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An interesting way to have medical insurance......

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morganstern
6/15/2019 19:51 EST

http://www.hospitalvivianpellas.com/

Yes I know it is in Nicaragua. But could be a really great backup for some.....and really...who wants the caja? Not many.

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Kohl
6/16/2019 17:29 EST

This doesn't seem to offer medical insurance, but rather it is a private facility.
May be worth checking out though, for non-emergency treatments.

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shermanwc
6/19/2019 17:34 EST

Hospital Vivian Pellas is a very good hospital - my daughter and her husband have lived in Nica for a number of years and my two granddaughters that live in Nicaragua were born there (now 3 and 5). The family belongs to the health plan at that hospital, which provides discounts on services for members (but is not a true "insurance" program).

My wife and I are currently transitioning from living in CR to living in southern Nicaragua (near our daughter and her family), and a few days ago my wife had an atrial fibrillation episode and spent two nights at this hospital. The medical service was good and the total charges at discharge were less than $4000. My wife had her first Afib episode two years ago when living in CR, and she as admitted for two nights at a private hospital in the Liberia area (to remain unnamed) - they billed us for over $80,000. We have private international health insurance (WEA) - they settled with the hospital for somewhat less than $40,000. That time it was a bit more of an emergency (included an ambulance ride), but it seems apparent that costs are much higher in CR.

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lindyluvsCR
6/19/2019 18:44 EST

Does anyone think that a Tico would have been billed that much? I wonder what they would have done if you did not have the insurance or any way to pay that much?

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beach1girl
6/19/2019 19:36 EST

They would only have said that they don't have the money to pay for it and would have gotten away with it. That simple

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Kohl
6/20/2019 10:09 EST

While the cost of treatment in this hospital was much less, even having to pay $4000 could financially wipe out a family, if living a a strict budget. Did you even consider using CAJA for her initial treatment?

Hope your wife is feeling better, Shermanwc

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expat health insurance from CIGNA

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shermanwc
6/20/2019 10:30 EST

We did not consider CAJA for my wife's initial Afib treatment in CR. It was an emergency situation, and I have not heard good things about CAJA hospitals outside of San Jose, especially the Nicoya Hospital. I use CAJA/EBAIS for my regular checkups and prescription meds, but my wife does not use them as she finds it to be a frustrating process (her Spanish is not as good as mine). In general, we both use private health care facilities with English speaking staff for non-routine health concerns. CAJA often has long delays to get an appointment with a medical specialist, and it could add risks if communications are not clear.

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PombinhaCoco7
6/20/2019 12:23 EST

shermanwc
My Caja doctor told me in September that I needed an ultrasound after I had my mammography.
My husband went to Liberia to make an appointment for me in the public hospital.
My appointment is for Nov. 2021.
Yes, 2021.
So I decided to go to San Rafael and pay for it.
However I'm still keeping the other appointment. because by then I may need it again.
We don't have private insurance but when I checked with one of the big "names" how much we would have to pay monthly the cost would be US$ 1.000.00 for both.
The only medication we take is for high blood pressure and we get it through Caja.
However I'm always concerned about
the possibility of one of us to need an operation in the future.

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Kohl
6/20/2019 13:19 EST

Shermanwc, I 'presumed' that this would be your response, but wanted others considering making this move to hear from those who have actually gone through an experience which may be a similar ordeal to understand what it may mean to rely solely on CAJA.

For the most part we were very pleased with the care that the CAJA provided...however, we did also choose to use private facilities for things like colonoscopies, MRI's, ultrasounds, mammograms, etc.

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