You can shortlist Texas or Florida for zero state personal income tax, obtain cancer-protected health coverage if eligible, and keep Canadian assets—but neither health-care costs nor Canadian tax obligations disappear automatically.
“I'm moving to the US from Canada for a job and can live anywhere near an international airport. Where should I live to minimize taxes? Also, I'm in remission from colon cancer and need frequent scans—will I be able to get health insurance, and will it be very expensive? Finally, do I need to liquidate my Canadian assets to avoid paying taxes in Canada as well?”
Summary
Your cancer history does not make you uninsurable under Marketplace or employer group-plan protections, but frequent scans can still create substantial costs. You do not need to sell everything in Canada simply because you move; the important issues are tax residence, departure tax and the treatment of each account.
Start with Dallas–Fort Worth or Miami, then let the actual cancer-care coverage and overall household budget break the state-income-tax tie.
The Dallas–Fort Worth area gives you access to Dallas Fort Worth International Airport, and Texas levies neither state nor local personal income tax. Local property taxes still apply, so zero income tax is not zero tax. (Texas Comptroller, A Field Guide to the Taxes of Texas, p. 7; DFW Airport, Terminal F announcement.)
Florida does not impose personal income tax, and Miami International Airport is near downtown Miami. This is another sensible airport-area candidate, but the tax rule alone does not establish that it will cost you less overall than Texas. (Florida DOR FAQ 1466; MIA About Us.)
These are practical alternatives, not a finding that either has the lowest total tax burden; federal income tax remains, and local taxes and health-plan costs still matter.
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Watch out for
Next steps
Put insurance continuity first, then establish tax residence and document your assets before making sale decisions.
Before signing a lease
Secure the health-plan details before choosing your home
Case 1—your job offers group coverage: use the employer's enrollment process and obtain your premium contribution, start date and plan documents in writing. Group plans prohibit pre-existing-condition exclusions, but a waiting period can generally last up to 90 days after you become eligible. Request written confirmation of the oncology and imaging network, scan cost-sharing and any approval requirements. Case 2—no job plan, or a waiting-period gap: use the individual Marketplace route if your immigration status qualifies. Temporary work-visa holders and green card holders have different 2027 savings rules, explained above. The employer-specific price and exact scan coverage remain unresolved. (DOL, Work Changes Require Health Choices; HealthCare.gov, Immigration status.)
Requirements
If you need Marketplace coverage
Use your international-move enrollment window
A permanent move from Canada can trigger a special enrollment period. The general deadline is 60 days after the triggering event; the regulation allows recent residence abroad to satisfy the relevant prior-coverage condition, so you do not need to have held U.S. insurance first. Select coverage through HealthCare.gov for the state you choose; the official move rules are at https://www.healthcare.gov/coverage-outside-open-enrollment/special-enrollment-period. Regular coverage generally starts on the first day of the month after plan selection, not on your arrival date. Build any gap into the move schedule. (45 CFR 155.420(a)(5), (b)(1), (c)(1), (d)(7).)
Requirements
All figures below are U.S. dollars
Budget for premiums plus your share of scan costs
Your cancer history cannot increase a Marketplace , but coverage does not mean every scan is free. For Marketplace plans, the maximum permitted is $10,600 individual/$21,200 family in 2026 and $12,000 individual/$24,000 family in 2027; your selected plan may have lower limits. A useful covered-care budget is your annual premium payments plus your plan's actual out-of-pocket limit—not the deductible added again on top. Premiums, non-covered services and out-of-network spending are outside that limit. Frequent scans make the annual total more useful than the advertised monthly price. (HealthCare.gov, Pre-existing conditions, Premium rating and Out-of-pocket maximum.)
Requirements
Before treating Canadian resident taxation as ended
Establish your tax residence in both countries
Case A—you cease Canadian residence, including through the treaty's deemed-non-resident rule: Canada generally taxes only Canadian-source income after departure, plus any departure-year obligations. Case B—you retain significant Canadian ties: moving for work does not itself settle your ; a Canadian home, spouse or partner, and dependants are significant ties. If both countries treat you as resident, the treaty considers permanent home, closer personal/economic relations and then habitual abode. Separately, U.S. resident-alien status generally turns on green-card or physical-presence tests, and U.S. residents report worldwide income. Treaty credits generally relieve overlapping income tax, rather than eliminating every filing obligation. (CRA, Determining your residency status and Leaving Canada; Treaty Article IV; IRS Topic 851 and Publication 597.)
Requirements
Before selling or transferring investments
Inventory Canadian assets and prepare departure reporting
You do not have to liquidate everything. Canada can instead treat certain property as sold at market value when you cease residence, creating even if you retain it. Report applicable deemed gains on Form T1243. Form T1161 is required when the relevant property-value total exceeds C$25,000, applying its exclusions, including cash and specified registered plans; attach it to the departure-year return. Enter your departure date on the Canadian return. If you elect payment deferral using Form T1244, the election deadline is April 30 of the following year—April 30, 2027 for a 2026 departure—and security can be required. Deferral postpones payment; it is not a tax exemption. Apply the asset and short-residence exceptions described above before calculating tax. (CRA, Leaving Canada and Dispositions of property for emigrants.)
