1 - Your Monthly Panama Budget - Panama City

"What Does It Cost To Live In Panama?"

Your Cost of Living Will Be Higher if You Live In Either Panama City or An Ex-Pat Friendly Town

The short generic answer is,

" To live comfortably you need to budget $1,200 - $1,500/mo."

However, as we all know, budgets depend on many factors.

Before you can create your own realistic budget for living in Panama, you must know the impact of those factors on costs.

Discover all about these budget factors by reading each installment of "Your Monthly Panama Budget" series. This is my first post in the series.

Make sure you don't miss a future installment by subscribing to my monthly newsletter.

Today's Topic:

How Your Location In Panama Impacts Your Monthly Budget

Location

For budget purposes, you can divide Panama into 3 areas

  1. Panama City
  2. Ex-pat Popular Places (i.e., Boquete, Coronado & El Valle de Anton)
  3. The Rest Of Panama

This post explores Panama City's monthly budget factors.

In Part 2 of the series, I explore costs factors in expat friendly places such as Boquete.

5 Major Costs Will Vary Depending Upon Where You Live.

  1. Rent or Property Prices
  2. Entertainment
  3. Food
  4. Taxis
  5. Domestic Help

Saving Money On Umbrellas in Panama City

Panama City

Frankly, Panama City is no longer very affordable.

Well, maybe if you are willing to live in less desirable & less safe neighborhoods, live frugally, and hardly ever go out you can still live cheaply in Panama City. My guess is that you want a more comfortable lifestyle than that.

Compared To USA

Last month we were in Panama City. We arrived directly from Seattle, USA. We noticed that Panama City is definitely cheaper than Seattle. However, you might not notice as much of a difference if you are from a town in the mid-west of the US or Canada. Seattle is a very expensive town.

Panama City Is The Most Expensive Place In Panama

However, compared to the rest of Panama, Panama City is definitely more expensive. For example, a small bottle of water in Panama City costs $1.25. The same bottle of water in Puerto Armuelles (1 day later) cost .75 cents. Almost half the price for the same exact brand of the same product.

Panama City also has oodles of more temptations & opportunities to spend than the rest of Panama combined.

A Gelato Example

Let me give you an example. For my kids Panama City is almost synonymous with gelato. We love the Dolce Idea gelato shop in El Congrejo neighborhood of Panama.

A scoop of gelato there sets you back about $2.50. Less than in Seattle, where a cone of Fainting Goat gelato costs you $4.00(!) Of course, I refuse to pay that in Seattle, but in Panama you could say we are regulars at the gelato place. Luckily for our budget (and waist-lines), we are hardly ever in Panama City.

Young girl eating an ice cream cone
Gelato is $2.50 in Panama City & $4.00 in Seattle. But In Most of Panama, An Ice Cream Cone Is Only .60 cents.

Very few places outside of Panama City have any gelato for sale. There is absolutely no place selling gelato in our town of Puerto Amuelles.

(Surprisingly, just last week Beyer's ice cream started to appear in the freezer section of the Romeros in Puerto Armuelles. A 1/2 gallon is selling for ~$6.30; much more than a 1/2 gallon of the local brand is $4.39.)

Another Ice Cream Example.

On Sundays, my family has a tradition of getting ice cream on our way to the beach. We stop at Puerto's Supermercado Mandarin. An ice cream cone there sets you back .60 cents. For a long time, it was only .25 cents, then about 1 year ago it went to .35 cents. Then almost overnight it jumped to .60 cents! I'm still recovering.)

I cannot imagine buying an ice cream for .60 cents anywhere in the States. Perhaps if you know where to go, which I don't, you could find it in Panama City, but I doubt it.

If you know of a place to buy an ice cream cone for .35 cents in Panama City, please let all of us know in the comment section below.

Temptations Galore

Temptations in Panama City go far beyond gelato. Panama City offers specialty stores like Super Kosher supermarket, Super Deli K Market, and Super Gourmet deli. All offer a wide range of imported and delicious grocery items So many temptations on your wallet.

To give you an idea of the offerings, check out Super Gourmet's menu.

Panama City is also the only location with the Riba Smith supermarkets. Riba Smith is the most likely store to have your favorite foods from home. You can browse Riba Smith's selection and prices here.

Imported Items Cost More

To give you an idea of prices, lets look at beer prices at Riba Smith. As you can see by looking at the prices in the link above, imported items cost more.

I will go into food costs in a future post, for now just know that imported good cost more than locally produced items.

The issue is that Panama City offers more imported items than anywhere else in Panama.

Photo of exterior of Riba Smith supermarket at Multiplaza Mall in Panama City
Riba Smith Supermarket located at Multiplaza Mall. This is the one we have gone to. Photo: RibaSmith.com

Riba Smith Supermarket located at Multiplaza Mall. This is the one we have gone to. Photo: RibaSmith.com

Example - Beer Prices at Riba Smith

  • 1 can of Balboa beer (my favorite Panamanian beer) is .57 cents
  • 1 can of Heiniken beer is .78 cents
  • 1 bottle of Sierra Nevada Pale Ale is $2.48

Every once in awhile the Romero grocery store in Puerto has a microbrew for sale, specifically Fullers of England. It is equally as expensive as the Sierra Nevada above, but I almost never have the opportunity to buy it. I think there are about 12 of those beers in stock about once a year. I definitely plan on buying some when Romero's finally stocks them again. But my budget is happy that it happens so rarely.

