10/26/2026
✈️ Your Medicare coverage works the same in Phoenix as it does at home. Take it to Rome and most of it stops.
Original Medicare covers you in all 50 states, D.C., and the U.S. territories, at any doctor or hospital that accepts Medicare. Outside the U.S., it almost never pays.
The exceptions are narrow. Medicare can pay on a cruise ship that is in a U.S. port or within 6 hours of one. It can pay on a direct trip through Canada between Alaska and another state. And it can pay at a foreign hospital that is closer than the nearest U.S. hospital able to treat you.
Medigap is where many travelers find their overseas coverage. Plans C, D, F, G, M, and N pay 80% of emergency care abroad after a $250 yearly deductible, as long as the emergency starts in the first 60 days of the trip. The benefit has a $50,000 lifetime limit. Plans A, B, K, and L don't include it at all.
One Medigap detail matters inside the U.S. too. A Medigap SELECT plan pays full benefits only at its network hospitals, except in an emergency, so a routine hospital visit in another state can fall outside it.
Medicare Advantage works differently at home. Every plan has to cover emergency and urgent care anywhere in the country, but routine visits outside the network can cost more or not be covered. Overseas, it comes down to your plan. Some include emergency care abroad and some don't.
Drug plans never pay for prescriptions bought outside the U.S. Pack enough of every medication for the whole trip, plus a few extra days in case a flight gets cancelled.
If your plan leaves a gap, a travel medical policy can cover emergencies abroad, including a medical flight home, which Medicare generally won't pay for.
The step that matters takes five minutes. Before you book, call your plan and ask what it pays if you need emergency care outside the U.S. Get the answer before the trip, not from a hospital bed in another country.
P.S. Once a week, I email the best money article I read, with my take on this week's top Facebook posts and what's new on the Ways to Wealth blog. It's free, and you can sign up on the Ways to Wealth home page.
R.J. Weiss, CFP®
The content shared here is for educational and informational purposes only. It is not personalized investment, tax, legal, or financial advice. Consult a licensed professional before making decisions based on your specific situation.