15 Expats Talk about Health Insurance and Healthcare in Ecuador
Last updated on Sep 05, 2024
Summary: The quality of medical care in Ecuador is generally considered to be good, although it is not as advanced as the medical care available in the United States. Emergency services are available in Ecuador, and ambulances can be called by dialing 911. In some areas, private ambulance services may also be available.
How are healthcare services Ecuador?
When we asked expats and global nomads about the quality of medical care in Ecuador, they replied:
"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)," said an expat in Cuenca.
"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.
" 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," wrote one expat.
"Seeing a doctor in Cuenca is an easy matter. No appointment necessary in most cases. Excellent service and good quality for a much lower cost that the U.S," commented one expat who moved to Cuenca.
What are medical services in Ecuador like?
When we asked expats and global nomads about the quality of medical care in Ecuador, they replied:
"Medical services in Ecuador are generally of a good standard, with a wide range of public and private hospitals and clinics available. The public health system is free for Ecuadorian citizens, and there are also a number of private health insurance plans available. The country has a number of highly trained doctors and specialists, and the quality of care is generally good. Ecuador also has a number of specialized medical centers, such as cancer treatment centers, and a number of medical research centers," remarked one expat living in Ecuador.
Are healthcare and health insurance expensive in Ecuador?
"Healthcare and health insurance in Ecuador can be expensive, depending on the type of coverage and services needed. Generally, public healthcare is available at a lower cost than private healthcare, but the quality of care may not be as high. Private health insurance can be expensive, but it can provide access to higher quality care and more specialized services. Additionally, many employers offer health insurance plans to their employees, which can help to reduce the cost of healthcare," wrote one expat.
"We didn't use our U.S. insurance because the deductibles would have been more than what we paid for care in Cuenca," commented one expat who moved to Cuenca.
"I have chosen to keep both my US Medicare supplemental and also IESS public insurance here in Ecuador. As you may know the local healthcare here has been experiencing EXTREME financial difficulties so I haven't been so quick to drop my Medicare in the US. I am three years out of cancer and just don't want to take a chance yet in depending on soley on IESS. I've unfortunately watched it fail horribly for some friends. At least with both, I know that I can always return to the US if I need advanced healthcare. If you do plan on dropping it, it's one of those things that needs to be done from the US so something to keep in mind. For me the price is worth the piece of mind to keep both and it's honestly about the same price of getting private insurance here. I pay $170 supplemental in US and $78 here for IESS. Private insurance because of my pre-exisiting here was quoted at $350. Hope that helps! Just my experience," said one expat.
"Private health insurance here is a fraud. The only people buying it are US expats who were trained that you need it in the States. Here, health care is so cheap that you will NEVER recover your premiums. Example - insurance quoted me $400/mo insurance. I just spent 2 weeks in the hospital in a private room with excellent care, and the total cost (no insurance used) was just over $5,000. IOW, one year of premium to pay for 2 weeks hospital, Unless you are in the hospital a LOT, you are better off self-insuring (as we do)," remarked one expat in Cuenca.
"The cost of medical care if much cheaper than the United States. I had back surgery for $8,000 and I only had to pay $1,000 deductible," remarked one expat living in Quito.

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What are emergency services like in Ecuador?
When we asked about emergency services, members in Ecuador wrote:
"I am one block from a clinic, Clinica Primavera. Services there are fine (to see a doctor for a cold or flu). Three blocks away is a very good hospital, Los Valles. Both are private. I have been to the ER in Los Valles a couple of times. The cost was around $300 (once for stitches and once for back pain which included a MRI scan). The quality of care in both were great," said one expat.
"My experience was with Santa Ines near Centro. Full hospital and emergency services. Great quality of care," remarked one expat in Cuenca.
"We live within 3 blocks of a major hospital with 24 hour Emergency care and within 5 blocks of a similar major hospital also with 24 hour emergency care. Both hospitals are excellent and offer quality care.," remarked one expat living in Cuenca.
"The Big Public Hospital in Cuenca is Moscosa, which is about a mile away. I've been to the bathroom there and wouldn't recommend it, because if the bathrooms aren't clean, I wouldn't trust the service (same goes for restaurants.)," said one expat living in Cuenca.
Will I need to travel to see a specialist?
