Understanding the Health System in Colombia
Summary: Gain insight into the health care system in Colombia. Explore its accessibility and limitations for expatriates, remote workers, retirees, and others who choose to live in Colombia.
Are you considering an international move to the vibrant nation of Colombia? With its rich culture, warm climate, and friendly locals, it's no wonder that Colombia is becoming an increasingly popular destination for expats. But before you pack your bags, there are a few things you should know about living in this diverse South American country. Here are ten essential tips to help you prepare for your big move.
1. Understand the Visa Requirements and residency Permits
Before making the move, familiarize yourself with Colombia's visa requirements. The country offers various types of visas, including the Migrant (M) visa for those intending to stay long-term. Some popular options include the retirement visa, which requires a minimum monthly income of three times the Colombian minimum salary, and the marriage visa for those with a Colombian spouse. Always check the official government immigration website for the most up-to-date information.
2. Learn Some Spanish to Enhance Your Experience
While English is spoken in many tourist areas and big cities, having a basic grasp of Spanish will greatly enhance your experience and help you integrate into daily life. Colombians appreciate when foreigners make an effort to speak their language. Plus, you'll find that learning Spanish opens up more social and professional opportunities. Consider taking lessons before you arrive or enrolling in a language school once you're settled.
3. Get Acquainted with the Regional Differences
Colombia is a large country with distinct regions, each offering a unique lifestyle. The capital, Bogotá, is a bustling metropolis with a cool climate, while Medellín offers eternal spring weather and a strong entrepreneurial scene. Cartagena, on the Caribbean coast, is known for its colonial charm and tropical heat. Research each region to find the best fit for your preferences and needs. Anecdotally, many expats report feeling more comfortable in smaller cities like Pereira or Bucaramanga due to their slower pace of life and lower cost of living.
4. Prepare for the Variations
The cost of living in Colombia can vary greatly depending on the city and your lifestyle. Generally, it's lower than in many Western countries, but not everything is a bargain. Imported goods and electronics can be pricey, while local produce and public transportation are quite affordable. Rent prices also vary significantly; for instance, a one-bedroom apartment in Bogotá might cost around 1,500,000 COP (Colombian Pesos), while the same in Medellín could be around 1,000,000 COP.
5. Embrace the Colombian Culture and Traditions
Colombia is rich in cultural heritage, with a mix of indigenous, European, and African influences. From the lively rhythms of cumbia and salsa to the colorful celebrations like the Barranquilla Carnival, there's always something to explore. Engage with local traditions, try regional dishes like arepas and bandeja paisa, and you'll find that Colombians are proud to share their culture with you. One expat recounted how joining a local dance class not only helped them learn salsa but also forged lasting friendships.
6. Understand the healthcare System
Colombia has a robust healthcare system, with both public and private options available. The public system, known as EPS (Entidades Promotoras de Salud), is mandatory for residents and offers comprehensive coverage. Private healthcare is also high-quality and relatively affordable compared to many Western countries. Many expats opt for private health insurance to access top-tier facilities and shorter wait times. It's advisable to research and compare plans before making a decision.
7. Safety Tips and Common Precautions
While Colombia has made significant strides in improving safety, it's still important to take common-sense precautions. Avoid displaying valuables in public, be cautious with your belongings in crowded areas, and stick to well-lit streets at night. It's also wise to consult local advice on which neighborhoods are safe. Many expats report feeling secure once they become familiar with their surroundings and adopt basic safety habits.
8. Explore the Job Market and Entrepreneurial Opportunities
Colombia's job market can be challenging for foreigners, but opportunities exist, especially in sectors like education, technology, and tourism. Networking is crucial, and many jobs are found through personal connections. Additionally, Colombia encourages entrepreneurship, with initiatives like Ruta N in Medellín supporting startups. Some expats have found success by starting their own businesses, tapping into the growing local and international markets.
9. Navigate the real estate Market Wisely
Finding accommodation in Colombia can be both exciting and daunting. The real estate market is dynamic, with options ranging from modern apartments to traditional Colombian homes. It's advisable to work with a reputable real estate agent who understands your needs and can guide you through the process. Be prepared to negotiate, as prices can often be flexible. One expat shared how their agent helped them find a spacious apartment in a desirable neighborhood at a lower-than-expected price.
