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Panama – Health Insurance

For expats living in Panama, it’s important to have health insurance coverage to ensure access to quality healthcare when needed. In this article, we will explore the different types of health insurance in Panama and how they work.

Health Insurance Requirements in Panama

In Panama, health insurance is not mandatory for all residents, but it is strongly recommended. The Panamanian government provides free healthcare to its citizens through the Ministry of Health (Ministerio de Salud or Minsa). However, the quality of care may vary, and public hospitals may be crowded and understaffed. Expats and visitors are required to have health insurance coverage, either through a private plan or an international health insurance policy.

State Health Insurance System in Panama

The public health system in Panama is run by the Ministry of Health (Minsa). While public healthcare is free for Panamanian citizens, it may not always be accessible or provide the quality of care that expats may require. The public health system covers basic medical services, including consultations, hospitalization, and emergency care. However, there may be long wait times and limited medical facilities in rural areas.

Private Health Insurance in Panama

Private health insurance is available for expats and visitors in Panama. Private insurance plans provide access to a wider range of medical services and facilities than the public system. They can also provide coverage for emergency medical evacuation and medical repatriation.

Private health insurance plans in Panama can be purchased from local insurance companies or international providers. Local insurance companies may offer plans that are specifically tailored to the needs of expats living in Panama, such as coverage for preventive care, maternity care, and pre-existing conditions.

How to Apply for State Health Insurance in Panama

As a foreigner living in Panama, you are not eligible for the public health insurance system provided by the government. However, if you are employed by a Panamanian company, you may be eligible for social security benefits through the Caja de Seguro Social (CSS).


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To apply for social security benefits, you will need to provide the following documents:

  1. A valid passport
  2. A work permit or residency visa
  3. A certificate of employment
  4. A certificate of good health from a Panamanian doctor
  5. A birth certificate (if applicable)

Once you have gathered these documents, you can apply for social security benefits at a local CSS office. The application process may take several weeks to complete.

Advantages of International Private Medical Insurance for Expats in Panama

While private health insurance plans in Panama provide access to a wider range of medical services and facilities, they may not cover all medical expenses. International private medical insurance can provide additional coverage for expats living in Panama, including coverage for medical evacuation and repatriation.

International private medical insurance plans can be customized to meet the specific needs of expats living in Panama, including coverage for pre-existing conditions, maternity care, and preventive care. These plans can also provide coverage for medical expenses incurred while traveling outside of Panama.

One of the major advantages of international private medical insurance is the flexibility to choose your own healthcare provider. With private insurance, you can choose to see any doctor or specialist that you prefer, regardless of whether they are within a specific network.

Another advantage of international private medical insurance is that it provides coverage for medical emergencies while traveling outside of Panama. This can be especially important for expats who frequently travel outside of the country or have family members who live abroad.

Overall, international private medical insurance can provide expats living in Panama with peace of mind that they will receive high-quality medical care, regardless of where they may travel. It can also offer comprehensive coverage that may not be available through the state health insurance system.