"We do most of our doctor's visits in Otavalo, or Ibarra depending on the availability of specialists. The system for booking appointments needs work but it's getting better. I've been seen by probably ten different general practitioners and both my wife and I have settled on a couple that we feel very confident with. With a bit of luck and an occasional wait we manage to book appointments with doctors of our choice, though the others would certainly be fine in a pinch. Appointments are usually within a few days of the date when I first did the search. They are very proactive with profalactics, booking a full blood, urine and feces panel twice a year. A yearly EKG. I had a lung issue during the pandemic and had three different chest x-rays with no wait. An ongoing uncomfortable but not disabling knee issue led to an x-ray and a visit to the orthopod within a week or so. My wife gets annual pap smears and mammograms and is regularly seen by her gynecologist, who also a doctor we both feel very sure of. I do have northern=transplant friends who have had major surgeries and they all feel they got excellent care," said one expat living in Cotacachi.
"I have gone to a specialist in Quito for back surgery. I had two surgeons for my back surgery. They were great. The language barrier can be the only issue but I had help from friends," mentioned one expat in Quito.
"Pretty much every specialty can be covered right here in town (Cuenca), We even have a cancer center hospital specifically for that (which is free if you paid for IESS) that has gotten rave reviews from two friends who recently went through cancer treatments. I have two heart specialists myself (stents in 2005 in the US). They seem very competent, though I have had no heart issue since coming to Ecuador," commented one expat who moved to Cuenca, Ecuador.
" I would return to Ecuador for any serious health issues, because of the high level of care and the high level of successfully reversing serious health problems. The lower cost is just another bonus available to the patient. Some specialists here are not only trained and certified here in Ecuador, but have advanced medical certification education in other countries. So you get the benefit of other International modalities. ," remarked one expat living in Cuenca.
"I am young and in good health so these don't concern me. I only have insurance because the law requires it," commented one person.
Are common prescription medications available in Ecuador?
"Pharmacies in Ecuador have most medications. Some like antibiotics and others are available without prescription. I take Eutirox pill for my thyroid and buy it without prescription. The cost is about $2-$3 for a month supply," remarked one expat living in Loja.
"Yes, common prescription medications are available in Ecuador. Most medications can be purchased at pharmacies without a prescription, although some require a prescription from a doctor. Prices for medications in Ecuador are generally lower than in other countries, making them more accessible to the general population. Additionally, the Ecuadorian government provides subsidies for certain medications, making them even more affordable," said one expat living in Ecuador.
"Prescription medication is inexpensive and readily available. If you are on the typical 5 at 50 plan, you can come buy your meds have a nice vacation and still save money over doing the same in the U.S," mentioned one expat in Cuenca.
" Yes, we have common prescription medicines available throughout the city at different competing pharmaceutical chains. So you often may find one pharmacy with a competing pharmacy within a block or two. Prices are a fraction of what you would pay in the States. Prescriptions are required for most controlled medications, but natural medicines are also readily available. An example of the costs are from an experience of a gal that was bit by a dog and needed a tetanus shot. In rural Asia where this happened she paid $20. When she got to Europe, she had to pay $800. and when she got home in California, she had to pay $5,000. These were the same exact medicine and the same brand. It is a popular brand used for tetanus. ," commented one expat who moved to Cuenca, Ecuador.
"Yes, common medicines are found at the pharmacies and are often available without prescriptions. Medicine is fairly cheap," remarked one expat living in Quito.
Do you have anything more to add about local medical facilities in Ecuador?
"We are about 7-8 minutes away by bus from the hospital in Catamayo. We have not been there but for 3-4 incidents, and found they helped to assist with the trouble really quite well! You have an option of buying both for general or public insurance. More serious health issues require more distant hospitals such as Loja, Cuenca or Quito," commented one expat who moved to Catamayo and Loja.
"There is an emergency clinic 5 minutes from my house but the hospitals are in Salinas (45 minutes) or Guayaquil (3 hours) away. Fortunately, I've not had much need for health care but my friends and neighbors have been very pleased at both the quality and the price of procedures here. Although you can find English speaking doctors, it really helps in crisis situations to speak Spanish," said one expat.
"There is a local clinic with a doctor who is on call 24 X 7. The nearest hospital is located in Bahia, 30 minutes North. Additional hospitals are located in Manta or Portoviejo, 45 minutes via car," remarked one expat in San Jacinto.
As a foreigner living in Ecuador, will I have access to public healthcare? What is it like?
"Yes, every expat is required by law to have insurance. The federal system is available, and costs $68/mo for a couple. However, health care is so cheap that I skip the (underfunded and long lines) IESS (federal system) and pay out of pocket for private health care anyway," remarked one expat in Cuenca.
What have your experiences during the pandemic with the local healthcare system been like?
We asked expats in Ecuador if they have access to public healthcare in Ecuador. And, if they do have access, what is it like. They wrote...
