I still remember the day my buddy Mike called me from his new apartment in Portugal.
Mike lost his left leg in Afghanistan, and stateside life had become a perfect storm of financial strain, healthcare frustrations, and a growing sense of isolation.
“Man, I should have done this years ago,” he told me, the sound of ocean waves crashing in the background.
“My disability check stretches twice as far here, people don’t stare at my prosthetic, and I just had a doctor spend a full hour with me yesterday.”
Since that call, I have helped dozens of disabled veterans explore international options that might improve their quality of life.
Some were seeking better healthcare access, others more affordable living costs, and many simply wanted a fresh start in a place where their disability didn’t define them.
As a veteran myself who has lived in six countries over the past decade, I have seen firsthand how dramatically different life can be for those with disabilities depending on where they call home.
Let me share what I have learned about the best countries for disabled veterans looking for a change.
In this article...
Why Some Veterans Choose to Move Abroad
Before diving into specific countries, let us talk about why leaving the US works out well for some veterans with disabilities.
Cost of Living Realities
VA disability compensation, retirement pay, and SSDI benefits generally follow you overseas. When these fixed income streams land in countries with lower living costs, your financial picture can transform overnight.
My friend Jason receives $3,200 monthly in combined VA disability and retirement. In Phoenix, he was barely covering basics. In Medellín, Colombia, he lives in a doorman building with a mountain view, eats out several times weekly, and still saves money each month.
“I went from financial stress to actual financial security without a single change in my income,” he told me over local coffee that cost less than a dollar.
Healthcare Beyond the VA System
The frustrations with VA healthcare drive many veterans to consider alternatives. Wait times, bureaucracy, and inconsistent care quality push some to seek options elsewhere.
Surprisingly, many countries offer healthcare that veterans find superior to what they experienced at home, often at a fraction of the cost.
Jim, a Vietnam era veteran with Parkinson’s, moved to Thailand after spending $28,000 out of pocket on care his VA facility couldn’t provide in a timely manner. His neurologist in Bangkok trained at Johns Hopkins, speaks perfect English, and charges $60 for an unhurried appointment.
“People think I am crazy for leaving American healthcare behind,” Jim said. “They have no idea what’s available elsewhere at what price.”
Accessibility Variations That Make Daily Life Easier
Not all disability friendly infrastructure is created equal. Some countries that you might not expect excel at accessibility in ways the US still struggles with.
My wheelchair using friend Derek found that despite stereotypes about ancient European cities, parts of Spain and Portugal are more navigable for him than his hometown in California. Newer developments in these countries were built with accessibility in mind, and historic areas have often been thoughtfully retrofitted.
“In Valencia, I can wheel myself from my apartment to the beach on smooth paths. Try doing that in most American cities,” he told me.
Best Countries for Disabled Veterans: Where I Would Go
Based on extensive research and firsthand experiences from the veteran community, these countries consistently offer exceptional quality of life for those with disabilities.
Portugal: The European Sweet Spot
Portugal has become something of a promised land for American retirees, including many disabled veterans I know. The combination of affordability (by European standards), excellent healthcare, and a welcoming attitude toward foreigners creates a compelling package.
Why it works:
- D7 visa accessibility for those with steady income like VA benefits
- Public healthcare system that costs about €20/month for residents
- Mild climate ideal for many disability related pain conditions
- Newer developments in coastal areas with excellent accessibility
- English widely spoken in major expat areas
- Strong veteran expat community already established
- Non-Habitual Resident tax program that can benefit some veterans
When I visited Mark, a former Marine with a traumatic brain injury, at his home near Cascais, he highlighted the peace of mind that came with Portugal’s healthcare system. “I paid €400 out of pocket for an MRI that would have cost me $2,800 with my high deductible insurance back home. And I got the results the same day.”
For veterans with mobility issues, the coastal areas of the Algarve and newer parts of Lisbon offer reasonable accessibility. Historic areas present more challenges, but the government has made substantial efforts to improve access to major sites.
