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sparks


Oct 7, 2010, 4:02 PM

Post #1 of 19 (3636 views)

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US Senate Health Care Bill: Expats Exempt From Coverage

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We've been having a conversation on a Chapala message board about the US Senate Health Care Bill and how expats are exempt from coverage. Lots of posts with links to general info but nothing on how you prove your out of country status.

The bill basically says everyone has to have insurance but expats are exempt within guidelines. Penalties for no insurance will be handled by the IRS.

Sparks Mexico - Sparks Costalegre



joaquinx


Oct 7, 2010, 5:58 PM

Post #2 of 19 (3582 views)

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Re: [sparks] US Senate Health Care Bill: Expats Exempt From Coverage

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If Social Security has your Mexican address rather than an US address, that might be enough to exempt you. That's my guess.


Rolly


Oct 7, 2010, 6:47 PM

Post #3 of 19 (3568 views)

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Re: [joaquinx] US Senate Health Care Bill: Expats Exempt From Coverage

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If you are on Social Security, you are automatically exempt beaus you are enrolled in Medicare.

Rolly Pirate

E-visit me http://Rollybrook.com
On Facebook as Rolly Brook


sparks


Oct 7, 2010, 7:20 PM

Post #4 of 19 (3557 views)

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Re: [Rolly] US Senate Health Care Bill: Expats Exempt From Coverage

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But Rolly ... does plan A, B, C ro D qualify. If you are really living here plan A makes the most sense .. but is it enough

Sparks Mexico - Sparks Costalegre


sparks


Oct 7, 2010, 7:23 PM

Post #5 of 19 (3554 views)

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Re: [joaquinx] US Senate Health Care Bill: Expats Exempt From Coverage

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Social Security is not the IRS, nor state retirement, nor individual pension, nor other personal income. Guess I didn't follow

Sparks Mexico - Sparks Costalegre


Rolly


Oct 7, 2010, 7:51 PM

Post #6 of 19 (3538 views)

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Re: [sparks] US Senate Health Care Bill: Expats Exempt From Coverage

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The law will require everyone to have insurance. If you are on SS, you have insurance that meets the requirement. It's called Medicare Part A. It's automatic, and you can't avoid it as you can Part B.

Rolly Pirate

E-visit me http://Rollybrook.com
On Facebook as Rolly Brook


morgaine7


Oct 7, 2010, 7:57 PM

Post #7 of 19 (3536 views)

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Re: [sparks] US Senate Health Care Bill: Expats Exempt From Coverage

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According to this forum, they're using the IRS rules for physical presence and bona fide residence.

Edit: @Rolly ... folks who take Social Security early (before age 65) wouldn't have Medicare coverage.

Kate


(This post was edited by morgaine7 on Oct 7, 2010, 8:03 PM)


Rolly


Oct 7, 2010, 8:11 PM

Post #8 of 19 (3528 views)

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Re: [morgaine7] US Senate Health Care Bill: Expats Exempt From Coverage

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You are right. Medicare becme automatic with SS at age 65. Those who take SS before 65 can buy Parts A and B.

Rolly Pirate

E-visit me http://Rollybrook.com
On Facebook as Rolly Brook


sparks


Oct 8, 2010, 6:06 AM

Post #9 of 19 (3475 views)

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Re: [Rolly] US Senate Health Care Bill: Expats Exempt From Coverage

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Guess only the youngsters have to worry about it. Will be interesting to find out how they prove expat status

Sparks Mexico - Sparks Costalegre


Gringal

Oct 8, 2010, 1:36 PM

Post #10 of 19 (3408 views)

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Re: [sparks] US Senate Health Care Bill: Expats Exempt From Coverage

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A few folks might find themselves with a problem in continuing to play both ends against the middle: those who want to prove a U.S. address (often a relative's) for one purpose and now, a Mexican address for this purpose.

And then, there's the huge population of "South Dakota" license plated people around the lakeside area.

Golly. Maybe they'll actually have to move to Mexico. lol.


chinagringo


Oct 8, 2010, 1:43 PM

Post #11 of 19 (3404 views)

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Re: [Gringal] US Senate Health Care Bill: Expats Exempt From Coverage

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Please correct me if I am wrong but did a "certain someone" have a NOB plated vehicle right up until the purchase of a HONDA Fit through S & S AUTO? lol
Regards,
Neil
Albuquerque, NM



Judy in Ags


Oct 8, 2010, 3:22 PM

Post #12 of 19 (3378 views)

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Re: [Gringal] US Senate Health Care Bill: Expats Exempt From Coverage

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We have actually "moved" to Mexico--lock, stock and barrel--eight years ago. I don't think that means one doesn't need a stateside address for some business transactions. Ex. a credit card address there for Ebay purchases, etc. I'm hoping that our Mexico address with Social Security does the trick.


Gringal

Oct 8, 2010, 3:28 PM

Post #13 of 19 (3377 views)

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Re: [chinagringo] US Senate Health Care Bill: Expats Exempt From Coverage

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Yes, I did and it is now residing at our daughters home in Phoenix with cactused plates decorating its behind.. It was completely legal in Mexico until our FM3 and then, soon, our FM2 visas would expire. So lol yourself, smartie.

I don't have a "virtual" U. S. address. You know, the kind where you can boogie on back to the states to take advantage of things like Part B or D Medicare, etc. That's just way too much aggravation.
I do have a Texas mail drop that forwards things like credit cards and magazines to here, but no one is under the illusion that we and and several thousand other people are crowded into the box. Even the Postal Service won't send us stamps there. They're onto it. For serious shipping, we use Merkalink as the intermediary.

Like the above poster, we moved totally to Mexico over six years ago. Our offspring are obliged to visit here in order to be spoiled rotten for a week or so. That's how we bribed them into driving the old truck home. It worked.

