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Healthcare and Health Insurance in Mexico | Expat Exchange
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15 Expats Talk about Health Insurance and Healthcare in Mexico

By Joshua Wood, LPC

Last updated on Mar 02, 2024

Summary: The quality of medical care in Mexico is generally considered to be good, although it is not as advanced as the medical care available in the United States. Emergency services are available in Mexico, and ambulances can be called by dialing 066. However, response times may be slower than in the US, and the quality of care may not be as high.

Welcome Home Mexico
Welcome Home Mexico
Welcome Home Mexico
Welcome Home Mexico

How are healthcare services Mexico?

When we asked expats and global nomads about the quality of medical care in Mexico, they replied:

"Be sure to have travel insurance... helps to speak Spanish to communicate more freely with the caregivers, however someone there will speak English," said an expat in Puerto Vallarta.

"Although I have met people having care for serious conditions, my experience has only been dental. People I know who had the same procedure done just across the border in San Diego had side effects I did not experience with my Mexican dentist," commented one expat living in Tijuana, Mexico.

"Medical care is readily available in our area and we have a very nice private hospital called Hospitan. Another private hospital - not as well equipped - CostaMed. The doctors all speak English and as we have Global Health insurance, we have the option to choose any hospital or doctor we wish. Private hospitals are really the only way to go if you expect the type of facilities and services that you would receive in the United States. As Playa Del Carmen is a smaller community, many times you will need to go to Cancun for specific needs. They have several private hospitals - Galenia, a larger Hospitan. If you have a chronic medical condition you might want to check with either hospital to make sure that the resources you will need are available," wrote one expat.

" It depends on finances and age. If you're a professional moving to Mexico for business reasons, then you'll no doubt be given a private insurance plan. For those still young, private insurance is cheaper than in the USA but still ultimately unaffordable. Those working for public or private sector employers should automatically be enlisted in the IMSS which is our national system free to the user. Roughy equivalent to the UK's NHS, if you need something major it is excellent. For minor problems you may care to go private. Besides the IMSS, if you're not working you can enroll in the govenment's Seguro Popular system which is probably a bit inferior to the IMSS but again will protect you against major events. Next, I recommend paying monthly to subscribe to a private ambulance/outpatient service such as EMME. The price is reasonable and they come quickly with a fully equipped ambulance and medical team. They also have an outpatient walk-in centre open until late. Most pharmacies have an attached doctor available during work hours (sometimes morning only) and you can get a quick consultation either free or at insignificant cost - very useful if you need an antibiotic because these need a prescription now. ," commented one expat who moved to Monterrey.

"Healthcare services in Mexico are provided by both public and private institutions. The public healthcare system is known as the Mexican Social Security Institute (IMSS) and is funded by the government. It provides basic medical services to Mexican citizens and permanent residents, including preventive care, diagnosis, and treatment. The quality of public healthcare in Mexico is generally considered to be good, although there are some areas where it is lacking. Foreign residents do not have access to the public healthcare system, but they can purchase private health insurance to cover medical expenses. Expats in Mexico typically use private healthcare services, although some may opt to use the public system if they are eligible," said one expat.

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What are medical services in Mexico like?

When we asked expats and global nomads about the quality of medical care in Mexico, they replied:

"Medical services in Mexico vary depending on the region. Generally, the country has a wide range of medical facilities, including public and private hospitals, clinics, and medical centers. Many of these facilities offer quality care and modern medical technology. In addition, Mexico has a number of specialized medical centers that provide specialized care for specific conditions. Mexico also has a number of medical tourism destinations, where people from other countries can receive medical care at a lower cost than in their home countries," commented one expat who moved to Mexico.

"I avoid cut-and-drug as much as possible and take responsibility for the key aspects of health: eating wisely and exercising. If I don't do those things, what can anyone do for me? What I do no t like about the government health program that I joined is that doctors have the same reliance on drugs as in the US. I have not had hospital care, but friends who have report excellent care. I would like to start a movement to ban Coca Cola and other diabetes-inducing "foods." And I would like to see more attention paid to use of traditional medicinal plants, which are widely available in Mexico," said one expat.