Cost factor: A comfortable life is possible on $2,500-3,500 monthly, making it accessible for many veterans receiving disability compensation.
Thailand: Affordable Excellence in Healthcare
Thailand might not be the first country that comes to mind for disabled veterans, but it has become a haven for those seeking quality healthcare at astonishing prices.
Why it works:
- World class medical care at a fraction of US costs
- Long stay retirement visas accessible for veterans 50+
- Strong dollar creating significant purchasing power
- Affordable assistance for those needing daily help
- International standard hospitals with English speaking staff
- Growing veteran community particularly around Hua Hin and Chiang Mai
- Warm climate beneficial for certain mobility issues
I spent three months in Thailand visiting veteran expatriate communities. What struck me most was how many had originally come for medical or dental tourism and ended up staying permanently after experiencing the quality of care.
Robert, a Vietnam veteran with service connected diabetes and heart conditions, pays roughly $3,000 annually for comprehensive private insurance that covers everything. “The care I receive here would cost me $20,000+ out of pocket annually back home, even with my VA benefits,” he explained while showing me his custom built accessible home that cost less than $100,000 to construct.
For veterans requiring regular assistance, Thailand offers another significant advantage: affordable in home care. Full time home help costs $500-700 monthly, making it possible for veterans with significant disabilities to maintain independence and dignity.
Cost factor: Comfortable living is possible on $1,800-2,500 monthly in most areas outside Bangkok.
Panama: The Veteran Friendly Gateway to Latin America
Panama has deliberately positioned itself as welcoming to foreign retirees, with specific visa programs and benefits that work well for disabled veterans.
Why it works:
- Pensionado visa program with minimal income requirements ($1,000/month)
- Significant discounts on healthcare, transportation, and services
- Use of US dollar eliminating currency exchange complications
- VA foreign medical program approved facilities present
- Direct flights to major US cities for VA healthcare visits
- Tax advantages for foreign income
- Growing veteran community especially in Coronado and Boquete
Tom, a disabled Army veteran I met in Boquete, highlighted the combination of affordability and familiarity that makes Panama work for many veterans. “It’s foreign enough to be interesting but familiar enough to be comfortable. And my disability check goes twice as far here.”
Panama’s healthcare system offers good value, with private insurance costing $100-200 monthly for most veterans in their 50s and 60s. Many doctors are US trained and speak English, particularly in Panama City.
The country also offers excellent banking services, making it easy to receive VA benefits and manage finances. The stable government and use of the US dollar add layers of security that many veterans find reassuring when moving abroad.
Cost factor: Comfortable living is possible on $2,000-2,800 monthly, with higher costs in Panama City and lower costs in interior regions.
Mexico: Proximity and Practicality
Mexico’s combination of closeness to the US, established expatriate infrastructure, and affordable healthcare makes it a practical choice for many disabled veterans.
Why it works:
- Geographic proximity allowing easier returns for VA appointments
- Temporary and permanent resident visas accessible with modest income requirements
- Excellent private healthcare at 30-40% of US costs
- Growing accessibility in tourist and expatriate centers
- Large veteran communities especially in Lake Chapala and Puerto Vallarta
- Familiar culture and food easing the transition
- Strong rental markets making housing accessible
My friend Carlos, a Marine veteran with a spinal cord injury, chose Puerto Vallarta specifically because it allowed him to live independently while remaining close enough to San Diego for his specialized VA care.
“I can fly back for my quarterly VA appointments, but live where my daily quality of life is better,” he explained. “And if I need care between appointments, I can see excellent doctors here for a fraction of what I would pay out of pocket at home.”
Mexico’s large expatriate communities also provide built in support networks that many veterans find valuable. In areas like Lake Chapala, volunteer organizations specifically serving expatriate veterans have emerged, offering everything from translation assistance at medical appointments to social events.