"Have not had any need but each time I have had to go to a doctor or for a test, every patient is given a questionaire and has their temperature taken. Those with symptoms receive a much more thorough screening," commented one expat who moved to Machala.
"The pandemic has had a significant impact on the healthcare system in Ecuador. Many hospitals and clinics have been overwhelmed with the influx of patients, leading to long wait times and limited access to medical care. Additionally, the government has implemented strict measures to limit the spread of the virus, such as closing borders and restricting movement. This has made it difficult for people to access medical care, especially in rural areas. Despite these challenges, the healthcare system in Ecuador has been able to provide adequate care to those in need. The government has also implemented various initiatives to ensure that people have access to the necessary medical supplies and treatments," said one expat.
What advice do you have for expats having a baby in Ecuador?
We asked expat moms who gave birth in Ecuador about their experiences and advice they have for other moms to be. They said:
"Insist on taking a tour of the places where you could possibly have your child. Even if they refuse, (it's not Ecuadorian culture to allow tours in hospitals) try your best to see everything first and understand the conditions before your decision. All public hospitals offer free service for deliveries and C-sections, but since it's free they're usually packed with people. Be prepared ahead of time with everything you will need, but keep a close eye on what you bring in and what's going on around you. Things like baby shampoo, soap, a towel, and clothes are a MUST, because public hospitals won't provide any of it. If you don't bring soap or a towel, you will go home with a dirty baby with wet clothes because you had to dry it off with them. If you go to a clinic, be sure to know the circumstances of your labor and if it's absolutely necessary to have a C-Section if the doctor suggests it, because many have been deceived into the operation unnecessarily because it costs more than a normal delivery. Many doctors are just looking for more money. I'm not sure about the clinics in other cities, but at least in Otavalo, pain medication isn't given in clinics or in the hospital. Be prepared," explained one expat.
"Make sure to research the medical facilities in the area beforehand and select one with a good reputation. Visit the medical facility before your due date to familiarize yourself with the policies and procedures. Consider registering in a pre-natal class and hiring a doula or private midwife to increase your chances of having the birth experience you want. Be aware of cultural differences between what you may be used to and what is done in Ecuador. Make sure you have the necessary paperwork in place prior to the birth such as your Ecuadorian residency documents, insurance paperwork, and other birth documents. Lastly, be prepared for a few surprises along the way as every birth is unique," said one person in Ecuador.
Are healthcare services good in Ecuador?
We asked people if they have access to good medical care in Ecuador. They wrote:
"Your choice of the free hospital or higher cost facilities. Also qualify for the Social Security hospital here 100% coverage for $72 a month," explained one expat living in Cuenca.
"In Ecuador, healthcare services exist throughout the country, with primary health care clinics, private clinics and hospitals, and public hospitals all providing healthcare to citizens. Access to healthcare is provided on a sliding scale, with fees being assessed based on income. Primary health care clinics emphasize preventive medicine, but also provide diagnosis, treatment, immunizations and referrals to specialists in the public health system. Private clinics and hospitals provide higher quality services, but often at a much higher cost. Public hospitals generally do not provide healthcare services for free, but may offer subsidized services depending on the situation. Access to specialized and hospital-based care is limited, but increasing as Ecuador invests in greater access and quality of care," said one expat in Ecuador.
About the Author
Joshua Wood, LPC joined Expat Exchange in 2000 and serves as one of its Co-Presidents. He is also one of the Founders of Digital Nomad Exchange. Prior to Expat Exchange, Joshua worked for NBC Cable (MSNBC and CNBC
Primetime). Joshua has a BA from Syracuse and a Master's in Clinical and Counseling Psychology from Fairleigh Dickinson University. Mr. Wood is also a licensed counselor and psychotherapist.
Some of Joshua's articles include Pros and Cons of Living in Portugal, 10 Best Places to Live in Ireland and Pros and Cons of Living in Uruguay. Connect with Joshua on LinkedIn.
Additional Information:
- Ecuador Guide
- Healthcare & Health Insurance in Ecuador
- Members Talk about Healthcare & Health Insurance in Ecuador
- Best Places to Live in Ecuador
- Guide to Real Estate in Ecuador
- Pros & Cons of Living in Ecuador
- Cost of Living in Ecuador
- Pros and Cons of Living in Ecuador
- 10 Best Places to Live in Ecuador
- 9 Important Tips about Healthcare for Expats in Ecuador
- Thanksgiving in Ecuador
- 2025 Guide to Living in Ecuador
- Pros and Cons of Living in Ecuador 2025
- 2025 Guide to Moving to Ecuador