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Does Medicare Cover International Travel? (How to Know)

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Does Medicare Cover International Travel

Does Medicare Cover International Travel: Original Medicare (Parts A and B) frequently do not cover medical treatment received outside of the US.

Health care is covered in many US territories, including Puerto Rico, the US Virgin Islands, Guam, American Samoa, and the Northern Mariana Islands, if doctors or health care providers in these areas accept Original Medicare.

You are typically responsible for all medical bills if you travel outside of these territories, the 50 states, or the District of Columbia.

There are a few exceptions to the norm, though.

Exceptions to International Medicare Coverage

  • You are in the U.S. and the foreign hospital is closer than the nearest U.S. hospital.
  • You are traveling from Alaska through Canada when a medical emergency occurs, and the Canadian hospital is closer than the nearest U.S. hospital.
  • You require medically necessary health care services on board a ship or boat that is docked at a U.S. port or is less than six hours away from a U.S. port.

It’s worth noting that even if you qualify for one of these rare exclusions, you’ll still be responsible for a 20% coinsurance payment for any treatments you get. Your Part B deductible is also applicable.

Does Medicare Advantage Cover Travel?

Original Medicare, like Medicare Advantage (Part C) insurance, is required to pay the same limited foreign emergency care expenditures.

Additional benefits may be included in some Medicare Advantage plans. There could be some restrictions and guidelines in place.

For example, your Medicare Advantage plan may require you to pay for your expenses up front and then be reimbursed by the insurance company later. Other plans may limit the amount of money you can spend on overseas travel.

It’s crucial to double-check your plan’s specifics for further information. Make sure to inquire about charges and coverage rules with your plan’s provider.

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Travel Medical Insurance

Because Medicare’s overseas coverage is so limited, you may want to consider getting a travel insurance policy if you go to foreign countries frequently.

Travel medical insurance can be utilised in conjunction with any Medicare plan or Medigap policy.

Health coverage isn’t always included in travel insurance, so be sure to read the fine print.

Part D Medicare insurance plans do not cover prescription medications purchased outside of the United States.

Source: U.S. Centers for Medicare & Medicaid Services

International Coverage with Medicare Supplement (Medigap)

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If you travel internationally frequently, a Medicare Supplement, or Medigap, coverage might help defray some of the expenses of medical treatment.

For emergency care outside the United States, Medigap plans C, D, E, F, G, H, I, J, M, and N reimburse 80% of the invoiced expenses.

However, these Medigap policies only cover foreign travel health care if:

  • You’ve met a $250 yearly deductible.
  • Your emergency care begins within the first 60 days of your trip.
  • Medicare doesn’t already cover the care.

It’s worth noting that Medicare Supplement plans can only be utilized in conjunction with Original Medicare. A Medigap plan is not available to Medicare Advantage subscribers.

To learn more about health care coverage while traveling, contact your Medigap provider.

DID YOU KNOW?

Medigap policies have a lifetime maximum of $50,000. for foreign travel emergency coverage.

Source: U.S. Centers for Medicare & Medicaid Services

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How to Submit Foreign Claims with Medicare

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Original Medicare only covers for out-of-country medical expenses in a few limited circumstances.

If you receive Medicare-covered services under certain exclusions, you will be asked to fill out documentation.

Because overseas hospitals are not required to file Medicare claims, you may be required to provide an itemized bill to Medicare for any international health care services you receive.

If you receive Medicare-covered services on a cruise ship, the doctor will file a claim on your behalf.

FAQs

Can Medicare be used internationally?

Yes. Because Medicare only covers a limited number of healthcare services outside of the United States, you may want to purchase a travel insurance policy to supplement your coverage.

Do I need travel insurance if I have Medicare?

Is it necessary for me to obtain travel insurance if I have Medicare? Yes, in a nutshell. According to Medicare.gov, health care received outside of the United States is not covered.

Do any countries accept U.S. Medicare?

What countries accept Medicare from the United States? Medicare is only available in the United States and its territories. This covers Puerto Rico, the Virgin Islands, Guam, American Samoa, and the Northern Mariana Islands, as well as the 50 states of the United States and their territories.

How do I know if my health insurance covers me internationally?

Contact Your Health-Care Provider

The first step is to check with your health insurance provider to see if your emergency medical coverage extends beyond the United States. Ask the following inquiries to the customer service department: Will my insurance cover me if I become sick or injured while traveling?

Does Medicaid cover international travel?

While Medicare may offer extra choices, such as coverage for emergency medical treatment while traveling overseas, Medicaid does not.

Can I use my Medicare in the Philippines?

YES. Allowing American beneficiaries to be covered in the Philippines might save Medicare at least half of its costs. The annual cost per beneficiary is currently $11,743.

Will my health insurance work in another country?

Most domestic health insurance policies, unfortunately, do not protect you outside of your native country. Domestic plans, on the whole, are limited to specific geographic areas.

What is international travel insurance?

Inclusions in an international travel insurance policy:
Dental pain alleviation in an emergency. The luggage that has been checked has been lost. Luggage hold-up. Personal Injury (Permanent or Temporary Incapacity or Death) Passport and/or other crucial documents are lost.

What is not covered in travel insurance?

Baggage delay, damage, and loss plans do not cover all of your belongings. Glasses, hearing aids, dental bridges, tickets, passports, keys, cash, and cell phones are all common travel insurance exclusions.

Does Medicare cover travel to Canada?

Traveling outside of the United States

If you’re traveling between Alaska and another state on a straight route with no unjustified delays and the next hospital that can serve you is in Canada, Medicare will pay for emergency services there.

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