# Healthcare in Panama

> Panama has a two-tier healthcare system: public (MINSA facilities and CSS social security hospitals) and private. Leading private hospitals in Panama City include Pacífica Salud (affiliated with Johns Hopkins Medicine International), Hospital Nacional, Paitilla and San Fernando. Many US-trained physicians speak English. Private consultations typically $50-100; private health insurance for expats commonly $100-300+/month depending on age and coverage. The pensionado program offers medical discounts. Prices vary and change.

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Panama operates a two-tier healthcare system: the public sector, made up of Ministry of Health (MINSA) facilities and Social Security (CSS) hospitals, and a robust private sector. Leading private hospitals in Panama City include Hospital Pacífica Salud in Punta Pacífica (affiliated with Johns Hopkins Medicine International), Hospital Nacional, Hospital Paitilla and Clínica Hospital San Fernando. Many physicians trained in the United States and speak English. A private consultation typically costs $50-100, and private health insurance for expats commonly runs $100-300+ per month depending on age and coverage (prices vary and change; verify with providers). Quality is concentrated in the capital; in the interior, David (Chiriquí) has good hospitals such as Hospital Chiriquí and Mae Lewis serving Boquete's expat community. Retirees holding the pensionado visa receive legally mandated discounts on medical services under Law 6 of 1987.

## Resources

- [Ministry of Health (MINSA)](https://www.minsa.gob.pa/)
- [Social Security Fund (CSS)](https://www.css.gob.pa/)
- [Hospital Pacífica Salud](https://hospitalpacificasalud.com/)
- [Panama Tourism Authority (pensionado benefits)](https://www.atp.gob.pa/)
