Medicare Blog

what happens to my medicare while living in another country for 1 year

by Johnny Dach Published 2 years ago Updated 1 year ago
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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.

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

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

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?

Can I Keep my Medicare plans if I live abroad?

Second, eligibility for Medicare Advantage and Prescription Drug Plans require permanent U.S. residency, so you cannot maintain them while living permanently overseas. Third, Medicare Supplement Plans are only dependent on residency at the time of enrollment.

Can I sign up for Medicare if I live outside the US?

In this situation, you cannot sign up for Part A or Part B outside the United States. Therefore, in this specific circumstance, you can delay Medicare enrollment until your return, without being subject to late penalties — regardless of how long you lived outside the U.S. or how many years have passed since you turned 65.

Can I stay enrolled in Medicare Part B when moving abroad?

To stay enrolled in Part B, you must continue to pay monthly Part B premiums even though Medicare will not cover your care. Before you move abroad, make sure to explore your options for health coverage in whichever country you may reside.

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How long can you be out of the country with Medicare?

The ship is in a U.S. port or no more than 6 hours away from a U.S. port when you get the services, regardless of whether it's an emergency. Medicare doesn't cover health care services you get when the ship is more than 6 hours away from a U.S. port.

Can I keep my Medicare benefit if live abroad?

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.

Should I register for Medicare if I live overseas?

En español | Generally, yes. Even though Medicare doesn't typically cover care you receive outside of the United States and its territories, you may turn 65 while living abroad. Whether you can — or should — enroll in Medicare while living outside the country depends on your answers to a few questions: Are you retired?

Are you covered by Medicare in a foreign country?

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.

How long can I stay abroad without losing my benefits?

Even if you stay abroad for more than six months, you may be eligible to continue receiving your disability payments. You will need to complete paperwork, and the Social Security Administration may ask you to come back to the United States to review your eligibility in person.

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.

Are expats eligible for Medicare?

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.

Do expats need a U.S. address?

Even if you are living abroad in a country where mail delivery is dependable, it is important to have an American address. Many companies, not to mention government services, require one, even if it is not your official residence.

Can dual citizens get Medicare?

People who are dually enrolled in both Medicare and Medicaid, also known as dually eligible individuals, fall into several eligibility categories. These individuals may either be enrolled first in Medicare and then qualify for Medicaid, or vice versa.

Can I collect my Social Security if I live in a foreign 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.

How long do I have to change my Medicare plan after I move?

2 full monthsIf you tell your plan before you move, your chance to switch plans begins the month before the month you move and continues for 2 full months after you move. If you tell your plan after you move, your chance to switch plans begins the month you tell your plan, plus 2 more full months.

You have to be a U.S. citizen or permanent legal resident to qualify for Medicare, but you don't have to live here

Most people know that Medicare usually does not follow them when they take a vacation in a foreign country. The only real exceptions are if you have a Medigap plan that covers a portion of medically-necessary emergency care outside of the United States.

Do I Have to Live in the U.S. to Get Medicare?

You have to be a U.S. citizen or permanent legal resident to get Medicare Parts A and B, but you do not have to live in the United States.

What Happens to Your Medicare Coverage if You Move to Another 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.

Do You Get Premium-Free Medicare Part A?

Since the only qualification to get Medicare Part A premium-free is you or your spouse paying Medicare taxes for 10 years, nearly everyone qualifies. And since it's free, our advice is usually to sign up for Medicare Part A as soon as you're eligible.

Why Would You Keep Medicare if You Move to Another Country?

If there is any chance you'll move back to the United States or if you plan to spend a portion of the year here, you probably want to keep your Medicare coverage. This protects you from coverage gaps and potentially high late enrollment penalties.

Do You Have Medical Insurance or Other Coverage?

Whether you have to pay the Medicare Part B late enrollment penalty depends on whether you qualify for a Special Enrollment Period (SEP). For the purposes of this article, this typically means having creditable coverage, i.e. benefits and costs that are comparable to Medicare.

Is Your Health Insurance Creditable?

Not all health insurance qualifies as creditable coverage, especially after you turn 65. Examples include:

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.

How old do you have to be to qualify for Medicare?

Let’s begin by looking at the qualifications for eligibility. In order to qualify for Medicare, you must be 65 or older and a U.S. citizen or permanent legal resident for at least five consecutive years. There is no residence requirement for Part A or Part B for citizens.

How long do you have to be enrolled in Medicare Supplement?

For Medicare Supplement and Medicare Advantage Plans, the applicant must be enrolled in both Parts A and B at the time of application. This means that if you are unable to enroll in Part B for 15 months, as illustrated above, you are ineligible to enroll in either of these plans until your Part B becomes active.

What happens if you discontinue Part B?

If you discontinue Part B, the Supplement would be terminated, and you would face the same delays for coverage and monetary penalties seen in Example 2 of Janice Smith living in Thailand.

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.

What is Medicare for 65?

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 much does Medicare pay for John?

However, the Medicare Approved Amount is 60% of $20,000, or $12,000. Of this $12,000, Medicare will pay 80%, or $9,600. This leaves John with a bill for $2,400 for all services. However, because John has no Part B coverage, his total responsibility is $20,000. Good luck with the negotiations, John!

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.

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.

Does travel insurance cover medical expenses?

Travel health insurance typically covers medical emergency costs during your trip. For those who plan to travel for a period of time, this can be a flexible and budget-friendly option. Needless to say, two insurance policies means two premiums, so it will most likely be more economical to commit to one plan.

Can a retiree keep their original Medicare?

For example, a retiree who plans to travel abroad for several years but flies back several times a year to visit family can keep their current Original Medicare plan and get additional travel health insurance to ensure they have coverage regardless of their location.

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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