15 Expats Talk about Health Insurance and Healthcare in Mexico
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.
How are healthcare services Mexico?
When we asked expats and global nomads about the quality of medical care in Mexico, they replied:
"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," commented one expat living in Mexico.
"Be sure to have travel insurance... helps to speak Spanish to communicate more freely with the caregivers, however someone there will speak English," wrote one expat.
"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 who moved to Tijuana.
What are medical services in Mexico like?
When we asked expats and global nomads about the quality of medical care in Mexico, they replied:
"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 an expat in Coatepec.
"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 living in Mexico.
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," commented one expat who moved to Puerto Vallarta.
"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," said one expat.
"I do not have medical insurance here in Mexico. And, most of my Dr's do not accept insurance anyway. Office visits, and hospital care are 1/5th the cost of USA and much better. In office appointments are usually an hour long instead of the 15 minute flyby of USA. Few Specialist have nurses. They do their own scheduling," remarked one expat in Queretaro City and Tequisquiapan.
"Private healthcare is generally excellent and less expensive than the USA and Europe. Health insurance is available up to 70 years of age (renewable) but gets expensive with age. My daughter who is 30 pays about US $100/month and I pay US $450/month at age 68. The last increase in premium was 20%. This is with 10% co-seguro and a deductible of US$2500. I guess at some point it will be unaffordable," remarked one expat living in Mexico.
"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 living 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? ," said one expat living in Queretaro City and Tequisquiapan.
"Again,the best hospitals are PRIVATE - CostaMed and Hospitan. They are both located on the main highway that runs between Tulum and Cancun. In case of an emergency you simply dial "911". Of course, depending on your emergency, a patient may be brought to one of the hospitals mentioned above until stabilized and possibly moved to Cancun -where there are larger facilities and more medical equipment," mentioned one expat in Playa Del Carmen.
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," commented one expat living in Tijuana, Mexico.
Are common prescription medications available in Mexico?
"Most medicines are available without a prescription except for psychotropic and antibiotics. Generic medicines are freely available, this means that medicines in general cost a fraction of the price you'd be charged in, say, the USA," said one expat living in Monterrey.
"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," mentioned one expat in Puerto Vallarta.
"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. ," commented one expat who moved to Playa Del Carmen, 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. ," remarked one expat living in Tijuana.
"Pretty much. Cheaper than USA costs and many different pharmacies. Guadalajara and Aahorra," commented one person.
Do you have anything more to add about local medical facilities in Mexico?
"We have one major private hospital in Playa. This is a really important thing to me as the public hospitals are not up to par with what expats are accustomed to coming from the US, Canada or Europe. The care is really outstanding in the private hospitals with most doctors speaking fluent English. They are also required to have an additional level of training to be able to work in a private hospital. I have been retired for 15 years but I actually sell international health insurance to expats which allows us to use ANY PRIVATE hospital or doctor in the world. I got involved in this because I was hit by a taxi cab about 15 years ago while traveling and ended up in a public hospital. The conditions were so bad - no soap or toilet paper in the bathrooms - 50 people in a group room..... I never wanted to be in that situation ever again. That was when I went quest for international health insurance. It is something critical to have," said an expat in Playa Del Carmen.
"I am very close to the many pharmacies for medicines. Also there are bi-lingual doctors' offices in many places downtown. There are several hospitals nearby within a few miles. I have heard that the quality of care is very good. But, I have not had personal experience yet, thank goodness," commented one expat living in Playa del Carmen, Mexico.
As a foreigner living in Mexico, will I have access to public healthcare? What is it like?
"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," said one expat living in Tijuana.
"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. ," mentioned one expat in Playa Del Carmen.
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," remarked one expat 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," remarked one expat living 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," explained one expat living in Mexico.
Are healthcare services good in Mexico?
We asked people if they have access to good medical care in Mexico. They wrote:
"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.
"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," said one person 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," remarked one expat 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," explained one expat living in Apizaco.
"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," said one expat in Manzanillo.
About the Author
Joshua Wood, LPC is one of the Founders of Digital Nomad Exchange and serves as Co-President of Expat Exchange. Prior to Expat Exchange and Digital Nomad 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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