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Are healthcare and health insurance expensive in Mexico?

"Ask for receipts as many places don't issue one.....my health insurance would not cover my pedicures even though I went to the hospital for medical pedicures as the person doing it was not the officially accepted PODIATRIST. My massage visits are wonderful and reasonable 500 pesos for 75 minutes! My insurance companies pay those to a limit as long as the receipts show all necessary info... so check with your insurance company what is necessary. Many Mexicans don't or can't write properly, so make sure they spell your name correctly and have all the info correct, even the date as on one of my receipts the girl put 2010 when it was 2017 and my insurance company refused it even though I had submitted many receipts together and it was an obvious error. There are many walk in clinics with doctors, but quality is questionable, so stick to well known ones in your area. Similaries are good and lower cost. I also lived in Mexico for 2 yrs and worked and had the local Seguro Social medical coverage... covers basics. I speak Spanish so it worked out ok, but it was a bit of a drive and a different process... so when I felt stressed I just used the local private clinic and paid 500 pesos to see the doctor," mentioned one expat in Puerto Vallarta.

"If you are planning on gettin a permanent recidency visa you could look into getting in the public insurance program, I think it is called IMSS, but they have a long list of pre existing conditions and some of those take years to expire, in other words if you do not have the conditions, but get it in a set amout of time, it will not be cover, you do have to pay a yearly fee but it would be cheaper than private. I think your best option would be to live close to the border and cover any minor issues out of pocket and cross to the US for anything major, there are medifvac insurance programs that you can look into," commented one expat who moved to Merida, Mexico.

"Excellent. I have had open heart surgery in the national system, I was diagnosed promptly and the level of care was as good or better as that in the USA, More recently I broke a bone in my foot and was X-Rayed, diagnosed, and treated in less than 90 minutes. Level of service significantly better than in the UK. And all free of charge," remarked one expat living in Monterrey.

"Unfortunately, when I moved abroad I was hit by a taxi. I was taken to a public hospital. That experience was life changing... I had never seen the conditions that I saw there - bathrooms with no soap or tp - group recovery rooms - disorder. I immediately realized the importance of have PRIVATE health insurance, and went on a mission to find suitable insurance for my family. As we love to travel I found insurance that allows us to be covered ANYWHERE in the WORLD including the US - at a fraction of the price we were paying when living in the US. We can choose ANY HOSPITAL OR DOCTOR that we wish. The policy is in English, the office is located in Playa Del Carmen with courtesy translation service, and there is an in-claims department, finally they are partnered with an international law firm. I felt that was soooo important to myself and my expat friends, that I asked for a job selling this insurance. I have been retired for 15 years, but got into this business because it is something that I feel passionate about and know that all my expat friends need," commented one person.

"Medicare and supplements are only of use within the US except for certain life threatening emergencies when traveling. If you have substantial financial resources and a high respect for the health services in major cities you can pay for private care. Most insurance in MX will not cover preexisting conditions and the premiums are out of reach, especially for people over 70 or so. Staying connected with doctors and hospitals in the US is the most logical thing for us, we make several trips a year to see our doctors but are prepared to pay for care here in MX as needed," said one expat living in Merida.

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What are emergency services like in Mexico?

When we asked about emergency services, members in Mexico wrote:

"Emergency services in Mexico are generally reliable and efficient. In the event of an emergency, you can call 066 for an ambulance. This is a free service and the operator will be able to direct you to the nearest hospital or medical facility. The ambulance will be equipped with medical personnel and the necessary equipment to provide medical assistance. In some cases, the ambulance may also be able to provide transportation to the hospital," remarked one expat in Mexico.

