Retiring abroad—c’est possible?

There’s much to consider before planning an expat retirement.

A beach town bungalow in Mexico, a wine country villa in Italy, a mountain chalet in France. Retiring abroad can look like a page torn from a glossy magazine—if money is no object. Money usually is an object though, which is why retiring abroad requires thoughtful planning.

Over the past two decades, the number of Americans retiring abroad has more than doubled, according to the Social Security Administration.1 Canada, Japan, Mexico, Germany, Italy and the UK are top destinations.2 (Social Security benefits can generally be sent wherever you move, with a handful of exceptionsOpens pdf.)

The driving forces behind these decisions are well known—lifestyle, lower cost of living, even improved health care. Just spin the globe, and nearly any place it stops will have significantly lower costs of living than the U.S.3 —think of Costa Rica, Mexico, Thailand and Colombia, among many others. 

Solving for healthcare

Healthcare is one of the largest components of cost of living for retirees and also one of the top reasons that Americans retire elsewhere. Unlike Social Security, Medicare doesn’t travel well outside of the U.S.,4 so retirees abroad must consider an alternative. You need not be an investigative journalist to find better quality health care abroad than currently offered in the U.S. For measure, Statista ranks the U.S. 69th (just behind Armenia) when it comes healthcare quality.5 Japan, Italy, France, Costa Rica, Colombia and Canada all rank much higher.

While it’s not hard to find better and cheaper health care outside of the U.S., the challenge is navigating how to partake in a country’s health care system as an expat, or foreign resident. Time of residence is key. Take for example, France, ranked 20th for healthcare by Statista.6 Like many European countries, France has a universal healthcare system that covers the majority of procedures and costs. In France, expats can qualify for public healthcare coverage if they live in country for more than six months per year.7 To supplement that, retirees can also buy private international medical insurance and access private medical facilities.

In Costa Rica, where the cost of living is low and a universal healthcare system is a major asset, American retirees can apply for full benefits, but it takes between one and two years to qualify.8

“While many countries have lower inheritance taxes than the U.S., your estate may still be required to pay the difference if you are a U.S. tax resident, have more than the threshold gift amount of $12.92 million and haven’t relinquished your citizenship.”

The top five places Americans retire abroad, including healthcare and cost of living rankings, and how they compare to the U.S.

Don’t forget taxes and life insurance

Those considering retiring outside of the United States should also consider some of the more subtle challenges of taxes and life insurance. 

Citizenship, not residency, determines your federal taxing agency. The IRS requires tax residents to pay tax on their global income, regardless of the source.9 Americans retiring abroad are required to report their income from all sources anywhere in the world and the value of their combined financial assets held outside the U.S. 

Another consideration: estate or inheritance tax. While many countries have lower inheritance taxes than the U.S., your estate may still be required to pay the difference if you are a U.S. tax resident, your estate exceeds the $12.92 million estate-tax exclusion, and you haven’t relinquished your citizenship.10 Evan Potash, TIAA executive wealth management advisor, counsels meeting with an international tax advisor and estate planning attorney. Your TIAA wealth advisor can facilitate the connection.

“Inheritance taxes at death range from zero to 55%11 depending on the country,” notes Potash. “A large portion of a person’s net worth could potentially be given to the government where they are retired and not the intended beneficiary.” 

It’s also worth checking the details of your life insurance policy. If you already have a policy through a domestic insurer and then move abroad, you will likely still be covered unless your policy has explicit travel exclusions.12 Otherwise, a safe bet is to buy international life insurance that has a strong network in your new country of residence.

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1 Annual Statistical Supplement 2002, Social Security Administration, December 2022. ssa.gov/policy/docs/statcomps/supplement/2002/supp02.pdfOpens pdf; Annual Statistical Supplement 2022, Social Security Administration, December 2022. https://www.ssa.gov/policy/docs/statcomps/supplement/2022/supplement22.pdfOpens pdf.

2 Social Security Admin 2022

3 Numbeo, "Cost of Living by Country 2023 Mid-Year." numbeo.com/cost-of-living/rankings_by_country.jsp.

4 California Health Advocates, "Medicare Eligibility If You Move Out Of The United States." cahealthadvocates.org/the-basics/medicare-eligibility-if-you-move-out-of-the-united-states/#:~:text=Medicare%20generally%20does%20not%20cover,to%20you%20if%20you%20return. 

5 Statista, "Health and health systems ranking of countries worldwide in 2023." statista.com/statistics/1376359/health-and-health-system-ranking-of-countries-worldwide/Opens in a new window.

6 Statista, "Health and health systems ranking of countries worldwide in 2023." statista.com/statistics/1376359/health-and-health-system-ranking-of-countries-worldwide/Opens in a new window.

7 International Citizens Insurance, "Health Insurance in France for Foreigners." internationalinsurance.com/health/europe/france.php#:~:text=Expats%20can%20only%20apply%20to,pension%20from%20a%20European%20countryOpens in a new window.

8 International Citizens Insurance, "Understanding the Costa Rican Healthcare System." internationalinsurance.com/health/systems/costa-rica.php#:~:text=Who%20is%20Eligible%20for%20Medical,applicant%20and%20any%20dependent%20spouseOpens in a new window.

9 "Internal Revenue Service, "Reporting foreign income and filing a tax return when living abroad," March 21, 2023. irs.gov/newsroom/reporting-foreign-income-and-filinga-taxreturn-when-living-abroad#:~:text=U.S.%20citizen%20and%20resident%20aliens,where%20they%20earn%20their%20incomeOpens in a new window.

10 "Kate Dore, "IRS bumps up estate-tax exclusion to 12.92 million for 2023. Here's what that means for wealthy Americans," CNBC.com, October 19, 2022. cnbc.com/2022/10/19/irs-bumps-estate-tax-exclusion-to-12point92-million-for-2023.htmlOpens in a new window

11 Alan Cole, Fiscal Fact, "Estate and Inheritance Taxes around the World," March 2015. files.taxfoundation.org/legacy/docs/TaxFoundation_FF458.pdfOpens pdf

12 Rebecca Shoenthal and Julia Kagan, Policygenius.com, "How to buy life insurance abroad," June 16, 2023. policygenius.com/life-insurance/how-to-buy-lifeinsurance-abroadOpens in a new window.

This material is for informational or educational purposes only and does not constitute fiduciary investment advice under ERISA, a securities recommendation under all securities laws, or an insurance product recommendation under state insurance laws or regulations. This material does not take into account any specific objectives or circumstances of any particular investor, or suggest any specific course of action. Investment decisions should be made based on the investor’s own objectives and circumstances.