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Your Payments While You Are Outside The United States

SSA Publication No. 05-10137,  January 2006 (Recycle prior editions), ICN 480085 [View .pdfGet Accessible Adobe Acrobat Reader (En Español)
 

Contacting Social Security  

Our website is a valuable resource for information about all of Social Security’s programs. There are a number of things you can do online.

In addition to using our website, you can call us toll-free at 1-800-772-1213. We can answer specific questions from 7 a.m. to 7 p.m., Monday through Friday. We can provide information by automated phone service 24 hours a day. (You can use our automated response system to tell us a new address or request a replacement Medicare card.) If you are deaf or hard of hearing, you may call our TTY number, 1-800-325-0778.

We treat all calls confidentially. We also want to make sure you receive accurate and courteous service. That is why we have a second Social Security representative monitor some telephone calls.

If you are outside the United States, see the list of offices where you can get more information.

This publication is also printed in French, German, Greek, Italian and Spanish.

 

 

Contents

Introduction Skip contents list
When are you “outside the U.S.”?
What happens to your right to Social Security payments when you are outside the U.S.?
Additional residency requirements for dependents and survivors
Countries to which we cannot send payments
What you need to do to protect your right to benefits
Things that must be reported
How to report
If your check Is lost or stolen
Direct deposit In financial institutions
Taxes
What you need to know about Medicare
 

Introduction

This booklet explains how being outside the U.S. may affect your Social Security payments. It also tells you what you need to report to us so we can make sure you receive all the Social Security payments you are entitled to. For more information, see Things that must be reported and How to report.

 

When you are “outside the U.S.”?

When we say you are outside the U.S., we mean that you are not in one of the 50 states, the District of Columbia, Puerto Rico, the U.S. Virgin Islands, Guam, the Northern Mariana Islands or American Samoa. Once you have been out of the U.S. for at least 30 days in a row, you are considered to be outside the country until you return and stay in the U.S. for at least 30 days in a row. If you are not a U.S. citizen, you also may have to prove that you were lawfully present in the U.S. for that 30-day period. For more information, contact the nearest U.S. Embassy or consulate or Social Security office.

 

What happens to your right to Social Security payments when you are outside the U.S.?

If you are a U.S. citizen, you may receive your Social Security payments outside the U.S. as long as you are eligible for them.

However, there are certain countries to which we are not allowed to send payments.

If you are a citizen of one of the countries listed below, Social Security payments will keep coming no matter how long you stay outside the U.S., as long as you are eligible for the payments.

  • Austria
  • Belgium
  • Canada
  • Chile
  • Finland
  • France
  • Germany
  • Greece
  • Ireland
  • Israel
  • Italy
  • Japan
  • Korea (South)
  • Luxembourg
  • Netherlands
  • Norway
  • Portugal
  • Spain
  • Sweden
  • Switzerland
  • United Kingdom
(This list of countries is subject to change from time to time. For the latest information, please visit www.socialsecurity.gov/international/countrylist1.htm or contact your nearest U.S. Social Security office, U.S. Embassy or consulate.)

If you are a citizen of one of the countries listed below, you also may receive your payments as long as you are outside the U.S., unless you are receiving your payments as a dependent or survivor. In that case, there are additional requirements you have to meet.

  • Albania
  • Antigua and  Barbuda
  • Argentina
  • Bahamas
  • Barbados
  • Belize
  • Bolivia
  • Bosnia-Herzegovina
  • Brazil
  • Burkina Faso
  • Colombia
  • Costa Rica
  • Côte d’Ivoire
  • Croatia
  • Cyprus
  • Czech Republic
  • Denmark 
  • Dominica
  • Dominican Republic
  • Ecuador
  • El Salvador
  • Gabon
  • Grenada
  • Guatemala
  • Guyana
  • Hungary
  • Iceland
  • Jamaica
  • Jordan
  • Latvia
  • Liechtenstein
  • Lithuania
  • Macedonia
  • Malta
  • Marshall Islands
  • Mexico
  • Micronesia,  Fed. States of
  • Monaco
  • Nicaragua
  • Palau
  • Panama
  • Peru
  • Philippines
  • Poland
  • St. Kitts and Nevis
  • St. Lucia
  • Samoa (formerly  Western Samoa)
  • San Marino
  • Serbia and Montenegro
  • Slovakia
  • Slovenia
  • Trinidad-Tobago
  • Turkey
  • Uruguay
  • Venezuela
(This list of countries is subject to change from time to time. For the latest information, please visit www.socialsecurity.gov/international/countrylist2.htm or contact your nearest U.S. Social Security office, U.S. Embassy or consulate.)

