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If he wants to stay out of the country for 2-3 years, how can he avoid penalties when he is back?
TIA.
As far as I know if they cancel B & D while gone & come back they'll pay a penalty. I had a couple who went to Ireland for 10 years for a consulting job - dropped B and were penalized heavily upon returning. . . not sure if that's the norm or not.
Source: https://www.medicare.gov/people-like-me/outside-us/signing-up-for-part-b-outside-us.htmlIf you're a U.S. citizen, over 65, not eligible for Social Security benefits, and you lived in a foreign country when you turned 65, you must live in the U.S. to file for Part B. You're first eligible to enroll in Part B the month you return to the U.S. to establish your new residence. You won't have to pay a late enrollment penalty if you enroll in Part B within 3 months of when you first return to the U.S.
For those not yet enrolled:
You get a 2 month SEP with no late penalty for Part D upon returning. Avoiding the Part B penalty requires working or volunteering overseas and providing lots of documentation as described in the link.
When to Enroll in Medicare if You Live Outside the United States
Also:
Source: https://www.medicare.gov/people-like-me/outside-us/signing-up-for-part-b-outside-us.html