Requirements
With your first applicable U.S. tax year
File the U.S. disclosures for retained Canadian accounts
For a U.S. person subject to FBAR reporting, file when aggregate foreign financial accounts exceed US$10,000 at any time—not US$10,000 per account. File electronically at https://bsaefiling.fincen.treas.gov/main.html; the annual deadline is April 15 with an automatic extension to October 15. Form 8938 is separate and accompanies the income-tax return, including extensions: for someone living in the U.S., the thresholds are over $50,000 year-end or $75,000 anytime if unmarried or married filing separately, and over $100,000/$150,000 if married filing jointly. Also address any Revenue Procedure 2010-19 departure-tax election on the first timely return after your residence change, rather than assuming your investment cost automatically resets. (IRS foreign-reporting comparison; Revenue Procedure 2010-19.)
Requirements
Legal sources
This answer draws on state tax authorities, the IRS, CRA, the Canada–U.S. tax treaty, HealthCare.gov, CMS, the Department of Labor and the airports' own publications.
Florida DOR FAQ 1466
Florida is a zero-state-personal-income-tax option.
Florida does not impose a personal income tax, so there are no filing requirements.
Texas Comptroller, A Field Guide to the Taxes of Texas
Texas has no state or local income tax, but local property taxes remain.
Page 7, December 2025 edition
Texans pay federal income taxes but not state or local income taxes. Property taxes are levied by local governmental entities, school districts and special purpose districts (see p. 24).
DFW Airport, Terminal F announcement
Dallas–Fort Worth has the international airport required for your shortlist.
Terminal F groundbreaking announcement
Dallas Fort Worth International Airport (DFW) today celebrated the beginning of construction on Terminal F – the airport’s sixth terminal and the first new construction of an entire terminal at DFW since 2005.
MIA About Us
Miami has an international airport near the city.
About Us
Miami International Airport (MIA), located on 3,230 acres of land near downtown Miami, is operated by the Miami-Dade Aviation Department and is the property of Miami-Dade County government.
HealthCare.gov, Pre-existing conditions
Your cancer history cannot be used to reject you or impose a health-based premium increase in a Marketplace plan.
Coverage for pre-existing conditions
All Marketplace plans must cover treatment for pre-existing medical conditions. No insurance plan can reject you, charge you more, or refuse to pay for essential health benefits for any condition you had before your coverage started. Once you’re enrolled, the plan can’t deny you coverage or raise your rates based only on your health.
DOL, Work Changes Require Health Choices
Employer group plans also have pre-existing-condition protections, but an eligibility waiting period can create a coverage gap.
Changing jobs; ACA protections
Check to see if the new plan has a waiting period before you can enroll in coverage – generally, it may last up to 90 days from the date you become eligible for the plan. Protections related to employment-based group health plans include: • Extending dependent coverage until age 26, • Prohibiting preexisting condition exclusions, • Banning annual and lifetime limits on coverage for essential health benefits, and • Requiring group health plans and insurers to provide an easy-to-understand Summary of Benefits and Coverage.
HealthCare.gov, Premium rating
Marketplace prices vary with listed rating factors, not your cancer history.
How premiums are set
Five factors can affect a plan’s monthly premium: location, age, tobacco use, plan category, and whether the plan covers dependents. Your health, medical history, or sex can’t affect your premium.
HealthCare.gov, Out-of-pocket maximum
Marketplace plans have annual covered-care limits, but premiums and excluded expenses are separate.
Marketplace out-of-pocket limits
The out-of-pocket limit for a Marketplace plan for plan year: **2026:** No more than **$10,600** for an individual or **$21,200** for a family **2027:** No more than **$** **12,000** for an individual or **$24,000** for a family
HealthCare.gov, Immigration status
For 2027, a temporary work visa can permit coverage without permitting Marketplace financial savings.
Immigration status to qualify for the Marketplace
Warning: Due to a law change, starting January 1, 2027, only people with the following immigration statuses qualify for savings Savings A premium tax credit to lower what you pay for monthly plan premiums and/or discounts for your share of costs when getting plan-covered services : Lawful Permanent Resident (LPR, Green Card holder) Cuban or Haitian entrant Compact of Free Association (COFA) migrant Other immigration statuses may be eligible for Marketplace coverage, but not savings.
45 CFR 155.420
A qualifying permanent move from Canada opens an enrollment opportunity without needing prior U.S. insurance.