"Tequisquiapan has a NUMBER of private hospitals. I cannot tell you about them as I travel TO QUERETARO for my health issues. I live in Tequisquiapan, Queretaro. For an expat, myself, I found myself unfortunately over the past 2 years needing healthcare. 1. Shoulder surgery 2. I was "found" by the ONLY venomous spider in all of Mexico and 3. I fell in Costco in Queretaro slipping on water on the floor and broke my hip. I have Medicare in the USA but it does you NO GOOD in Mexico. Period. Call me jaded but i cannot see paying for 2 health insurances at the same time. I am seriously considering stopping Medicare (after 3 years here) as it is useless here and why waste $200 a month? ," remarked one expat living in Queretaro City and Tequisquiapan.

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Will I need to travel to see a specialist?

"The bulk of people I have met getting medical care in Tijuana live in the US and travel to receive their care. Tijuana, as a large border town is easy to get to and has many Doctors and dentists. People don't generally care to be evacuated to go to a country with worse care. I no longer go there now that my major dental issue is over, and now that I have moved to a more distant place," said one expat living in Tijuana.

"If I had the option, and I DO because I have international health insurance, I am covered in the US as well as anywhere in the world. Without a doubt, if physically possible, I would go to the US for anything major. If I was unable to travel back to the US, many people use the faculties in Cancun and Merida simply due to the fact that these are more populated areas and as a result have better equipped hospitals," mentioned one expat in Playa Del Carmen.

"Mexico City, Guadalajara, Monterrey, and Cancun are all cities in Mexico that have a wide selection of experienced medical specialists. Other areas that are well-known for their top-tier medical care include Baja California, Quintana Roo, Nuevo Leon, and Jalisco. In addition to these main cities, many small towns also offer quality medical care and specialist services," commented one expat who moved to Mexico.

"This is a bit long, but you asked and I wish I had known before all of this happened to me. I have been in 3 hospitals (PRIVATE) in Queretaro. 1 for shoulder in Juraquilla and 2 in Qro. proper. ALL were extremely up to date, clean and better than the last on in Texas I had to go to. The staff of Dr's is amazing. ALL of my Dr's have spoken English, which is good because my Spanish is poco! 1. a good orthopedic surgeon 2. a good Internist! When I was extremely ill, and not knowing why, and my little housekeeper saying I had to go to a Dr., I ended up calling a friend in Qro. and she helped with finding me an English speaking Internist. Little did i know he is an amazing Professor that has taught most all of my other Dr.s. This was when we found the spider bite and i was immediately admitted into San Jose Hospital in Queretaro. I was there for 7 days with multiple IV, Oxygen etc. Private room. I ended up with a team of 7 Dr's. I had no idea about this spider nor how bad it is. I have been told I was lucky to be alive. The ONLY thing at San Jose was I was a single woman and thy kept hounding me about WHO was going to take care of me and How was I going to pay? They expect some family member to stay with you 24/7. I told them that wasn't going to happen unless it was one of my 4 legged dogs. They weren't too sure about that and we DID have a big go round about this when they started yelling at one of my visitors as to why they weren't there to take care of me. Be forewarned! So I had a 'team' of Dr.'s that all speak English in place. I had talked to another Orthopedist last fall when I found a 'hole' left by CEA in front of my house. So when I fell, I pretty much knew where I wanted to go, and where my Dr's were all located. BIG THING before they will look at you or admit you, you usually have to put up a deposit of $10,000 pesos.($500 usd). But, you will be refunded what you do not use. Emergency room fee (also included my Ambulance ride) and you can call your Dr you want to see you. I ended up with X-rays, an CT scan. My Dr. came and I was in surgery at 9 pm and even had my anesthesiologist (I see 2 times a year for pain injection management for my shoulder Dr. in Texas screwed up) HOSPITAL H plus is where I wanted to go. Clean, all my Dr's in one place. The ONLY thing I have an issue with is for a major surgery (plate and 6 screws) they only kept me 2 days then sent me "home". There are ** NO REHAB FACILITIES *** fortunately I had a Mexican family to look after me in their home for the next 8 weeks. Since then I have Physical Therapist that come to MY home to give therapy. Would I return to USA for medical Care. Everyone is different. But NO, honestly I feel my Dr's, each and every one are better than what I had in the USA! They are compassionate, very well educated - some even in USA and then come back to Mx to practice. Everyone is different and expects different ...... I am a Nurse by trade so I am very picky. Summary: The issues I have I've stated above. 1. They want someone of your family to stay with you in hospital for your care. ( That is what a nurse is getting paid to do, tell them that!) 2. No Rehab facilities. 3. Prices are CHEAP at private hospitals compared to USA. AND, watch out for Violinista Spiders. ," remarked one expat living in Queretaro City and Tequisquiapan.

