The healthcare system in Esteli is a mix of public and private facilities. The public healthcare system, known as the Nicaraguan Social Security Institute (INSS), is widely used by locals, while private healthcare is often the choice for expats and foreigners.
Nicaragua’s Healthcare System
The public healthcare system in Nicaragua is managed by the Nicaraguan Social Security Institute (INSS). This system is accessible to all Nicaraguans, including foreigners who have obtained residency. However, the quality of care in public hospitals can vary, and they are often crowded and under-resourced. For serious medical emergencies and major surgeries, many people recommend using private hospitals. Private hospitals in Esteli offer a higher standard of care, with more modern facilities and English-speaking staff. Expats and digital nomads are allowed to use both public and private healthcare systems, but they often opt for private hospitals due to the better quality of care and shorter waiting times.
Hospitals and Clinics for Expats in Esteli
Esteli has several healthcare facilities that are recommended for expats. These include:
- Esteli Hospital – a public hospital located in the city center.
- Metropolitano Hospital – a private hospital known for its high standard of care.
- San Juan de Dios Clinic – a private clinic specializing in general medicine and minor surgeries.
Emergency Services in Esteli
Emergency services are available in Esteli, including ambulance services. To call for an ambulance, you can dial 128. However, response times can vary and there may be delays, especially in more remote areas. It is often recommended to take a taxi or private vehicle to the hospital in case of an emergency, as this can be faster.
Health Insurance Companies in Esteli
There are several private health insurance companies in Esteli, including Seguros America and Seguros Lafise. These companies offer a range of health insurance plans, including coverage for hospitalization, outpatient care, and emergency services. Many expats and digital nomads choose to use these local insurance companies, although some prefer to use international health insurance providers that specialize in coverage for expats. It’s important to note that while these local insurance companies are popular, they may not provide coverage for all medical conditions or treatments, so it’s important to thoroughly review any insurance plan before purchasing.
