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Retiring in the US · 50 states, D.C., more than 1,000 counties and 11 towns in depth

United States

For Americans deciding where in the US to retire, and for anyone weighing a US town against one abroad. The United States has no retirement residence route. Its public healthcare costs USD $203 a month. We cover all 50 states, D.C., more than 1,000 counties and 11 towns in depth.

Sources: USCIS: Green Card Eligibility Categories, 2026-09-26 · CMS, Medicare Part B premium rates 2026 (notice CMS-8091-N, Federal Register), 2026-10-06

The country figures on this page were checked at their official sources between Sep 26, 2026 and Oct 6, 2026; each one shows its own source and date.

Research in progress. The official data sources for the United States have not yet been through our quality assessment, so this page is incomplete. What is published here is sourced and dated; what is missing is missing rather than estimated.

At a glance
Retirement residence route No retirement residence route Country figure USCIS: Green Card Eligibility Categories · 2026-09-26
Income it requires No retiree route, so no income rule Country figure USCIS: Green Card Eligibility Categories · 2026-09-26
Public healthcare USD $203 / month Country figure CMS, Medicare Part B premium rates 2026 (notice CMS-8091-N, Federal Register) · 2026-10-06
Price level, World = 100 159.1 Country figure World Bank, International Comparison Program 2021 (CC BY 4.0) · 2021-01-01

States, in tiers

For Americans choosing which state to retire to: the 50 states and D.C. in tiers on six things retirees ask about, weighted equally — cost of living, taxes on a retired couple, healthcare access, safety, climate and natural-hazard risk. A state sits above another only where the two are clearly separated, so states that cannot be told apart share a tier.

  • Tier 1–4
  • Tier 5–7
  • Tier 8–10
  • Tier 11–13
  • Tier 14–16
  • Not ranked: a figure is missing

Outlines: US Census Bureau, cartographic boundary files (2024).

All 51, with their figures
  • Alaska

    Tier 16

    Cost of living
    102.4 Cheaper than 26 % of the other 50 states
    Taxes on a retired couple
    USD $3,869 Lower than 38 % of the other 50 states
    Healthcare access
    9 % of residents 65+ Higher than 0 % of the other 50 states
    Safety
    8.1 per 100,000 a year Lower than 28 % of the other 50 states
    Climate
    0.2 months a year More than 0 % of the other 50 states
    Natural-hazard risk
    USD $2.78 per USD $1,000 of buildings Lower than 4 % of the other 50 states
    Alaska →

    Sources and dates: under the list

  • Alabama

    Tier 11

    Cost of living
    88.8 Cheaper than 88 % of the other 50 states
    Taxes on a retired couple
    USD $1,314 Lower than 98 % of the other 50 states
    Healthcare access
    29 % of residents 65+ Higher than 6 % of the other 50 states
    Safety
    13.7 per 100,000 a year Lower than 6 % of the other 50 states
    Climate
    4.7 months a year More than 48 % of the other 50 states
    Natural-hazard risk
    USD $1.73 per USD $1,000 of buildings Lower than 22 % of the other 50 states
    Alabama →

    Sources and dates: under the list

  • Arkansas

    Tier 14

    Cost of living
    86.9 Cheaper than 100 % of the other 50 states
    Taxes on a retired couple
    USD $2,552 Lower than 70 % of the other 50 states
    Healthcare access
    33 % of residents 65+ Higher than 8 % of the other 50 states
    Safety
    10.6 per 100,000 a year Lower than 16 % of the other 50 states
    Climate
    4.3 months a year More than 22 % of the other 50 states
    Natural-hazard risk
    USD $1.73 per USD $1,000 of buildings Lower than 18 % of the other 50 states
    Arkansas →

    Sources and dates: under the list

  • Arizona

    Tier 6

    Cost of living
    100.7 Cheaper than 32 % of the other 50 states
    Taxes on a retired couple
    USD $1,900 Lower than 84 % of the other 50 states
    Healthcare access
    87 % of residents 65+ Higher than 88 % of the other 50 states
    Safety
    7.3 per 100,000 a year Lower than 42 % of the other 50 states
    Climate
    4.8 months a year More than 54 % of the other 50 states
    Natural-hazard risk
    USD $1.63 per USD $1,000 of buildings Lower than 26 % of the other 50 states
    Arizona →

    Sources and dates: under the list

  • California

    Tier 6

    Cost of living
    110.7 Cheaper than 0 % of the other 50 states
    Taxes on a retired couple
    USD $2,441 Lower than 76 % of the other 50 states
    Healthcare access
    91 % of residents 65+ Higher than 94 % of the other 50 states
    Safety
    5.6 per 100,000 a year Lower than 58 % of the other 50 states
    Climate
    6.0 months a year More than 96 % of the other 50 states
    Natural-hazard risk
    USD $3.06 per USD $1,000 of buildings Lower than 2 % of the other 50 states
    California →

    Sources and dates: under the list

  • Colorado

    Tier 5

    Cost of living
    103.1 Cheaper than 24 % of the other 50 states
    Taxes on a retired couple
    USD $1,688 Lower than 94 % of the other 50 states
    Healthcare access
    90 % of residents 65+ Higher than 92 % of the other 50 states
    Safety
    6.1 per 100,000 a year Lower than 52 % of the other 50 states
    Climate
    4.3 months a year More than 26 % of the other 50 states
    Natural-hazard risk
    USD $1.38 per USD $1,000 of buildings Lower than 46 % of the other 50 states
    Colorado →

