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[lost_in_samoa]

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[suzukig1]

Exempt.

Issues Concerning Expatriate Employees Under ACA
http://www.ciab.com/workarea/downloadasset.aspx?id=2102


The Patient Protection and Affordable Care Act.  see page 131

 INDIVIDUALS RESIDING OUTSIDE UNITED STATES OR RESIDENTS OF TERRITORIES.—Any applicable individual shall be
treated as having minimum essential coverage...
http://www.gpo.gov/fdsys/pkg/BILLS-111hr3590enr/pdf/BILLS-111hr3590enr.pdf


The PPACA  Penalty Provision and the Internal Revenue Service
http://www.coburn.senate.gov/public/index.cfm?a=Files.Serve&File_id=2ec1e180-afbf-4a48-ba12-8dea812ac30a

[Lee2]

Exempt.

Issues Concerning Expatriate Employees Under ACA
http://www.ciab.com/workarea/downloadasset.aspx?id=2102


The Patient Protection and Affordable Care Act.  see page 131

 INDIVIDUALS RESIDING OUTSIDE UNITED STATES OR RESIDENTS OF TERRITORIES.—Any applicable individual shall be
treated as having minimum essential coverage...
http://www.gpo.gov/fdsys/pkg/BILLS-111hr3590enr/pdf/BILLS-111hr3590enr.pdf


The PPACA  Penalty Provision and the Internal Revenue Service
http://www.coburn.senate.gov/public/index.cfm?a=Files.Serve&File_id=2ec1e180-afbf-4a48-ba12-8dea812ac30a

That is excellent information! The question I have is, what will constitute residing outside the US. Will those staying on a Balikbayan stamp or those on a tourist visa be considered residents? I think it would only be those staying on actual visas such as a 13a or a SRRV. Anyone know for sure?

[Art, just a re(tired) Fil-Am]

It seems like the mandate you are referring to involves those who are still working and doesn't mention those who are already retired collecting pensions and have coverage under their employer's medical group health plan. So, what would be the options for those in that situation who wants to opt out of their employer's medical health group plan if they can get health insurance elsewhere, which is almost slim to none here in the Philippines and there's no Medicare coverage here either?     

[Tally J]

It seems like the mandate you are referring to involves those who are still working and doesn't mention those who are already retired collecting pensions and have coverage under their employer's medical group health plan. So, what would be the options for those in that situation who wants to opt out of their employer's medical health group plan if they can get health insurance elsewhere, which is almost slim to none here in the Philippines and there's no Medicare coverage here either?     

Good question and one that I will want to know the answer to also as we are retiring in the PI later this year.  I will continue my current health insurance for awhile but it is very expensive and I am still 3 years away from Medicare (for whatever that is worth in the PI).  I surely do not want to be burdened with expensive coverage - really cuts into the SanMig budget...

Will need to dig into the requirements of this law further.

[Art, just a re(tired) Fil-Am]

The subject of having U.S. medical health insurance was sort of covered here a few months ago as to what your U.S. medical insurance will cover or which hospitals in the Philippines will accept your U.S. medical health insurance while residing here in the Philippines without having to pay 100% up front cash payments for medical services or which hospital will bill your U.S. medical health insurance company directly without spending a dime out of your pocket, which is slim to none here in the Philippines! That's why it's a good idea to have U.S. international credit cards with high credit limits from $25k to $50k and get reimbursed of any expensive medical costs after the fact when one has paid and been released from any Philippine hospital for whatever the reasons! It could make or break you without a high end U.S. credit card or immediate access to cash when needed!
As to this mandate issue BS! I don't know what it means or what penalties maybe involved if one has no U.S. medical insurance!
As for U.S. Medicare benefits in the Philippines, it doesn't exist, unless your U.S. medical health insurance will cover the cost that Medicare doesn't cover!         

[Gray Wolf]

It will make a difference to many of us from the US.  I think this is a topic that deserves further research. 

