Will I need to travel to see a specialist?

When we asked members in Managua if they typically need to travel to see specialists, they replied...

"My wife had critical care for atrial fibrillation at Hospital Vivian Pellas, and we were very satisfied with their service. However she ended up needing cardiac ablation, which they were not equipped to perform. We went to a Johns Hopkins related hospital in Panama for that procedure. Also very good care there (my granddaughter also had cardiac surgery there.) Hospital Vivian Pellas has a discount program for their services, not really "health insurance". We joined the discount program since we have needed their services periodically. We are in our early 70's - we previously had international health insurance, but premiums increased every year while in our 60's and it became excessively costly or unavailable when we turned 70," explained one expat living in Managua, Nicaragua.

"Yes, there are a number of medical specialists in Managua. People in Managua can access a variety of medical specialists, including general practitioners, pediatricians, gynecologists, and cardiologists. For highly specialized medical care, people typically travel to larger cities such as Granada or Leon, or to the capital city of Managua, where there are more advanced medical facilities and a larger selection of specialists," said another in Managua, Nicaragua.

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