In International Living’s Annual Global Retirement Index 2019, we ranked the 25 best retirement havens in the world, where you can live comfortably for less than you can in the U.S. And while all of these destinations are affordable, we have ranked the most cost-effective havens in the “Cost of Living” category of the Index.

This is possibly our most definitive category in the Index, due to the ease of getting hard numbers. Each of our on-the-ground correspondents fills out an extensive cost-of-living questionnaire, tailored to the needs and wants of an expat retiree. The category evaluates things like day-to-day expenses—from the cost of a flight back to the U.S. groceries, rent, movie theater tickets, eating out, garbage collection, gas, gym membership, and all the hidden and often unconsidered costs.

Editor’s Note: Cost of living is just one of 13 categories we use to compare, contrast, rank and rate the world’s best destinations for you to considering spending time. Our staff have been traveling, crunching statistics, and talking with our contacts and correspondents around the world…all in the interest of compiling this year’s list.

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Here are the five countries that score highest in the Cost of Living category of the 2019 Annual Global Retirement Index.

#4 Bolivia (tie)


If you’re looking for a country that gives you a big bang for your buck, it would be tough to beat Bolivia. Centered in the interior of South America, this country offers a variety of lifestyle options for a fraction of North American costs.

In 2015, at age 66, Terry Booher moved to Cochabamba in Bolivia’s central highlands. Part of Terry’s decision to move was because he needed somewhere dry and warm to help manage a long-term health condition he’s struggled with since serving in the Vietnam War: congestive heart failure (CHF).

Just a couple of weeks after arriving in the country, Terry had a medical scare, with fluid building up in his lung. He was rushed to the emergency room at one of Bolivia’s best hospitals, Los Olivos, in Cochabamba.

Terry ended up staying in that hospital room for eight days. In that time, he was seen by four physicians daily, he wore an oxygen mask around the clock, and three separate procedures were performed to drain fluid from his lung. Every morning he had several laboratory tests on his blood, along with a chest X-ray. He also had a pacemaker adjustment and an echocardiogram. The entire hospital stay amounted to just $2,800 for everything.

“I couldn’t believe the cost,” says Terry. “In the States, the ER trip alone would have been more than my entire week here. The doctors and nurses were all so nice, too, and took their time with me.”

Cochabamba is a popular choice among expats in looking for a slow lifestyle and access to creature comforts from home.

Eating out is an affordable pleasure, from the high end right down to street food outlets. No matter which part of Cochabamba you’re in, you will find restaurants serving fried or rotisserie chicken piled high on top of rice and fries for about $1.50 to $2.

Not only is the healthcare and food more affordable, so is the real estate. Terry moved to a detached home that looks like a miniature White House and costs him only $500 a month in rent. That same home would cost $2,000 and up in almost any U.S. city.

Terry is delighted with his life in Bolivia. He says, “It was super to pull out of the fast-paced American lifestyle and move to a place so calm and peaceful.”

Peru and Bolivia are tied for fourth place on 92 points.

#4 Peru (tie)

Peru is one of the least expensive places to live in Latin America. Food, transport, accommodation, and clothes cost much less than in the U.S. Retirees looking for a high quality of life at a low cost will not be disappointed.

Of course, where you decide to settle will have a large impact on your monthly expenses. A view of the Amazon jungle from your balcony will be less expensive than looking out over the waves crashing onto the beach below.

Walter Rhein, 43, is originally from Wisconsin but has been living in Peru on and off for the past 17 years. He first moved to the capital city, Lima, in 2001, and lived there full-time for the next eight years. Now, he and his wife maintain residences in both the U.S. and Peru, and they spend a considerable amount of time in Peru each year.

“Renting a nice apartment in Miraflores [an upscale district of Lima] is going to start at $800 a month,” Walter says. “Once you get to $1,000, you’re starting to get ones with a nice ocean view. You could probably keep it to another $1,000 for food and entertainment. And then your healthcare is inexpensive. I could still live here for under $1,000 a month, if necessary.

You can have someone live with you and prepare your meals for under $500 a month.”

“Pharmaceuticals is another big factor. I use an inhaler…my Ventolin inhaler in the U.S., with insurance, is $25. In Peru I can get the same inhaler for $6. There was another one for asthma, the Advair disk. That’s $250 a month in the U.S. Here, it is $50—buy two, get one free.

“And this applies to all medications…any medications you are taking, across the board, cost a fraction of what you would spend in the U.S. And that’s probably a large part of the cost that most people who are retiring are spending.”

#3 Thailand

Lured by the rich culture, first-class healthcare, and low cost of living, an increasing number of expats are calling Thailand home. The country—taking third place—offers a wide range of great retirement options from vibrant towns and cities to laidback beach spots and highlands.

A view of rice paddies from your balcony will be less expensive than looking out over the waves lapping the shore. And a modern apartment in one of Bangkok’s bustling neighborhoods will definitely cost more than most other locations.