    Sources and dates: under the list

  • Connecticut

    Tier 8

    Cost of living
    103.6 Cheaper than 18 % of the other 50 states
    Taxes on a retired couple
    USD $6,337 Lower than 4 % of the other 50 states
    Healthcare access
    91 % of residents 65+ Higher than 96 % of the other 50 states
    Safety
    4.0 per 100,000 a year Lower than 72 % of the other 50 states
    Climate
    4.8 months a year More than 62 % of the other 50 states
    Natural-hazard risk
    USD $1.41 per USD $1,000 of buildings Lower than 42 % of the other 50 states
    Connecticut →

    Sources and dates: under the list

  • District of Columbia

    Tier 3

    Cost of living
    109.9 Cheaper than 4 % of the other 50 states
    Taxes on a retired couple
    USD $2,557 Lower than 68 % of the other 50 states
    Healthcare access
    100 % of residents 65+ Higher than 100 % of the other 50 states
    Safety
    29.0 per 100,000 a year Lower than 0 % of the other 50 states
    Climate
    5.0 months a year More than 72 % of the other 50 states
    Natural-hazard risk
    USD $0.43 per USD $1,000 of buildings Lower than 100 % of the other 50 states
    District of Columbia →

    Sources and dates: under the list

  • Delaware

    Tier 2

    Cost of living
    99.8 Cheaper than 38 % of the other 50 states
    Taxes on a retired couple
    USD $1,758 Lower than 88 % of the other 50 states
    Healthcare access
    46 % of residents 65+ Higher than 28 % of the other 50 states
    Safety
    7.4 per 100,000 a year Lower than 38 % of the other 50 states
    Climate
    5.4 months a year More than 92 % of the other 50 states
    Natural-hazard risk
    USD $1.14 per USD $1,000 of buildings Lower than 68 % of the other 50 states
    Delaware →

    Sources and dates: under the list

  • Florida

    Tier 7

    Cost of living
    103.4 Cheaper than 20 % of the other 50 states
    Taxes on a retired couple
    USD $2,662 Lower than 62 % of the other 50 states
    Healthcare access
    75 % of residents 65+ Higher than 76 % of the other 50 states
    Safety
    6.3 per 100,000 a year Lower than 50 % of the other 50 states
    Climate
    7.2 months a year More than 98 % of the other 50 states
    Natural-hazard risk
    USD $1.97 per USD $1,000 of buildings Lower than 12 % of the other 50 states
    Florida →

    Sources and dates: under the list

  • Georgia

    Tier 10

    Cost of living
    96.3 Cheaper than 52 % of the other 50 states
    Taxes on a retired couple
    USD $2,701 Lower than 60 % of the other 50 states
    Healthcare access
    49 % of residents 65+ Higher than 32 % of the other 50 states
    Safety
    10.2 per 100,000 a year Lower than 18 % of the other 50 states
    Climate
    4.7 months a year More than 40 % of the other 50 states
    Natural-hazard risk
    USD $1.11 per USD $1,000 of buildings Lower than 72 % of the other 50 states
    Georgia →

    Sources and dates: under the list

  • Hawaii

    Tier 4

    Cost of living
    110.0 Cheaper than 2 % of the other 50 states
    Taxes on a retired couple
    USD $1,027 Lower than 100 % of the other 50 states
    Healthcare access
    66 % of residents 65+ Higher than 52 % of the other 50 states
    Safety
    2.9 per 100,000 a year Lower than 86 % of the other 50 states
    Climate
    12.0 months a year More than 100 % of the other 50 states
    Natural-hazard risk
    USD $3.64 per USD $1,000 of buildings Lower than 0 % of the other 50 states
    Hawaii →

    Sources and dates: under the list

  • Iowa

    Tier 5

    Cost of living
    87.8 Cheaper than 94 % of the other 50 states
    Taxes on a retired couple
    USD $4,875 Lower than 24 % of the other 50 states
    Healthcare access
    49 % of residents 65+ Higher than 30 % of the other 50 states
    Safety
    3.1 per 100,000 a year Lower than 84 % of the other 50 states
    Climate
    4.6 months a year More than 34 % of the other 50 states
    Natural-hazard risk
    USD $1.19 per USD $1,000 of buildings Lower than 66 % of the other 50 states
    Iowa →

    Sources and dates: under the list

  • Idaho

    Tier 3

    Cost of living
    95.5 Cheaper than 56 % of the other 50 states
    Taxes on a retired couple
    USD $1,740 Lower than 90 % of the other 50 states
    Healthcare access
    66 % of residents 65+ Higher than 50 % of the other 50 states
    Safety
    2.3 per 100,000 a year Lower than 96 % of the other 50 states
    Climate
    4.0 months a year More than 12 % of the other 50 states
    Natural-hazard risk
    USD $1.39 per USD $1,000 of buildings Lower than 44 % of the other 50 states
    Idaho →

    Sources and dates: under the list

  • Illinois

    Tier 12

    Cost of living
    100.0 Cheaper than 34 % of the other 50 states
    Taxes on a retired couple
    USD $7,043 Lower than 2 % of the other 50 states
    Healthcare access
    72 % of residents 65+ Higher than 68 % of the other 50 states
    Safety
    10.1 per 100,000 a year Lower than 22 % of the other 50 states
    Climate
    4.9 months a year More than 68 % of the other 50 states
    Natural-hazard risk
    USD $1.23 per USD $1,000 of buildings Lower than 64 % of the other 50 states
    Illinois →

