How can expats in Thailand utilize Taiwan's Gold Card for healthcare benefits?

Jan 2, 2025
16 days ago
Stephen ********
ORIGINAL POSTER
How to have free healthcare for life: The alternative to the DTV, the Taiwan Gold Card

This is really outside the box but I think some people should at least consider it.

Taiwan has free healthcare and a lot simpler ‘immediate’ residency with the ‘gold card’ for only $350USD. As long as you stay 183 days per year in Taiwan for three years you then have permanent residency.

As thailand now taxes foreign income. A good strategy would be living in both for three years and keeping Thailand under 180 days so you are not taxed, then migrating permanently to thailand if you enjoy it more after your healthcare in Taiwan is solidified and you have residency.

The ‘ideal’ which I am still considering is simply living in Taiwan for 3 years and for 6 months of the year when you’re bored hitting up Pattaya or Cebu or Bali or where ever else and after 3 years, more permanently move to Thailand, with your residency + free healthcare secured.

Of course most people aren’t going to be willing to do this, me either at this stage. But if you could, would then be free healthcare for life. Plus a permanent residency, I think 2-4 years paid maternity leave and actual government benefits, which even if you go after and get residency in Thailand, to me, all I see is a second un-avoidable tax bill, so why bother?

After speaking to the head maxiofacial surgeon in Khaosiung hospital, he told me a lot of Americans (and HKers) are taking up this strategy and simply flying to Taiwan when elective issues come up.

Otherwise, for now, based on my research I think travel insurance is the way to go for healthcare. I think blue cross blue shield does it in America, safetywing people mention sometimes and I use fastcover (for Australia) with no excess around $1500AUD for the year.

For now, I’m still just considering it. But! For me the DTV was definitely not a celebration it was an admission, to myself, that 100% I will not be living in Thailand forever, it is purely temporary and the DTV solidified that as I have since completely stopped looking into investing in or making a company here to get the work permits + other requirements necessary for residency. So yes, the DTV is cool, but as a long term plan, I mean it’s not one unless you are 50 and by 55 you can get the retirement visa.
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TLDR : Answer Summary
The post discusses an alternative immigration strategy involving the Taiwan Gold Card, which provides free healthcare and easier residency options for expats. It suggests living in Taiwan for three years to secure residency and avail of benefits, while minimizing time spent in Thailand to avoid foreign income tax. Comments reflect similar experiences and strategies, emphasizing the advantages of the Taiwan Gold Card over traditional options like the DTV for long-term living arrangements.
DTV VISA RESOURCES / SERVICES
Stephen ********
ORIGINAL POSTER
The founder of Ethereum just got the gold card:
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Mike **********
missing from above is what is required to keep PR in Taiwan, although that is a surprisingly minimal amount of being there at least a little bit every 5 years. I'd be concerned about that turning into 183 especially if the government/politicians/people think foreigners are just abusing the program so that Taiwanese citizens pay for their health care.
Christopher ********
I’m from the USA. We file or pay taxes to the USA even if we live on the moon. We cannot avoid taxes.
Danny *******
love this idea, its real? 😁
Marcus ******
What's wrong with Taiwan? As far as I know it's an independent country and the US is deterring China from invading.
Dominic ******
I came to a similar conclusion. I was looking into the DTV but ended up getting a gold card in Taiwan insted (last step, should have it in a week, wohoo).

Similar consideartions, but probably stronger. I'll visit Thailand just as a tourist and will enjoy my life in Kaohsiung instead. Love it. 🙂
Angelo ***********
My father was a tax accountant.

He always said: if smart people would use the brain power they have to make more money, instead of using it for avoiding taxes: they would have more money.

Why people prefer to spent taxes in their home country over paying them in Thailand: is a mystery for me.

Taxes in my wage group in Thailand are ZERO, and at my home country 35% to 45%.
Todd *********
@Angelo **********
lol. Zero tax in Thailand is under 150k annually. And that isn’t getting taxed at 45% anywhere. Enjoy being poverty stricken
Michael ********
@Angelo **********
disagree. Simple tax considerations can have huge effects and are very predictable. If you invest your time and energy into an additional business, it could go either way.