(a)(5), (b)(1), (c)(1), (d)(7)
Unless specifically stated otherwise herein, a qualified individual or enrollee has 60 days from the date of a triggering event to select a QHP. Except as specified in paragraphs (b)(2) and (3) of this section, for a QHP selection received by the Exchange from a qualified individual, the Exchange must ensure a coverage effective date of the first day of the month following the QHP selection;
CMS-9904-F fact sheet
Short-term insurance can lack the protections you need for cancer follow-up.
Short-term, limited-duration insurance
For example, STLDI is not subject to the prohibitions on discrimination based on health status, pre-existing condition exclusions, and lifetime and annual dollar limits on essential health benefits.
NY TSB-M-06(5)I
Your assigned work location can undermine the expected saving from living in a no-income-tax state.
Current application of the convenience of the employer test
Normal work days spent at home are considered days worked in New York State
CRA, Determining your residency status
Canadian tax residence depends on your circumstances and treaty residence, not a requirement to sell everything.
Determining residency; deemed non-residents
Under the Canadian income tax system, your income tax obligations to Canada are based on your residency status. You may be considered a deemed non-resident of Canada if you established residential ties in a country that Canada has a tax treaty with and you are considered a resident of that country, but you are otherwise a factual resident of Canada, meaning you maintain significant residential ties with Canada.
CRA, Leaving Canada
Non-residents can retain assets, but Canadian-source income and departure-year reporting still matter.
Canadian-source income; TFSA
After you leave Canada, as a non-resident, you pay Canadian income tax only on your Canadian source income. If you hold a TFSA when you leave Canada, you can keep it and continue to benefit from the exemption from Canadian tax on investment income and withdrawals. However, you cannot contribute to your TFSA while you are a non-resident of Canada, and your contribution room will not increase.
CRA, Dispositions of property for emigrants
Canada can impose departure tax without an actual sale, with specified exclusions and a payment-deferral election.
Deemed disposition; reporting; deferring payment
If you ceased to be a resident of Canada in the year, you were deemed to have disposed of certain types of property at their fair market value (FMV) when you left Canada and to have immediately reacquired them for the same amount. You can elect to defer the payment of tax on income relating to the deemed disposition of property (departure tax), regardless of the amount. You must make this election **by April 30** of the year after you emigrate from Canada.
Canada–U.S. Tax Convention, Article IV
The treaty provides a residence tie-breaker when both countries regard you as resident.
Article IV(2)(a)–(b)
(a) he shall be deemed to be a resident of the Contracting State in which he has a permanent home available to him; if he has a permanent home available to him in both States or in neither State, he shall be deemed to be a resident of the Contracting State with which his personal and economic relations are closer (centre of vital interests); (b) if the Contracting State in which he has his centre of vital interests cannot be determined, he shall be deemed to be a resident of the Contracting State in which he has an habitual abode;
IRS Publication 597
Treaty credits generally address overlapping income taxes, and qualifying Canadian retirement income can receive U.S. deferral.
Income Tax Credits; Pensions, Annuities, Social Security, and Alimony; revised October 2015
The treaty contains a credit provision (Article XXIV) for the elimination of double taxation. In general, the United States and Canada both allow a credit against their income tax for the income tax paid to the other country on income from sources in that other country. However, a U.S. citizen or resident can elect to defer U.S. tax on income accrued in the plan until the income is distributed.
Revenue Procedure 2010-19
The departure-tax treaty election needs a timely return, Form 8833 and supporting documents.
Section 4
The individual must make the election by reporting the deemed disposition on the individual’s timely filed U.S. federal income tax return for the individual’s first taxable year ending after the individual’s change of residence and attaching a Form 8833, Treaty Based Return Position Disclosure under section 6114 or 7701(b) of the Internal Revenue Code. The individual must attach documentation establishing the fair market value of the property, as determined under Canada’s deemed disposition rules, and confirming that gain (and, if permitted by section 4.05 of this revenue procedure, loss) was recognized and properly reported for Canadian tax purposes for the taxable year of the deemed disposition.
IRS Topic 851
U.S. tax residence is a separate test, and resident taxation reaches foreign income.
Resident aliens
You're considered a resident alien for a calendar year if you are not a U.S. citizen, and you meet the green card test or the substantial presence test for the year. If you’re a **resident alien,** you must follow the same tax laws that apply to U.S. citizens. You must report your worldwide income.
IRS, Comparison of Form 8938 and FBAR requirements
Retaining Canadian accounts can trigger separate U.S. account and asset disclosures.
Reporting thresholds; When due; Where to file
Unmarried individual (or married filing separately): Total value of assets was more than $50,000 on the last day of the tax year, or more than $75,000 at any time during the year. Married individual filing jointly: Total value of assets was more than $100,000 on the last day of the tax year, or more than $150,000 at any time during the year. Aggregate value of financial accounts exceeds $10,000 at any time during the calendar year.
These are the official rules as published on the cited dates; rules and plan terms can change.
This is general information about official processes, not legal advice, and SettleKit is not a law firm.