    Sources and dates: under the list

  • Indiana

    Tier 5

    Cost of living
    93.3 Cheaper than 66 % of the other 50 states
    Taxes on a retired couple
    USD $4,024 Lower than 36 % of the other 50 states
    Healthcare access
    63 % of residents 65+ Higher than 48 % of the other 50 states
    Safety
    8.2 per 100,000 a year Lower than 26 % of the other 50 states
    Climate
    5.0 months a year More than 78 % of the other 50 states
    Natural-hazard risk
    USD $1.05 per USD $1,000 of buildings Lower than 76 % of the other 50 states
    Indiana →

    Sources and dates: under the list

  • Kansas

    Tier 9

    Cost of living
    90.1 Cheaper than 80 % of the other 50 states
    Taxes on a retired couple
    USD $5,394 Lower than 16 % of the other 50 states
    Healthcare access
    60 % of residents 65+ Higher than 42 % of the other 50 states
    Safety
    6.0 per 100,000 a year Lower than 54 % of the other 50 states
    Climate
    4.6 months a year More than 30 % of the other 50 states
    Natural-hazard risk
    USD $1.24 per USD $1,000 of buildings Lower than 62 % of the other 50 states
    Kansas →

    Sources and dates: under the list

  • Kentucky

    Tier 9

    Cost of living
    90.2 Cheaper than 78 % of the other 50 states
    Taxes on a retired couple
    USD $2,628 Lower than 66 % of the other 50 states
    Healthcare access
    37 % of residents 65+ Higher than 12 % of the other 50 states
    Safety
    7.9 per 100,000 a year Lower than 30 % of the other 50 states
    Climate
    5.0 months a year More than 76 % of the other 50 states
    Natural-hazard risk
    USD $1.69 per USD $1,000 of buildings Lower than 24 % of the other 50 states
    Kentucky →

    Sources and dates: under the list

  • Louisiana

    Tier 9

    Cost of living
    88.2 Cheaper than 92 % of the other 50 states
    Taxes on a retired couple
    USD $1,908 Lower than 82 % of the other 50 states
    Healthcare access
    37 % of residents 65+ Higher than 14 % of the other 50 states
    Safety
    18.1 per 100,000 a year Lower than 4 % of the other 50 states
    Climate
    5.1 months a year More than 88 % of the other 50 states
    Natural-hazard risk
    USD $2.72 per USD $1,000 of buildings Lower than 6 % of the other 50 states
    Louisiana →

    Sources and dates: under the list

  • Massachusetts

    Tier 4

    Cost of living
    105.8 Cheaper than 12 % of the other 50 states
    Taxes on a retired couple
    USD $5,471 Lower than 12 % of the other 50 states
    Healthcare access
    96 % of residents 65+ Higher than 98 % of the other 50 states
    Safety
    2.4 per 100,000 a year Lower than 94 % of the other 50 states
    Climate
    4.7 months a year More than 38 % of the other 50 states
    Natural-hazard risk
    USD $0.91 per USD $1,000 of buildings Lower than 84 % of the other 50 states
    Massachusetts →

    Sources and dates: under the list

  • Maryland

    Tier 5

    Cost of living
    105.0 Cheaper than 14 % of the other 50 states
    Taxes on a retired couple
    USD $3,495 Lower than 44 % of the other 50 states
    Healthcare access
    74 % of residents 65+ Higher than 72 % of the other 50 states
    Safety
    10.1 per 100,000 a year Lower than 20 % of the other 50 states
    Climate
    5.1 months a year More than 82 % of the other 50 states
    Natural-hazard risk
    USD $0.60 per USD $1,000 of buildings Lower than 98 % of the other 50 states
    Maryland →

    Sources and dates: under the list

  • Maine

    Tier 4

    Cost of living
    97.1 Cheaper than 48 % of the other 50 states
    Taxes on a retired couple
    USD $3,583 Lower than 42 % of the other 50 states
    Healthcare access
    69 % of residents 65+ Higher than 62 % of the other 50 states
    Safety
    2.2 per 100,000 a year Lower than 98 % of the other 50 states
    Climate
    3.8 months a year More than 10 % of the other 50 states
    Natural-hazard risk
    USD $0.99 per USD $1,000 of buildings Lower than 82 % of the other 50 states
    Maine →

    Sources and dates: under the list

  • Michigan

    Tier 6

    Cost of living
    96.2 Cheaper than 54 % of the other 50 states
    Taxes on a retired couple
    USD $4,389 Lower than 30 % of the other 50 states
    Healthcare access
    58 % of residents 65+ Higher than 40 % of the other 50 states
    Safety
    7.2 per 100,000 a year Lower than 46 % of the other 50 states
    Climate
    4.9 months a year More than 64 % of the other 50 states
    Natural-hazard risk
    USD $0.85 per USD $1,000 of buildings Lower than 96 % of the other 50 states
    Michigan →

    Sources and dates: under the list

  • Minnesota

    Tier 4

    Cost of living
    98.6 Cheaper than 42 % of the other 50 states
    Taxes on a retired couple
    USD $4,213 Lower than 34 % of the other 50 states
    Healthcare access
    66 % of residents 65+ Higher than 56 % of the other 50 states
    Safety
    3.6 per 100,000 a year Lower than 76 % of the other 50 states
    Climate
    4.9 months a year More than 66 % of the other 50 states
    Natural-hazard risk
    USD $1.13 per USD $1,000 of buildings Lower than 70 % of the other 50 states
    Minnesota →