If you want to live in Panama City, you must consider how you will abide by your budget given its many opportunities to spend.

Temptations Go Beyond Supermarkets

The opportunities to spend more than your budget are not limited to grocery stores.

Panama City Offers

  • Vibrant Night Life
    • Casinos
    • Clubs & Bars
    • Theaters
    • Sporting Events
  • Excellent & Diverse Restaurants
  • Horse Racing
  • Golf & More

Monthly Budget For Panama City

Below, I have put together an estimated monthly budget for a couple in Panama City.

Keep in mind that many people will not have a mortgage.

In Panama, it is common to buy your home outright, or at most over 2-3 years. Therefore, you have no monthly housing costs. Well except for your property taxes (if titled) and, of course, maintenance, remodeling, etc... However, utilities and other home-related expenses are included in the budget below.

Lifestyle Choices & Your Budget

The range of the budget indicates that your cost of living is somewhat within your control.

It is not only dependent upon your location, but on your lifestyle choices.

You can live like a:

  • Local Panamanian
  • North American Gringo
  • Mixture Of The 2

By living much more like a local, you could lower the above budget significantly.

The budget above was calculated for people who are not fully embracing the typical Panamanian lifestyle, but are melding the two lifestyles to a lesser or greater extent.

Lifestyle & Panama City

However, life is not only about saving money; lifestyle is important.

You will have a very different lifestyle in Panama City than you will in the small mountain town of Volcan.
Only you know which lifestyle suits you.

Panama City offers options that most other places in Panama do not.

  • Wide variety of good restaurants (even sushi)
  • A vibrant nightlife
  • Good schools
  • Easy access to an international airport
  • Excellent health care
  • A city lifestyle
  • Access to many food items from "home"
  • Excellent malls and other shopping venues
  • Abundant social opportunities with other expats

With creativity and persistence, Panama City can be made to fit most budgets.

For instance, it may take more time to find an affordable apartment in the area you want to live, but often it can be accomplished with alot of persistence.

More Budget Examples

The Panama Guide asked people to submit their monthly budgets. I have included those budgets on another page on my site. The budgets that were submitted include some from people living in Panama City. Click to read expat budgets in Panama.

To read part 2 of this budget series, click the link below.

Cost of Living in Panama's Expat Friendly Towns

 

President Varela & First Lady On Induction Day

A Few Personal Details

Juan Carlos Varela, 50, is from one of Panama's richest families. The family owns and operates the country's biggest liquor producer, Varela Hermanos S.A., which was established in 1908.

Varela graduated from Georgia Institute of Technology in 1985 with a BA in industrial engineering.

He is married to the journalist Lorena Castillo and has three children.

Varela has been on the board of the family business since 1985 and was executive vice president of the company until 2008.

Political Background

He started in politics in the 1990s. In 1994 he become chief of political campaigns for the Panama's 2nd largest party, the Panameñista Party. In 2006 he became the head of the party and then the Panameñista Party's 2009 presidential candidate.

In a bold move, Varela withdrew his 2009 presidential candidacy to throw his conservative Panamenista party's support behind Martinelli. He did this in exchange for becoming Martinelli's vice-presidential candidate. It was a successful move. On May 3, 2009, was sworn in as Vice-President of Panama.

As Vice President, Varela was the architect of the government’s popular “100 for 70″ program. The program gives $100 monthly to Panamanians over age 70 who do not receive any other pension or retirement benefits.

Foe of Martinelli

But the political marriage didn't last. In 2011, Martinelli stripped Varela of his role as foreign minister for refusing to back a plan for a referendum to allow president's to serve consecutive terms. (Note: Panama law requires that a president cannot run for president again until 2 terms (10 years) have passed since he or she last held office.)

Since that rupture, Martinelli and Varela have been fierce critics of the other. Varela has accused Martinelli of many corruption charges including taking kickbacks for a government radar system contract with Italy's Finmeccanica.

2014 Election & Martinelli's Fight To Retain Power

It was one of the toughest-fought contests since democracy was restored two decades ago.

Election day began with opinion polls indicating a tight race among the top 3 candidates. However, not one of the pollsters had Varela in the lead. Most gave a slight edge to Arias.

Martinelli was extremely eager for his protege and political newcomer, Jose Domingo Arias to win.

Many people think Martinelli's endorsement of Arias was really a badly disguised ploy to retain his political power.

Although, blood relatives of the president are banned from running for the top 2 offices, Martinelli's wife, Marta Linares, ran as Arias's vice presidential candidate. Technically legal, since Linares is not a blood relative; but not surprisingly, there were many cries of illegality.

In addition, sitting presidents are banned from campaigning for a presidential candidate. Martinelli defied this injunction and campaigned for Arias furiously throughout the country.

Varela was a surprise upset.

Varela won the presidency with 39 percent of the vote, compared to 32 percent for outgoing President Martinell's choice, Jose Arias. Juan Carlos Navarro, a former mayor of the capital, got 28 percent to finish third in the seven-candidate field.

The win is being interpreted as a rebuke to Martinelli.

Verela was sworn into office for a 5 year term on July 1, 2014.

Martinelli's initial reaction was, "May God help us". Since then he has calmed down and mouthed all the usual and expected political niceties.

While Varela won the presidency, his party did not win the legislature.

