to enroll in Medicare when you become eligible or to turn down enrollment. This requires considering: Whether you plan to return to the U.S.

Can you go without Medicare if you are abroad?

If you fail to pay for Part B while abroad, when you move back to the U.S. you may go months without health coverage.

What is a Medigap Supplemental Insurance policy?

Some Medigap supplemental insurance policies (those labeled C, D, F, G, M or N) cover emergencies or urgently needed treatment abroad, if the need for care begins during the first 60 days of your trip.

Can you travel to Alaska with a medical emergency?

You’re traveling between Alaska and another state and have a medical emergency that means you must be treated in Canada. A medical emergency occurs while you’re in the United States or its territories, but the nearest hospital is in a foreign country — for example, across the border in Canada or Mexico. You live within the United States ...

Does Medicare cover medical emergencies?

Some Medicare Advantage plans also cover medical emergencies. So do some employer or retiree plans and TRICARE military benefits. Check with your plan whether it will cover you during your trip. Otherwise, you need to buy travel insurance that covers medical emergencies when planning journeys abroad. Return to Medicare Q&A Tool main page >>.

Can you get medical care if you have a legal address?

An insurer wouldn’t tell you this, of course, but I don’t know that anyone would check closely on where you’re actually living. As long as you have a legal U.S. address in the plan area, you could get medical care there, and it would be covered.

Does Medicare cover medical expenses?

First off, Medicare generally does not cover medical expenses outside the U.S. There are limited exceptions for people living near the Canadian or Mexican borders. Medicare may cover them for emergency care if they can document that going to a non-U.S. care facility was a medically appropriate decision. There also are some situations where Medicare will provide coverage to someone on a cruise ship near U.S. waters.

Do you have to be a resident to buy a Medigap plan?

According to UnitedHealthcare spokeswoman Sarah Bearce, you need to be a resident of a state when you first buy a Medigap plan. After that, if you moved outside the U.S., your Medigap plan would continue in effect so long as you paid the premiums.

Does Medicare Advantage include Part D?

Phil Moeller: Most Medicare Advantage plans include Part D coverage. If you are certain yours does not, then I’d agree with you that you should not be subject to the surcharge. You are, however, on the hook for lifetime late-enrollment penalties should you ever decide that you want a Part D policy.

Does Medicare cover travel?

Secondarily, Medicare Advantage plans are based on local or regional coverage. Many plans do not cover you if you travel in the U.S. outside your home market. Original Medicare provides coverage anywhere in the U.S. Some Medicare Advantage insurers are including broader coverage in their plans, but again, why should I have to worry about this if I can afford Original Medicare and a Medigap plan?

Does Medigap cover foreign travel?

However, she notes, only Medigap plans C, D, F, G, M and N have foreign travel coverage, and there are restrictions: “The foreign travel benefit covers 80 percent of ‘foreign emergency care that begins during the first 60 days of a trip period’ after a $250 annual deductible, and it has a $50,000 lifetime maximum. This benefit likely wouldn’t be useful if you permanently live outside the U.S.”

Does WEP apply to Social Security?

Phil Moeller: Unfortunately, the WEP does apply to you. While it may seem unfair, the logic of the rule still holds. As our Social Security book explains, due to the progressivity of the way Social Security benefits are calculated, people with a public pension and some work where they paid Social Security payroll taxes usually would receive unfairly high Social Security benefits without the WEP.

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