If you are not a U.S. citizen or a citizen of one of the other countries listed above, your payments will stop after you have been outside the U.S. for six full calendar months unless you meet one of the following exceptions:

  • You were eligible for monthly Social Security benefits for December 1956; or
  • You are in the active military or naval service of the U.S.; or
  • The worker on whose record your benefits are based had railroad work which was treated as covered employment by the Social Security program; or
  • The worker on whose record your benefits are based died while in the U.S. military service or as a result of a service-connected disability and was not dishonorably discharged; or
  • You are a resident of a country with which the U.S. has a Social Security agreement. Currently, these countries are:
  • Australia
  • Austria
  • Belgium
  • Canada
  • Chile
  • Finland
  • France
  • Germany
  • Greece
  • Ireland
  • Italy
  • Japan
  • Korea (South)
  • Luxembourg
  • Netherlands
  • Norway
  • Portugal
  • Spain
  • Sweden
  • Switzerland
  • United Kingdom
(This list of countries is subject to change from time to time. For the latest information, please visit www.socialsecurity.gov/international/countrylist3.htm or contact your nearest U.S. Social Security office, U.S. Embassy or consulate.)
    However, the agreements with Austria, Belgium, Germany, Sweden and Switzerland permit you to receive benefits as a dependent or survivor of a worker while you reside in the foreign country only if the worker is a U.S. citizen or a citizen of your country of residence; or
  • You are a citizen of one of the countries listed below, and the worker on whose record your benefits are based lived in the U.S. for at least 10 years or earned at least 40 credits under the U.S. Social Security system. If you are receiving benefits as a dependent or survivor, see additional requirements.

  • Afghanistan
  • Australia
  • Bangladesh
  • Bhutan
  • Botswana
  • Burma
  • Burundi
  • Cameroon
  • Cape Verde
  • Central African Rep.
  • Chad
  • China
  • Congo, Rep. of
  • Ethiopia
  • Fiji
  • Gambia
  • Ghana
  • Haiti
  • Honduras
  • India
  • Indonesia
  • Kenya
  • Laos
  • Lebanon
  • Lesotho
  • Liberia
  • Madagascar
  • Malawi
  • Malaysia
  • Mali
  • Mauritania
  • Mauritius
  • Morocco
  • Nepal
  • Nigeria
  • Pakistan
  • St. Vincent & Grenadines
  • Senegal
  • Sierra Leone
  • Singapore
  • Solomon Islands
  • Somalia
  • South Africa
  • Sri Lanka
  • Sudan
  • Swaziland
  • Taiwan
  • Tanzania
  • Thailand
  • Togo
  • Tonga
  • Tunisia
  • Uganda
  • Yemen

(This list of countries is subject to change from time to time. For the latest information, please visit www.socialsecurity.gov/international/countrylist4.htm or contact your nearest U.S. Social Security office, U.S. Embassy or consulate.)

If you are not a citizen of one of the countries listed above, you cannot use this exception.

If you are not a U.S. citizen and none of these exceptions applies to you, your payments will stop after you have been outside the U.S. for six full months. Once this happens, your payments cannot be started again until you come back and stay in the U.S. for a whole calendar month. You have to be in the U.S. on the first minute of the first day of a month and stay through the last minute of the last day of that month. In addition, you may be required to prove that you have been lawfully present in the U.S. for the full calendar month. For more information, contact the nearest U.S. Embassy or consulate or Social Security office.

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Additional residency requirements for dependents and survivors

If you receive benefits as a dependent or survivor of the worker, special requirements may affect your right to receive Social Security payments while you are outside the U.S. If you are not a U.S. citizen, you must have lived in the U.S. for at least five years. During that five years, the family relationship on which benefits are based must have existed.

Children may meet this residency requirement on their own or may be considered to meet the residency requirement if it is met by the worker and other parent (if any). However, children adopted outside the U.S. will not be paid outside the U.S., even if the residency requirement is met.