Cost factor: Comfortable living is possible on $1,800-2,800 monthly depending on location, with higher costs in tourist areas and lower costs in interior cities.
Malaysia: Asia’s Accessible Secret
Malaysia rarely tops lists for expatriate destinations, but it offers a unique combination of advantages that work particularly well for disabled veterans.
Why it works:
- Malaysia My Second Home (MM2H) visa available with reasonable income requirements
- British influenced healthcare system with excellent English communication
- World class medical care at roughly 30% of US costs
- Developed infrastructure with reasonable accessibility in major cities
- Cultural diversity creating welcoming environment for foreigners
- Strong legal system providing security and stability
- Modern banking making benefit receipt straightforward
I spent six months in Penang exploring the expatriate lifestyle there. The prevalence of English makes daily life much simpler than in many Asian countries, while the healthcare system rivals Thailand’s quality at similar price points.
Thomas, an Air Force veteran with service connected heart conditions, moved to Malaysia after comparing healthcare options across Southeast Asia. “In Penang, I can see a cardiac specialist trained at the Mayo Clinic for $60. My medications cost about 30% what they did in the US. And I don’t need a car because ride shares cost next to nothing.”
For veterans with mobility issues, newer areas of Kuala Lumpur and Penang offer reasonable accessibility, while the country’s excellent public and private transportation reduces the need to drive.
Cost factor: Comfortable living is possible on $2,000-2,800 monthly, with Kuala Lumpur being more expensive than secondary cities like Penang or Ipoh.
Country | Cost of Living (Monthly) | Healthcare Quality | Accessibility | Visa Ease for Veterans | VA Benefit Compatibility |
---|---|---|---|---|---|
Portugal | $2,500-3,500 | Excellent | Good/Improving | Good (D7 visa) | Excellent |
Thailand | $1,800-2,500 | Excellent | Fair/Varied | Good (Retirement visa) | Very Good |
Panama | $2,000-2,800 | Very Good | Good in newer areas | Excellent (Pensionado) | Excellent |
Mexico | $1,800-2,800 | Very Good | Varied | Very Good | Excellent |
Malaysia | $2,000-2,800 | Excellent | Good in urban areas | Good (MM2H) | Very Good |
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Healthcare Access: What Veterans Need to Know
Healthcare concerns top the list for most disabled veterans considering a move abroad. Here’s what you need to understand about your options.
VA Benefits Abroad: The Foreign Medical Program Reality
The VA Foreign Medical Program (FMP) covers service connected conditions for veterans living abroad. However, there are important limitations:
- You typically pay out of pocket first, then submit for reimbursement
- Processing can take 30-45 days (sometimes longer)
- Only service connected conditions are covered
- Not all treatments available in foreign countries are approved
Brian, an Iraq veteran living in Costa Rica, maintains a balanced approach: “I use the FMP for my service connected orthopedic issues, but I also carry local private insurance for everything else. The combination works better than either system alone.”
For most veterans abroad, a hybrid approach works best:
- Use the FMP for service connected conditions where feasible
- Purchase local private insurance for comprehensive coverage
- Maintain care relationships with VA providers in the US for specialized needs
💡 Tip: Before moving, request a Benefits Verification Letter from the VA and ask your primary VA doctor to provide a detailed letter outlining your service connected conditions and treatments. These documents prove invaluable when dealing with the FMP from abroad.
International Health Insurance Considerations
Most veterans I know who live abroad successfully maintain some form of international health insurance. The options typically include:
- Local private insurance in your new country (usually most affordable)
- Regional international insurance covering a specific area (good middle option)
- Global international coverage (most expensive but most comprehensive)
My friend Mark pays $178 monthly for comprehensive private insurance in Portugal as a 58-year-old with several pre-existing conditions. Similar coverage would cost him over $800 monthly in the US.
For those splitting time between countries or traveling regularly, international health insurance becomes even more important. You can compare international health insurance options designed for expatriates here.
