Costa Rica
Information and guidance on Medicina Mixta for CCSS members.
Ask for information →Medicina Mixta · Costa Rica only
See a private doctor. Keep your CCSS benefits.
Medicina Mixta is an official program of Costa Rica’s social security system (CCSS). You choose a registered private doctor, pay only for that consultation, and keep using your CCSS insurance for medicines, lab tests and referrals.
Costa Rica available
México not yet
Colombia not yet
Doctor of your choiceAmong doctors registered in the program, without the usual waiting list.
CCSS prescriptionsMedicines on the official list, collected at your CCSS pharmacy.
CCSS lab testsBlood work, X-rays and more, done in the CCSS network.
ReferralsTo CCSS specialists when you need one.
Who qualifies
For CCSS members in Costa Rica.
- Direct CCSS members with active, up-to-date coverage
- Costa Rican nationals or legal residents
- Adults, or minors represented by a guardian
- Employed or self-employed insured workers
Tourists and visitors do not qualify. If you are coming to Costa Rica for care, see our private care options.
Step by step
How Medicina Mixta works in Costa Rica.
Check that you qualify
Active, direct CCSS coverage as a Costa Rican national or legal resident. We help you verify it.
Choose a registered doctor
A private general doctor or specialist registered in the program. In person, or virtual where the doctor offers it.
Pay only the consultation
The doctor sets the fee and you pay the doctor directly.
Use your CCSS benefits
Prescriptions, lab tests, X-rays, referrals and sick-leave certificates when appropriate, all within the CCSS.
What you pay
One private visit. The rest through the CCSS.
You pay
The private doctor’s consultation
Each doctor sets the fee. Ask for the price before your appointment.
Your CCSS insurance covers
- Medicines on the official list (LOM)
- Laboratory tests
- Authorized X-rays and imaging
- Referrals to CCSS specialists
The CCSS sets the rules, covered tests and fees, and they can change. Your doctor confirms what applies to you.
Where it is available
Today, Costa Rica only.
México
Medicina Mixta is not available in Mexico. We can help with private care.
Care in Mexico →Colombia
Medicina Mixta is not available in Colombia. We can help with private care.
Care in Colombia →Questions
Good to know
Is Medicina Mixta a Green Healthcare program?
No. It is an official program of Costa Rica’s CCSS. Green Healthcare explains how it works, helps you check whether you qualify and points you to participating doctors.
Can tourists or visitors use it?
No. It is only for Costa Rican nationals and legal residents with active, direct CCSS coverage.
How much does the consultation cost?
Each doctor sets the fee and you pay the doctor directly. Medicines on the official list, authorized tests and referrals stay within your CCSS coverage.
Is it available in Mexico or Colombia?
Not yet. For now we only offer Medicina Mixta information in Costa Rica.
What is CRUM?
CRUM is Green Healthcare’s care-coordination platform, in development. It will help verify eligibility, connect you with participating doctors and keep your health record organized.
No obligation
Want more information?
Leave your details and a coordinator will explain how it works and whether you qualify.
- In English or Spanish.
- Private. Only your coordinator sees your details.
- Costa Rica only. For CCSS members.
Prefer to call? 1-866-497-7163