Many US citizens have their pension sent to Costa Rica, since it will go a lot further there, but no Social Security agreement exists between the countries.

Costa Rica has universal health care, one of the best health systems in Latin America. The main drawback to this service is the red tape and waiting lines, but once you receive treatment or medicine, it will be of high quality. Employees pay 9% tax for this health insurance and the employer pays an additional 18%. This includes about 1% that goes towards your pension, but most Costa Ricans find the pension to be insufficient.