He takes office with a legislative minority. This will make it harder for him to pass free-market legislation. He will have to negotiate with the centrist and center-left politicians that currently dominate Panama's Congress.

Panama's Future With Varela

Varela promised upon taking office to take immediately steps to reduce violence and control the price of food.

He did both. On Induction Day, he signed into law price controls on 22 common food items such as rice, milk, and beef. The controls start today, July 7th, and last for 6 months.

He has also granted a one month amnesty for gang members to allow them to turn in their weapons.

During his campaign Varela has vowed to continue Martinelli's drive to improve Panama's infrastructure. Continual progress in improving infrastructure was the most cited reason for President Martinelli's 60 percent approval rating.

But he also vowed to boost transparency. It is a common perception that much of the $15 billion spent on infrastructure upgrades was lost to corruption and poor planning.

Of course he has also committed to maintaining the country's record-low unemployment rate and strong economic growth. Growth that has averaged over 8 percent in recent years.

His biggest theme is his pledge to govern with honesty and transparency.

I hope it is true and I wish him luck.

Hard At Work on 4 Lane Highway Expansion (scroll down for slideshow)

Yes, it's true. The road is really being built.

About a year ago, in June 2013, Reyn wrote that then-President Martinelli visited Puerto Armuelles to announce that the long awaited 4-lane highway between Puerto Armuelles and the Interamerican Highway was fully funded and "was destined to begin soon".

Of course, soon is a relative term, especially in Central America. But Panama can be astoundingly quick at road construction.

Which means that now, in July 2014, the expansion from a 2 lane to a 4 lane highway from InterAmericano at Paso Canaos to Puerto Armuelles is well underway.

 

I took these photos of the construction in early June 2014.

Click on any photo to start the slideshow.

(FYI: The article continues below the slide show)

The biggest stumbling block will most likely be the bridges. While work is being done on them, it is not anywhere near as complete as the road.


Even though Panama is very quick at paving roads, especially relatively flat roads like they are doing now between Paso Canoas and Puerto Armuelles, they are not as skilled at bridges and mountain stretches.

For example, the west-bound bridge that washed out a couple of years ago between David and Panama is still not rebuilt. That bridge has been out for most of our 8 years here. It was finally rebuilt but only functioned for about 1 year, when it washed out. I remember it well since my family and I crossed it less than 30 minutes before it washed away. No one was hurt.

They simply hadn't put in sufficient pilings. Hopefully they have learned their lesson. I find it encouraging that I am seeing lots of rebar being used in the construction of the bridge right out of my town.

As some of you may know, we only recently returned to Puerto after a much longer than expected visit to the states. It is astounding the number of new things that have happened while we were gone. There seems to be even more energy and new people in town.

The new road, when it is complete is sure to bring even more vitality to this beautiful beach town that Chiquita built.

In fact, the rumors that Chiquita is returning seem to be coming true as well. More on that in another post.

 

Updated July 4, 2017

Infographic on 4 tips on how to be healthy in Panama
Read this post for details on how to be healthy in the tropics

Read this post for details on how to be healthy in the tropics

It can be difficult to maintain a healthy lifestyle when you move to Panama.

The ubiquitous fried foods and the ever available sugary processed treats tend to add pounds to the waistline.

While there are health food stores and gyms in many locations, they are not available everywhere. Even when they are, they might not be up to the same standard as your gym at home.

And what you eat is only one factor. 

Maintaining a healthy lifestyle - with exercise - is also a challenge. 

Suddenly being in a totally new culture, and often hotter climate can sometimes change an energetic and engaged person into a sedentary and lazy person. But that is easily remedied.

4 Healthy Living Tips 

"We think longevity is probably about 70- 75% lifestyle."

- Angela Brooks-Wilson, PhD and geneticist at the Genome Sciences Centre in Vancouver BC

1) Don't Sit For Long Periods - Move and Keep Active.

Don't let the heat prevent you from keeping active. As the quote above indicates, you are the captain of how healthy and fit you are as you age. Your genes are not the prime reason for how you age.

You are in charge of 75% of how you will age. A key way to keep healthy and active is to keep moving. Even a regular morning jog cannot overcome the negative impact of sitting for long periods during the day.

The various studies show: no matter how "fit" subjects were, extended bouts of inactivity increased a subject's risk for:

  • Hypertension
  • Blood clots
  • Some types of cancer

Here are some ideas for integrating activity throughout your day.

  • Stretch
  • Take the stairs
  • Don't sit at the computer or watching TV for extended periods of time
  • Join the gym - and go on a regular basis
  • Get a walking or gym buddy
  • Get in the habit of regularly walking, swimming, running, etc.

One of the wonderful aspects of living in Panama is that nature is never far away. Go explore the tropical paradise around you, and make sure to move your body while you do it.  To avoid the heat, do your most strenuous exercising in the early morning or evening hours.

2) Eat Healthfully & Locally

You can grow your own food or buy from the many fruit and vegetable stands in Panama.

Buying your produce from street stalls is not only a great way to meet and greet people in the community, but you are supporting local business.  Also, the produce is usually much cheaper than in the grocery store.

You may want to read this post about buying local produce in Panama.