I just realized yesterday during our talks that they would automatically take out Medicare from my SS checks each month. A $100 difference would mean changing strategy for me, and I'm sure for some others.

Exempt.

Issues Concerning Expatriate Employees Under ACA
http://www.ciab.com/workarea/downloadasset.aspx?id=2102


The Patient Protection and Affordable Care Act.  see page 131

 INDIVIDUALS RESIDING OUTSIDE UNITED STATES OR RESIDENTS OF TERRITORIES.—Any applicable individual shall be
treated as having minimum essential coverage...
http://www.gpo.gov/fdsys/pkg/BILLS-111hr3590enr/pdf/BILLS-111hr3590enr.pdf


The PPACA  Penalty Provision and the Internal Revenue Service
http://www.coburn.senate.gov/public/index.cfm?a=Files.Serve&File_id=2ec1e180-afbf-4a48-ba12-8dea812ac30a

Thank You for posting this!  I remember digging into this before the Act was passed. 

Certainly, I would think the 13a covers this, as does the SRRV and other PRA programs.  Still, some questions remain.  Would those residing on the 9a visa and an ACR-I card qualify? 

[Art, just a re(tired) Fil-Am]

It will make a difference to many of us from the US.  I think this is a topic that deserves further research. 
I just realized yesterday during our talks that they would automatically take out Medicare from my SS checks each month. A $100 difference would mean changing strategy for me, and I'm sure for some others.

Medicare Part B is now at $104.90 and Part A is free for 2013. There goes my 2013 and 2014 COLAs! And the bad about it, U.S. Medicare can not be used overseas! Luckily our TRICARE Overseas will pick up the cost that U.S. Medicare doesn't, anyway that's what I read somewhere! 

https://www.medicare.gov/your-medicare-costs/part-b-costs/part-b-costs.html

[suzukig1]

Starting in 2014 for U.S. citizens if you don't have the "minimum essential coverage" you have to pay a penalty to the IRS.

My understanding is that U.S. citizens residing abroad (as described below) are considered to have the "minimum essential coverage" (even if they don't have any medical insurance).


The Patient Protection and Affordable Care Act.  see page 131

 INDIVIDUALS RESIDING OUTSIDE UNITED STATES OR RESIDENTS OF TERRITORIES.—Any applicable individual shall be
treated as having minimum essential coverage for any month—
‘‘(A) if such month occurs during any period described in subparagraph (A) or (B) of section 911(d)(1) which is applicable to the individual
http://www.gpo.gov/fdsys/pkg/BILLS-111hr3590enr/pdf/BILLS-111hr3590enr.pdf


US Code - Section 911: Citizens or residents of the United States living abroad
(d) Definitions and special rules
For purposes of this section -
(1) Qualified individual
The term "qualified individual" means an individual whose tax home is in a foreign country and who is -
(A) a citizen of the United States and establishes to the satisfaction of the Secretary that he has been a bona fide resident of a foreign country or countries for an uninterrupted period which includes an entire taxable year, or
(B) a citizen or resident of the United States and who, during any period of 12 consecutive months, is present in a foreign country or countries during at least 330 full days in such period.
http://codes.lp.findlaw.com/uscode/26/A/1/N/III/B/911

Basically what the above says is that you cannot be in the U.S. for more than 35 days during any 12 consecutive month period in order for the IRS to consider you as residing abroad for that 12 month period.  (This is the same rule to qualify for the Foreign Earned Income Exclusion.)

[Gray Wolf]

That could certainly impact those who live 6 months here and 6 months there
Just another thought for anyone considering a move.

Thanks bro!

[suzukig1]

That could certainly impact those who live 6 months here and 6 months there
Just another thought for anyone considering a move.

Thanks bro!

It's only a penalty for those who don't carry medical insurance.  I doubt that anyone would live in the U.S. for 6 months and not have medical insurance.