Let $(G,+)$ be a countable abelian group such that the subgroup $\{g+g\colon g\in G\}$ has finite index and the doubling map $g\mapsto g+g$ has finite kernel. We establish lower bounds on the upper density of a set $A\subset G$ with respect to an appropriate Følner sequence, so that $A$ contains a sumset of the form $\{t+b_1+b_2\colon b_1,b_2\in B\}$ or $\{b_1+b_2\colon b_1,b_2\in B\}$, for some infinite $B\subset G$ and some $t\in G$. Both assumptions on $G$ are necessary for our results to be true. We also characterize the Følner sequences for which this is possible. Finally, we show that our lower bounds are optimal in a strong sense.