With its breathtaking landscapes, eco-tourism opportunities, and friendly locals, it’s no wonder that the country is a popular destination for both travelers and expats. One of the key reasons behind its attractiveness is the high-quality healthcare system that Costa Rica offers. Ranked among the best in Latin America and even surpassing some developed countries like the United States in some aspects, Costa Rica’s healthcare system is truly impressive.
A Universal Healthcare System
Costa Rica’s healthcare system is based on the principle of universal healthcare, offering comprehensive and accessible medical services to all citizens and permanent residents. Established in the 1940s, the country’s healthcare system is constantly being updated and improved, ensuring that the medical facilities, staff training, and equipment are always up-to-date.
The Caja Costarricense de Seguro Social (CCSS)
At the heart of Costa Rica’s public healthcare system is the Caja Costarricense de Seguro Social (CCSS), commonly referred to simply as “Caja”. Funded by small monthly contributions from all residents based on their income, the Caja provides 100% coverage for all medical procedures, appointments, hospital visits, and prescription drugs. This includes everything from basic check-ups and preventive care to more complex medical treatments and surgeries.
Public Healthcare Facilities
The Caja operates a network of over 30 hospitals and 250 clinics across the country5. These facilities offer a wide range of services, from emergency care and general healthcare to more specialized medical treatments. Although some of the facilities, particularly in rural areas, may be in need of modernization, the standard of care remains consistently high.
Private Healthcare in Costa Rica
In addition to the public healthcare system, Costa Rica also boasts a robust private healthcare sector. Although more expensive than public healthcare, private healthcare in Costa Rica is still considerably more affordable than in countries like the United States. Many doctors in private healthcare facilities have received professional training in the United States, Europe, or Canada, and are often fluent in English.
Internationally Accredited Hospitals
Three of the most well-known private hospitals in Costa Rica are the CIMA hospital in Escazu, Clinica Biblica in San Jose, and Hospital La Catolica in Guadalupe (San Jose). These hospitals are internationally accredited and offer a comprehensive range of medical services. In fact, the CIMA hospital is the only hospital in Central America accredited by the Department of Veterans Affairs.
High Life Expectancy and Quality of Care
Costa Rica’s healthcare system has yielded impressive results in terms of the overall health of its population. According to the World Health Organization (WHO), Costa Rica ranks 36th in the world for the best healthcare system. Moreover, the United Nations places Costa Rica’s public health system within the top 20 worldwide and number 1 in Latin America.
The country’s life expectancy is also notably high, with men having an average life expectancy of 77 years and women living up to 82 years. This can be attributed to the strong focus on preventive care and the accessibility of medical services across the country.
Medical Tourism in Costa Rica
Costa Rica has become a popular destination for medical tourism, attracting thousands of patients from around the world every year. The combination of high-quality medical care, affordable costs, and stunning natural beauty make Costa Rica an attractive option for those seeking medical treatment abroad. Some of the most sought-after procedures for medical tourists in Costa Rica include dental work, cosmetic surgery, and orthopedic treatments.
Healthcare Costs in Costa Rica
As mentioned earlier, the costs of healthcare in Costa Rica are significantly lower than in countries like the United States. For example, a doctor’s visit in Costa Rica can cost as little as $60 to $75, while more specialized visits may cost around $100. Diagnostic tests such as ultrasounds, X-rays, and blood work are also generally priced under $100.
For those covered by the Caja, all medical costs are taken care of, with no need for patients to pay anything at their appointments. However, for expats and those without coverage, it is important to be aware of the costs involved and to make appropriate arrangements for insurance or payment.
Healthcare Options for Expats and Foreigners
Expats and foreigners living in Costa Rica have access to both public and private healthcare services. Upon obtaining residency, expats are required to become members of the Caja and contribute a percentage of their income towards the public healthcare system. This contribution covers not only the individual but also any dependent spouse or children.
In addition to the public healthcare system, many expats choose to hold private global medical insurance to cover any additional costs or to access private healthcare facilities. Some expats also opt for domestic private health insurance through the Instituto de Seguro Nacional (INS), the government-owned insurance company.
Maternity Care in Costa Rica
Expectant mothers in Costa Rica are classified as preferential patients under the Caja, ensuring that they receive timely and comprehensive prenatal care. All healthcare needs for pregnant women, including prenatal appointments, delivery, and postnatal care, are covered by the Caja. Babies born in Costa Rica are automatically covered under the Caja for their first year of life, which includes all routine and emergency medical care.
Public Health Initiatives: The EBAIS Program
The Equipos Basicos de Atencion Integral en Salud (EBAIS) program was established in 1995 to ensure that all citizens, especially those living in rural areas, have access to medical care. Operated by the Social Security Fund, EBAIS teams consist of five members, including one doctor, who visit residents’ homes to provide vaccinations, medical advice, and dispense medication. The program also addresses public health issues such as standing water, sub-standard housing, and teenage pregnancy.
In conclusion, Costa Rica’s healthcare system stands as a shining example of universal healthcare done right. With its focus on accessibility, affordability, and quality of care, it’s no wonder that Costa Rica’s healthcare system is regarded as one of the best in Latin America. For those considering a move to this beautiful country, the excellent healthcare system is undoubtedly a significant advantage to keep in mind.