💡 Tip: Many countries require proof of health insurance for residency visas. International policies that provide letters specifically confirming coverage requirements for immigration purposes are worth the slightly higher premiums.
Medication Access Variations
Medication availability varies dramatically by country, creating both opportunities and challenges:
- Many prescription medications are available over the counter abroad
- Some US medications may not be available under the same names
- Costs are typically significantly lower
- Controlled substances face more restrictions internationally
Before moving, research your specific medications. I recommend:
- Learning both brand and generic names of your medications
- Researching availability in your target country
- Identifying therapeutic equivalents if exact medications aren’t available
- Discussing a transition plan with your doctor
Jason, who manages PTSD with several medications, worked with his VA psychiatrist for six months before moving to Portugal, developing a plan for equivalent medications available in Europe.
Practical Considerations for Disabled Veterans Abroad
Beyond healthcare and finances, several practical factors significantly impact quality of life for disabled veterans in a new country.
Accessibility Realities Across Regions
Accessibility standards vary dramatically not just between countries but within them. Some insights from veterans living abroad:
Europe:
- Newer developments often have excellent accessibility
- Historic centers present more challenges but major tourist sites usually have accommodations
- Public transportation accessibility varies dramatically by city
- Southern Europe generally has more challenging infrastructure than Northern Europe
Latin America:
- Major disparities between wealthy and standard areas
- Resort and expatriate areas often have better accessibility
- Rideshare services help overcome public transportation limitations
- Affordable help compensates for infrastructure challenges
Southeast Asia:
- Modern malls and newer developments typically have good accessibility
- Urban areas present sidewalk and crossing challenges
- Very affordable personal assistance offsets infrastructure limitations
- Transportation accessibility varies dramatically by city
Derek, who uses a wheelchair, found an unexpected solution in Mexico: “What Mexico lacks in curb cuts, it makes up for in helpful people and affordable transportation. I can hire a driver for the day for less than I’d spend on a single taxi ride in the States.”
Community and Support Networks
Isolation can be a significant risk for veterans abroad. Successful expatriates typically find community through:
- Veteran specific organizations (American Legion posts exist in many countries)
- Expatriate groups on Facebook and other platforms
- Volunteer opportunities
- Language exchange meetups
- Activity based groups aligned with interests
I was surprised to find American Legion posts in unexpected places, including Thailand, Philippines, and throughout Europe. These can provide instant community with others who understand military service and its challenges.
Jim, a Vietnam veteran in Thailand, noted: “The Legion post here became my first social circle. From there, I branched out into local volunteering, which connected me with both expatriates and Thais. Now I have a richer social life than I ever had back home.”
Technology and Connectivity for VA Services
Maintaining connection with VA services requires reliable technology. Key considerations include:
- Internet reliability for telehealth appointments
- Time zone differences for scheduling VA calls
- VPN access for using some VA online services
- Digital banking for receiving benefits
Most veterans I know maintain a US based VPN service to access geographically restricted VA online services and a US virtual mailing address service like Earth Class Mail for receiving VA correspondence.
💡 Tip: Test VA telehealth services from your target country using a VPN before making permanent moves. Some countries have restrictions that can complicate connections.
Finding Your Best Fit: Questions to Consider
After helping dozens of veterans explore international options, I’ve found these questions help identify the best personal match:
- What’s your primary motivation for moving? Healthcare access, cost of living, change of scenery, or something else?
- What disabilities most impact your daily life, and how might different environments affect them? Climate considerations are particularly important.
- What level of healthcare do you need access to? Consider both routine and specialized care needs.
- What’s your realistic budget based on disability compensation, retirement, and other income sources?
- How important is proximity to the US for family, friends, and VA services?
- What languages do you speak or are willing to learn?
- What environments support your mental health and wellbeing?
- How will you build community and avoid isolation?
- What accessibility features are non negotiable for your specific situation?
- Are you seeking a permanent move or a part year arrangement?
