This Italian destination, referred to Tuscany on the cheap, ranks second (tied with Spain) out of 25 countries on International Livings Global Retirement Index for health care and as for the cost of living, it tied for 11th (with Uruguay) on the Global Retirement Index. A retired American couple can live comfortably on about $2,500 a month. The Lunigiana region of northern Tuscany is home to a network of villages connected by well-marked hiking paths. The Mediterranean coast is a short drive away, and Florence, Lucca and Pisa are all manageable day trips. Lunigiana isnt on the radar of too many retirees yet, which means the region is more affordable than areas farther south in the heart of Tuscany. Italy has a Social Security agreement with the U.S. that can benefit people whove worked in both countries.