
Costa Rica has a robust and well-funded public healthcare system, with around 30 public hospitals and 6,000 beds. The public healthcare system, known as the Caja Costarricense de Seguro Social (CCSS) or Caja, offers universal coverage to all residents and visitors. While public hospitals may have longer wait times and older facilities, they provide quality medical care. Additionally, there are about 500 clinics and 1,000 basic medical attention centres in remote areas. Costa Rica also has a growing private healthcare sector with a small number of hospitals that cater to expats and international patients, offering state-of-the-art facilities and English-speaking staff. The most well-known private hospitals include Hospital CIMA, Hospital Clinica Biblica, Hospital International La Catolica, and Hospital Metropolitano. Overall, Costa Rica's healthcare system is recognised as one of the best in Latin America, offering top-notch care to both locals and visitors.
| Characteristics | Values |
|---|---|
| Number of public hospitals | 30 |
| Number of clinics | 500 |
| Number of "Equipos Basicos de Atencion Integral" | 1,000 |
| Number of private hospitals | 3 |
| Names of the best-known private hospitals | Hospital CIMA, Hospital Clinica Biblica, Hospital International La Catolica, and Hospital Metropolitano |
| Names of public hospitals | Hospital Clinica Biblica, Hospital International La Catolica, Monseñor Sanabria Hospital, Quepos Hospital, Hospital Lic Manuel Mora Valverde, Hospital de Ciudad Neilly, Hospital de San Vito, Hospital Dr Tomás Casas Casajús, San Rafael Hospital, Hospital San Carlos |
| JCI-accredited hospitals | Hospital CIMA, Hospital Clinica Biblica, Hospital International La Catolica |
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What You'll Learn

Costa Rica's public healthcare system
Costa Rica has a very robust and well-funded public healthcare system. The country's public healthcare system is run by the Costa Rican Social Security System, commonly referred to as "Caja" (or Caja Costarricense de Seguro Social in Spanish). The public hospital system offers strong medical services, but the settings and waiting rooms may be more chaotic than what visitors from other countries are used to. Additionally, non-Spanish speakers may find it difficult to navigate the system.
The country provides universal healthcare to its citizens and permanent residents. The public healthcare system is funded by small monthly contributions from all residents, based on their income levels. Through Caja, citizens and permanent residents have 100% coverage for all medical procedures, appointments, hospital visits, and prescription drugs. The system guarantees services to all residents, including the uninsured and, since 1989, undocumented immigrants.
The country's focus on healthcare has resulted in impressive outcomes. Costa Rica has a high life expectancy, and the World Health Organization (WHO) has ranked its healthcare system highly. WHO's 2000 survey ranked Costa Rica as having the 36th best healthcare system in the world, placing it above the United States at the time. The United Nations (UN) has also ranked Costa Rica's public health system within the top 20 worldwide and the number 1 in Latin America.
In addition to the 30 hospitals in the public system, there are also 500 clinics and about 1,000 "Equipos Basicos de Atencion Integral," which offer basic medical attention in remote areas. Every Costa Rican is assigned to one of these local primary healthcare teams, which consist of physicians, nurses, and community health workers. These health workers visit each household annually to assess needs, and the data they gather are used to set targets, track progress, and focus resources on higher-risk areas.
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Private hospitals in Costa Rica
Costa Rica has a robust and well-funded public healthcare system, with universal coverage for all residents. However, many visitors opt for private hospitals, which are known for their excellent services, modern technology, and English-speaking staff. There are only three private hospitals in Costa Rica, located in the Central Valley region, which is home to half of the country's population. These hospitals are popular among expats and medical tourists seeking quality healthcare and specialised treatments.
One of the most popular private hospitals for expats and medical tourists is Hospital CIMA, located just west of the city centre in the capital. It is part of a group of international hospitals based in Texas and is known for its specialised care in cardiology, orthopaedics, and oncology. Another popular option is Hospital Clinica Biblica in San Jose, which also has a large number of English-speaking staff. In the Guadalupe suburb of San Jose is Hospital la Catolica, renowned for its friendly and warm staff and accessibility from the city centre.
While private hospitals in Costa Rica provide excellent healthcare, it is important to have adequate health insurance before seeking treatment. The Cigna Global Insurance Plan is a popular choice for expats, offering flexible coverage and a wide network of trusted hospitals. Other options include health discount plans, which provide budget-friendly access to a limited number of discounted appointments and tests for those without insurance or with high medical needs.
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Hospitals catering to expats
Costa Rica has a very robust and well-funded public healthcare system. The country is ranked 36th in the world for healthcare by the World Health Organization, above the United States, Cuba, and New Zealand. The United Nations places its healthcare within the top 20 in the world. Expats frequently cite the quality of healthcare as a major factor in their decision to relocate.
The public system is of extremely high quality, and residents and non-residents have access to the same services. However, expats should be aware of some potential downsides. The public system is often overrun with patients, leading to long wait times and understaffed hospitals and clinics. Finding a specialist can be difficult, and in non-major cities, it may be hard to find English-speaking staff.
Most international citizens stick to three large private hospitals: CIMA hospital in Escazu, Clinica Biblica in San Jose, and Clinica Catolica in San Jose-Guadalupe. These hospitals are designed to cater to people looking for the hospital experience they have "back home". English speakers will not encounter major language barriers. These hospitals are more expensive but are very popular with visitors and expats.