Finca Santa Marta in Chiriqui

In Chiriqui, we have a great resource in Finca Santa Marta. It is a 42-acre organic farm in Santa Marta, about 20 minutes west of David.  They offer a wide range of organic items:

  • Vegetables, fruits, herbs
  • Chicken and eggs
  • Supplements, grains & other items (not produced themselves)

How To Shop From The Farm

  • Visit the Tuesday Market & Meeting in Boquete from 9-12 am
  • Order online for delivery or pick up.

Pick up Orders.  You can pick up your order on Tuesdays.  That is, from the Boquete Market on Tuesday morning or in Dolega or David on Tuesday afternoons. Order deadline for a Tuesday pickup: Monday at 7:00 am.

Deliveries.  They offer deliveries of prepaid orders on Thursdays for any area served by Uno Express. For example, they deliver to: Bocas del Toro, Santiago, Las Tablas, Coronado, El Valle, Altos del Maria, Gorgona, La Chorrera, Panama City, Colon, and Puerto Armuelles.  They also offer deliveries to Volcan on Fridays afternoons.

To initially set up deliveries, you will need to contact Richard, the bi-lingual farm manager, at 6242-9308. He is available Monday - Saturday from 7am-7pm. You will also need to set up an account on their website.

Facebook page: They have a facebook page too.

Phone Finca Santa Marta at 6242-9308 or 777-9229 or 540-560-9680 (USA cell phone) for further information.

Grow Your Own Vegetables

Growing your own vegetables is also a good way to ensure you have a sufficient supply of basil, spinach, and other vegetables that you may love, but are not commonly grown or sold in Panama. You can also learn how to grow various indigenous fruits and vegetables. If you want to grow pineapples, we have a brief guide on how in this pineapple post.

Gardening is also a good way to keep active as well.

3) Make A Life In Panama - Don't Indulge As If On A Permanent Vacation.

You are living in the tropics. The palm trees, coconuts, and warm sunny weather inspire all of us with visions of hanging out in a hammock sipping margaritas.

Life near the equator is more relaxed and carefree. However, sometimes new expats treat themselves as if they are on an extended vacation. The cocktail hours begins earlier and earlier in the day. Hammock time and indulging in special treats will become the norm.

While feeling like you’re on a permanent vacation is great, developing a habit of unhealthy indulgence is far from ideal. Too many indulgences can make you feel sluggish and unmotivated. It is better to develop healthy indulgences. You can try to make daily yoga, beach walks, sunset gazing, and cooking a healthy meal your new indulgences.

For most of us, the point of retiring is not to create a life of doing nothing. The idea was to engage in activities that you enjoy, to learn new activities, and to relish life.

So whatever it is you wanted to do before you moved to the tropics, do it.

Also be on the lookout for new activities and learning opportunities you can engage in.

For the most part, the more active and engaged you are more motivated and energetic you become.

4) Plan Ahead & Prepare

Planning ahead can help you accomplish your goal of a healthy lifestyle.

Find out all the ways you can keep active. You are much more likely to keep active if you start by being active. Knowing that lapsing into a sedentary lifestyle is a danger, start scoping out your possibilities

  • Find out about local gyms and exercise class schedules
  • Talk to others about good walks and hikes in the area, and
  • Search out prospective exercise buddies early on
  • Discover the range of activities available in the area
  • Obtain any specialized gear you may need such as binoculars, surfboards, kayaks, paddle boards, or good shoes

Buy the seeds for your ideal garden. If you plan on gardening, arrange to have seeds of your favorite vegetable. Sometimes it takes a little searching to find seeds that thrive in tropical environments. Of course, you can also ask people in the area for the seeds from their produce. Ask people for tips on what grows best and how to grow those items.

Find out what organic produce is available in your area. Check out Finca Santa Marta's website and see how you can integrate their organic produce, meat, eggs, and more in your life.

Bring healthy cookbooks that have recipes featuring the produce that grows in your area. The best produce to use in your cooking is locally grown and organic.  Panama offers a number of fruits and vegetables that will be new to most expats. If you like to cook, it is fun to explore these new Panamanian foods and recipes.

Discover all the different things you can do in your area.

  • Book groups
  • Theater
  • Volunteer opportunities
  • Outdoor pursuits
  • Art
  • Whatever interest you

To discover some of the outdoor pursuits you can enjoy in the Puerto Armuelles, click here. I am sure other websites have also listed activities available in their areas.

Check out more ideas for happiness-enhancing hobbies to pursue in Panama

With some planning, it will be fairly easy to achieve the tropical lifestyle you have been dreaming about.


Find out more about our wonderful beach town of Puerto Armuelles.

Most Full-time Expats Are Exempt From ObamaCare

For older US expats the answer is reassuring.

With Medicare, even if you live overseas only part-time, you don't need to fret about the fine print of the Affordable Care Act.

Medicare qualifies as meeting the "minimum care requirement" so you don't need to sign up for ObamaCare, nor pay any fee for not participating.

If you are not on Medicare, TRICARE, or other health plan that covers you in the US, it can get more complicated.

Although, if you are a full-time expat, you are probably exempt regardless of your healthcare coverage.

ObamaCare In A Nutshell

All Americans must have healthcare. Furthermore, all Americans must share responsibility for ensuring this health care coverage.

Therefore, every US resident must obtain minimum health care coverage or be subject to additional taxes. These additional taxes help fund health care for those who cannot afford it by themselves.

Are Expats Exempt From ObamaCare?

