What You Need to Know About Using Medicare in Mexico

Mexico, with its laid-back and rich culture, is an instant hit among tourists and expats alike.

Especially from a healthcare perspective. You’ll hear many expats talk about going to the doctor for only USD $40-80 USD without insurance or having surgery and only paying a few hundred dollars with excellent results. But that doesn’t mean a serious emergency in Mexico can’t cost you thousands of dollars.

So, this is a good time to share information about using Medicare (Advantage) in Mexico. Yes, you read that right- using a Medicare Advantage plan in Mexico is an option! In today’s post, you’ll learn some crucial things you need to know about who qualifies for Medicare advantage, the types of advantage plans that will cover you in Mexico, What they will cover, How to make claims, and Why you need a broker to help you through the process.

Who qualifies for Medicare Advantage?

If you are a U.S. Citizen or resident over the age of 65, you’ll have the choice to apply for Medicare. It doesn’t matter if you have pre-existing conditions. There are a few situations where Medicare may cover them.

If you choose not to apply and forgo getting coverage, there is a late enrollment fee you’ll need to pay later on. The penalization fee you’ll have to pay in the future depends on how long you’ve gone without coverage after the age of 65 and which plan you choose. If you plan on living in Mexico, you should also know that choosing a Medicare Advantage plan can cover you worldwide- including Mexico.

But first let’s talk about what a Medicare Advantage plan is.

Medicare Advantage Plans That Cover You in Mexico

While Mexico does have public health insurance programs such as the INSABI or IMSS, you may not want to seek medical attention in an emergency at one of these hospitals.

For starters, your wait times can be very long, considering it’s a public hospital. And when it comes to your health, in the case of an emergency, you will probably want to be seen immediately by a specialist. That is why you should consider enrolling in a Medicare Advantage plan that will cover you in Mexico in case of an emergency.

Medicare Advantage, also known as a Plan C, is a supplemental plan to Medicare parts A and B that covers you in case of emergencies anywhere in the world. Medicare Advantage plans are run through private health insurance companies and are private health insurance plans accepted by Medicare.

But its worth mentioning that not all Medicare Advantage plans are equal. Some will not cover you if you live in Mexico full-time, and some will not cover certain “emergencies” at all.

How To Make a Claim Using Medicare Advantage?

Most hospitals in Mexico will not accept an insurance policy from another country, and you’ll need to know how to handle your claims with Medicare Advantage.

You’ll likely need to pay the Mexican hospital out of pocket and make a claim through Medicare Advantage after the fact. Knowing how to navigate this process after a serious emergency can be one of the last things you’ll want to consider.

Knowing the process and what to expect in advance can save you frustration and confusion at a Mexican hospital.

Access our recommended Medicare Advantage Brokers to enroll you with the right plan to cover you in Mexico. Our recommended brokers have years of experience enrolling expats in Mexico. He can explain exactly how to make a claim, what emergencies are covered, what to do in case of an emergency, and everything you need to know about your Medicare Advantage plan and how to use it in Mexico. His services are 100% free to you.

Our recommended Medicare Advantage Broker is part of our contacts in our COMPLETEMexico Relocation Course

Why Hire a Medicare Advantage Broker?

The right Medicare Advantage broker will have a deep understanding of what your policy covers, such as emergencies when you are overseas.

Many people don’t know this until it is too late, but some Medicare Advantage policies will not cover you in Mexico if you have been out of the U.S. for over 60 days. Our recommended Medicare broker not only has years of experience enrolling expats living in Mexico in the right Medicare Advantage plan but can also help you navigate which policies may give you a hard time when making a claim.

However, you must note that Medicare Advantage will only cover LIFE THREATNING emergencies in Mexico. Cancer and other chronic diseases that are not considered emergencies of life or death, for example, are not covered. That is why so many people enroll in Medicare Advantage when they move to Mexico. For small things like stomach bugs or common colds, they can see a doctor in Mexico for under $50 without insurance.

However, when it comes to a serious issue where surgery may be needed- such as a broken leg- the right Medicare Advantage policy can help cover those costs.

However, having the right person help you choose a policy will help you not only ensure you get the coverage you need but will also avoid confusion when it comes to actually using your Medicare Advantage policy in Mexico.

Q&A-Using Medicare in Mexico

And in the most recent video post on our YouTube channel, I did an interview with our recommended Medicare Advantage broker. He explains in detail the common misconceptions about Medicare and Medicare Advantage. Plus, he tells you how to sign up, what you can expect the claims process to be like, and more!

Watch the full replay