Social Security
What Happens To Benefits For Someone Living Abroad
Payments can generally continue outside the United States, but eligibility, payment method, health coverage and reporting obligations all change with residence.

Retirement benefits are generally payable to people living outside the country, but several attached arrangements do not travel with them. The differences are mostly practical rather than a question of entitlement.
Payment continues in most countries
Benefits earned on a work record are generally payable to citizens residing abroad, and payments can be deposited into accounts in many countries.
A small number of countries are subject to payment restrictions, in which case amounts may be withheld and paid later if the person moves.
Non-citizens face additional conditions, and whether payment continues can depend on citizenship, the country of residence and any agreement between the two countries.
Health coverage generally does not travel
Medicare does not ordinarily cover care received outside the country, with narrow exceptions in specific circumstances.
Someone living abroad therefore relies on the local system, private international coverage, or a combination, none of which the domestic program funds.
Dropping coverage while abroad and re-enrolling later can carry consequences under enrollment rules, which is a decision to review carefully before making it.
Totalization agreements coordinate two systems
Agreements with a number of countries prevent double contributions and allow work credits in both systems to be combined for eligibility purposes.
Combining credits establishes eligibility; each country then pays a benefit based on its own record rather than a merged one.
Which agreement applies and how it operates depends on the countries involved, and the terms differ between agreements.
Reporting obligations continue
Beneficiaries abroad are periodically required to confirm continued eligibility through questionnaires sent by mail, and failure to respond can suspend payments.
Changes in address, marital status, work and citizenship remain reportable, and the reporting is the beneficiary's responsibility.
Mail delays in some locations make this a genuine risk, which is why keeping the agency's record of address current matters more than it would domestically.
Tax treatment involves two systems at once
Citizens remain subject to domestic filing obligations regardless of where they live, and benefits may also be considered by the country of residence.
Tax treaties address the overlap in different ways for different countries, and withholding rules differ for non-citizens.
This is an area where the interaction of two tax systems requires a qualified tax professional familiar with both, and where the rules and agreements change over time.
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