"There are many specialists in Puerto Vallarta and you can usually make an appointment within 2 days and the cost is about 500 pesos (less than $50)," commented one person.

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Are common prescription medications available in Mexico?

"The farmacias have a huge stock of remedies. Most are fairly inexpensive. Many don't require a prescription. Others do. The only one I had difficulty finding required visiting 6 farmacias but the usual experience is finding what you need on the 1st try. ," commented one expat who moved to Tijuana.

"Farmacia Guadalajara is a chain, so you are reasonably sure of the quality of the drugs and since their prices are standardized, chain-wise, you are reasonably sure that you are not paying the gringo price at one of the tourist pharmacies. Many common drugs available. Also Freddy's on Olas Altas," said one expat.

"Common prescriptions in the US do not require prescriptions in Mexico. There is an abundance of pharmacies everywhere in Mexico. Prices can vary greatly so it pays to shop around. Similares Pharmacies only offer generic brands and offer a further discount on Mondays. In general the cost of medicine is much cheaper in Mexico. All antibiotics require a prescription. ," remarked one expat in Playa Del Carmen.

"Yes, common prescription medications are available in Mexico. Many of the same medications that are available in the United States are also available in Mexico, although they may be sold under different brand names. In addition, some medications that are not available in the United States may be available in Mexico. It is important to note that some medications may require a prescription from a Mexican doctor, while others may be available over the counter," remarked one expat living in Mexico.

"Pretty much. Cheaper than USA costs and many different pharmacies. Guadalajara and Aahorra," said one expat living in Queretaro City and Tequisquiapan.

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Do you have anything more to add about local medical facilities in Mexico?

"All hospitals and clinics are 10-15 minutes from any point in the city. Many. many medical options to choose from. They have both public, which might be a long wait, and private, substantially below USA costs," said an expat in Merida.

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As a foreigner living in Mexico, will I have access to public healthcare? What is it like?

"I have no idea. Getting to a Dr. in Tequisquiapan is easy. You just ask someone where a good Dr. is and that is where you go. The best Drs are at their private hospitals," said an expat in Queretaro City and Tequisquiapan.

"I believe there is a public healthcare system for Mexican citizens, but I don't think it covers foreigners. Most people I have met seeking Mexican medical care travel to Mexico either because they can't afford care in the US or are seeking treatment that is inferior in the US. Most are paying out of pocket rather than through insurance, as Mexican care often costs less than the insurance would cost. Most visit clinics rather than hospitals, by researching the individual practitioners. Thus I have heard little about the quality of hospital care," commented one expat living in Tijuana, Mexico.

"As an expat, MOST people will purchase their own Expat Insurance which covers you in any PRIVATE HOSPITAL and allows you to use ANY DOCTOR you wish. Some policies can be quite expensive but others are actually very reasonably priced. For example a mother of 52 with two girls 11 and 13 pays about USD $1900 a year and the coverage INCLUDES the United States. only about $1000 EXCLUDING the United States. This is with a $1000 deductible. This is about the minimum starting point. But, the price of US coverage is just a FRACTION of what you would pay if you lived in the United States. Private insurance will typically exclude pre-existing conditions, but this is on a case-by-case basis. If you work in Mexico, you will have basic medical coverage called IMSS. All employers are required to pay into the system and it is like a socialized form of medical care for Mexico. It is BASIC because IMSS hospitals are not extravagant and will require you to produce a lot of paperwork and will also require a lot of time and patience. There is also health care for the poorest of the poor. In order to enroll you will be asked certain questions like - "is your floor dirt or tile", "do you own a tv"? If you have the means, I would recommend going Private as I can not recommend the public system or hospitals. If you are from the US, you will not be accustomed to the public hospitals and having to deal with the mountains of paperwork in Spanish. ," wrote one expat.

