Seguro Popular is not typically recommended as the primary healthcare option for foreigners living in Mexico, but some older expats who cannot get adequate coverage under IMSS due to pre-existing conditions, enroll in Seguro Popular and pay out-of-pocket for private care as needed. One expat explained this basic level of healthcare in Mexico, "Seguro Publico is generally free, or almost free, depending upon your family situation, home, etc., and is for those without any other insurance coverage. Neither are really insurance, but are socialized medical care programs for legal residents of Mexico; citizens and those with residence visas. Quality of care can vary widely from one area to another and waits can be very long; often requiring arrival at 6:30 AM and waiting much of the day, only to be referred to the next day, or another location or provider. Appointment times can take several weeks; even months."
" Seguro Popular has its own hospitals with different levels of care available. Some are good, some are not. No, you do not get to choose the hospital and get reimbursement. These are public hospitals and are a far cry from the excellent private hospitals you will find in places like Guadalajara, etc," explained one expat.
"Seguro Popular doesn't eliminate on the basis of pre-existing conditions (nor age). (With IMSS there are delays in coverage.) SP has no exclusions like that. They will interview you for financial information (basic questions like whether you rent or own, have a refrigerator or whether your floors are tile or dirt, etc.) but by USA and Canadian standards, the annual payment will be very modest. Also, there are equally modest charges for some surgeries or treatments. Where it may fall short for some people is that the coverage is not comprehensive. Covered treatments and medications are based on an extensive and growing menu design to provide the most needed treatments for the most people. But there are sometimes conditions that fall outside of their menu (dialysis for example). People often tell me that it covered everything for them. But if you are the exception, I think you need to know that there is a small the one thing you need isn't on the menu," explained one expat.