For U.S. citizens, residents and visitors

Healthcare in Costa Rica for Americans.

The appropriate route depends on whether you live in Costa Rica, your residency and CCSS eligibility, your insurance, urgency and whether the care is routine, specialist-led or planned medical travel.

Start with your situation.

I live in Costa Rica

Eligible residents may use applicable CCSS services and can also choose private care. Medicina Mixta rules and benefits require active eligibility verification.

I am visiting

Visitors commonly use private providers and should confirm insurance, payment, records, prescriptions and follow-up before care.

I am traveling for treatment

Request a written clinical proposal, provider information, travel timeline, recovery plan and complication pathway before booking.

Documents and questions to prepare.

  • Medication list, allergies, diagnoses and relevant records
  • Passport identification and insurance or CCSS information when applicable
  • Preferred language and emergency contacts
  • How prescriptions and records will transfer between countries
  • Who coordinates after-hours needs and follow-up

For official country information, consult the U.S. Embassy in Costa Rica and the relevant Costa Rican authorities.

Medical travel guide · Medicina Mixta information · How care coordination works

Can an American automatically use CCSS services?

No. Access and coverage depend on legal status, enrollment, eligibility and applicable CCSS rules. Confirm your individual status directly.

Does Green Healthcare provide medical treatment?

No. Green Healthcare coordinates care and information. Independent licensed professionals and facilities provide clinical services.

Moving to Costa Rica: your healthcare preparation list.

Before you leave

As you establish your new home

Contact CCSS about the insurance route and documents that apply to your circumstances. Do not assume that eligibility, enrollment and active coverage are the same step. The CCSS official procedures directory lists insurance-related processes; obtain current requirements directly.

Identify your local care contacts, how to book routine appointments, how costs are confirmed and where to seek urgent help. Keep accessible copies of records and share the plan with family members where appropriate.

Questions for a coordinator

“Which records should I prepare?” “Who can help me understand local access?” “How will my existing care connect with the new provider?” Bring unresolved clinical, coverage and eligibility questions to the professional or authority responsible for the answer.

HEALTHCARE, MADE CLEARER.

A clearer way to make your decision.

Prepare continuity of care before you move.

01

Understand

Your healthcare arrangements depend on your situation, residency, work, insurance and eligibility. Clarify your route with CCSS and your insurer rather than assuming an existing policy or residency application activates coverage.

02

Compare

Compare public-system eligibility, private self-pay care and insurance terms. Ask about exclusions, pre-existing conditions, claim procedures, provider access and the costs of ongoing medicines and monitoring.

03

Verify

Before moving, confirm coverage dates directly, prepare records and medication information, and identify where you will receive routine and urgent care. Ask the appropriate professional about prescription continuity and local availability.

Questions and checks to take with you →
04

Coordinate

Once you understand your options, tell us what you need help organizing. A coordinator can help with questions, provider information and practical next steps. Independent licensed professionals make clinical decisions.

Ask a coordinator

General education, not a diagnosis or treatment recommendation. Ask an appropriately qualified clinician about your individual circumstances.

Explore all healthcare decision guides →

Healthcare in Costa Rica for expats, Americans and retirees

Before relocating

Prepare a care summary, current prescriptions and important records. Identify the routine appointments, monitoring and support you will need soon after arrival.

Confirm access and payment

Ask CCSS and your insurer directly about eligibility, effective dates, provider access and payment requirements for your circumstances. Do not assume a policy or residency application provides immediate access.

Build continuity where you will live

Consider travel time to appointments, transport availability, accessibility and who can help if your needs change. Ask about communication with your existing clinicians and family.

Costa Rica healthcare pathways · Senior living and care options · Patient advocacy