I hear Costa Rica has nice American style communities. I also hear your social security and pension would go much further. Would you be able to retain Medicare and return for more critical matters? Obviously if you can afford to plan for this you would not be a Medicaid candidate. Would love to hear first hand experience.
For UR or SP, it looks like about 40-55K yr and that includes buying into a national or hospital health care system which do everything that a US hospital does but for about 70% less. Both countries view SS as income that is acceptable for granting a residency visa (all the countries seem to be tightening up on doing this as they just will not take in any that cannot support their living in their county). You have to be able to show guaranteed income to get your residency card. If you want to be a dual, then you need to have enough funds to do a passport buy-in if the country has this type of program. If your serious about this, becoming a dual is the way to go imho. A lot of folks in Costa Rica did that back the past couple of decades as it was cheap to do and that is why the huge ex-pat community there now (lots of US and also lots of Colombian's). Panama has a dual buy-in. For me what is happening in Panama is just too high-rise dense development which is not what we want. There is a magazine, International Living, that covers moving out of US, although they seem pimp Ecuador & Panama a lot so keep that in mind.
I think the big issue is what the end plan is:
- moving and NOT planning on ever returning to the US. You need to have a US address that is stable for all your US mail to go to and that will DHL or FedEX your mail to you. If you have family who can do this, then great. Otherwise you need to have an attorney who does this for you or a service who does this forever for you. You want to have this well established in advance too.
- go back & forth so you keep a home in the US. You have to look into the costs to see if this is really feasible. You may have to downsize (sell the house, get a small condo or apt) to make this work.
- you want to well in advance do banking with a group that has a presence in the country you move to. Citibank, BoA, HSBC are in a lot of countries besides the US. Get your credit cards changed to chip&pin too.
About the taxation ?, it depends on the country whether your retirement is viewed as taxable income by the host country. Most view SS as non-taxable. Also countries do not want you working either, retiring and spending is ok, but working is not allowed. If you have enough $$ to come in an start a biz that employs that is OK but going an working under the table like teaching English can be a serious problem if found out as you signed off on your residency card that would not happen. Good luck, it's good to be adventurous in retirement.
One thing I learned from living there was never to invest any more money then you could afford to loose.
I found it to be of great wisdom. This is my experience.