The residency requirement will not apply to you if you meet any of the following conditions:

  • You were initially eligible for monthly benefits before January 1, 1985; or
  • You are entitled on the record of a worker who died while in the U.S. military service or as a result of a service-connected disease or injury; or
  • You are a citizen of one of the countries listed below; or
  • Austria
  • Belgium
  • Canada
  • Chile
  • Finland
  • France
  • Germany
  • Greece
  • Ireland
  • Israel
  • Italy
  • Japan
  • Korea (South)
  • Luxembourg
  • Netherlands
  • Norway
  • Portugal
  • Spain
  • Sweden
  • Switzerland
  • United Kingdom
(This list of countries is subject to change from time to time. For the latest information, please visit www.socialsecurity.gov/international/countrylist1.htm or contact your nearest U.S. Social Security office, U.S. Embassy or consulate.)
  • You are a resident of one of the countries with which the U.S. has a Social Security agreement. These countries are listed below
  • Australia
  • Austria
  • Belgium
  • Canada
  • Chile
  • Finland
  • France
  • Germany
  • Greece
  • Ireland
  • Italy
  • Japan
  • Korea (South)
  • Luxembourg
  • Netherlands
  • Norway
  • Portugal
  • Spain
  • Sweden
  • Switzerland
  • United Kingdom
(This list of countries is subject to change from time to time. For the latest information, please visit www.socialsecurity.gov/international/countrylist3.htm or contact your nearest U.S. Social Security office, U.S. Embassy or consulate.)
 

Countries to which we cannot send payments

U.S. Treasury Regulations

U.S. Treasury Department regulations prohibit sending payments to you if you are in Cuba or North Korea. If you are a U.S. citizen and are in Cuba or North Korea, you can receive all of your payments that were withheld once you leave that country and go to another country where we can send payments. Generally, if you are not a U.S. citizen, you cannot receive any payments for months in which you live in one of these countries, even though you leave that country and satisfy all other requirements.

Social Security restrictions

Social Security restrictions prohibit sending payments to individuals in Cambodia, Vietnam or areas that were in the former Soviet Union (other than Armenia, Estonia, Latvia, Lithuania and Russia). Generally, you cannot receive payments while you are in one of these countries, and we cannot send your payments to anyone for you. However, exceptions can be made for certain eligible beneficiaries in countries other than Cuba or North Korea.

To qualify for an exception, you must agree to the conditions of payment. One of the conditions is that you must appear in person at the U.S. Embassy each month to receive your benefits. Contact your nearest U. S. Social Security office or U.S. Embassy or consulate for additional information about these conditions and whether you might qualify for an exception.

If you do not qualify for payment under this procedure and you move from one of these countries to another country where we can send payments, you can receive all the benefits for which you were eligible except when you were in one of the countries listed in the section Social Security restrictions .

 

What you need to do to protect your right to benefits

If you are living outside the U.S., periodically we will send you a questionnaire. This lets us figure out if you still are eligible for benefits. Return the questionnaire to the office that sent it as soon as possible; if you do not, your payments will stop.

In addition to responding to the questionnaire, notify us promptly about changes that could affect your payments. If you fail to report something or deliberately make a false statement, you could be penalized by a fine or imprisonment. You also may lose some of your payments if you do not report changes promptly.

 

Things that must be reported

Listed below are things that must be reported. An explanation of each is is provided when you click on the subject.

 

How to report

You can report by contacting us in person, by mail or by telephone. If you live in the British Virgin Islands, Canada or Samoa, you can send your report to the nearest U.S. Social Security office. If you live in Mexico, you can send your report to the nearest U.S. Social Security office, Embassy or consulate. If you live in the Philippines, you can send your report to:

Veterans Affairs Regional Office
SSA Division
1131 Roxas Boulevard
Manila, Philippines

In all other countries, you can report to the nearest U.S. Embassy or consulate. Visit www.socialsecurity.gov/foreign for a complete list of these offices.

If you find it easiest to contact us by mail, send your report by airmail to the following address:

Social Security Administration
P.O. Box 17769
Baltimore, Maryland 21235-7769
USA

When you contact us, include all of the following information:

  • Name of person or persons about whom the report is being made;
  • What is being reported and the date it happened; and
  • The claim number that appears on the letters or other correspondence we send you. (This is a nine-digit number—000-00-0000—followed by a letter or a letter and a number.)

Change Of Address

Tell us if your address changes so your checks will not be lost or delayed. Even if your payments are being sent to a bank, report any change in your home address.

When you write to the U.S. Embassy or consulate or the Social Security Administration about a change of address, please type or print your new address carefully and be sure to include the country and ZIP or postal code. Also, be sure to list the names of all your family members who will be moving to the new address.

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Work Outside The U.S.

If you work or own a business outside the U.S. and are younger than full retirement age, notify the nearest U.S. Embassy or consulate or Social Security office right away. If you do not, it could result in a penalty that could cause the loss of benefits. This loss of benefits is in addition to benefits that may be withheld under one of the work tests explained on the following pages.

