Puntarenas, Costa Rica



Do I need Health Insurance When Moving to Costa Rica?

By Betsy Burlingame

SJB Global
SJB Global

Summary: Is health insurance a requirement when you are moving to Costa Rica? This article explores health insurance requirements for newcomers to Costa Rica.

When planning a move to Costa Rica as an expat or digital nomad, it's crucial to understand the health insurance requirements for newcomers seeking residency. Costa Rica requires that foreigners applying for residency have health insurance that covers them for at least the first year. The minimum coverage amount is USD 30,000, and the policy should include coverage for medical, surgical, pharmaceutical, and hospitalization expenses. Additionally, it's essential to ensure that the insurance policy covers pre-existing conditions.

Does Expat Health Insurance Meet the Requirements?

Yes, expat health insurance can meet the requirements for Costa Rica as long as it covers the minimum requirements mentioned above. However, it's essential to ensure that your policy includes coverage for pre-existing conditions, as this is a specific requirement for Costa Rica. It's also crucial to verify that your insurance provider is recognized and accepted in Costa Rica. Some expats may prefer to purchase local health insurance to ensure they meet all requirements and to simplify the process.

Which local health insurers offer this type of insurance?

Several local health insurers in Costa Rica offer plans that meet the requirements for residency applicants. Some of the most popular local insurers include the Instituto Nacional de Seguros (INS), BlueCross BlueShield Costa Rica, and Aseguradora INVU. These companies provide various health insurance plans that cater to different needs and budgets. It's recommended to compare the coverage, benefits, and costs of different plans to find the one that best suits your needs.

Advice from Expats in Costa Rica about Health Insurance

Expats in Costa Rica advise newcomers to carefully research and compare different health insurance options before making a decision. It's essential to ensure that the chosen plan covers not only the minimum requirements but also any specific health needs or concerns. Additionally, expats recommend looking for insurance plans that offer coverage in both private and public healthcare facilities, as this can provide more flexibility and access to a broader range of services. Lastly, it's crucial to review the fine print and understand any deductibles, co-payments, or exclusions that may apply to avoid unexpected out-of-pocket expenses.

Expats Talk about Health Insurance in Costa Rica

"I was paying around $100 a month for my INS policy, but crossed into the next age bracket plus filed a few claims and my premium doubled. It was still a good deal, but too much for me. The Caja tax is around $100 a month for a pensionado, unfortunately much higher for rentistas. It's set by your income, and most expats just pay according to the income requirements of their residency type. Caja services, including generic prescription meds, are 100% covered, so you never pay more than your monthly tax. Private docs are realistically $80 a visit. You hear of lower prices, but if you go to a specialist (including an internist) plan on $80. As a rule of thumb, pretty much everything else is around 1/3 the price it is in the US," said one expat who moved to San José, Costa Rica.

"The cost of medical care is high. I have private health insurance, which allows me immediate and unrestricted access to private hospitals under the conditions that I like to have at my disposal. That guarantees me care without waiting for weeks or months, compared to public health. My private insurance is accepted in all clinics in the country, and I got it on the recommendation of an expat friend," mentioned one expat when asked about moving to Costa Rica.

"I had private health insurance in Costa Rica for several years prior to being a member of the socialized medicine care. It was less expensive that the states. In many cases, your private health insurance will allow you the hospital of your choice," stated one expat who made the move to Costa Rica.

"Ditto here. Most docs (and dentists) speak great English and have been superb, & very inexpensive at least in Escazu (Hospital CIMA). Many have been trained in the US or the UK, plus the medical & dental school here are top of the line. Educational achievement (and speaking English) is a high priority to Costa Ricans. We dropped our CIGNA Global insurance learning this," remarked one expat in Costa Rica.

"Amazingly inexpensive. My personal experience with costs without insurance include a colonoscopy that was quoted at $3300 in the states that was done in Costa Rica for $300. I have a number of crowns in my mouth that I paid $300 to $400 including the root canal and crown," said one expat living in Costa Rica.

About the Author

Betsy Burlingame Betsy Burlingame is the Founder and President of Expat Exchange and is one of the Founders of Digital Nomad Exchange. She launched Expat Exchange in 1997 as her Master's thesis project at NYU. Prior to Expat Exchange, Betsy worked at AT&T in International and Mass Market Marketing. She graduated from Ohio Wesleyan University with a BA in International Business and German.

Some of Betsy's articles include 12 Best Places to Live in Portugal, 7 Best Places to Live in Panama and 12 Things to Know Before Moving to the Dominican Republic. Betsy loves to travel and spend time with her family. Connect with Betsy on LinkedIn.


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Immigration Help Costa Rica
Immigration Help Costa Rica

Costa Rica Legal Residency is a bi-lingual boutique firm with 15 + years of successful experience on Residency, Renewals, Digital Nomad, and Citizenship.
Learn More

Immigration Help Costa RicaImmigration Help Costa Rica

Costa Rica Legal Residency is a bi-lingual boutique firm with 15 + years of successful experience on Residency, Renewals, Digital Nomad, and Citizenship.
Learn More

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