The lowest cost of living in the world for couples — with rising healthcare quality
Vietnam is the cheapest major retirement destination in the world by total monthly cost. Da Nang, Hoi An, and Hanoi all have couples living comfortably on $1,400–$2,000/month including rent. The healthcare gap is closing — international hospitals in Ho Chi Minh City and Hanoi (FV Hospital, Vinmec) provide solid care, though serious cases still often go to Bangkok or Singapore. Visa access has historically been the weak spot but is improving.
Vietnam does not yet have a dedicated retirement visa. Most US expats use 3-month tourist visas, the 90-day e-visa, or business/investor visa structures. A new pilot 'Golden Visa' framework was announced in 2024 — confirm current status before relocating.
Residents (183+ days) are taxed on worldwide income at 5–35% progressive brackets. No US-Vietnam tax treaty as of 2025 — double-taxation risk on some income streams. Foreign Tax Credit on the US side helps. No wealth tax.
International private hospitals in Ho Chi Minh City, Hanoi, and Da Nang offer reliable mid-range care. Serious or complex cases often go to Bangkok or Singapore. International insurance with regional cover runs $150–400/month.
Highly varied by region. North (Hanoi) has four distinct seasons with cool winters. Central coast (Da Nang, Hoi An) is hot year-round with a strong rainy season Sept–Dec. South (Saigon) is hot and humid year-round.
Ranked by overall rating. Click any city for the full guide.
$1,500/mo couple · Safety 4/5 · Healthcare 3/5
$1,400/mo couple · Safety 5/5 · Healthcare 4/5
$1,800/mo couple · Safety 3/5 · Healthcare 4/5
$1,700/mo couple · Safety 4/5 · Healthcare 4/5
Compare your US tax burden vs Vietnam's in 30 seconds.
Open tax estimator →Visa Exemption + 3-month / 1-year DT Visas. Vietnam does not yet have a dedicated retirement visa. Most US expats use 3-month tourist visas, the 90-day e-visa, or business/investor visa structures. A new pilot 'Golden Visa' framework was announced in 2024 — confirm current status before relocating.
Residents (183+ days) are taxed on worldwide income at 5–35% progressive brackets. No US-Vietnam tax treaty as of 2025 — double-taxation risk on some income streams. Foreign Tax Credit on the US side helps. No wealth tax.
International private hospitals in Ho Chi Minh City, Hanoi, and Da Nang offer reliable mid-range care. Serious or complex cases often go to Bangkok or Singapore. International insurance with regional cover runs $150–400/month.
A couple lives very comfortably on $1,200–$2,000/month in Da Nang or Hoi An; Hanoi and Ho Chi Minh City run $1,500–$2,500/month.
Information on this page is for general planning and educational purposes only — not legal, immigration, or tax advice.