If you aren't a US resident, you are exempt from the Affordable Care Act. That means the majority of expats are exempt from ObamaCare.

ObamaCare uses the IRS's definition and tests to determine if you are an expat.

Are you an Expat, per the IRS?

The IRS Uses 2 tests to determine if you are an expat, for the purposes of Obamacare participation.

1) 330 Day Abroad “Physical Presence Test” - To qualify, you need to be out of the US 330 days out of a 365 day period. That is, in any given 12 month period, you can only be in the US for a maximum of 35 days.

If you cannot pass that expat test, then you can try to pass the more difficult and IRS-reviewed "Bona Fide Residence" test.

2) “Bona Fide Residence Test” To qualify, you need to be living abroad for at least one year and have no immediate plans to return to the US on a permanent basis. This is a much more complicated test to prove and pass. For more information on this, please visit IRS's Publication 54 at http://www.irs.gov/pub/irs-pdf/p54.pdf .

If you pass either of these 2 tests, you qualify for foreign residency, that is you are an official expat, according to the US Government.

That means, since you are not a resident of the US, you don't need to procure the "minimum care coverage".

It does not matter what, if any, health care you have in your official ex-pat residence. ObamaCare only applies to health care while in the US.

You May Already Have Obamacare-Qualifying Coverage

If you don't pass either of the expat-qualifying tests above, you still may not have to do anything new or different to comply with ObamaCare.

Remember, the point of the Affordable Care Act (ACA) is for all US residents to have minimum healthcare coverage. So if you already have qualifying health care while in the US, you are sitting pretty.

Do You Already Have Obamacare-Qualifying Healthcare?

  • Are on Medicare Part A or Medicare Advantage Plans. (Most people who receive SSA are automatically enrolled in Medicare Part A)
  • Some types of Veteran Administration plans such as TRICARE
  • Most Medicaid or Children's Health Insurance Program (CHIP) coverage
  • US health insurance through your employer
  • Insurance you purchase via the Health Insurance Marketplace (The Marketplace was created by the ACA in order to buy qualifying healthcare coverage. Click to visit the Marketplace)
  • Coverage provided to Peace Corps volunteers
  • State high risk pools for healthcare coverage
  • International travel insurance that covers care while you are in the US
  • You earn too little to file a US tax return. The filing threshold is currently $9,750/year

Part-Time Expats Without US Health Insurance

If you are not an expat (per the IRS) AND don't have ACA-qualifying healthcare (see bullets immediately above),

Then you must take action to comply with ObamaCare.

Part-time US residents must have US healthcare coverage. You need to obtain minimum coverage within 30 days of returning to the USA.

You Have 4 Options For Coverage

  1. Get insurance through a state health insurance exchange (purchased via the ACA's Marketplace)
  2. Buy personal insurance through a private carrier, including travel insurance that covers health care in the US
  3. Use your employer’s US health insurance plan
  4. Pay the penalty/fee to the IRS (and have no health insurance protection).

In 2014 the fee is $95 per person per year or 1% of income, whichever is greater. If you chose this no insurance option, I don't know what your potential cost will be if you do have a catastrophic event while in the US. It could eat up all your assets. Or if you have no assets, it could be free if you show up at the ER of a public hospital. US law requires public hospitals to treat emergency indigent patients for free.

Of course, if your income is below the IRS filing limits, then you are exempt from the Affordable Care Act. See the Resource section below for links to discover if you qualify.

State Health Insurance Exchanges (Marketplace)

State health insurance exchanges are insurance pools for each US state that cover people who either cannot afford or cannot get medical insurance coverage. State Medicaid programs are projected to increase per the ACA, but many many physicians refuse to take Medicaid patients. The State Exchanges are expected to fill in this gap. The ACA will reimburse the States 100% of the costs of these exchanges from 2014 through 2016. Then the Federal Government is proposing to reimburse the States 90% of these health care costs.

States have either implemented a state run health insurance exchange, or let the federal government run the health insurance exchange for them. For more information on these exchanges and to see if your state runs their own, go here. Regardless of who runs the exchange in your state, you can access it by using the main Federal ACA Marketplace site, https://www.healthcare.gov/.

You can sign up for a state exchange when you return to the US, or you can start the process from outside the USA.

You must be a resident of a state to apply. You can use your own US address, or if you don't have one, you can use the address of a friend or family member willing to say that their address will also be your residence.

You don't have to worry about the open enrollment periods. There are special rules that allow people to sign up for insurance, even outside the open enrollment periods.

If you decide not to apply before you arrive in the States, you can get a travel insurance policy to cover you until your US insurance kicks in.

Remember, you need to obtain minimum health care coverage within 30 days of returning to the USA.

Penalties for Not Maintaining the Minimum Coverage

The ACA penalty fees are only incurred for the months in which you don't have health care coverage. If you are on a qualifying plan for even one day in a month, you are considered covered for that month. The non-comply fees increase over the next 3 years.

  • 2014 - $95 per adult ($47.50 per child) with a max of $285 per family OR 1% of your family income, whichever is greater.
  • 2015 - $325 per adult ($162.50 per child) with a max of $975 per family OR 2% of your family income, whichever is greater.
  • 2016 & beyond - $695 per adult ($347.50 per child) with a max of $2085 per family OR 2.5% of your family income, whichever is greater.