I consider the current state of taxes in Thailand okay for me, because they only tax money that is 'remitted', I can live with that. This system has many advantages, e.g. allows tax deference similar but better than a 401k to non-US residents.

If they want to slap me with full taxes on worldwide income, I'm out after 180 days.
Stephen ********
ORIGINAL POSTER
@Angelo **********
you earn under 150,000 baht per year?
Stephen ********
ORIGINAL POSTER
And never take business advice from an accountant, just get them to do your taxes, they only know local laws and are incredibly conservative, which is good, but not how you make money.
Dom ********
@Stephen *******
“never take business advise from an accountant” ✅ so true everything is a cost to them
Roberto *******
Ya, but then you have to live in Taiwan, lol.
Dominic ******
@Roberto ******
And that's an issue because?

I actually decided against the DTV, got a cold card, live in Kaohsiung and am more than happy with that decison.
Cincy ******
@Dominic *****
It might be an issue for some due to the higher cost of living compared to Thailand.
Todd *********
@Dominic *****
that would make me very sad for sure. Knowing there is so much nicer just a short flight away
Dominic ******
@Todd ********
Of course. I'd be very quickly over in Seoul, which is of courwse the best city on the planet. But good thing it's all subjective. So I can just stay here and be happy. 🙂

SEA is not on my list, if you're referring to that. EA wins that race easily for what I'm looking for. But I'm old, I have different preferences than others here. 😃
Stephen ********
ORIGINAL POSTER
@Roberto ******
yeah I know. I didn’t say it was the funnest option.
Bob **********
Thailand is Thailand who controls Taiwan
Stephen ********
ORIGINAL POSTER
@Bob *********
Taiwan does, you need to read some books and stop watching so much news bro.
Anonymous ******************
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Mateusz *******
Why do all people have problems with paying taxes in Thailand, I pay taxes here but because of that I don't need to pay my personal taxes in my home country. If you are a digital nomad and most of your income is salary it's very often even better to pay taxes here and not in your country
Stephen ********
ORIGINAL POSTER
@Mateusz ******
All laws in Thailand are sketchy. It’s not just tax. The way they treat immigration where if you leave you pay a fine, but if you go to immigration if you overstay and they thrown in jail for months years or even decades without a court hearing is alarming.

Even with the DTV, it was quite clear that internally the offices knew and seemed to have agreed on what was needed but was not then shared publicly.

Thailand is a mine field for laws. One I and others don’t want to touch if possible. The tax is irritating, but the legal structure and how it is implemented, to me, is just absolutely untenable and not something I want anything to do with.

If you do, fine, but do it knowing that you may be thrown in jail or who knows what punishment they decide internally and not share with us for doing it wrong, which changes like the wind.
Stephen ********
ORIGINAL POSTER
@Mateusz ******
The core issue is the DTV doesn’t lead to anything. It’s a bandaid, not a cure.
Michael ********
@Stephen *******
what are you referring to? No path to permanent residency?

Would have put me off a few years ago. With a new nomadic mindset, I don't care. Anyway: It's no good idea to buy property in Thailand as a farang. So if they really decide not to give me some similar or better visa after my DTV expires (which I doubt), I just pack my Macbook and spend my money in a country that is more appreciating.

It's entertaining you brought up Taiwan in this group, but it's not for me. Climate much colder than Thailand and takeover by China is just a matter of time. How much value does permanent residency in a country have that may no longer exist 5 years from now?
Stephen ********
ORIGINAL POSTER
Michael Sommer I am referring to the fact that the DTV does not lead to residency.
Curtis ******
@Mateusz ******
Because most aren't actually doing business IN Thailand, with other Thais. Their incomes are from outside Thailand in most cases and are already spending more inside Thailand than most local Thais. Most pay taxes back home, as well. Paying less in taxes is something everyone should strive to do. I left Thailand last year after 179 days and will never spend more than that per year there. Don't want the hassle, added expense, or immigration surprise in the future.

New year, now I can spend another 179 days there. :)