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Healthcare and Health Insurance in Loja, Ecuador | Digital Nomad Exchange
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Plaza de la Independencia in Loja, Ecuador

Expats Talk about Health Insurance and Healthcare in Loja, Ecuador

By Joshua Wood, LPC

Last updated on Jan 12, 2025

Summary: Expats and global nomads in Loja, Ecuador share their experiences with health insurance, healthcare in Ecuador, local hospitals and specialists, quality of medical care and more.

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How are healthcare services Loja?

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

"I let them know about public and private insurance options. This with chronic conditions should enroll in Ecuadorian IESS public system. But even without insurance the medical care in Ecuador is much more affordable than in the US," remarked one expat in Loja.

Are healthcare and health insurance expensive in Loja?

"The cost of average minor surgery is about $1500-$2000, The office visit range from $25 - $40. I have private insurance that has large network of providers with most private hospitals. Four hospitals are in the network in the city near me. I chose my insurance based on price and positive reviews from people who have used it," said one expat living in Loja.

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What are emergency services like in Loja?

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

"I live in small town 40 min from a major city of Loja. But we have a basic hospital with an emergency room. In Loja we have a public IESS hospital and several private hospitals like: San Agustin and UTPL. You can call national emergency number 911 for any help," wrote one expat.

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Will I need to travel to see a specialist?

"In my area people go for more specialized services to Cuenca which is 4 hrs away. That would be heart surgeries, hip or knee replacements, etc. I would not return to the US for medical care. I believe I get adequate care here. I had an ovarian cyst surgery 2 years ago and I was very pleased with the quality of care in a private hospital," remarked one expat living in Loja.

Are common prescription medications available in Loja?

"Pharmacies in Ecuador have most medications. Some like antibiotics and others are available without prescription. I take Eutirox pill for my thyroid and buy it without prescription. The cost is about $2-$3 for a month supply," remarked one expat living in Loja.

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

"We are about 7-8 minutes away by bus from the hospital in Catamayo. We have not been there but for 3-4 incidents, and found they helped to assist with the trouble really quite well! You have an option of buying both for general or public insurance. More serious health issues require more distant hospitals such as Loja, Cuenca or Quito," wrote an expat living in Catamayo and Loja.

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

"Yes, as a foreigner living in Loja, you will have access to public healthcare. The Ecuadorian government provides universal healthcare to all residents, including foreigners. However, it's important to note that while healthcare in Ecuador is generally affordable and of good quality, it may not be up to the standards you are used to in your home country. The public healthcare system in Ecuador is known as the Instituto Ecuatoriano de Seguridad Social (IESS). To access this, you will need to contribute a percentage of your income. The system covers a wide range of medical services, including doctor's visits, hospital stays, and prescription medications. In terms of quality, the healthcare in larger cities and towns like Loja is generally better than in rural areas. Hospitals and clinics in these areas are typically well-equipped and staffed with trained medical professionals. However, there may be long wait times for non-emergency procedures and services. Language can also be a barrier as not all healthcare professionals speak English. Therefore, it might be helpful to learn some basic Spanish or have a translator. While the public healthcare system is accessible, many expats choose to also have private health insurance for more immediate access to specialists and private hospitals. Private healthcare in Ecuador is also relatively affordable compared to many other countries. In conclusion, while public healthcare is available and generally of good quality, it's important to be prepared for potential challenges such as language barriers and long wait times," remarked one expat living in Loja.

"Permanent residents in Ecuador can enroll in public healthcare system or get private insurance at any age. The cost for public system is about $80 a month and pre-existing conditions are covered after 2 months. There are public hospitals in major cities and some smaller towns. The quality care may depend on the area but many expats in Ecuador enroll in the system due to low cost," said one expat living in Loja.

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

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

"Firstly, it's important to familiarize yourself with the healthcare system in Loja. The city has both public and private healthcare facilities, but expats often prefer private hospitals for their better facilities and English-speaking staff. Ensure that you have comprehensive health insurance that covers maternity care. Some insurance plans may not cover pregnancy and childbirth, so it's crucial to check this in advance. Find a good obstetrician who you feel comfortable with. It's advisable to choose a doctor who speaks your language to avoid any communication barriers during this crucial time. Prenatal care is essential for the health of both the mother and the baby. Regular check-ups, ultrasounds, and tests should be part of your routine. Consider hiring a doula or a midwife. They can provide additional support and guidance throughout the pregnancy and during childbirth. Prepare for the birth by attending childbirth classes. These classes can help you understand the birthing process and what to expect during labor and delivery. Understand the cultural norms and practices around childbirth in Ecuador. This can help you navigate the system more effectively and ensure a more comfortable experience. Finally, make sure your legal paperwork is in order. This includes ensuring that your baby will be eligible for the appropriate citizenship and that their birth is properly registered. Remember, having a baby in a foreign country can be a challenging experience, but with the right preparation and support, it can also be a very rewarding one," remarked one expat in Loja.

Are healthcare services good in Loja?

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

"Healthcare services in Loja are generally accessible and affordable. The city has both public and private healthcare facilities, including hospitals, clinics, and pharmacies. The public healthcare system is funded by the government and provides free or low-cost services to all residents, including emergency care, routine check-ups, and vaccinations. The private healthcare sector, on the other hand, offers more specialized services and shorter waiting times, but at a higher cost. Many doctors and healthcare professionals in Loja are well-trained and some even speak English, making it easier for expatriates or tourists to communicate their health concerns. However, more complex medical procedures or treatments may require travel to larger cities in Ecuador. It's also worth noting that traditional medicine is still practiced in some parts of Loja, particularly in rural areas," explained one expat living in Loja.

About the Author

Joshua Wood 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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Plaza de la Independencia in Loja, Ecuador
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