In Nicaragua individuals over 60 yo can not buy a health insurance. Major hospitals like Vivian Pellas and Metropolitan Military in Managua offer savings plans. Pellas has a Health Club and the best plan is Senior Gold without age limit but a lot of exclusions. My question is how people over 60 are able to survive without losing their possessions? In fact prices are lower than in the US but in the US nobody pays upfront in cash. Please educate me, comrades.