    Sources and dates: under the list

  • Missouri

    Tier 9

    Cost of living
    90.8 Cheaper than 76 % of the other 50 states
    Taxes on a retired couple
    USD $3,140 Lower than 48 % of the other 50 states
    Healthcare access
    62 % of residents 65+ Higher than 46 % of the other 50 states
    Safety
    11.1 per 100,000 a year Lower than 10 % of the other 50 states
    Climate
    4.8 months a year More than 60 % of the other 50 states
    Natural-hazard risk
    USD $1.46 per USD $1,000 of buildings Lower than 38 % of the other 50 states
    Missouri →

    Sources and dates: under the list

  • Mississippi

    Tier 13

    Cost of living
    87.0 Cheaper than 98 % of the other 50 states
    Taxes on a retired couple
    USD $2,504 Lower than 74 % of the other 50 states
    Healthcare access
    23 % of residents 65+ Higher than 2 % of the other 50 states
    Safety
    19.7 per 100,000 a year Lower than 2 % of the other 50 states
    Climate
    4.8 months a year More than 52 % of the other 50 states
    Natural-hazard risk
    USD $1.75 per USD $1,000 of buildings Lower than 16 % of the other 50 states
    Mississippi →

    Sources and dates: under the list

  • Montana

    Tier 12

    Cost of living
    94.6 Cheaper than 58 % of the other 50 states
    Taxes on a retired couple
    USD $3,117 Lower than 52 % of the other 50 states
    Healthcare access
    45 % of residents 65+ Higher than 24 % of the other 50 states
    Safety
    4.8 per 100,000 a year Lower than 64 % of the other 50 states
    Climate
    3.6 months a year More than 4 % of the other 50 states
    Natural-hazard risk
    USD $1.37 per USD $1,000 of buildings Lower than 48 % of the other 50 states
    Montana →

    Sources and dates: under the list

  • North Carolina

    Tier 14

    Cost of living
    94.3 Cheaper than 60 % of the other 50 states
    Taxes on a retired couple
    USD $3,126 Lower than 50 % of the other 50 states
    Healthcare access
    54 % of residents 65+ Higher than 36 % of the other 50 states
    Safety
    8.5 per 100,000 a year Lower than 24 % of the other 50 states
    Climate
    4.6 months a year More than 32 % of the other 50 states
    Natural-hazard risk
    USD $1.55 per USD $1,000 of buildings Lower than 34 % of the other 50 states
    North Carolina →

    Sources and dates: under the list

  • North Dakota

    Tier 1

    Cost of living
    89.0 Cheaper than 86 % of the other 50 states
    Taxes on a retired couple
    USD $3,457 Lower than 46 % of the other 50 states
    Healthcare access
    39 % of residents 65+ Higher than 16 % of the other 50 states
    Safety
    3.2 per 100,000 a year Lower than 82 % of the other 50 states
    Climate
    5.0 months a year More than 70 % of the other 50 states
    Natural-hazard risk
    USD $1.08 per USD $1,000 of buildings Lower than 74 % of the other 50 states
    North Dakota →

    Sources and dates: under the list

  • Nebraska

    Tier 11

    Cost of living
    90.1 Cheaper than 80 % of the other 50 states
    Taxes on a retired couple
    USD $5,640 Lower than 10 % of the other 50 states
    Healthcare access
    62 % of residents 65+ Higher than 44 % of the other 50 states
    Safety
    3.5 per 100,000 a year Lower than 80 % of the other 50 states
    Climate
    4.1 months a year More than 20 % of the other 50 states
    Natural-hazard risk
    USD $1.50 per USD $1,000 of buildings Lower than 36 % of the other 50 states
    Nebraska →

    Sources and dates: under the list

  • New Hampshire

    Tier 8

    Cost of living
    104.2 Cheaper than 16 % of the other 50 states
    Taxes on a retired couple
    USD $5,797 Lower than 8 % of the other 50 states
    Healthcare access
    77 % of residents 65+ Higher than 78 % of the other 50 states
    Safety
    1.5 per 100,000 a year Lower than 100 % of the other 50 states
    Climate
    4.7 months a year More than 42 % of the other 50 states
    Natural-hazard risk
    USD $1.35 per USD $1,000 of buildings Lower than 52 % of the other 50 states
    New Hampshire →

    Sources and dates: under the list

  • New Jersey

    Tier 10

    Cost of living
    108.8 Cheaper than 6 % of the other 50 states
    Taxes on a retired couple
    USD $7,387 Lower than 0 % of the other 50 states
    Healthcare access
    68 % of residents 65+ Higher than 60 % of the other 50 states
    Safety
    3.6 per 100,000 a year Lower than 74 % of the other 50 states
    Climate
    5.0 months a year More than 74 % of the other 50 states
    Natural-hazard risk
    USD $1.34 per USD $1,000 of buildings Lower than 54 % of the other 50 states
    New Jersey →

    Sources and dates: under the list

  • New Mexico

    Tier 14

    Cost of living
    92.2 Cheaper than 72 % of the other 50 states
    Taxes on a retired couple
    USD $2,634 Lower than 64 % of the other 50 states
    Healthcare access
    41 % of residents 65+ Higher than 18 % of the other 50 states
    Safety
    12.9 per 100,000 a year Lower than 8 % of the other 50 states
    Climate
    4.7 months a year More than 36 % of the other 50 states
    Natural-hazard risk
    USD $1.59 per USD $1,000 of buildings Lower than 32 % of the other 50 states
    New Mexico →

