15 Expats Talk about Health Insurance and Healthcare in Ecuador

"One important point to make that might make a difference: My Spanish is fluent so all of my conversations with doctors are in their native language, not mine. I never even ask if they speak English, and I don't know how many there are that do and to what degree. Another interesting point is more of a cultural difference. My wife accompanies me to all my doctor's visits and I to hers. We both address the issues with the doctors and are privy to their explanations. I find that very comforting. And there are times when I can't understand the doctor because of regional dialects and the ever-present masks and my wife, who speaks no English, doesn't translate, but rather paraphrases into language I can understand. Between the three of us clear communication usually results," said an expat in Cotacachi.

"Healthcare services in Ecuador are provided by both public and private institutions. The public healthcare system is managed by the Ministry of Public Health and is available to all Ecuadorian citizens and legal residents. The quality of public healthcare varies depending on the region, but generally it is considered to be of good quality. Foreign residents are able to access the public healthcare system, but they must first register with the Ministry of Public Health. Expats in Ecuador typically use the public healthcare system, as it is often more affordable than private healthcare. However, some expats opt to purchase private health insurance to access private healthcare services," commented one expat living in Ecuador.

"In the cities, the medical services are the best we have seen in our travels outside of France, (the best in the world). From a home and the decision to see someone, to seeing a specialist can take as little as 20 minutes at a cost of $40. Tests and operations can be set for the same day. We grew up with national medical care and were advised on arrival, by those who have that background, to get insurance. We did so for three years but dropped it in angry disgust. It is demeaning being privately health-insured if you are not used to it. We self-insure and cover the expat requirement (when there is one from time to time) with IESS (never used)," wrote one expat.

" We have private insurance which costs $100 per month per person with $90 deductible. Our doctor copays are $5 for office visit (general and specialty). My husband had physical therapy for $15 each visit since deductible was not met yet. Normal blood tests are about $50. Colonoscopy $150 with anesthesia. I have gone for lab tests without rx for thyroid and other issues. About $12-20 each cash pay. There are doctors who will make house calls also, probably Spanish speaking. Costs are cheap without using insurance except for discounts. Rarely use it for meds because very little require rx. Just go talk to local friendly pharmacist about your issues and they will recommend a variety of meds and give you the pros and cons of each. They will also advise when you REALLY need to go to doctor. My lab test for infection ($12) gave me a list of meds that could be used to kill that bacteria. Took lab results to pharmacy to discuss which med would be the best for me. The amount of attention that the doctors in USA are able to give has made us fairly educated medical consumers. The system here makes it easy and cheap to get care," commented one expat who moved to Ecuador.

"I let them know about public and private insurance options. This with chronic conditions should enroll in Ecuadorian IESS public system. But even without insurance the medical care in Ecuador is much more affordable than in the US," said one expat.