Resources For More Information

The information in this post applies whether you live in Panama or in another country. I have tried to layout the ObamaCare situation for expats as clearly as I can. However, I am not an expert about the ACA rules you need to follow. I recommend exploring further resources to determine your best response to Obamacare in your unique situation. I have listed some other resources, by category, below.

Do I Qualify for the Expat-Exemption?

There are more details on various exemptions to ACA as well as how to qualify as a expat or non-resident US citizen at https://www.healthcare.gov/exemptions/.

To find out more about whether US citizens living abroad are subject to the individual shared responsibility provision. go here:
http://www.irs.gov/uac/Questions-and-Answers-on-the-Individual-Shared-Responsibility-Provision

For the nitty-gritty details on whether and how to qualify for an exemption if you live abroad, go here:
http://www.irs.gov/pub/irs-pdf/p54.pdf

Does my income make me ObamaCare exempt?

If your income is low enough, you are not required to file a tax return with the IRS, which means you have no responsibilities under the ACA. To find out if you are required to file a federal tax return, use the IRS Interactive Tax Assistant (ITA).

Also read item 6.5 at http://www.irs.gov/uac/Questions-and-Answers-on-the-Individual-Shared-Responsibility-Provision

A useful tax document for all US Citizens that live overseas to read is the "Tax Guide for U.S. Citizen and Resident Aliens Abroad". Read it by clicking on

http://www.irs.gov/pub/irs-pdf/p54.pdf

Buy Health Insurance via the Government's Marketplace

On this government site you can

  • Enroll for a health care plan that provides essential benefits as well as covers pre-existing conditions, and more
  • Assess if you qualify for lower cost insurance
  • Discover what health insurance plans your state offers
  • Preview plans and prices

Keep in mind that the plans offered via the MarketPlace only covers care in the US. For 2014, open enrollment ends on March 31, 2014.

The page to visit is https://www.healthcare.gov/marketplace/individual/.

Are You Eligible To Buy Health Insurance via the MarketPlace?

Most people will be eligible for health coverage through the Health Insurance Marketplace. Discover if you are, visit

https://www.healthcare.gov/am-i-eligible-for-coverage-in-the-marketplace/

Learn About State Exchanges

This site will answer many of your questions about the coverage in your state, especially if your state opted to have their own health exchange program. The federal government is still figuring out the rules for the states that did not opt to run it themselves.

http://obamacarefacts.com/state-health-insurance-exchange.php

You can buy state exchange health insurance via the marketplace, at https://www.healthcare.gov/marketplace/individual/. That site will redirect you to your individual state health exchange site, if your state opted to run their own exchange. Otherwise you will stay on the federal site to purchase (or learn about) your health insurance options.

Question Clearinghouse

The federal government set up a site to try to answer all your Affordable Care Act Questions: https://www.healthcare.gov/

The Federal government also has a health care help line set up

1-800-318-2596 - open 24 hours a day, 7 days a week

Other blogs that have useful information

In my research, I found the following 2 blogs had very useful information. I am especially indebted to the information I found in the first one listed below, yucalandia.com.

I hope this information was helpful to you. Please comment below.

dark background rectangle with red border with people cutouts and text
Most expats use Panama's private health care system

As I have mentioned elsewhere, Panama has 3 health care systems.

  • 2 are government run

  • 1 is private.

Although, you will most likely use the private system I am providing information about all 3.

1) Public Hospitals & "Salud" Clinics

This is Panama's National Heath Care which is administered by its Ministry of Health. The are designed to serve the poorest of the poor. You can easily identify their clinics.

Photo of a man walking out of a salud heatlh clinic in Panama
Where to go for free or low-cost health care

Where to go for free or low-cost health care

They are all painted white with a green and yellow logo and the word Salud (health) on them. You will find these clinics in all but the smallest villages.

It is a basically “free” or “low cost” health care. You can expect to pay 50 cents to see a doctor, plus the cost of some more expensive medications. These clinics exist to treat Panama's extremely poor, who are also mostly Indigenous. The indigenous population who rely on these clinics primarily live in remote and rural areas. Unfortunately, the more remote the location, usually translates into lower quality of care. The best and brightest aren't choosing to live in those locations. Like most government run enterprises in Panama, the National Health care system is plagued by inefficiency and bureaucracy. However, it is a great compliment to Panama that they strive to provide health care to the poorest of the poor. It is a hard job and they dedicate a sizable chunk of their budget to make it a realty.

You don't have to be poor to be treated at these clinics. When we were traveling we went to one such clinic in Boquete. One thing that was a little troubling to us is that we were whisked right in to see the doctor even though other people were waiting. We were stunned at the low cost we paid, we went for a minor reason and could not fault with our service.

2) Social Security (Caja de Seguro Social) Hospitals

Photo of patients waiting outside a Social Security hospital
Subsidized health care for workers at Social Security Hospitals

Subsidized health care for workers at Social Security Hospitals

Most working people, and their immediate family, have access to the Social Security health care system administered by Caja de Seguro Social (CSS). Everyone who works in Panama is required by law to pay into the Panamanian Social Security system. However some workers ask their employers not to do it because they want a higher paycheck now. By paying into Social Security an employee is both gaining immediate access to health care each month he or she works, they are also putting money into the pension system that will kick when they retire. About 70% of Panamanian's use this social security system.