    Sources and dates: under the list

  • Nevada

    Tier 7

    Cost of living
    100.0 Cheaper than 34 % of the other 50 states
    Taxes on a retired couple
    USD $1,629 Lower than 96 % of the other 50 states
    Healthcare access
    88 % of residents 65+ Higher than 90 % of the other 50 states
    Safety
    7.6 per 100,000 a year Lower than 36 % of the other 50 states
    Climate
    4.0 months a year More than 16 % of the other 50 states
    Natural-hazard risk
    USD $1.45 per USD $1,000 of buildings Lower than 40 % of the other 50 states
    Nevada →

    Sources and dates: under the list

  • New York

    Tier 8

    Cost of living
    107.9 Cheaper than 8 % of the other 50 states
    Taxes on a retired couple
    USD $5,436 Lower than 14 % of the other 50 states
    Healthcare access
    66 % of residents 65+ Higher than 58 % of the other 50 states
    Safety
    4.2 per 100,000 a year Lower than 70 % of the other 50 states
    Climate
    4.7 months a year More than 46 % of the other 50 states
    Natural-hazard risk
    USD $0.88 per USD $1,000 of buildings Lower than 94 % of the other 50 states
    New York →

    Sources and dates: under the list

  • Ohio

    Tier 1

    Cost of living
    92.8 Cheaper than 68 % of the other 50 states
    Taxes on a retired couple
    USD $5,019 Lower than 20 % of the other 50 states
    Healthcare access
    72 % of residents 65+ Higher than 70 % of the other 50 states
    Safety
    7.8 per 100,000 a year Lower than 34 % of the other 50 states
    Climate
    5.1 months a year More than 84 % of the other 50 states
    Natural-hazard risk
    USD $0.89 per USD $1,000 of buildings Lower than 88 % of the other 50 states
    Ohio →

    Sources and dates: under the list

  • Oklahoma

    Tier 12

    Cost of living
    87.8 Cheaper than 94 % of the other 50 states
    Taxes on a retired couple
    USD $2,955 Lower than 56 % of the other 50 states
    Healthcare access
    53 % of residents 65+ Higher than 34 % of the other 50 states
    Safety
    7.8 per 100,000 a year Lower than 32 % of the other 50 states
    Climate
    4.0 months a year More than 14 % of the other 50 states
    Natural-hazard risk
    USD $1.61 per USD $1,000 of buildings Lower than 28 % of the other 50 states
    Oklahoma →

    Sources and dates: under the list

  • Oregon

    Tier 15

    Cost of living
    103.4 Cheaper than 20 % of the other 50 states
    Taxes on a retired couple
    USD $4,758 Lower than 26 % of the other 50 states
    Healthcare access
    70 % of residents 65+ Higher than 64 % of the other 50 states
    Safety
    4.4 per 100,000 a year Lower than 68 % of the other 50 states
    Climate
    4.4 months a year More than 28 % of the other 50 states
    Natural-hazard risk
    USD $1.73 per USD $1,000 of buildings Lower than 20 % of the other 50 states
    Oregon →

    Sources and dates: under the list

  • Pennsylvania

    Tier 4

    Cost of living
    97.6 Cheaper than 46 % of the other 50 states
    Taxes on a retired couple
    USD $4,553 Lower than 28 % of the other 50 states
    Healthcare access
    84 % of residents 65+ Higher than 84 % of the other 50 states
    Safety
    7.4 per 100,000 a year Lower than 40 % of the other 50 states
    Climate
    4.8 months a year More than 58 % of the other 50 states
    Natural-hazard risk
    USD $0.99 per USD $1,000 of buildings Lower than 80 % of the other 50 states
    Pennsylvania →

    Sources and dates: under the list

  • Rhode Island

    Tier 1

    Cost of living
    102.3 Cheaper than 28 % of the other 50 states
    Taxes on a retired couple
    USD $4,243 Lower than 32 % of the other 50 states
    Healthcare access
    77 % of residents 65+ Higher than 80 % of the other 50 states
    Safety
    2.6 per 100,000 a year Lower than 90 % of the other 50 states
    Climate
    4.7 months a year More than 50 % of the other 50 states
    Natural-hazard risk
    USD $0.89 per USD $1,000 of buildings Lower than 90 % of the other 50 states
    Rhode Island →

    Sources and dates: under the list

  • South Carolina

    Tier 6

    Cost of living
    93.7 Cheaper than 64 % of the other 50 states
    Taxes on a retired couple
    USD $1,691 Lower than 92 % of the other 50 states
    Healthcare access
    66 % of residents 65+ Higher than 54 % of the other 50 states
    Safety
    11.1 per 100,000 a year Lower than 12 % of the other 50 states
    Climate
    5.3 months a year More than 90 % of the other 50 states
    Natural-hazard risk
    USD $2.01 per USD $1,000 of buildings Lower than 10 % of the other 50 states
    South Carolina →

    Sources and dates: under the list

  • South Dakota

    Tier 8

    Cost of living
    88.6 Cheaper than 90 % of the other 50 states
    Taxes on a retired couple
    USD $3,704 Lower than 40 % of the other 50 states
    Healthcare access
    45 % of residents 65+ Higher than 26 % of the other 50 states
    Safety
    5.4 per 100,000 a year Lower than 60 % of the other 50 states
    Climate
    4.3 months a year More than 24 % of the other 50 states
    Natural-hazard risk
    USD $1.33 per USD $1,000 of buildings Lower than 60 % of the other 50 states
    South Dakota →

