Health Insurance Options and Plans as an Expat in Colombia

1. What are the available health insurance options and plans for expats in Colombia?


There are a variety of health insurance options and plans available for expats in Colombia. These include:

1. Private Health Insurance: Private health insurance is available through various companies in Colombia, such as Seguros Bolivar and Suramericana, which offer comprehensive coverage and access to private hospitals and clinics.

2. National Healthcare System (EPS): The Colombian government offers a national healthcare system known as Entidades Promotoras de Salud (EPS), which provides coverage to all citizens and legal residents. Expats who have obtained a residence visa can join the EPS and pay a monthly fee based on their income.

3. International Health Insurance: Some international health insurance companies, such as Cigna, Allianz, and Aetna, also provide coverage for expats living in Colombia. These plans often offer higher coverage limits and additional benefits compared to local options.

4. Expat-Specific Plans: There are also specialty insurance plans designed specifically for expats in Colombia offered by companies like Medibroker and Bupa Global. These plans typically offer international coverage with flexible options for individuals or families.

5. Travel Insurance: For short-term stays in Colombia, travelers can purchase travel insurance which covers medical emergencies, hospitalization costs, and repatriation back to their home country if needed.

2. What type of coverage is included in these health insurance plans?

The specific types of coverage included in health insurance plans vary depending on the provider and plan chosen. However, some common coverages found in most health insurance plans for expats in Colombia include:

1. Inpatient care: Coverage for hospitalization including room charges, medications, surgeries, etc.

2. Outpatient care: Coverage for doctor visits, diagnostic tests, procedures performed outside of a hospital setting.

3.Surgery: Coverage for both minor and major surgeries.

4.Maternity care: Coverage for prenatal care, labor/delivery expenses, postnatal care for mother and baby.

5. Emergency services: Coverage for urgent medical care or emergencies, including ambulance services.

6. Prescription drugs: Coverage for prescribed medications.

7. Dental care: Some plans may offer coverage for routine dental procedures, while others may offer optional add-ons for dental coverage.

8. Mental health services: Coverage for mental health treatment and therapy sessions.

9. Repatriation: Some plans may include coverage for repatriation back to the home country in case of a serious illness or injury that requires medical evacuation.

3. How do I choose the right health insurance plan for me?

To choose the right health insurance plan as an expat in Colombia, consider the following factors:

1. Your budget: Determine how much you can afford to spend on health insurance premiums each month.

2. Your needs: Consider your current health status, any pre-existing conditions, and any potential risks based on your lifestyle (e.g., extreme sports).

3. Coverage options: Compare plans from different providers to see which one offers the best coverage for your needs.

4. Network of providers: Check if the plan has a network of healthcare providers (hospitals, clinics, doctors) that meet your expectations in terms of quality and accessibility.

5. Customer service and support: Look into the customer service reputation of the insurance provider and ensure they have a strong support system in place to assist you with any issues or questions.

6. Reputation of the insurer: Research about the reputation of the insurance provider in terms of claim processing and customer satisfaction.

It is also recommended to consult with an experienced insurance broker who can help guide you through the process and provide personalized recommendations based on your specific needs and preferences.

2. Is it mandatory for expats to have health insurance in Colombia?


Yes, it is mandatory for expats to have health insurance in Colombia. The Colombian government requires all residents, including expats, to be covered by a qualified health insurance plan. This can be either a public healthcare plan known as EPS (Entidades Promotoras de Salud) or a private insurance plan.

3. Can I use my international health insurance in Colombia?

If your international health insurance provides coverage for medical expenses in Colombia, then you may be able to use it for healthcare services within the country. However, it is recommended that you check with your insurance provider beforehand to confirm coverage and any limitations or restrictions.

4. How do I choose the best health insurance policy for me in Colombia?

To choose the best health insurance policy for you in Colombia, consider factors such as coverage options, network of providers, cost of premiums and deductibles, customer reviews and ratings, and any additional benefits or features that may be important to you. It is also recommended to consult with an experienced agent or broker familiar with the Colombian healthcare system to help guide you towards the policy that best fits your needs.

5. Will my employer provide me with health insurance in Colombia?

Some employers in Colombia offer health insurance as part of their employee benefits package. However, it is not a requirement for all employers to provide this benefit. Make sure to inquire about health insurance coverage when negotiating your employment contract.

6. Are pre-existing conditions covered by health insurance in Colombia?

According to Colombian law, pre-existing conditions are generally not covered by health insurance policies during the first two years of enrollment. After this waiting period, they may be covered depending on the severity of the condition and other factors determined by your insurer.

7. Is travel medical insurance required for short-term visits to Colombia?

Yes, travel medical insurance is required for short-term visits (less than 90 days) to Colombia for non-residents who do not have permanent residence or employment in the country. Proof of travel medical insurance is often a requirement for obtaining a tourist visa or entering the country as a non-resident.

