CA Residency Guidelines FTB # 1031
CA Residency Guidelines FTB # 1031
When you can change plans – based on moving – Publication 11219
Evidence - Residency
MAPD Enrollment Rules
Must Reside in the Service Area
Must Reside in the Service Area
Medicare Payments When you are out of Country
Social Security Outside USA
Travel Insurance
Travel Medical Insurance
Medicare Coverage Outside USA
Medicare – Coverage Outside USA
Blue Cross FULL PPO MAPD Policy
Specimen Evidence of Coverage
Blue Shield under 65 residency verification
Blue Shield under 65 residency verification

What are the Legal Residency Requirements to Qualify for Medicare, Medicare Advantage Plan or Medi Gap – SupplementalPart D Rx and ObamaCare?

You are eligible to enroll in an Medicare Advantage plan if you permanently reside in the service area (where the plan has doctors and hospitals signed up)  of the plan.  Vacations or temporary moves do not count. (CMS 20.3) Blue Cross PPO Full Policy CMS allows each State to determine the rules for residency in their state. 

CA Residency Guidelines Publication 1031  pdf  

Covered CA rules

Medicare Advantage Plans or Supplement may cancel you when you move out of their service area for more than six months. (Freedom Blue EOC)  Check out the rules to keep your current coverage for up to one year. §20.3

When you move within a state, state to state or return to USA, you are entitled to a SEP  (Special Enrollment Period) where you  may choose another  Medi Gap or Advantage plan, with NO MEDICAL QUESTIONS. 50.2.1  Enrollment Periods Publication # 11219 Page 7  Email us or navigate this website with your specific questions & proposals if moving to or from CA (Other 49 states).

A California resident is  one who is in California for other than a temporary or transitory purpose; or Domiciled in California, but outside California for a temporary or transitory purpose. ( page 7). 


CA Guidelines for Determining (Medicare) Residency and
Factors to consider

  • Amount of time you spend in California versus amount of time you spend outside California;
  • Location of your spouse and children;
  • Location of your principal residence;
  • Where your driver’s license was issued;
  • Where your vehicles are registered;
  • Where you maintain your professional licenses;
  • Where you are registered to vote;
  • Location of the banks where you maintain accounts;
  • Location of your doctors, dentists, accountants, and attorneys;
  • Location of the church, temple or mosque, professional associations, or social and country clubs of which you are a member;
  • Location of your real property and investments;
  • Permanence of your work assignments in California; and
  • Location of your social ties.

In using these factors, it is the strength of your ties and closest connections not just the number of ties, that determines your residency (

Medicare Advantage Plans Enrollment and Disenrollment 2017  pdf 271 pages

International Visitor Coverage Coverage outside USA

Travel Insurance

Consumer Resources

Social Security Payments when you are out of Country

Coverage outside USA
MORE – Insure Buy.Com

Income Tax if you live out of country  26 USC 911

Service Area – “Service area” is the geographic area approved by the Centers for Medicare & Medicaid Services (CMS) within which an eligible individual may enroll in a certain plan, and in the case of network plans, where a network must be available to provide services. (Freedom Blue EOC Page 157)

Service Area - Residency
Page 130

Can one keep coverage if they reside out of the USA? 

Members Who Change Residence
MA organizations may offer (or continue to offer) extended “visitor” or “traveler” programs to members of coordinated care  plans who have been out of the service area for up to 12 months. The MA organizations that offer such programs do not have to disenroll members in these extended programs who remain out of the service area for more than 6 months but less than 12 months. …Organizations offering MA-PFFS plans may allow continued enrollment of individuals absent from the plan service area for up to 12 months,…50.2.1

MA organizations offering plans without these programs must disenroll members who have been out of the service area for more than 6 months.


Blue Cross MAPD PPO Full Policy


CA Guidelines


Sibling & Child Pages

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