Hospital CIMA is part of a group of international hospitals based in Texas and is the most popular with North Americans and English speakers. It is a clean, state-of-the-art facility, where even the IV tubing is the same as in most North American hospitals. It is operated by a US corporation out of Dallas and boasts the most English-speaking staff of any hospital in Costa Rica. It is also the only hospital in Central America that is accredited by the Department of Veterans Affairs. CIMA is usually the most expensive, but with that comes the most modern facility, offering more choice than anywhere else in the country. There are over 400 doctors that represent over 60 different medical specialties. It has an advanced imaging centre, a full-service laboratory, and a 24-hour pharmacy all on-site.
Clinica Biblica in San Jose also has a great deal of English-speaking staff. It accepts medical coverage dictated by CHAMPUS and Tri Care Latin America for hospital and pharmacy services.
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Hospitals in remote areas
Costa Rica has a robust and well-funded public healthcare system. However, many visitors opt for private hospitals, which are very well-regarded. There are only three private hospitals in the country, all located in the San José area, so in remote areas, there may be no access to private hospitals.
The public system, on the other hand, has 30 hospitals, 16 of which are in the Central Valley region, as well as 500 clinics and about 1,000 "Equipos Basicos de Atencion Integral" offering basic medical attention in remote areas. While public hospitals may seem outdated and chaotic to visitors from other countries, the quality of care is on par with that of the US and Europe. The integrity, technology, and quickness to respond to emergencies are also on par with the best in the world.
Public healthcare in Costa Rica is significantly more affordable than private options, with many services subsidised by the government. The Costa Rican Social Security System of CCSS (Caja Costarricense de Seguro Social) covers a wide range of services, from preventive care to emergency services and major surgeries. It is funded by small monthly contributions from all residents, with amounts based on income levels. However, public hospitals often experience longer wait times due to higher patient volumes.
Private hospitals in Costa Rica are designed to cater to people looking for the hospital experience they have in their home countries. They are more expensive but very popular with visitors and expats, as English speakers do not have to worry about major language barriers. Private hospitals take a range of insurances, but not all health insurance plans cover services in private hospitals, so it is important to check beforehand.
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The quality of care in Costa Rica
Costa Rica is known for its world-class healthcare system, which is among the best in Latin America and the world. The country has a robust, well-funded public healthcare system, called the Caja Costarricense de Seguro Social (CAJA), that offers universal coverage to all its citizens and residents. The CAJA system provides a wide range of medical services, from simple check-ups to complex surgeries, and is mostly funded by the government. There are approximately 30 public hospitals and 3 private hospitals with over 6,000 beds in total.
While the public healthcare system in Costa Rica offers quality care, there are some drawbacks. Public hospitals may have longer wait times and more bureaucratic procedures. Additionally, the facilities may not be as modern or sterile as those in other countries, and non-Spanish speakers may face language barriers when navigating the system. However, the quality of care in public hospitals rivals that of the United States and Europe. The hospitals are equipped with cutting-edge technology and quick response times to emergencies, on par with international standards.
For those seeking a more familiar hospital experience, Costa Rica also has a growing private healthcare sector with a small number of hospitals. These private hospitals are designed to cater to expats and international patients, offering state-of-the-art facilities and English-speaking staff. They are more expensive than public hospitals but are still significantly more affordable than medical expenses in the United States. Private hospitals in Costa Rica include Hospital CIMA, Hospital Clinica Biblica, Hospital International La Católica, and Hospital Metropolitano. Among these, Hospital CIMA is particularly renowned for its modern facilities, extensive range of services, and high standard of patient care.
Overall, Costa Rica offers excellent quality healthcare for both its citizens and visitors. The country's public healthcare system provides universal access to quality medical services, while the private sector offers additional options for those seeking a more familiar and premium experience. Whether in a public or private hospital, patients can expect to receive skilled medical attention and efficient treatment in Costa Rica.
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Frequently asked questions
The public healthcare system in Costa Rica is called the Caja Costarricense de Seguro Social (CAJA). It covers everyone living in the country and offers a wide range of medical services, from simple check-ups to complex surgeries. There are currently around 30 public hospitals with 6,000-6,223 beds and 500 clinics across the country.
Costa Rica is known for its world-class healthcare system, which is among the best in Latin America and the world. The country has a robust, well-funded public healthcare system and a thriving private healthcare sector. The quality of care in public hospitals rivals that in the United States and Europe.
Some of the top hospitals in Costa Rica include Hospital CIMA in Escazu, Hospital Clinica Biblica in San Jose, Hospital International La Catolica in San Jose, Hospital Metropolitano, Hospital Lic Manuel Mora Valverde in Golfito, Hospital de Ciudad Neilly in Ciudad Neilly, Hospital de San Vito in San Vito, and Hospital Dr Tomas Casas Casajus in Puerto Cortes.
English speakers may encounter some language barriers in the public healthcare system in Costa Rica. Private hospitals, on the other hand, often cater to English speakers and employ English-speaking staff. Hospital CIMA, for example, has the most English-speaking staff out of any hospital in the country.









