    Sources and dates: under the list

  • Tennessee

    Tier 7

    Cost of living
    91.9 Cheaper than 74 % of the other 50 states
    Taxes on a retired couple
    USD $1,760 Lower than 86 % of the other 50 states
    Healthcare access
    44 % of residents 65+ Higher than 22 % of the other 50 states
    Safety
    10.7 per 100,000 a year Lower than 14 % of the other 50 states
    Climate
    4.8 months a year More than 56 % of the other 50 states
    Natural-hazard risk
    USD $1.33 per USD $1,000 of buildings Lower than 58 % of the other 50 states
    Tennessee →

    Sources and dates: under the list

  • Texas

    Tier 7

    Cost of living
    97.1 Cheaper than 48 % of the other 50 states
    Taxes on a retired couple
    USD $5,219 Lower than 18 % of the other 50 states
    Healthcare access
    72 % of residents 65+ Higher than 66 % of the other 50 states
    Safety
    7.2 per 100,000 a year Lower than 44 % of the other 50 states
    Climate
    5.1 months a year More than 86 % of the other 50 states
    Natural-hazard risk
    USD $1.34 per USD $1,000 of buildings Lower than 56 % of the other 50 states
    Texas →

    Sources and dates: under the list

  • Utah

    Tier 5

    Cost of living
    98.9 Cheaper than 40 % of the other 50 states
    Taxes on a retired couple
    USD $2,198 Lower than 78 % of the other 50 states
    Healthcare access
    87 % of residents 65+ Higher than 86 % of the other 50 states
    Safety
    2.5 per 100,000 a year Lower than 92 % of the other 50 states
    Climate
    3.3 months a year More than 2 % of the other 50 states
    Natural-hazard risk
    USD $1.61 per USD $1,000 of buildings Lower than 30 % of the other 50 states
    Utah →

    Sources and dates: under the list

  • Virginia

    Tier 3

    Cost of living
    101.1 Cheaper than 30 % of the other 50 states
    Taxes on a retired couple
    USD $2,546 Lower than 72 % of the other 50 states
    Healthcare access
    56 % of residents 65+ Higher than 38 % of the other 50 states
    Safety
    6.5 per 100,000 a year Lower than 48 % of the other 50 states
    Climate
    5.0 months a year More than 80 % of the other 50 states
    Natural-hazard risk
    USD $0.91 per USD $1,000 of buildings Lower than 86 % of the other 50 states
    Virginia →

    Sources and dates: under the list

  • Vermont

    Tier 12

    Cost of living
    98.0 Cheaper than 44 % of the other 50 states
    Taxes on a retired couple
    USD $6,213 Lower than 6 % of the other 50 states
    Healthcare access
    43 % of residents 65+ Higher than 20 % of the other 50 states
    Safety
    2.6 per 100,000 a year Lower than 88 % of the other 50 states
    Climate
    4.0 months a year More than 18 % of the other 50 states
    Natural-hazard risk
    USD $1.03 per USD $1,000 of buildings Lower than 78 % of the other 50 states
    Vermont →

    Sources and dates: under the list

  • Washington

    Tier 14

    Cost of living
    107.0 Cheaper than 10 % of the other 50 states
    Taxes on a retired couple
    USD $2,824 Lower than 58 % of the other 50 states
    Healthcare access
    74 % of residents 65+ Higher than 74 % of the other 50 states
    Safety
    4.7 per 100,000 a year Lower than 66 % of the other 50 states
    Climate
    3.7 months a year More than 8 % of the other 50 states
    Natural-hazard risk
    USD $1.95 per USD $1,000 of buildings Lower than 14 % of the other 50 states
    Washington →

    Sources and dates: under the list

  • Wisconsin

    Tier 2

    Cost of living
    94.1 Cheaper than 62 % of the other 50 states
    Taxes on a retired couple
    USD $4,980 Lower than 22 % of the other 50 states
    Healthcare access
    81 % of residents 65+ Higher than 82 % of the other 50 states
    Safety
    5.3 per 100,000 a year Lower than 62 % of the other 50 states
    Climate
    4.7 months a year More than 44 % of the other 50 states
    Natural-hazard risk
    USD $0.88 per USD $1,000 of buildings Lower than 92 % of the other 50 states
    Wisconsin →

    Sources and dates: under the list

  • West Virginia

    Tier 8

    Cost of living
    89.5 Cheaper than 84 % of the other 50 states
    Taxes on a retired couple
    USD $3,073 Lower than 54 % of the other 50 states
    Healthcare access
    24 % of residents 65+ Higher than 4 % of the other 50 states
    Safety
    5.8 per 100,000 a year Lower than 56 % of the other 50 states
    Climate
    5.6 months a year More than 94 % of the other 50 states
    Natural-hazard risk
    USD $2.16 per USD $1,000 of buildings Lower than 8 % of the other 50 states
    West Virginia →

    Sources and dates: under the list

  • Wyoming

    Tier 8

    Cost of living
    92.7 Cheaper than 70 % of the other 50 states
    Taxes on a retired couple
    USD $1,997 Lower than 80 % of the other 50 states
    Healthcare access
    36 % of residents 65+ Higher than 10 % of the other 50 states
    Safety
    3.5 per 100,000 a year Lower than 78 % of the other 50 states
    Climate
    3.7 months a year More than 6 % of the other 50 states
    Natural-hazard risk
    USD $1.36 per USD $1,000 of buildings Lower than 50 % of the other 50 states
    Wyoming →