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Testing the Waters: My Recommended Approach
Most successful veteran expatriates I know used a gradual approach to finding their international home:
1. Extended Reconnaissance Visits
Spend 1-3 months in top contender locations before making decisions. Jim visited three countries before choosing Thailand, renting Airbnbs in each to experience daily life beyond tourist areas.
2. Connect with Veterans Already There
Most locations popular with veterans have Facebook groups or forums. My friend Carlos attended a weekly veterans coffee meetup in Puerto Vallarta that provided invaluable local knowledge before his move.
3. Test Healthcare Systems Firsthand
Schedule non urgent medical appointments during exploratory visits. Mark deliberately arranged dental care and a physical in Portugal to experience the system before committing to his move.
4. Start with Temporary Residency
Most countries offer temporary visas before permanent options. This creates a lower risk trial period. Thomas spent his first year in Malaysia on a renewable social visit pass before applying for the MM2H program.
5. Maintain a US Base Initially
Many veterans keep a minimal US presence during their first year abroad. Options include:
- Staying with family during US visits
- Maintaining a small storage unit with essential items
- Keeping a US address through family or virtual mail services
- Maintaining a US bank account and credit card
This safety net provides peace of mind during the transition period.
The Real Talk: Challenges Veterans Should Prepare For
I would be doing you a disservice if I didn’t address the very real challenges that come with international moves. Veterans I’ve worked with have faced:
Cultural Adjustment Periods
Even in welcoming countries, cultural differences create adjustment stress. Veterans with PTSD or anxiety may find this period particularly challenging.
Mike, normally extroverted, described his first two months in Portugal as surprisingly difficult: “Everything was different, from how to buy groceries to banking. It got much better once I developed routines, but those first weeks were tougher than I expected.”
Distance from Support Systems
Being thousands of miles from family, friends, and familiar VA providers creates emotional challenges. Veterans with strong support needs should consider:
- Regular video calls with stateside support networks
- Scheduling US visits during significant family events
- Finding local mental health support, even if private pay
- Building new support networks deliberately, not passively
Administrative Hurdles
The paperwork associated with international moves can be frustrating for anyone, but especially for veterans with cognitive or organizational challenges from TBI or PTSD.
Most successful expatriate veterans I know have:
- Worked with immigration specialists in their target country
- Created detailed checklists and calendars for required tasks
- Built relationships with veterans already in-country who can advise
- Practiced extreme patience with bureaucratic processes
💡 Tip: Budget for professional help with visa applications, tax compliance, and other complex paperwork. The peace of mind is worth the expense.
Is Moving Abroad Right for You?
After all my research and personal experience, I believe international living offers tremendous potential benefits for many disabled veterans. However, it’s certainly not for everyone.
Moving abroad tends to work best for veterans who:
- Are adaptable and resilient when facing challenges
- Have disabilities that are relatively stable and understood
- Possess some spirit of adventure despite limitations
- Can afford minimal financial cushioning beyond fixed benefits
- Are comfortable self advocating in new environments
The veterans I’ve seen thrive internationally share a common trait: they view their disabilities as conditions to be managed, not identities that define them. The change of environment often supports this perspective.
As my friend Mark told me from his Portuguese balcony overlooking the Atlantic: “Here, I’m just an American guy who walks with a cane. Back home, I was a disabled vet first and everything else second. That shift in perception alone made the move worthwhile.”
If you’re considering your own international journey, start with research, then small exploratory trips. Connect with veterans already living abroad through social media groups. And make sure you have proper health coverage throughout the exploration process. You can compare international health insurance options specifically designed for expats here.
The world offers beautiful, accessible, affordable places where your benefits may stretch further and your quality of life might significantly improve. With careful planning and realistic expectations, many veterans find that their best life awaits beyond borders.
Have you lived abroad as a disabled veteran or are you considering it? I’d love to hear about your experiences in the comments below. Your journey might inspire others to explore their own possibilities.
Safe and accessible travels,
Mani
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