Panamanians Go To The Hospital With The Slightest Sniffle

Panamanians are huge believers in going to the doctor about the slightest problem. Which means they often go to the hospital. At first when you hear that someone's brother had to go to the hospital you say, "oh I am so sorry. What is wrong?" You quickly discover that in Panama people go to the hospital for the slightest aliment. The social security system is mostly comprised of hospitals, so they go to the hospital to see a doctor.

Keep in mind that all doctors, even those in private clinics, are required to attend at the local social security hospital. Some doctors only attend at social security hospitals. The quality of care can vary greatly depending upon the doctor you draw.

Long lines, understaffed, and plagued by inefficiency and bureaucracy. Often doctors prescribe drugs that are supposed to be “free” but the Social Security system doesn’t have them, so users must buy them at pharmacies. Pharmacies sell drugs here by the pill. So if your doctor prescribes something, you buy only as many as you can afford, when you can afford them!

I wrote about one visit we made to the emergency room at our local social security hospital, read about it here.

3) Private Hospitals and Clinics

Photo of Mae Lewis Clinic in David Panama
Many expats use Panama's private health care system

Many expats use Panama's private health care system

This is the system used by many middle and upper class Panamanians, by expats, and by the increasing number of people who are coming to Panama on a “medical tourism" trip. If you don't want to wait for days, weeks, and sometimes months for a procedure at the Social Security hospital, go to one of the private hospitals. The private system is more expensive, but it is alot faster, and you will more often find doctors who speak English. Although the private system is more expensive, relative to health care in the US, it is affordable.

Our go to clinic/hospital is Mae Lewis in David. We have had nothing but good service there. Panama City has excellent private hospitals. If you cannot get something done in David or elsewhere in Panama, Panama City usually offers it.

Often the same doctors work in both the public and private systems.

Find out other aspects of the health care in Panama, visit our Health Care in Panama page.

This video shows one of the common ways that mangos are collected in Panama.

[leadplayer_vid id="5221A646E4710"]

One person, the more agile one in the team, climbs the tree. He then collects the mangos in a handmade net on a long pole (see the photo below.)

2 men with feed bags and a sitting girl look up, waiting for mangos to drop
Waiting To Catch A Mango

Then he hurls these mangos down to his comrades on the ground. The guys soften the mango's fall by "catching" them using an old feed bag, as seen in the video.

Later the mangos are counted and put in the bags or put loose in the back of a truck.

A Mango snare

Mangos are counted because the pickers pay you for each mango they pick.

Counting & Bagging Mangos

Mango Selling Tips

  • Find out what the going price is.
  • Make sure you and the mango pickers are in agreement on the price, BEFORE they start picking.
  • Make an exclusive contract with someone to pick your mangos.  Only that mango guy can pick your tree.

There is significant of money in Mango picking.  Therefore, if you have a good tree, you will get visits even before the mangos are ripe enough for green mango salad.  They will be to see if they the tree when the time comes.

I advise selecting the Mango=person early in this process otherwise you will continue to get visits from these hopeful mango pickers.

July 2013

Reyn and I talked with Lief Simon of Live and Invest Overseas to get his perspective on how much it costs to live in Panama.

Listen in below.

[leadplayer_vid id="522199A9F14AC"]

Video Transcript

Us: Hello, this is Betsy and Reyn, with Living in Panama,

and today we are talking with Leif Simon about the cost of living in Panama.

Hi Leif, it's Betsy and my husband Reyn.

Lief: How are you doing?

Hi Reyn.

I'm good, how are you?

Us: Leif is not only an authority on Panama, having lived in Panama City, with his wife Katherine Peddicord,and their two children for the last several years,but he is an international real estate expert.

Welcome Leif, to Living in Panama with Betsy and Reyn!

Lief: Thank you guys, I'm happy to be here.

I think one of the reasons people often think about moving to Panama, is because they hear that it has a really low cost of living.

Some people couldn't afford the lifestyle they'd like to become accustomed to in the United States or Canada,or other places, are starting to think about Panama.

Us: What are your thoughts about the cost of living in Panama?

What generally do you think you could live on, and what kind of lifestyle would that give you?

And is it true that it's more affordable?

Lief: Yeah.The cost of living conversations that we have with people that vary in the gambit.

You can live off of your social security in Panama.

Us: What does that buy you?

Lief: It can buy your a beach lifestyle,like what you guys have in Puerto Armuelles,
where you can live off maybe $1000, $1200 a month.

That's not going to be luxurious,but where in the U. S are you going to live on the beach on $1200 a month?

So, you know, people come from Iowa, say,"Oh Goodness, Panama City is so expensive!"

Well, of course it is, if you're coming from Des Moines,it's going to be more expensive.

If you're coming from the West Coast or the East Coast,or any major city in between,
Panama City is going to be likely less expensive.

And you can live inexpensively in Panama City.

We know a guy, it's been a couple years since I have spoken with him, but he was living
here on his social security, and it was less than $1000 a month.

Us: Wow.

Lief: Biggest portion went to his rent, he was renting a house in a decent neighborhood, not one of the high end neighborhoods, but a decent,local, safe neighborhood for $650 a month,and the rest of it went to food.

He didn't run his air conditioner 24 hours a day, and he didn't have a car, but he was happy.

He walked and it went around by taxi and bus, and he was living on less than $1000 in the city.

On the other hand, you can spend as much as $5000 a month in a high-rise apartment,
overlooking the ocean.

You're budget can go to the extreme the other way in the city as well.