The country’s second-largest city, Chiang Mai, is well known as being one of the top places for retirees and digital nomads to settle—a place to upgrade their lifestyle.

“The chance to live an opulent, resort lifestyle is at your fingertips,” says Rachel Devlin, IL’s Chiang Mai correspondent. “You’ll find the top resorts offering gym memberships to local expats—they’re a bargain. For just over $500 a year, you can have a membership to the Rati Lanna Resort & Spa.

“Or you can play in the footsteps of royalty at the Gymkhana Golf Club. Established in 1898, this club has been visited by kings and queens, consuls, and even the novelist William Somerset Maugham. For under $5, a nine-hole game may be just what you need; and all within view of an ancient and famous Yang Na tree that has been ordained as holy.

“And Chiang Mai is now rrivaling Bangkok for elite dining experiences. Just recently, the Shangri-La Hotel has been hiring Michelin-ranked chefs to offer divine culinary meals at very affordable prices. For example, nine dishes set over a seven-course lunch costs only $44 per person. For $17, you can add a glass of wine to each of the first five courses—specifically chosen to complement the dishes on offer.”

Editor’s Note: The world is full of affordable destinations where your dollar goes further. While filling a tank of gas, getting the week’s groceries, paying rising health insurance premiums, and making all the other ends meet costs us more back home…thousands of folks have discovered that there are places overseas where even a little goes a long, long way.

Right now, you can get it for free. Become a subscriber to International Living Magazine today and you’ll receive the complete 2019 Annual Global Retirement Index for free. Claim yours right here.

#2 Vietnam

Vietnam is a fascinating and vibrant destination, rich in natural beauty, steeped in history and brimming with opportunity. Whether you want to live in the heart of the city, nestle among pine-forested mountains, or overlook a sun-washed beach, you’ll find modern, high-quality housing for low prices.

Vietnam’s most expensive city is Ho Chi Minh City, followed by Hanoi. If you live outside of Vietnam’s two largest cities, in places like Da Nang, Hoi An, Nha Trang, and Vung Tau, prices will be much less.

St. Louis, Missouri natives Esther and Lloyd Bedik live in Da Nang, the largest city in Central Vietnam. The Bediks rent a two-bedroom apartment overlooking the gorgeous Han River, which runs right through the city.

“Our apartment is about 1,200 square feet, and it came fully furnished, even with a built-in oven, which is quite unusual for Vietnam,” Esther says. “The best thing is the view of the riverfront from the balcony and from our bedroom. We could live much less expensively, but the view made me feel like I had to have this apartment.

“Our rent is $800 per month, and it includes parking, as well as use of the pool and gym. It would be way more than we could afford in the States. In St. Louis, we’d be paying around $2,200 per month for a comparable apartment with a view of the Mississippi.”

Of course, your lifestyle will determine how much you really need to spend. Western restaurants and imported food stores are easily found throughout Vietnam, but go to them often and you’ll be adding considerable expenses to your budget. If you are willing to buy locally produced groceries and household goods, eat and drink at restaurants where the locals go, and live a relatively simple lifestyle, you can significantly reduce your monthly budget.

#1 Cambodia

For the fourth year in a row, Cambodia takes the top prize in the Cost of Living category of the Annual Global Retirement Index, scoring full marks: 100 out of 100.

Centrally located in the beating heart of Southeast Asia it is a country undergoing a renaissance thanks to 15 years boom in economic growth and tourism centered around the world-renowned temples of Angkor Wat.

When folks dream of visiting Cambodia they are initially more likely influenced by the exotic draw of these ancient temples, royal palaces and saffron-robed monks or the beautiful beaches and undeveloped islands on the southern coast than anything else.

But the cost of living leaves them astonished. Known as the “Kingdom of Wonder”, Cambodia is a place where retirees can upgrade their lifestyle to one of luxury on a modest budget.

Living in Cambodia has been a game changer for me,” says Paul Howard, 68. “The lifestyle I can afford is amazing and I feel a real sense of financial freedom compared to my old life.

Paul has lived in the capital, Phnom Penh, for two years, lured by the incredibly low costs he observed on a vacation to the country.

“The rent for my Western-style apartment is $275 a month, and even with utilities, air conditioning, and cable television, I only pay $380 for everything,” he says.

“You can’t imagine the difference in my life. Living in Cambodia means I never have to worry about what things cost, as it’s all so affordable. You name it, and I guarantee you can get it for a fraction of the price back home.”

These low costs let expats in Cambodia live richly on a poor man’s budget—a bottle of Champagne goes for $25 (as a former French colony, the European influence can still be felt in Cambodia) or a round of golf on a pro-designed course with caddie for $65 a day at the country club.

Editor’s Note: Where can you find the best quality of life in the world…the best climate…the healthiest places to live…the cheapest? Which countries make it into the top 25 as the perfect destinations for your retirement…and why?

Right now, you can get it for free. Become a subscriber to International Living Magazine today and you’ll receive the complete 2019 Annual Global Retirement Index for free. Claim yours right here.