    Sources and dates: under the list

Sources: BEA Regional Price Parities by state, 2024 (SARPP, line codes 1-5); Each state's published 2025 income-tax rules and the Census ACS property-tax ratio, applied to the example household; CMS, Hospital General Information (Care Compare), hospital overall star rating, release of 13 Aug 2026, weighted by each county's population 65+ (US Census Bureau, 1 July 2025); CDC WONDER, Underlying Cause of Death 2018-2024 (Single Race, final), by state of residence; CHELSA V2.1 monthly maximum temperature, 1981-2010 (~1 km), averaged over the county, Karger et al., weighted by each county's population 65+ (US Census Bureau, 1 July 2025); FEMA, National Risk Index v1.20 (December 2025), state expected annual loss to buildings (EAL_VALB).

Tier 1 3 states

Tier 2 2 states

All 51, criterion by criterion →

Puerto Rico, Guam, the US Virgin Islands, the Northern Mariana Islands and American Samoa are not ranked: most of the six sources do not cover them.

Residency and healthcare · measured for United States

Retirement residence routecountry level
No retirement residence route Country figure No retirement, pension or means-based residence route exists. USCIS lists eight green-card families and none is retirement- or means-based; the only means-based route (EB-5) requires an active investment. USCIS: Green Card Eligibility Categories · checked Sep 26, 2026
Income or savings requiredcountry level · the rule, converted at the unit in force
Not applicable — there is no retirement route, so there is no floor.
Public healthcare — costcountry level · stated age band and period
USD $203 / month Country figure Medicare Part B standard monthly premium per person — doctors and outpatient care, before deductibles and extra cover.
How this is measured

Medicare Part B standard monthly premium, per enrollee, set each year by CMS. It is what a Medicare enrollee pays to be covered for doctors and outpatient care; it EXCLUDES the annual Part B deductible, coinsurance, Part D drug plans and supplemental (Medigap) cover, and higher incomes pay an income-related adjustment on top.

Per enrollee; 2026 Part B deductible USD $283 not included; Part D, Medigap and income-related adjustments not included. CMS, Medicare Part B premium rates 2026 (notice CMS-8091-N, Federal Register) · in force Jan 1, 2026 · checked Oct 6, 2026
Currencycountry level · and how its rate is set
US dollar; the US intervenes in currency markets only on occasion Country figure Federal Reserve Bank of New York: "since the mid-1990s, the U.S. has only intervened in FX markets on occasion", at the direction of the FOMC or the Treasury; its quarterly reports record no intervention in the first or second quarter of 2026. Federal Reserve Bank of New York, Foreign Exchange Operations · checked Sep 29, 2026
Prices against the world averagecountry level · World = 100 · 2021
  • Food 117.5
  • Housing, water, electricity and gas 214.6
  • Health 207.9
  • Transport 116.0
  • Restaurants and hotels 142.0
  • Communication 224.0
  • Clothing and footwear 122.8
  • Overall average 159.1
100 is the world average for that kind of spending, so 120 means prices about 20 % above it and 80 about 20 % below. National prices for United States at 2021 prices and 2021 exchange rates, so they move with the currency; not a figure for this town. Health and the overall average include services the government provides, so they are not out-of-pocket prices. World Bank, International Comparison Program 2021 (CC BY 4.0) · 2021 prices · checked Sep 26, 2026
Cite this

Source: ExpatAlmanac, "Prices against the world average in United States", https://expatalmanac.com/united-states, figures as of 2021; original data: World Bank, International Comparison Program 2021 (CC BY 4.0).

How you may quote us: terms of use.

Depends on your passport and pensiontax treaty · visitor days · your government's travel advice
From Canada

Visiting

The stay is set by the officer at entry — never more than one year · no visa.

No visa and no ESTA. A B-2 visitor may be admitted for not more than one year; one issued an I-94 is admitted for at least six months. The officer sets the period at entry. 8 CFR 212.1(a)(1) and 214.2(b)(1)–(2), eCFR version 2026-09-01 · checked Sep 28, 2026

Who may tax your pension here

The treaty's allocation only — not the tax you would pay, which each country's own rates decide.

Healthcare from home

Not yet verified.

Travel advice

Government of Canada (travel.gc.ca) — advice for United States

Advice changes daily and varies by region, so we link to it rather than copy it. Link checked Sep 28, 2026.
From United Kingdom

Visiting

90 days per visit · no visa.

Visa Waiver Program with an approved ESTA; no extension (90 days: cbp.gov). DHS: Visa Waiver Program — current program countries (last updated 05/02/2025) · checked Sep 28, 2026

Who may tax your pension here

  • Private or workplace pension: Taxed only where you live (US–UK 2001, art. 17.1) A UK pension that would be exempt in the UK for a UK resident is exempt in the US too (art. 17.1(b)); a lump sum is taxable only in the UK (art. 17.2). US–UK income tax convention (2001), US Treasury · checked Oct 2, 2026
  • State pension: Taxed only where you live (US–UK 2001, art. 17.3) Payments under the UK's social security legislation to a US resident "shall be taxable only in that other State". US–UK income tax convention (2001), US Treasury · checked Oct 2, 2026
  • Government-service pension: Taxed only by the paying country (US–UK 2001, art. 19.2) Unless the recipient is both resident in and a national of the United States. US–UK income tax convention (2001), US Treasury · checked Oct 2, 2026
The treaty's allocation only — not the tax you would pay, which each country's own rates decide.

