In telling of my experience, others will learn some valuable information. Unfortunately, this information will not help some of the audience here.
I have a US passport, 68 yo, United Healthcare Medicare Advantage plan, no Thailand Health Insurance, Non-O marriage visa, live in Ratchaburi for 6 months each year.
Starting in mid-December I contracted a medical condition that sent me to the ER 5 times. 3 visits to Bangkok Hospital Ratchaburi, 1 visit to Ratchaburi Hospital and 1 visit to Bamrumgrad Hospital.
All of the claims that I submitted electronically to my US health insurance were paid. Some were reimbursed 100% and others around 80%.
Most US Medicare Advantage plans will reimburse you if you are overseas, except Puerto Rico and a few other exceptions. Care on a cruise ship is covered the same way. You are not covered if you are outside the US for longer than 6 months in that year.
I researched this in July 2024 and used it in December 2024 and January 2025.
TLDR : Answer Summary
The author shares their experience using a US Medicare Advantage plan while living in Thailand on a Non-O marriage visa. They provide details about multiple ER visits and hospital claims in Thailand, noting that while some reimbursements were full, others were partial. The conversation highlights concerns about coverage limitations for US citizens abroad, with several comments discussing various aspects of health insurance for expats, including the potential risks of exceeding the allowed time outside the US and the quality of care in Thai hospitals.
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