More and more expats in Panama are choosing international health insurance. One reason is that the local policies have become more limited. More importantly, international health insurance covers you even when you are traveling, offers a wider network of doctors and hospitals, and offers a higher coverage amount.
Typical Limits - International Insurance Policy
Here are some International companies to check out.
Save Money Don't Have USA Coverage
The policies are less expensive if you exclude coverage in the USA. You can include coverage in the USA, but it tends to double or almost double the policy cost.
When traveling to the US, whether you are US citizen or not, you can simply buy travel insurance for the specific time you will be in the States. This works well if you will be in the States for under 3 months. Also, I have heard that the International insurance company, Cigna, allows you to add up to 3 months of coverage in the States for a reasonable price.
For the questions you should ask before you buy insurance, click here.
Hospital-based policies and local HMO-style insurance policies offer coverage only in Panama. If you don't plan on travel much outside of Panama, or are have insurance back "home", it can be a good option. It is generally cheaper. However, most will not accept new applicants after the age of 65.
Typical Limits - Domestic Insurance Policy
If you do decide to go outside the HMO group you are reimbursed for only 60% of what would have been paid to the preferred provider.
If you are over 65, you will have to look into an International insurance company that accepts new applications 66 years old and older.
Here are some International companies to check out.
Don't know if you need health insurance? Ask yourself these 3 health and financial questions to find out.
A Broker's Recommendation.
Cari Collins is an insurance broker I often see recommended on various Facebook groups and forums. I reached out to her and asked for her advice for expats looking for health insurance in Panama. We had a very friendly exchange. And, importantly, she responded to her email and my questions very quickly.
Cari Collins' Advice To Expats
The name of the company I represent is Global Health Insurance. I think the name is a good description of what we provide. Not only is health insurance available but also travel medical, property, auto and life insurance.
For medical, I can represent WEA, Cigna, IMG and VUMI, among others. The policy I feel is the best value is WEA.
The things I like about it that you may not find with other insurance plans here in Panama, are:
So many expats visit the U.S. though. If they exclude the U.S. to save money, they still need coverage for those visits back. In those cases, travel medical coverage is a great solution. You can purchase a policy to cover only the days you are visiting. No medical background is needed because no pre-existing conditions are covered. But it will cover any accident or illness incurred during your visit.
The WEA policy that excludes the U.S. combined with an IMG travel medical policy for visits is a great way to make sure your health care costs are covered and because medical costs are so much less in Panama insurance costs are also significantly less.
Cari Collins' contact information: email: [email protected]. website: www.globalhealthinsurance.com/cari-collins.
Find out how to apply for health insurance in Panama
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Panama has had health insurance for over a 100 years. More recently, more insurance companies are offering coverage in Panama.
1) International Insurance. International coverage is a good choice, especially if you travel frequently. The right international policy is also a good stop gap to cover the 2 year wait period before a local policy will cover any pre-existing condition. However, more and more expat are choosing International medical insurance over any of the local insurance plans.
2) Domestic Insurance. These are local HMO-style policies that only cover medical care in Panama. Coverage varies widely, but generally it is between US$300,000 and US$500,000. You are limited to a select group of doctors, hospitals and labs. Go outside the group, and you will only be reimbursed for 60%o of what would have been paid to the preferred provider. When selecting one of these policies be sure to review the list above of factors to consider when selecting insurance.
Panama health insurance companies will not issue insurance until you are living in Panama. You’ll need to prove that you are renting in Panama or have bought a house. And they will have have restrictions about how long you can back in your home country to stay insured. So, you cannot buy insurance in Panama at the much lower price then move back to the United States full time.
3) Domestic hospital discount plan. This is not true insurance. It is a discount plan at a specific hospital. These membership plans give participants hefty discounts on procedures performed at that facility only.
I know people who with the preventative discount plan at the Chiriqui hospital who are very happy with it. However, it is not an insurance policy. It can not be used in a hospital in Panama City for instance. The usefulness of some of these plans may have deteriorated in recent years due to changes in coverage.
4) Tricare insurance. This is only available to US retired military. It is actually not insurance, but a military benefit. From what I hear, Tricare coverage in Panama used to fabulous. However, due to various factors including abuse by consumers, it is more costly and limited. At this time, I am not sure what it covers or where it can be used. Those who qualify to use Tricare can find out more by going to visiting the tricare.mil website
You also may be able to use your current (non-Panama) insurance in Panama, but you will have to check your policy. Some cover some costs at out-of-your network rates. I believe this is particularly true if you have Blue Cross or Blue Shield and go to an affiliated hospital or clinic in Panama.
If you don't want the headache of comparing policies, you may want to use an insurance broker or agent. They can help you select the plan that best suits your needs and budget. I have heard positive things from other expats about these 3 insurance brokers. I have not used them myself.
I recommend you also read my observations and tips about health care in Panama.
Given the cost of an accident or major surgery, it is smart to get medical insurance coverage. This is particularly true if you are in your early 70s. It becomes very difficult to get insurance once you are 74 years old. Keep in mind, pre-existing conditions are not covered. So you may want to get insurance now, so those conditions are covered if and when they crop up.
Because health care is so affordable in Panama, some people, especially when they are younger, opt not to get medical insurance. If that describes you, you may want to read the 3 things to consider before you decide not to buy health insurance in Panama.
