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Expat Exchange - Enrolling in the Public Healthcare System in Antigua & Barbuda
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Antigua and Barbuda


Enrolling in the Public Healthcare System in Antigua & Barbuda

By Joshua Wood, LPC

Cigna Global Health
Cigna Global Health

Summary: A primer on how to enroll in the public healthcare system in Antigua & Barbuda.

If you're planning to enroll in the public healthcare system in Antigua & Barbuda, this article covers the requirements for foreigners to be able enroll in the public healthcare system, the steps involved and more.

Antigua and Barbuda, a twin-island nation in the Caribbean, offers a public healthcare system that is accessible to all residents, including foreigners who have obtained legal residency status. The public healthcare system is managed by the Ministry of Health, Wellness and the Environment, and it provides a range of services from primary care to specialized treatments.

Overview of the Public Healthcare System

The public healthcare system in Antigua and Barbuda is known as the Medical Benefits Scheme (MBS). It is funded by contributions from employers and employees, as well as government subsidies. The MBS provides a range of healthcare services, including general practitioner visits, hospital care, prescription medications, and certain specialized treatments.

While the quality of healthcare in Antigua and Barbuda is generally good, it may not be up to the standards of more developed countries. The country has a number of public and private hospitals, clinics, and health centers. However, some specialized treatments may not be available, and patients may need to be evacuated to another country in serious cases.

Enrollment in the MBS is mandatory for all residents, including foreigners who have obtained legal residency status. Most people in Antigua and Barbuda use the public healthcare system, although some also opt for private healthcare services, either locally or abroad.

Enrollment in the Public Healthcare System

Foreigners are allowed to enroll in the public healthcare system once they have obtained legal residency status in Antigua and Barbuda. The specific steps for enrolling in the MBS are as follows:

  1. Obtain legal residency status in Antigua and Barbuda. This usually involves applying for a work permit or a residency permit.
  2. Register with the Medical Benefits Scheme. This can be done at the MBS office in St. John's, the capital of Antigua and Barbuda.
  3. Provide the necessary documents, which include a valid passport, proof of residency, and proof of employment or self-employment.
  4. Pay the required contributions. The amount depends on your income, with a minimum contribution of 2.5% of your gross salary.

Once you have completed these steps, you will be issued a MBS card, which you can use to access healthcare services.

Alternative Healthcare Options

If you are not satisfied with the quality of the public healthcare system, there are several private healthcare providers in Antigua and Barbuda. These offer a range of services, from general practitioner visits to specialized treatments. However, the costs can be significantly higher than in the public healthcare system.

Another option is to obtain international health insurance, which can cover medical treatments both in Antigua and Barbuda and abroad. This can be particularly useful if you need specialized treatments that are not available in the country.

Regardless of the healthcare option you choose, it is important to ensure that you have adequate health coverage while living in Antigua and Barbuda. This can help protect you against unexpected medical costs and ensure that you have access to the healthcare services you need.

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About the Author

Joshua Wood 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.


Cigna Global Health
Cigna Global Health

Cigna Global Health
Cigna Global Health

Antigua and Barbuda

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SJB Global

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SJB Global is a top-rated financial advisory firm specializing in expat financial advice worldwide, offering retirement planning & tax-efficient solutions with a regressive fee model.
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