Is Healthcare Free in Costa Rica?

Healthcare in Costa Rica isn’t free, but it is extremely affordable and offers excellent quality compared to global standards. The country combines a strong public health system with world-class private facilities.

1. Public Healthcare: CAJA

Residents can join CAJA (Caja Costarricense de Seguro Social).

Cost

  • Based on income

  • Typically $50–$150 per month

What’s Included

  • Doctor visits

  • Specialists

  • Hospital care

  • Emergency services

  • Prescription medications

It’s comprehensive and low-cost.

2. Private Healthcare

Private hospitals, clinics, and specialists are:

  • Modern

  • English-speaking

  • Affordable

Costs:

  • Private insurance: $100–$250 per month

  • Specialist visits: $50–$100

  • Major procedures: far cheaper than in the U.S.

3. Do Tourists Get Free Healthcare?

No — visitors must pay privately or use travel insurance.

4. Why Expats Prefer Costa Rica’s Healthcare

  • High-quality doctors

  • Low cost

  • No surprise billing

  • Accessible hospitals in major regions

  • Dental care very affordable

Bottom Line

Healthcare in Costa Rica isn’t free, but the public system is inexpensive and comprehensive, and private care is world-class at a fraction of U.S. prices.

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