How to Enroll in the Public Healthcare System in Colombia

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

Colombia's public healthcare system, known as the General System of Social Security in Health (SGSSS), is one of the most comprehensive in Latin America. The World Health Organization (WHO) has ranked it 22nd out of 191 countries for its overall performance, which is higher than the United States and Canada. The system is mandatory for all residents, including foreigners who have a visa or are residents in the country. Most Colombians use the public healthcare system, although there is also a private healthcare sector for those who prefer it or can afford it.

The cost of the public healthcare system in Colombia is based on income. Those who are employed contribute 12.5% of their monthly income, with 4% paid by the employee and 8.5% by the employer. For self-employed individuals, the contribution is also 12.5% of their monthly income. However, for those who cannot afford to pay, the government provides subsidized healthcare.

Eligibility for Foreigners

Foreigners are eligible to enroll in the SGSSS if they have a visa that allows them to stay in Colombia for more than three months or if they are residents. This includes work visas, student visas, spouse visas, and retirement visas. Tourists are not eligible for the public healthcare system and should have travel insurance that covers health care.

Steps for Enrolling in the Public Healthcare System

1. Obtain a visa that allows you to stay in Colombia for more than three months or become a resident.
2. Get a Foreigner ID Card (Cédula de Extranjería) from the Colombian immigration authority (Migración Colombia). This card is required for all foreigners who stay in Colombia for more than three months.
3. Choose a Health Promoting Entity (EPS). These are the companies that provide health services under the SGSSS. There are several EPS to choose from, and you can find a list on the website of the Ministry of Health and Social Protection.
4. Go to the EPS office with your Foreigner ID Card and visa or resident card. You will also need to provide proof of income, such as a work contract or a declaration of income if you are self-employed.
5. Fill out the affiliation form provided by the EPS. Once the form is processed, you will receive a health card that you should carry with you at all times.

It's important to note that the public healthcare system in Colombia is not perfect. There can be long waiting times for non-emergency procedures and specialist appointments. Also, not all medications are covered by the system. For these reasons, some foreigners choose to have private health insurance in addition to the public healthcare system. This can provide access to private hospitals and clinics, faster appointments, and a wider range of medications.

Whether you choose to rely solely on the public healthcare system or to supplement it with private insurance, it's essential to understand how the system works and what your responsibilities are. With proper planning and understanding, you can ensure that you have access to the healthcare you need while living in Colombia.

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