For people born in 1937 or earlier, full retirement age is 65. Beginning with people born in 1938, full retirement age increases gradually until it reaches age 67 for those born in 1960 or later.

Report your work even if the job is part-time or you are self-employed. Some examples of the types of work which should be reported are work as an apprentice, farmer, sales representative, tutor, writer, etc. If you own a business, notify us even if you do not work in the business or receive any income from it.

If a child beneficiary (regardless of age) begins an apprenticeship, notify the nearest U.S. Embassy or consulate or the Social Security Administration. An apprenticeship may be considered work under the Social Security program.

The following work tests may affect the amount of your monthly benefit payment. Work after full retirement age does not affect the payment of benefits.

The foreign work test

Benefits are withheld for each month a beneficiary younger than full retirement age works more than 45 hours outside the U.S. in employment or self-employment not subject to U.S. Social Security taxes. It does not matter how much was earned or how many hours were worked each day.

A person is considered to be working on any day he or she:

  • Works as an employee or self-employed person;
  • Has an agreement to work even if he or she does not actually work because of sickness, vacation, etc.; or
  • Is the owner or part owner of a trade or business even if he or she does not actually work in the trade or business or receive any income from it.

Generally, if a retired worker’s benefits are withheld because of his or her work, no benefits can be paid to anyone else receiving benefits on his or her record for those months. However, the work of others receiving benefits on the worker’s record affects only their own benefits.

The annual retirement test

Under certain conditions, work performed outside the U.S. by U.S. citizens or residents is covered by the U.S. Social Security program. If your work is covered by U.S. Social Security, the same annual retirement test that applies to people in the U.S. applies to you.

NOTE: Work by some U.S. citizens and residents outside the U.S. is exempt from U.S. Social Security as a result of international Social Security agreements the U.S. has concluded with the following countries:

  • Australia
  • Austria
  • Belgium
  • Canada
  • Chile
  • Finland
  • France
  • Germany
  • Greece
  • Ireland
  • Italy
  • Japan
  • Korea (South)
  • Luxembourg
  • Netherlands
  • Norway
  • Portugal
  • Spain
  • Sweden
  • Switzerland
  • United Kingdom
(This list of countries is subject to change from time to time. For the latest information, please visit www.socialsecurity.gov/international/countrylist5.htm or contact your nearest U.S. Social Security office, U.S. Embassy or consulate.)

If you are working in one of these countries and your earnings are exempt from U.S. Social Security taxes because of the agreement, your benefits will be subject to the foreign work test. For further information on how your benefits may be affected by an agreement, contact the nearest U.S. Embassy or consulate or Social Security office.

If your work is covered by the U.S. Social Security program, you can receive all benefits due you for the year if your earnings do not exceed the annual exempt amount. This limit changes each year. If you want to know the current limit, ask at any U.S. Embassy or consulate or Social Security office or write to us at the address shown under “How to report.”

If your earnings go over the limit, some or all of your benefits will be reduced by your earnings.

  • If you are younger than full retirement age, $1 in benefits will be withheld for each $2 in earnings above the limit.

  • In the year you reach full retirement age, your benefits will be reduced $1 for every $3 you earn over a different, higher limit until the month you reach full retirement age.

Count your earnings for the whole year in figuring the benefits due you. For most people, this means earnings from January through December.

People who reach full retirement age can receive all of their benefits with no limit on their earnings.

The year your benefits start
In figuring your total earnings for the year in which you first become entitled to benefits, count earnings in that year for months both before and after you became entitled.

The year you reach age 18
Your benefits as a child stop at age 18 unless you are a full-time student in an elementary or secondary school or you are disabled. Your earnings for the entire year in which you reach age 18 count in figuring the amount of benefits due you for the year regardless of whether your payments continue or stop at age 18.

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If you return to work or your disability improves

If you receive payments because you are disabled, let us know right away if your condition improves or you go back to work. You can keep receiving payments for up to nine months while you are working. This nine-month period is called a “trial work period.” The trial work period gives you a chance to test whether you are able to work without worrying about having your payments stopped. If, after nine months, you are able to continue working, you will get payments for three more months before they stop. If you are not able to keep working, you will continue to receive disability benefits.

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Marriage

Let us know if anyone receiving benefits gets married. In some cases, Social Security payments stop after marriage. In other cases, the amount of the payments changes. This depends on the kind of benefits received and, sometimes, on whether the person you marry gets payments.

