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Old 05-08-2024, 05:52 PM
 
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Youtube has a lot of videos on retiring abroad. The health costs are enormous. Many expats are returning.

If the US had some sort of agreement with a foreign country to take Medicare payments, I'd gladly relocate since overall it's cheaper most places.
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Old 05-08-2024, 05:56 PM
 
20,843 posts, read 8,673,442 times
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Originally Posted by elnrgby View Post
Oh I still think how lucky I am to not have kids :-).
Me, too. Having kids has never been proven to be the way to avoid nursing homes.

Both of my parents died quickly so never needed that sort of care. Best way to go!
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Old 05-08-2024, 06:07 PM
 
Location: Dayton OH
5,777 posts, read 11,442,533 times
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Originally Posted by PilgrimsProgress View Post
Youtube has a lot of videos on retiring abroad. The health costs are enormous. Many expats are returning.

If the US had some sort of agreement with a foreign country to take Medicare payments, I'd gladly relocate since overall it's cheaper most places.
I paid roughly $1000 per month for private health insurance in Germany, where I lived as a US retiree for a total of 3 years from 2020-2023.

There is no way Medicare payments to other countries would work or ever be agreed to by any other country. Medicare tax dollars should never leave the USA and the complexity of the system could never be adapted to the medical system of any other country. It will never happen.
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Old 05-08-2024, 07:17 PM
 
24,786 posts, read 11,181,307 times
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Originally Posted by recycled View Post
I paid roughly $1000 per month for private health insurance in Germany, where I lived as a US retiree for a total of 3 years from 2020-2023.

There is no way Medicare payments to other countries would work or ever be agreed to by any other country. Medicare tax dollars should never leave the USA and the complexity of the system could never be adapted to the medical system of any other country. It will never happen.
You had a great time and may be able to go back for prolonged vacations.
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Old 05-09-2024, 09:49 AM
 
7,299 posts, read 4,669,911 times
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Originally Posted by cobolt View Post
Not everyone has kids. Not everyone has family they want to be around, or even family at all. Not everyone has a slew of friends. Not everyone owns or even likes pets. Not everyone wants to live in the same place forever. And some people want their aging experience not to be about couch sitting and tv watching but about experiencing life for as long as physically possible. Yes, these people exist, and in these cases expating would fit, if one can fund it and navigate all the intricacies. I find it annoying that so many people assume every aging person comes from some Hallmark family they can’t bear to part from.
You totally misinterpreted my post. I have lived in 5 states because of either my or my husband at the time careers. Except for my kids and parents I am not close emotionally to other family members. I moved to Nevada 27 years ago for my career and over time have developed very close friends and one of my 3 sons lives here.

No one is sitting around watching tv as we are all very active between consulting part time, social events, volunteering, etc. I just returned home from visiting one of my sons in another state and the past two years I went to Europe.

I wouldn’t consider moving now because of my relationships and the value they bring me. I would have much more discretionary income if I moved to a lower cost of living area because locally the cost of living has skyrocketed. My budget is fairly tight which is one reason I am still consulting at age 70 in a few months plus I still really enjoy it.
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Old 05-09-2024, 10:31 AM
 
8,422 posts, read 4,456,561 times
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Originally Posted by recycled View Post
I paid roughly $1000 per month for private health insurance in Germany, where I lived as a US retiree for a total of 3 years from 2020-2023.

There is no way Medicare payments to other countries would work or ever be agreed to by any other country. Medicare tax dollars should never leave the USA and the complexity of the system could never be adapted to the medical system of any other country. It will never happen.
Medicare payments for healthcare abroad wouldn't go to other countries, but to hospitals and docs located in other countries. The same billing codes would be used as in the US. Most places can easily provide medical documentation in English. Healthcare in the majority of other countries is substantially cheaper than in the US, and Medicare would save money if it covered healthcare abroad. I'm not sure they will never consider it.

National health insurance in the UK also covers the UK citizens in all the EU countries plus Switzerland, Norway and Iceland. So it is not unheard of actually.
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Old 05-09-2024, 10:57 AM
 
7,492 posts, read 4,742,283 times
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Originally Posted by PilgrimsProgress View Post
Youtube has a lot of videos on retiring abroad. The health costs are enormous. Many expats are returning.

If the US had some sort of agreement with a foreign country to take Medicare payments, I'd gladly relocate since overall it's cheaper most places.
Southeast Asia countries are just an hour to three hours away from Guam. It's just like flying around US main land to see a specialist or get a net savings procedure done.
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Old 05-09-2024, 11:07 AM
 
10,826 posts, read 5,755,836 times
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Originally Posted by Yippeekayay View Post
Southeast Asia countries are just an hour to three hours away from Guam. It's just like flying around US main land to see a specialist or get a net savings procedure done.
What is medical care like on Guam?
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Old 05-09-2024, 12:33 PM
 
8,422 posts, read 4,456,561 times
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Originally Posted by Yippeekayay View Post
Southeast Asia countries are just an hour to three hours away from Guam. It's just like flying around US main land to see a specialist or get a net savings procedure done.
Good point!
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Old 05-09-2024, 12:46 PM
 
8,422 posts, read 4,456,561 times
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Originally Posted by TaxPhd View Post
What is medical care like on Guam?
I worked with a surgeon who was heading to Guam for contract work. Here is the list of their regular staff (seems as though they are staffed like a community hospital in a smaller town in the US. Importantly, seems like they can handle an acute stroke with embolectomy - pretty much the only thing I care about :-):

https://www.grmc.gu/ourproviders/

Now that I think about it, I believe (though am not entirely sure) Tripler Army Medical Center in Honolulu (which is a large hospital with the same services offered as at the US university hospitals) covers the entire US Pacific Islands (not just the army, but the civilian population too); maybe they send to Tripler what they can't handle in Guam?

Last edited by elnrgby; 05-09-2024 at 01:27 PM..
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