8. Are prescription drugs covered by health insurance in Colombia?

Prescription drugs are typically covered by health insurance in Colombia. However, coverage may vary depending on your specific policy and the type of medication needed. It is important to review your policy details and discuss any potential limitations with your insurance provider.

9. Can I cancel my health insurance policy in Colombia at any time?

Yes, you can cancel your health insurance policy at any time. However, be aware that there may be penalties or fees for doing so, depending on the terms of your policy.

10. Is it possible to add dependents to my health insurance plan in Colombia?

Yes, it is possible to add dependents such as children or spouses to your health insurance plan in Colombia. However, there may be additional costs associated with adding dependents, so make sure to inquire about this when selecting your policy.

3. What is the average cost of health insurance for expats in Colombia?


The average cost of health insurance for expats in Colombia can vary greatly depending on factors such as age, location, and coverage plan. However, on average, expats can expect to pay between $100-$300 per month for health insurance in Colombia.

4. Are there any government-sponsored health insurance programs for expats in Colombia?

Yes, there is a government-sponsored health insurance program for expats in Colombia. It is called the Sistema de Seguridad Social Integral (SSI) and it provides coverage to all residents of Colombia, including expats. The SSI includes three different sub-systems: the Contributory System, which covers those who have formal employment; the Subsidized System, which covers low-income individuals; and the Special Regime, which includes coverage for public servants, military personnel, and members of certain professions. Expats can choose to enroll in either the Contributory or Subsidized System depending on their employment status and income level.

5. Can I use my home country’s health insurance while living in Colombia?

It is not advisable to rely solely on your home country’s health insurance while living in Colombia. It is important to check with your insurance provider to see if they offer coverage outside of your home country and if it includes services received in Colombia. Additionally, healthcare costs in Colombia may differ from those in your home country, so it is best to also have a local health insurance plan that will cover any unexpected medical expenses that may arise while living in Colombia.

6. How does the healthcare system work for expats in Colombia?

Colombia has a universal healthcare system, known as the Sistema General de Seguridad Social en Salud (SGSSS), which provides coverage to all residents, including expats. This system is managed by both private and public entities and is funded through taxes and contributions from employers and employees.

Expats who are permanent residents or have a valid work visa are eligible for the SGSSS and can access healthcare services in the same way as Colombian nationals. They must contribute to the system through their monthly paychecks, which covers basic healthcare services such as family medicine, emergency care, preventive care, and hospitalization.

Expats can also opt for private health insurance, which offers more comprehensive coverage and faster access to medical care. Private insurance plans vary in cost and coverage options, so it’s important to research different plans before choosing one.

Expats should note that there may be differences in quality of healthcare between urban and rural areas in Colombia. Major cities like Bogotá, Medellín, and Cali have well-equipped hospitals with English-speaking staff, while smaller towns may have limited healthcare resources.

7. Are there any specific health risks that expats should be aware of in Colombia?
Like any country, there are certain health risks that expats should be aware of when living in Colombia. These include:

– Zika virus: Colombia has had cases of Zika virus infection in recent years. Expats should take precautions to avoid mosquito bites.
– Dengue fever: Another mosquito-borne illness that is prevalent in Colombia.
– Chikungunya: Another virus transmitted through mosquito bites.
– Malaria: While malaria is not common in major cities like Bogotá or Medellín, it is still present in some rural areas.
– Altitude sickness: Some parts of Colombia, particularly the Andean region, are at high altitudes where altitude sickness can occur.
– Unsafe drinking water: In most urban areas, tap water is safe to drink. However, in more rural areas, it’s recommended to stick to bottled water.

Expats should consult with their healthcare provider before traveling to Colombia and take necessary precautions to protect themselves from these health risks.

7. Do I need to have a certain level of income to be eligible for health insurance as an expat in Colombia?

There is no specific income requirement to be eligible for health insurance as an expat in Colombia. In order to enroll in the national public healthcare system, called EPS, you will need to demonstrate that you are a resident in the country and are up-to-date on your visa status. Private health insurance plans may require proof of income or employment, depending on the provider. It is best to research and compare different plans to determine which one suits your needs and budget.

8. Are pre-existing conditions covered under the expat health insurance plans in Colombia?

In most cases, pre-existing conditions are not covered under expat health insurance plans in Colombia. However, some plans may provide limited coverage for certain pre-existing conditions after a waiting period or at an additional cost. It is important to carefully review the details of your specific plan to understand what will be covered.

9. What is the process of applying for health insurance as an expat in Colombia?

The process of applying for health insurance as an expat in Colombia typically involves the following steps:

1. Determine your eligibility: As an expat, you may be eligible for either the Contributory or Subsidized healthcare regimes. The Contributory regime is for those who have a work visa and are employed by a Colombian company, while the Subsidized regime is for low-income individuals.