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Divorce or annulment

Notify us if your marriage is annulled or you get a divorce. Divorce or annulment does not necessarily mean that your Social Security payments will stop. If you are receiving payments based on your own work record, divorce or annulment of your marriage will not affect your payments. Also, if you are a spouse age 62 or older and you were married to the worker for 10 years or more, your payments will continue even if you divorce. Contact us if your name has changed so that we can show your new name on your payments.

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Adoption of a child

When a child is adopted, let us know the child’s new name, the date of the adoption decree and the adopting parent’s name and address.

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Child leaves the care of a wife, husband, widow or widower

If you are a wife, husband, widow or widower receiving benefits because you are caring for a child who is under age 16 or who was disabled before age 22, notify us right away if the child leaves your care. If you do not, it could result in a penalty which would cause an additional loss of benefits.

A temporary separation may not affect your benefits as long as you still have parental control over the child. Tell us if there is any change in where you or the child lives, or if you no longer have responsibility for the child. If the child returns to your care, you should tell us that also.

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Child nearing age 18 is a full-time student or is disabled

Payments to a child will stop when the child reaches age 18 unless he or she is unmarried and either disabled or a full-time student at an elementary or secondary school.

If a child age 18 or over is receiving payments as a student, notify us immediately if the student:

  • Drops out of school;
  • Changes schools;
  • Changes from full-time to part-time attendance;
  • Is expelled or suspended;
  • Is paid by his or her employer for attending school;
  • Marries; or
  • Begins working.

If a child whose payments were stopped at age 18 becomes disabled before age 22 or is unmarried and enters elementary or secondary school on a full-time basis before age 19, notify us so we can resume sending payments to the child. Also, a disabled child who recovers from a disability can have payments started again if he or she becomes disabled again within seven years.

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Death

If a person who receives Social Security benefits dies, a benefit is not payable for the month of death. For example, if a beneficiary died any time in June, the payment dated July 3 (which is payment for June) should be returned to the sender.

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Inability to manage funds

Some people who receive Social Security payments cannot manage their own funds. The person who takes care of the beneficiary should let us know. We can arrange to send the payments to a relative or other person who can act on behalf of the beneficiary. We call this person a “representative payee.”

[Back to "Things That Must Be Reported"]


Deportation or removal from the U.S.

If you are deported or removed from the U.S. for certain reasons, your Social Security benefits are stopped and cannot be started again unless you are lawfully admitted to the U.S. for permanent residence.

Even if you are deported or removed, your dependents can receive benefits if they are U.S. citizens; or, if not U.S. citizens, they can still receive benefits if they stay in the U.S. for the entire month. But they cannot receive benefits for any month if they spend any part of it outside the U.S.

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Changes in parental circumstances

Payments to a child who is not a U.S. citizen could stop or start when certain changes occur. Let us know when the child’s natural, adoptive or stepparent dies, marries or gets a divorce (or annulment), even if that person does not receive Social Security payments.

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Eligibility for a pension from work not covered by Social Security

Your U.S. Social Security benefit may be smaller if you become entitled to a U.S. Social Security retirement or disability benefit and start to receive another monthly pension, such as a foreign social security or private pension, based in whole or in part on work not covered by U.S. Social Security. A different formula may be used to­figure your U.S. Social Security benefit. For more information, ask at any U.S. Embassy or consulate or Social Security office for Windfall Elimination Provision (Publication No. 05-10045).

 

If your check is lost or stolen

It usually takes longer to deliver checks outside the U.S. Delivery time varies from country to country and your check may not arrive the same day each month. If you do not receive your check after a reasonable waiting period, or if it is lost or stolen, contact the nearest U.S. Embassy or consulate or write directly to the Social Security Administration. Our address:

Social Security Administration
P.O. Box 17769
Baltimore, Maryland 21235--7769
USA

We will replace your check as soon as possible. But please make every effort to keep your check safe, because it will take some time to replace a check while you are outside the country.

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Direct deposit in financial institutions

You may want your Social Security payment to be directly deposited into your account at either a financial institution in the country where you live or a U.S. financial institution. Even if you use the direct deposit service, you must keep us informed of any change in your current residence address.

