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Expat Exchange - Health Care in El Rama 2024
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Health Care in El Rama

By Betsy Burlingame

SJB Global
SJB Global

Summary: Learn about the health system in El Rama: how it can and cannot be used by expats, nomads, retirees and others moving to and living in El Rama.

The healthcare system in El Rama, is a mix of public and private facilities. The public healthcare system, known as the Nicaraguan Social Security Institute (INSS), is widely used by locals, while private healthcare is often preferred by expats and foreigners.

Nicaragua's Healthcare System

The public healthcare system in Nicaragua is managed by the Nicaraguan Social Security Institute (INSS). This system is accessible to all Nicaraguans, including foreigners who have obtained residency. However, the quality of care in public hospitals can vary, and they are often crowded and under-resourced. For serious medical emergencies and major surgeries, many people, especially expats, prefer to use private hospitals. Private hospitals in El Rama and other parts of Nicaragua typically offer a higher standard of care, with more modern facilities and English-speaking staff. However, they are also more expensive.

Hospitals and Clinics for Expats in El Rama

El Rama is a small city and does not have a large number of hospitals. Expats in El Rama typically travel to larger cities for medical care. Some of the hospitals they might use include:

  • Carlos Roberto Huembes Hospital (public) in Bluefields, approximately 2 hours by car from El Rama.
  • Managua Hospital (private) in Managua, approximately 5 hours by car from El Rama.
These hospitals offer a range of services, including emergency care and specialized medical treatments.

Emergency Services in El Rama

Emergency services in El Rama are limited. There is no dedicated ambulance service in the city, and in case of a medical emergency, residents typically have to arrange their own transportation to the nearest hospital. This can lead to delays in receiving urgent medical care.

Health Insurance Companies in El Rama

There are several private health insurance companies operating in Nicaragua, including Seguros America and Seguros Lafise. These companies offer a range of health insurance plans, including coverage for treatment in private hospitals. However, many expats and digital nomads prefer to use international health insurance providers, which often offer more comprehensive coverage and can be used in a wider range of countries. It's important for expats and digital nomads to carefully consider their health insurance options and choose a plan that best meets their needs.

About the Author

Betsy Burlingame Betsy Burlingame is the Founder and President of Expat Exchange and is one of the Founders of Digital Nomad Exchange. She launched Expat Exchange in 1997 as her Master's thesis project at NYU. Prior to Expat Exchange, Betsy worked at AT&T in International and Mass Market Marketing. She graduated from Ohio Wesleyan University with a BA in International Business and German.

Some of Betsy's articles include 12 Best Places to Live in Portugal, 7 Best Places to Live in Panama and 12 Things to Know Before Moving to the Dominican Republic. Betsy loves to travel and spend time with her family. Connect with Betsy on LinkedIn.


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