It's none of my business and I know it......but can't help feeling a little bemused at the notion of trying to prove you live in two places at once. It reminds me of a dearly departed old friend who used to take it to the max in the states. Bought his car through a daughter in Oregon to avoid CA sales taxes; "resided" in Nevada to avoid CA taxes (in spite of somehow living in a waterfront mansion 90% of the time), and ran every number he could think of to avoid income taxes. I don't know if Cerberus collected when he died last year, but if I guess right.......he offered mordida to the devil.


(This post was edited by Gringal on Oct 8, 2010, 3:38 PM)


Hound Dog

Oct 8, 2010, 5:27 PM

Post #14 of 19 (3358 views)

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Re: [Judy in Ags] US Senate Health Care Bill: Expats Exempt From Coverage

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We have actually "moved" to Mexico--lock, stock and barrel--eight years ago. I don't think that means one doesn't need a stateside address for some business transactions. Ex. a credit card address there for Ebay purchases, etc. I'm hoping that our Mexico address with Social Security does the trick.

We have also lived in Mexico for almost ten years with no U.S. address at all. We no longer use credit cards but when we did(American Express, U.S. Bank issued VISA), we had no problem because of the lack of a U.S. address although those accounts were opened before we moved here and we are almost certain we could not open a new credit card or checking account in the states under present laws considering the paranoid state of the U.S. with its Patriot Act. No matter as, should we wish to do so we could get a credit card from one of our two Mexican banks no sweat. However, we use our debit cards for retail and internet purchases, airline tickets, European rail tickets, hotel and other on-line deposits and every purpose for which we would have used a credit card in the past. This has not proven to be a problem for several years, at least to date.

Our bank/brokerage house in the U.S. designates us as international clients and we maintain a checking account there where our social security benefits are deposited monthly. The SSA knows we live in Mexico and maintain no U.S. address and this is no problem for them even though my wife is not a U.S. citizen.

In retrospect and after years of doing quite well with no U.S. address whatsoever, we wonder why we worried about that in the first place. By the way, I have full Medicare coverage if that is what I want even without a U.S. address the only caveat being that I would have to move back up there for treatment if I wished to take advantage of that coverage. This is something I would do only if absolutely necessary because of a need for medical attention unavailable in Mexico such as certain organ transplants. After years of experience, we believe the medical treatment we receive in Guadalajara to be as good or superior to that we would have received in the San Francisco Bay Area with private insurance and far superior to the service we actually received under the dreadful HMOs we had to use in California. I shudder to think of those HMO charnal houses with their perfunctory and impersonal service in San Francisco, Oakland, Santa Rosa and St. Helena. Why would one want to go under the knife up there unless absolutely required?

We are now in the process of converting to inmigrado status and then will go for citizenship. Still no problem with U.S. accounts and investments or SSA benefits including Medicare.

I should mention that we have no U.S. assets except retirement accounts with our only real property in Mexico or France so the reader´s situation may differ and a U.S. address may be prudent.


morgaine7


Oct 8, 2010, 5:30 PM

Post #15 of 19 (3354 views)

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Re: [Gringal] US Senate Health Care Bill: Expats Exempt From Coverage

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Quote
It's none of my business and I know it......but can't help feeling a little bemused at the notion of trying to prove you live in two places at once.

Ditto. Remember the expats who got stimulus payments or something by virtue of their US addresses? It would be true poetic justice if they all had to pony up for US insurance. Tongue

I've been an expat for 30+ years. It was a lot easier to prove while working, so I was pretty sloppy about using any old US mailing address when I needed one. As a retiree, I've had to "clarify" my status in three states.

Kate


robt65

Oct 25, 2010, 5:22 PM

Post #16 of 19 (3022 views)

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Re: [Rolly] US Senate Health Care Bill: Expats Exempt From Coverage

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Hi Rolly,

Where do disabled veterans fit in to this mix? I am 90% service connected disabled veteran and receive 100% of my medical care from the VA. In fact I plan soon to exempt myself from Medicare as they only get part of my social security and I do not use any of their Medicare benefits.

robt65


(This post was edited by robt65 on Oct 25, 2010, 5:23 PM)


Ustlach


Oct 26, 2010, 11:58 AM

Post #17 of 19 (2934 views)

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Re: [Rolly] US Senate Health Care Bill: Expats Exempt From Coverage

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Rolly...I don't think that is right either. No one is eligible for Medicare until they are 65. Not to confuse it with Medicaid.

I took SS at 62 but could not get Medicare until I turned 65. I had to buy a private Major Medical policy for three years to cover me between ages 62 and 65.


chinagringo


Oct 26, 2010, 12:40 PM

Post #18 of 19 (2923 views)

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Re: [Ustlach] US Senate Health Care Bill: Expats Exempt From Coverage

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Just a minor correction on the age 65 statement. From:
http://www.medicare.gov/...ralEnrollment#TabTop:
"If you are under 65, you can get Part A without having to pay premiums if you have:
* Received Social Security or Railroad Retirement Board disability benefits for 24 months.
* End-Stage Renal Disease and meet certain requirements."
Regards,
Neil
Albuquerque, NM



tonynico

Oct 27, 2010, 7:50 AM

Post #19 of 19 (2823 views)

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Re: [morgaine7] US Senate Health Care Bill: Expats Exempt From Coverage

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You mention you have full Medicare coverage. I understand this but my question is
There is 20% doctor fees that are not covered by medicare. What do you do about this? Do you just eat the 20% if God forbid something happens and you use the medicare.

To get medigap insurance that covers the 20% you need a U.S. address. Also if you went with medicare advantage which covers everything except a co payment you also need a U.S. address.

Tony
 
 
 
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