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Expat Exchange - Enrolling in the Public Healthcare System in Bolivia
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Enrolling in the Public Healthcare System in Bolivia

By Joshua Wood, LPC

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Summary: A primer on how to enroll in the public healthcare system in Bolivia.

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

Bolivia's public healthcare system, known as the Sistema Único de Salud (SUS), is a relatively new initiative launched in 2019. The SUS aims to provide free, universal healthcare to all Bolivian residents, including foreigners who have legally resided in the country for more than two years. The quality of care can vary, particularly between urban and rural areas, but the system is continually improving and expanding its services.

While the SUS is not mandatory, it is widely used due to its affordability. However, some Bolivians and foreigners also opt for private healthcare, which can offer shorter wait times and a wider range of services, albeit at a higher cost.

Eligibility for Foreigners

Foreigners are eligible to enroll in the SUS if they have legally resided in Bolivia for more than two years. This includes those with a permanent resident visa or a specific purpose visa, which is often used by those working or studying in Bolivia. Tourists and temporary visitors are not eligible for the SUS.

Steps to Enroll in the SUS

  1. Obtain legal residency: Before you can enroll in the SUS, you must first obtain legal residency in Bolivia. This typically involves applying for a visa, which may require documents such as a passport, proof of financial support, and a criminal background check.
  2. Register with the SUS: Once you have obtained legal residency, you can register with the SUS. This can be done at any public health center. You will need to bring your residency card, passport, and a utility bill or other proof of address.
  3. Receive your SUS card: After registering, you will receive a SUS card. This card is required to access free healthcare services. It is important to keep this card safe and bring it with you to all healthcare appointments.

It's important to note that while the SUS provides a wide range of services, it does not cover everything. Certain medications, specialized treatments, and private hospital stays may still require out-of-pocket payment. Therefore, some foreigners choose to purchase private health insurance to supplement their coverage.

Private Healthcare in Bolivia

If you prefer to use private healthcare, there are many private hospitals and clinics in Bolivia, particularly in larger cities. These facilities often offer a higher standard of care and shorter wait times than public hospitals, but at a higher cost. Many foreigners and wealthier Bolivians choose to use private healthcare, either as a supplement to the SUS or as their primary form of healthcare.

Private health insurance can be purchased from a number of companies in Bolivia. The cost of insurance will depend on your age, health, and the level of coverage you choose. It's important to carefully review the terms of any insurance policy to ensure it meets your needs.

In conclusion, while navigating a new healthcare system can be challenging, Bolivia offers a range of options to ensure all residents have access to care. Whether you choose to use the public SUS, private healthcare, or a combination of both, it's important to understand the system and make the choice that best suits your needs.

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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.


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