Healthcare from home

Not yet verified.

Travel advice

UK Foreign, Commonwealth & Development Office — advice for United States

Advice changes daily and varies by region, so we link to it rather than copy it. Link checked Sep 28, 2026.
From Ireland

Visiting

90 days per visit · no visa.

Visa Waiver Program with an approved ESTA; no extension (90 days: cbp.gov). DHS: Visa Waiver Program — current program countries (last updated 05/02/2025) · checked Sep 28, 2026

Who may tax your pension here

  • Private or workplace pension: Taxed only where you live (US–IE 1997, art. 18.1(a)) Pensions "in consideration of past employment". US–Ireland income tax convention (1997), IRS · checked Oct 2, 2026
  • State pension: Taxed only where you live (US–IE 1997, art. 18.1(b)) Payments under Ireland's social security legislation to a US resident "shall be taxable only in that other State". US–Ireland income tax convention (1997), IRS · checked Oct 2, 2026
  • Government-service pension: Taxed only by the paying country (US–IE 1997, art. 19.2) Unless the recipient is both resident in and a national of the United States. US–Ireland income tax convention (1997), IRS · checked Oct 2, 2026
The treaty's allocation only — not the tax you would pay, which each country's own rates decide.

Healthcare from home

Not yet verified.

Travel advice

Department of Foreign Affairs (Ireland) — advice for United States

Advice changes daily and varies by region, so we link to it rather than copy it. Link checked Sep 28, 2026.
From Australia

Visiting

90 days per visit · no visa.

Visa Waiver Program with an approved ESTA; no extension (90 days: cbp.gov). DHS: Visa Waiver Program — current program countries (last updated 05/02/2025) · checked Sep 28, 2026

Who may tax your pension here

The treaty's allocation only — not the tax you would pay, which each country's own rates decide.

Healthcare from home

Not yet verified.

Travel advice

Australian Government (Smartraveller) — advice for United States

Advice changes daily and varies by region, so we link to it rather than copy it. Link checked Oct 2, 2026.
From New Zealand

Visiting

90 days per visit · no visa.

Visa Waiver Program with an approved ESTA; no extension (90 days: cbp.gov). DHS: Visa Waiver Program — current program countries (last updated 05/02/2025) · checked Sep 28, 2026

Who may tax your pension here

The treaty's allocation only — not the tax you would pay, which each country's own rates decide.

Healthcare from home

Not yet verified.

Travel advice

New Zealand Ministry of Foreign Affairs and Trade (SafeTravel) — advice for United States

Advice changes daily and varies by region, so we link to it rather than copy it. Link checked Sep 28, 2026.
From South Africa

Visiting

The stay is set by the officer at entry — never more than one year · visa required.

Not a Visa Waiver Program country (DHS list): a B-2 visa is required. A B-2 visitor may be admitted for not more than one year; the officer sets the period at entry. 8 CFR 212.1(a)(1) and 214.2(b)(1)–(2), eCFR version 2026-09-01 · checked Sep 28, 2026

Who may tax your pension here

  • Private or workplace pension: Both may tax, with relief (US–ZA 1997, art. 18.1) South Africa may tax it only if you were employed there at least two of the ten years before the pension became due, and at least ten years in all. US–South Africa income tax convention (1997), IRS · checked Oct 2, 2026
  • State pension: Taxed only by the paying country (US–ZA 1997, art. 18.2) Social security benefits and similar public pensions paid by South Africa to a US resident are taxable only in South Africa. US–South Africa income tax convention (1997), IRS · checked Oct 2, 2026
  • Government-service pension: Taxed only by the paying country (US–ZA 1997, art. 19.2) Unless the recipient is both resident in and a national of the United States. US–South Africa income tax convention (1997), IRS · checked Oct 2, 2026
The treaty's allocation only — not the tax you would pay, which each country's own rates decide.

Healthcare from home

Not yet verified.

Travel advice

Not yet linked.
Cite this

Source: ExpatAlmanac, "Residency and healthcare in United States", https://expatalmanac.com/united-states, figures as of 2026; original data: USCIS: Green Card Eligibility Categories; CMS, Medicare Part B premium rates 2026 (notice CMS-8091-N, Federal Register); Federal Reserve Bank of New York, Foreign Exchange Operations.

How you may quote us: terms of use.

Towns we cover in the United States, by state

Each town in United States listed here shows its monthly subtotal for a couple, in US dollars — Rent, electricity and groceries · official sources.

Filter, sort and compare every town in the United States →

Arizona · 1 town
Florida · 3 towns
North Carolina · 3 towns
South Carolina · 2 towns
Texas · 2 towns

Other states — no town covered yet; linked where we publish state-level figures: Alabama · Alaska · Arkansas · California · Colorado · Connecticut · Delaware · District of Columbia · Georgia · Hawaii · Idaho · Illinois · Indiana · Iowa · Kansas · Kentucky · Louisiana · Maine · Maryland · Massachusetts · Michigan · Minnesota · Mississippi · Missouri · Montana · Nebraska · Nevada · New Hampshire · New Jersey · New Mexico · New York · North Dakota · Ohio · Oklahoma · Oregon · Pennsylvania · Rhode Island · South Dakota · Tennessee · Utah · Vermont · Virginia · Washington · West Virginia · Wisconsin · Wyoming

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