"Yes, as a foreigner living in Mexico, you will have access to public healthcare. The public healthcare system in Mexico is known as the Instituto Mexicano del Seguro Social (IMSS). It provides a range of services, including preventive care, medical and surgical treatments, and hospitalization. The quality of care varies from region to region, but overall it is considered to be of good quality. The cost of care is also relatively low, making it an attractive option for those living in Mexico," commented one expat who moved to Mexico.

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What have your experiences during the pandemic with the local healthcare system been like?

We asked expats in Mexico if they have access to public healthcare in Mexico. And, if they do have access, what is it like. They wrote...

"Suffered a ruptured lung requiring surgery. treatment was outstanding and affordable," said one expat living in Xcalak.

"The pandemic has had a significant impact on the healthcare system in Mexico. Access to healthcare has been limited due to the closure of many medical facilities, and the availability of medical supplies and personnel has been reduced. Additionally, the cost of medical care has increased, making it difficult for many people to access the care they need. Despite these challenges, the Mexican government has taken steps to ensure that the healthcare system remains functional, including providing financial support to medical facilities and increasing the availability of telemedicine services," mentioned one expat in Mexico.

What advice do you have for expats having a baby in Mexico?

We asked expat moms who gave birth in Mexico about their experiences and advice they have for other moms to be. They said:

"First, research local hospitals and doctors, and ensure that the facility is well-regarded and accredited. Additionally, familiarize yourself with the country’s maternity laws and parental rights in order to know your rights and to ensure that your baby is properly registered with the local authorities. It is also important to ensure that you have a reliable support network of friends and family to provide both physical and emotional support during this time. Finally, be sure to retain important records, such as all medical reports and any documents related to formal registration of the baby," wrote a person living in Mexico.

Are healthcare services good in Mexico?

We asked people if they have access to good medical care in Mexico. They wrote:

"A few weeks ago I used my GEHA (government employees health association) insurance at Hospital San Antonio. Well I should say I tried to use it. At first the staff at Hospital San Antonio said that my entire emergency would be covered but they charged my $25000 USD UP Front and I had to pay it or the administrative staff there told me they would send me to a public hospital in the worst part of Guadalajara. They bullied me and I felt so uncomfortable but I was not in a position to fight. I paid the up front fee and then on discharge they just deducted it from the bill which I still had to pay and they gave me a bill with codes to submit to my insurer for reimbursement...such lies and thieves trying to trick people about accepting insurances. I will never go back to Hospital San Antonio in Tlyacapan," wrote a person living in Lake Chapala.

"The healthcare system in Mexico is largely divided into private and public services. Public healthcare is largely provided by the federal health system and is available to anyone who meets the country's numeric residency requirements. Private healthcare is often seen as the more reliable option, which generally requires health insurance or out-of-pocket payments. In general, healthcare in Mexico is quite advanced, with sophisticated medical technologies and well-trained medical professionals available in both public and private facilities. Mexico has made progress in recent years in prioritising the health and well-being of its citizens, with a significant emphasis on preventive care and public health initiatives, such as the introduction of new health insurance options," explained one expat living in Mexico.

"Yes, I get 100% medical services such as Doctors, Hospitals, Operations & Medicines for free through the ISSTE system. My Wife was an English teacher at a Federal School so I was able to enter the system as her spouse," said one in Apizaco.

"We have not had to use hospital services as of yet. However, Guadalajara has exceptional hospitals that are affordable and an hour away. Local dentist and medical services receive high marks from those living here any length of time," explained one expat who made the move to Ajijic.

"We have several hospitals here and are only 3 and a half hours from Guadalajara which has as good medical care as anywhere in the world. We had a friend who spent 3 weeks in intensive care in Guadalajara and the total cost was 35,000.00 dollars. Think of that in the US.. and she is well now," replied one expat living in Manzanillo.

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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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