Living Outside the US? What Medicare Does — and Doesn't — Cover

Medicare generally does not cover health care outside the United States. If you live abroad, you'll need to decide whether to keep Part B (paying premiums for when you return) or drop it (risking a penalty when you re-enroll). Part A is usually free, so most people keep it.

When This Applies

  • You are moving abroad or already live outside the US
  • You spend significant time overseas
  • You want to know if Medicare covers you internationally
  • You are deciding whether to keep paying Part B premiums

Frequently Asked Questions

Does Medicare ever cover foreign care?
In very limited cases — certain emergencies near the US border, on US-flagged ships, or through specific Medigap plans. Generally, no.
Can I re-enroll when I return?
If you dropped Part B, you'll need to wait for the GEP (January–March) and face a penalty based on the gap length.
What about Part D abroad?
Similar considerations apply. Dropping Part D while abroad creates a penalty when you return. VA drug coverage abroad may be creditable.