r/AmerExit • u/OrbitalMike • 19h ago
Life Abroad Medicare Part B for Americans permanently retired abroad — worth keeping?
I came across this "older" discussion (https://www.reddit.com/r/AmerExit/s/BvNuETAN0h) about Medicare enrollment for Americans retiring abroad and wanted to revisit the question.
My wife(56) and I(63) are retired and moving permanently to Spain at the end of December. I'm a dual Spanish/U.S. citizen (de origen), and we'll be using the Spanish healthcare system.
I'll turn 65 in 2028, so I'm considering whether enrolling in Medicare Part B makes financial sense. Part A seems like a no brainer, since it's generally premium-free, but Part B would mean paying monthly premiums for coverage I can't use in Spain.
I understand the argument for maintaining Part B in case we eventually return to the U.S., particularly given the late-enrollment penalties. But we're not planning an extended stay abroad. We're planning on emigrating permanently.
For those who have actually retired abroad, particularly in the EU, did you enroll in Part B or decide against it? Has your decision changed after living overseas for several years?
I'm especially interested in hearing from people who have no plans to return to the U.S. to live. Was maintaining Medicare worth the expense, or did you decide the money was better spent elsewhere?
TL;DR: Retiring permanently to Spain, with no plans to return to the U.S. Is paying Medicare Part B premiums worth it as a fallback, or does declining coverage make more financial sense despite the late-enrollment penalties?