10. Build a Social Network and Embrace the Expat Community
Moving to a new country can be lonely at first, but building a social network can make all the difference. Join local expat groups, attend cultural events, and participate in community activities. Colombians are generally welcoming and eager to include newcomers in their social circles. Many expats find that connecting with both locals and fellow expats enriches their experience and helps them feel at home in Colombia. One expat mentioned how joining a local hiking club introduced them to both stunning landscapes and lifelong friends.
By keeping these ten things in mind, you'll be better prepared to navigate the challenges and embrace the rewards of living in Colombia. Whether you're drawn to the vibrant cities, the lush countryside, or the warm hospitality of the people, Colombia offers a rich and diverse experience for expats who are ready to embrace a new chapter in their lives.
Insider Tips from Expats in Colombia: How to Navigate the Health System
" Minor problems can be taken care of here, but really serious problems require a trip to a bigger City like Bogota which is 11 hours away by car.," commented one expat living in Florencia, Colombia.
"There is a vast difference between the lowest level of health insurance and the highest level. The difference is night and day. I have both a low level and high level. I pay $30/mth, SaludTotal low level, $250/mth AXAColpatria, high level. The lower level insurance is required by my high level insurance. With my AXAColpatria, the doctor will come to my house as a non-emergency first response," mentioned one expat living in Colombia.
"Pay the higher insurance premium to insure quicker access to specialists. Have at least a working knowledge of the language as most doctors speak no English. ," said an expat in Colombia.
"Colombia has a public healthcare system that provides basic healthcare services to its citizens. The quality of public healthcare in Colombia is generally considered to be good, with a wide range of services available. Foreign residents in Colombia are able to access the public healthcare system, although they may need to pay for some services. Expats in Colombia typically use the public healthcare system, although they may also opt to use private healthcare services. Private healthcare services are generally more expensive than public healthcare, but they may offer more comprehensive services," remarked one member living in Colombia.
"There are three hospitals, approximately 10 -20 minutes away. All private hospitals," commented one expat living in Medellin, Colombia.
"Emergency services are pretty good. Better before COVID, of course. Before COVID the only Hospital that I would go to was private, MEDILASER is the nicest and is about 5 minutes from my house.All 3 Hospitals are within 12 minutes from any part of town. We call an ambulance the old fashioned way, with a telephone," mentioned one expat living in Colombia.
"FOS-UNAB will be open soon and will be state of the art for Colombia. Will cater to foreign nationals who want good quality medical care at roughly half the price charged in the US. Other hospitals or clinics are run by the EPS'S or insurance entities while one or maybe two are "public" and who serve all comers. My EPS is SaludCoop, one of the country's largest but as with most, is having financial concerns, paying providers, causing a terrible cash flow problem with the hospitals. Politicians vow they will change the whole system putting it totally under government control Sound familiar?," said an expat in Colombia.
"I live within 10 minutes to 30 minutes depending on the hospital. The hospital connected to SaludTotal is Clinica de Bucaramanga/ Private. It is old, 2 people to a room, typically no soap in the public bathrooms and I have caught them using water to clean my arm for needle insertion. With AXAColpatria, International Hospital Colombia. New hospital equipped with the latest technology and loaded with specialists doctors. Private large rooms. Very nice, Fast attention with my insurance. I am treated as a VIP. ," remarked one expat in Colombia.
"Emergency services in Colombia are generally reliable and efficient. In the event of an emergency, the best way to call for an ambulance is to dial 123, the national emergency number. This number is free and available 24 hours a day, 7 days a week. Ambulances are typically staffed with trained medical personnel and equipped with the necessary medical supplies to provide basic medical care. In addition, the ambulance service is often accompanied by a police escort to ensure the safety of the patient and medical personnel," said one expat living in Colombia.
About the Author
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.
Additional Information:
- Colombia Guide
- Healthcare & Health Insurance in Colombia
- Members Talk about Healthcare & Health Insurance in Colombia
- Best Places to Live in Colombia
- Real Estate in Colombia
- Guide to Real Estate in Colombia
- Pros & Cons of Living in Colombia
- Cost of Living in Colombia
- Homeschooling in Colombia
- How to Enroll Your Children in School in Colombia
- Educational System in Colombia
- 10 Things to Know Before Moving to Colombia
- 2026 Guide to Living in Colombia
- Pros and Cons of Living in Colombia 2026
- 2026 Guide to Moving to Colombia