Direct deposit has several advantages. You never have to worry about your check being delayed in the mail, lost or stolen. With direct deposit you receive your payment much faster than if you are paid by check (usually one to three weeks faster than check deliveries). You also avoid check cashing and currency conversion fees. Some countries where direct deposit payments are available include:

  • Anguilla
  • Antigua & Barbuda
  • Australia
  • Austria
  • Bahama Islands
  • Barbados
  • Belgium
  • British Virgin Islands
  • Canada
  • Cayman Islands
  • Cyprus
  • Denmark
  • Dominican Republic
  • Finland
  • France
  • Germany
  • Greece
  • Grenada
  • Haiti
  • Hong Kong
  • Hungary
  • Ireland
  • Israel
  • Italy
  • Jamaica
  • Japan
  • Malta
  • Mexico
  • Netherlands
  • Netherlands  Antilles  
  • New Zealand
  • Norway
  • Panama
  • Poland
  • Portugal
  • St. Kitts & Nevis
  • St. Lucia
  • St. Vincent & the Grenadines
  • South Africa
  • Spain
  • Sweden
  • Switzerland
  • Trinidad & Tobago
  • United Kingdom
(This list of countries is subject to change from time to time. For the latest information, please visit www.socialsecurity.gov/international/countrylist6.htm or contact your nearest U.S. Social Security office, U.S. Embassy or consulate.)

To determine if direct deposit or other forms of electronic payment are available in the country where you live—or to sign up for direct deposit—contact the nearest U.S. Embassy or consulate or U.S. Social Security office, or write to the Social Security Administration, P.O. Box 17769, Baltimore, Maryland 21235-7769, USA.

 

Taxes

If you are a U.S. citizen or U.S. resident, up to 85 percent of the Social Security benefits you receive may be subject to the federal income tax.

If you file a federal income tax return as an “individual” and your combined income is $25,000 to $34,000, you may have to pay taxes on up to 50 percent of your Social Security benefits. “Combined income” means your adjusted gross income plus nontaxable interest plus one-half of your Social Security benefits. If your combined income is over $34,000, you may have to pay taxes on up to 85 percent of your Social Security benefits.

If you file a joint tax return, you may have to pay taxes on up to 50 percent of your Social Security benefits if you and your spouse have a combined income of $32,000 to $44,000. If your combined income is over $44,000, you may have to pay taxes on up to 85 percent of your Social Security benefits.

If you are a member of a couple and file a separate return, you probably will pay taxes on your benefits.

If you are not a U.S. citizen or a U.S. resident, federal income taxes will be withheld from your benefits. The tax is 30 percent of 85 percent of your benefit amount.

It will be withheld from the benefits of all nonresident aliens, except those who reside in countries which have tax treaties with the U.S. that do not permit taxing of U.S. Social Security benefits (or provide for a lower tax rate). The U.S. has such treaties with Canada, Egypt, Germany, Ireland, Israel, Italy, Japan, Romania, Switzerland and the United Kingdom (defined as England, Scotland, Wales and Northern Ireland). Under the tax treaty with Switzerland, benefits paid to residents of Switzerland who are not U.S. citizens, are taxed at a rate of 15 percent. In addition, the Social Security benefits paid to individuals who are citizens and residents of India are exempt from this tax to the extent that their benefits are based on federal, state or local government employment. (This list of countries may change from time to time.)

After the end of the year, you will receive a statement showing the amount of benefits you were paid during the year.

Many foreign governments do tax U.S. Social Security benefits. U.S. residents planning to live in another country should contact that country’s embassy in Washington, D.C., for information.

Social Security benefits are calculated in U.S. dollars. The benefits are not increased or decreased because of changes in international exchange rates.

 

What you need to know about Medicare

Medicare is a health insurance program for eligible people who are age 65 or older or disabled. Medicare protection consists of two basic parts: hospital insurance and ­medical insurance. The hospital insurance part of Medicare pays hospital bills and certain follow-up care after you leave the hospital. Medical insurance helps pay doctor bills and other medical services.

Medicare generally does not cover health services you get outside the U.S. The hospital insurance part of Medicare is available to you if you return to the U.S. No monthly premium is withheld from your benefit payment for this protection.

If you want the medical insurance part of Medicare, you must enroll and there is a monthly premium that normally will be withheld from your payment.

Since Medicare benefits are available only in the U.S., it may not be to your advantage to sign up and pay the premium for medical insurance if you will be out of the U.S. for a long period of time. But you should be aware that your premium, when you do sign up, will be 10 percent higher for each 12-month period you could have been enrolled but were not.

If you already are covered by medical insurance and wish to cancel it, notify us. Medical insurance—and premiums—will continue for one more month after the month you notify us that you wish to cancel it.

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