But overall, I think most places, if you're in that $1500 to $2000 a month budget range,
you can have a great lifestyle in lots of areas in the country.

Us: It sounds like if you bought property right, you had your own house, if you had the capital to do that, then you'd have even a lot more money to spend on living expenses.

Lief: Absolutely, and that's when we talk about budgets,we try and separate housing, because housing can be whatever you want it to be.

It can be a one bedroom, small, little apartment, or it can be a five bedroom,
two million dollar house.

Take that part [housing] out of it, and then you're looking at the cost of food for example.

And food costs in Panama are goIng to be less.

Unless you're buying the processed foods that they ship in from the U. S, in which case they are going to be the same or more.

So, you have to make a bit of a shift in your expectations if you want to save a lot of money.

But you can have all the comforts at home in Panama as well.

Us: For more on the cost of living in Panama, please click the link below.

Thanks for watching!

Start here for more information on cost of living in Panama.

July 27, 2013

Many people couldn't imagine life - esp. starting a new life - without their dog, cat, or other animal friend.

You can bring your pet to Panama.  

It isn't hard, but the process can be daunting at times.

There are many regulations and organizations involved in the transport process.

In spite of this, with patience, it can be fairly easy to accomplish.

Each entity in the pet relocation process has its own rules

  • International Air Transport Association (IATA)
  • Each Airline
  • Panama Government
  • Government Of Origin

IATA Has A Helpful List

The International Air Transport Association (IATA) is the trade association for the world’s airlines, representing about 80% of the world's airlines.  Their site is helpful.

It provides a list of items to consider when transporting a pet including, airline regulations, government regulations, and the pet itself.   For those IATA guidelines, click here.

Size & Number of Pets Makes a Difference

If you are transporting only one animal — especially if it can travel in the cabin under the seat — you shouldn’t have a lot of difficulty bringing your pet with you to Panama.

Of course, you still must do all the paperwork and your pet must be healthy.  However, the process will be pretty straightforward and not very expensive.

It can get more complicated when you have larger or multiple pets.

Panama Government Rules

The Government requires strict adherence to the rules.  

You must have the following:

  • Health Certificate dated no more than 10 days prior to arrival in Panama.
    • It must be signed by the Veterinarian on the right side and the USDA stamp with signature on the left side of the document (i.e, U.S. NASPHV form-51).  If you are not in the USA, get it stamped by the agricultural department of your country.  Just having the veterinarian sign it is not enough. 
    • It must then be taken or sent by courier to the nearest Panamanian consulate, embassy, or an Apostille certification agency for processing. It has to be authenticated by one of those agencies.  One more stamp for your scrapbook.

Vaccinations and their documentation

  • Up-to-date Rabies Vaccination (not required for puppies).
  • Your pet must have its Multi Vaccinations (DHLPIPV).
  • The record book of vaccinations must accompany your pet during transport

Panama Government Fees

  • MIDA import license fee is $16.00 for one pet and $10.00 for each additional pet.

Health Ministry "Home Quarantine" process costs $130.00 per pet.

  • This fee allows you to take your dog home with you, and not be quarantined at the airport.

Try To Arrive During Their Business Hours

Your pet's entry into Panama will only be processed Monday through Friday from 8 am to 10pm.

If your pet arrives outside of those times, or on a holiday, your pet will be kept in an airport kennel until the office opens again.

Airline Regulations

You must check with your airline.

They all have different rules. Some of which include:

  • Not allowing pets to travel in the cargo hold if the temperatures are above 85 degrees Fahrenheit. (This often means you, or your pet, take the red eye flight)
  • Every airline will require you to purchase your own crate/container for your pet.  However, depending upon the airline, the size restrictions for each crate can vary.
  • Number of animals allowed to share a crate vary.  At one time, the IATA required that there be only one animal per crate. But when I visited their site today, it seemed they had relaxed that rule for smaller animals.

Preparing Your Pet

Allow your pet to spend time in its travel crate before your trip.  Travel is stressful for animals.  Getting familiar with its new crate is important.  You may want to put  a worn T-shirt, or other item, that has your scent on it in the crate with your animal.  Unless advised otherwise by your vet, you should not sedate your animal.  This is to avoid any unexpected health complications.

30 Day Home Quarantine

Upon leaving the airport, your animal is officially in home quarantine for 30 days.  This means that your dog must stay with you at all times for the next 30 days. Sometime during the quarantine period, you will be contacted to ensure that your dog is still healthy.

Once the 30 days have passed, your dog is free from quarantine restrictions.

Taking Your Animal Out of Panama

My older daughter is always asking to bring our dog with us when we visit the States.  I have always said no because I fear it is a difficult task.  I have heard that you must visit 3 different Panama Ministries and get 3 separate stamps to get the dog out of Panama and into the U.S.A

However, I have not confirmed that process.  In a future post I will cover taking pets out of Panama.

FYI , for those of you simply visiting Panama for a short while (i.e., less than 31 days), you don't have to do get all those stamps to bring your pet back with you.

My Information Sources

We have never taken a pet to or from Panama.  I owe my knowledge to  a number of sources, including

  • Susanna Perkins of futureexpats.com
  • Goldenfrog.net.  They offer pet relocation services.  
  • Various embassy sites
  • IATA's website
  • Forums

Please comment below.

Find out how to ship your car to Panama here.