Medicare is not honored outside the United States and its territories.
So, is there any reason a full-time Expat would get Medicare?
Kathleen Peddicord, a full-time Expat who writes for the Live and Invest Overseas media, says yes.
Writing from Panama this weekend, she said:
"I recommend you receive Medicare as a major-medical backup."
That may make sense in Ecuador, where Expats have been signing up for IESS government care since last year when the program was expanded to include virtually all resident Expats. In fact, if I had to decide today whether to participate in Medicare for when I reach 65, I would participate in Medicare parts A and B.
That way, if I encountered a serious medical problem and was not satisfied with IESS care for it in my city, I would have the option to return to the U.S. for treatment.
According to my research, a USA citizen who qualifies for Social Security is automatically enrolled in part A of Medicare at no charge when he or she gets to 65. Part B costs just over $100 per month. Without part B, one could be exposed to large expenses if a hospital stay is necessary.
Part D, which covers medicines, is not available to full-time Expats until 30 days after they return to the U.S.
Medigap plans are a complicated issue -- probably too complex to decide on this forum. One of such plans may be appropriate based on individual analysis.
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Please use this thread to clarify the Medicare issues for Expats, and relate your opinions and experiences about participating in Medicare.
cccmedia in Quito