Costa Rica Healthcare: Tips for Tourists and Expats

In Costa Rica, expats have access to two healthcare systems: the government-run universal healthcare system, Caja Costarricense de Seguro Social (CCSS or La Caja), and the private system. Both are constantly being upgraded with new hospitals, equipment, and improvements in staff training.

The cornerstone of healthcare in Costa Rica is its public system, the Caja Costarricense De Seguro Social. This organization oversees healthcare in the country, including disease prevention programs such as vaccinations and health education and treatments like surgeries and day-to-day medication. Since the 1990s, it has served a large number of Costa Ricans and immigrants. Currently, the CCSS operates around 29 hospitals categorized as National, Specialized, Regional, and Peripheral. The most renowned are the national hospitals in San José, known for their advanced facilities:

• Hospital San Juan de Dios
• Hospital México
• Hospital Dr. Rafael Ángel Calderón Guardia

While these hospitals offer high-quality care, visitors may find the settings and waiting rooms to be more chaotic than they're used to. Patience is essential, as the system operates at its own pace. Additionally, non-Spanish speakers may face challenges navigating the system. Foreigners relocating to Costa Rica can join the public healthcare system after registration. It provides comprehensive coverage, including preventive care, emergency services, specialized care, and hospitalization. Monthly payments range from /% to 11% of the applicant's income and it also covers dependent spouses.

Many foreigners choose Costa Rica for medical treatments due to its affordability, especially for procedures like knee and hip replacements, cosmetic surgery, and dental work. Top-notch private hospitals such as Clínica Bíblica, Hospital CIMA, and Hospital La Católica offer modern facilities and are affiliated with US hospitals, but at lower costs. Private insurance policies vary in cost depending on factors like deductibles, age, health, and coverage scope. While pricier, they're still significantly cheaper than comparable policies in the US.

Private clinics are also available in popular areas like beaches and highlands, often with pharmacies offering medical attention. Some clinics provide emergency services, while others offer a range of services like X-rays and blood tests. Many expats use both public and private healthcare, as long waits for procedures may occur in the public system. For example, if a public doctor orders a test with a long wait time, the patient might opt for a private clinic. Additionally, private doctors can write prescriptions for medications available at public pharmacies, saving patients money.

For non-residents, healthcare can be paid for directly or through a private insurance policy. Many English-speaking agents cater to expats, offering various insurance options. When visiting Costa Rica, having travel health insurance is mandatory, covering basic emergencies, evacuations, and interruptions. Research your options before arrival to ensure they meet Costa Rican requirements and cover any planned activities, especially adventure sports. Determine the duration of your stay and purchase insurance accordingly.

We don't want to overwhelm you, so here is a summary of what you need to know:

• Costa Rica's healthcare system mixes public and private options. Public care is affordable but can be slower, while private care is faster but pricier.
• Ensure your travel insurance covers medical emergencies, including evacuation.
• Research hospitals in your area—cities have modern facilities, but rural areas may be more limited.
• When traveling, bring enough prescription meds from home since they might not be easy to find here (or the brands might be different).
• Learn a few medical Spanish phrases, although many speak English.
• Check your vaccinations before you go. Travelers to Costa Rica from countries with a risk of yellow fever may need to show proof of yellow fever vaccination.
• Expect to pay upfront for treatment, even with insurance.
• Keep 911 handy for emergencies.
• Stay safe and healthy by practicing good hygiene, moderation, and taking necessary precautions.

Costa Rica is a blast, but it's better when you're feeling your best! If you need any type of assistance, we are happy to help with your trip, simply contact us! Have a fantastic and safe adventure!