What Medicare Does Not Cover When You're Overseas

Two seniors wearing straw hats on an international flight among passengers waiting to deplane in another country.Many retirees look forward to traveling in their retirement, and more and more are actually retiring overseas. In part, this can be a way to stretch their savings for years to come. But what happens to federal benefits while you're out of the country?

Does Medicare Cover International Travel?

The short answer is that although Social Security benefits are available to retirees overseas, Medicare generally is not. Continue reading to learn more about the ins and outs of Medicare and overseas travel.

Check Your Medicare Plan for Limitations

Traditional Medicare does not provide coverage for hospital or medical costs outside the United States (although Medicare does cover residents of Puerto Rico, Guam, the US Virgin Islands, American Samoa, and the Northern Mariana Islands). In rare cases, Medicare may pay for inpatient hospital services in Canada or Mexico.

Some Medicare Advantage (private Medicare) plans may provide coverage benefits for health care needs when enrollees travel outside the United States. Be sure to check with your plan before traveling. But those retiring overseas – or travelers enrolled in the traditional Medicare program or whose Medicare Advantage plan does not cover foreign travel – will need to purchase health insurance from another source.

How Can You Protect Yourself When Traveling Abroad?

Medicare recipients who are traveling and who have no other coverage must either buy short-term travel insurance or a Medigap policy that covers foreign emergencies. Medigap plans C through J offer travel emergency coverage, but the benefit applies only during the first 60 days of any trip. This Medigap benefit covers 80 percent of emergency care administered outside the country. A $250 deductible and $50,000 lifetime maximum apply.

In addition, many travel agents and private companies offer insurance plans that will cover health care expenses incurred overseas, including evacuations. The State Department's Bureau of Consular Affairs provides information on medical insurance while overseas. Also check out this Complete Guide to Obtaining Travel Insurance.

How Can You Protect Yourself When Living Overseas?

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

If you're moving to a country with a strong national plan, you may be able to pay into the plan and receive coverage similar to other residents of the country. If national insurance isn't an option, many companies offer expatriate health insurance plans.

Choosing the right plan depends on where you are moving. For example, if you're traveling somewhere remote or with poor local health care, evacuation coverage may be important. Another country may offer excellent health care, but each doctor’s visit may cost a lot of money, so a plan that covers outpatient doctor visits may be necessary there. No matter where you go, another consideration is whether the plan covers pre-existing conditions.

When You Return to the United States

Whatever health care option you choose while abroad, if you return to the United States, you will still have Medicare Part A coverage. Medicare Part A covers institutional care in hospitals and skilled nursing facilities. It also covers certain care given by home health agencies and care provided in hospices.

You generally do not pay a premium for this part of the Medicare program. Anyone who is aged 65 or older and is eligible for Social Security automatically qualifies.

Medicare Part B, which covers outpatient services, charges a monthly premium. Unless you continue to pay the premiums while overseas, you will not automatically have Medicare Part B coverage when you return to the United States.

If you drop Part B and then move back to the United States, you will have to pay an enrollment penalty. Your premiums may increase by 10 percent for each year that you could have had Medicare but chose not to enroll. Therefore, if you think you may return to the United States, it may be worthwhile to continue paying Part B premiums while living abroad.

US citizens who were living abroad when they turned 65 and who were not eligible for Social Security when they left do not have to pay higher Part B premiums when returning to the United States. These retirees will not have to pay a higher premium if they enroll in Part B within three months of returning and establishing residence.

Consult With an Elder Law Attorney

If you plan to travel extensively or move to another country, contact an elder law attorney first. They can walk you through your potential health care options.

In the following articles, learn more about the Medicare program and some things to consider when retiring abroad or in a US territory: