Retire to Nicaragua, Part 8 | Quality of Healthcare in Nicaragua

Nurse at the Vivian Pellas Hospital, Managua, Nicaragua

So, you’ve decided to retire to Nicaragua? Now you want to know what happens when you need medical care, where to go for a health check or how to find an English speaking doctor or dentist.

To be frank, Nicaragua’s public health care infrastructure lacks sufficient health centers, doctors and modern medical equipment, especially in the rural areas. A lot of patience and high tolerance for lower medical standards is required if you want to use the public health care system.

On the plus side, emergency treatment in public hospitals is free of charge. You only have to pay for the medication.

Private Health Care

When you retire to Nicaragua, you will most likely opt for private health care. Many Nicaraguan doctors received their medical training outside of the country, e.g., United States, Mexico, Europe, Cuba or the Caribbean. An appointment usually costs in the US$20-$40 range, and even if you have to spend the night in a hospital, a private room won’t cost you more than US$100.

In Managua, modern private hospitals are readily available. Opened in 2004, the Hospital Metropolitano Vivian Pellas is considered to be the best in Central America.

Other hospitals with modern equipment and often English-speaking doctors are Hospital Privado Salud Integral, Hospital Bautista, the Military Hospital and the Private Hospital Cocibolca in Granada. The further away you get from the capital and the other major cities, the more rustic and fewer in number the health services get.

The best way to find a good doctor or dentist is to ask people who’ve been here longer than you. Or contact your embassy and ask them for their recommendation. The German Embassy, for example, provides an updated list of English and German-speaking doctors, dentists and vets.

In general, Nicaragua’s high quality private healthcare costs much less than in United States or Europe. An exception to this rule exists for citizens from countries with a so-called Universal Health Care system, like Canada or the United Kingdom. As you don’t have to pay directly for your health care in these countries (the system is funded via taxes), you need to figure in health care costs in Nicaragua as an additional expense.

Another pleasant surprise will be the general attitude of the medical professionals. When you visit a doctor (or she or he comes to visit you at home), s/he seems to have all the time in the world for you.  I find there is a genuine interest in you as a human being, rather than just your ailment.

Retire to Nicaragua: Health Insurance

Despite the overall lower costs, it’s a good idea to sign up for some form of health insurance in order to be covered for more expensive treatments and/or hospital stays. There are plenty of international health insurance providers that specifically cater to the needs of expats.

You can choose between plans that cover you worldwide, or only in certain countries. We’ve compared some of the best international health insurance providers for you.

Age Limits?

Be sure to check their policies for age limits. For example, IMG accepts clients up to 74 years old.

Nicaraguan providers may offer cheaper options, especially if you don’t need coverage outside of Nicaragua. Seguros Americas has both national and international coverage plans and there are English-speaking employees in their Managua office. On the downside, their policies have an age limit of 60 years or younger.

One local option without any age limits is the “Healthcare Club” offered by the Vivian Pellas Hospital. Club members get significant discounts on hospital services and medical fees, although discounts for people over 65 and with pre-existing conditions are reduced. Check out their two levels of membership, Silver Healthcare Club and the Golden Healthcare Club.