2. Choose a health insurance provider: Once you know which regime you are eligible for, you can choose from one of the approved health insurance providers in Colombia. Some popular providers include EPS (Entidades Promotoras de Salud) and SISBEN (Sistema de Identificación y Clasificación de Potenciales Beneficiarios para Programas Sociales).

3. Gather necessary documents: You will typically need to provide a valid passport or ID card, proof of residency in Colombia, and evidence of your income or employment status.

4. Submit application: You can submit your application online or at a physical location of the health insurance provider you have chosen.

5. Pay fees: If you are applying for the Contributory regime, you will need to pay monthly premiums based on your income level and age. The amount is usually deducted directly from your monthly salary if you are employed.

6. Wait for approval: Your application will be reviewed by the health insurance provider, and if approved, you will receive your membership card within a few weeks.

It is recommended to start this process as soon as possible after arriving in Colombia to ensure that you have coverage in case of any medical emergencies or unexpected healthcare needs.

10. Are routine check-ups and preventative care covered under expat health insurance plans in Colombia?


Yes, routine check-ups and preventative care are typically covered under expat health insurance plans in Colombia. This may include screenings, vaccinations, and other preventive measures recommended by medical professionals. It is important to review the specific coverage of your plan to understand exactly what is included.

11. Can I choose my own doctor or hospital with the provided health insurance options in Colombia?

Generally, yes. With private health insurance in Colombia, you can choose your own doctor or hospital within the insurance network. However, with public health insurance (EPS), you may be limited to healthcare providers within your designated service area. It is important to research and understand the specifics of your insurance plan before enrollment to ensure it meets your needs and preferences.

12. What documents do I need to provide when applying for health insurance as an expat in Colombia?


The documents required may vary depending on the specific health insurance provider, but in general you will likely need to provide:

1. Copy of your passport or identification document
2. Proof of legal residence in Colombia (visa or cedula)
3. Proof of income (payslips, bank statements, etc.)
4. Statement of good health or medical history
5. Medical examination certificate (sometimes required for older applicants)
6. Proof of address in Colombia
7. Contact information for an emergency contact
8. Any additional documentation required by the specific insurance provider

13. Do I have to pay upfront for medical treatments or will my claims be reimbursed by the insurer?


It will depend on the specific policy you have purchased. Some policies require you to pay for treatment upfront and then submit a claim for reimbursement. Others may have direct billing arrangements with certain healthcare providers, allowing them to pay for treatments directly. It is important to review your policy documents or contact your insurer to understand their claims process and coverage details.

14. Are prescription drugs covered under expat health insurance plans in Colombia?

It depends on the specific expat health insurance plan you purchase. Some plans may offer coverage for prescription drugs, while others may not. It is important to carefully review the details of your plan’s coverage before purchasing to confirm whether or not prescription drugs are included.

15. In case of emergencies, does the health insurance cover medical evacuation expenses?


It depends on the specific health insurance policy. Some policies may cover medical evacuation expenses in case of emergencies, while others may not. It is important to review the details of your health insurance plan or contact the insurance provider to determine if medical evacuation expenses are covered.

16. Are dental and vision care included in expat health insurance plans in Colombia?

Dental and vision care may be available as an optional add-on to some expat health insurance plans in Colombia. It is important to carefully review the details of each plan to determine what specific medical services are covered. Some plans may offer basic dental and vision coverage, while others may have more comprehensive options.

17. How long does it take to get coverage after purchasing a plan as an expat in Colombia?

The length of time it takes to get coverage after purchasing a plan as an expat in Colombia can vary depending on the type of insurance and the specific provider. In general, some plans may have immediate coverage while others may have a waiting period before certain benefits or services are available.

It is important to carefully review the terms and conditions of your insurance plan to understand any waiting periods or limitations on coverage. Some insurance providers may also require additional documentation or health screenings before coverage begins. On average, it can take anywhere from a few days to a few weeks to get coverage after purchasing an insurance plan as an expat in Colombia.

18. Can I tailor my coverage based on my specific needs and budget as an expat living in Colombia?

Yes, you can tailor your coverage based on your specific needs and budget as an expat living in Colombia. There are many insurance companies that offer customizable plans for expats, allowing you to choose the types of coverage you need and adjust the premiums to fit your budget.

Some common types of coverage offered by expat insurance plans in Colombia include international health insurance, medical evacuation, emergency travel assistance, property and liability coverage, and personal accident insurance.

It’s important to carefully consider your specific needs and circumstances before choosing a plan. Some factors to consider may include your age, current health status, lifestyle habits, budget, and any pre-existing conditions that may need to be covered.

You may also want to consider adding optional coverage for things like dental care or maternity care if those services are important to you. It’s always a good idea to compare quotes from multiple insurance providers to find the best plan for your needs and budget as an expat in Colombia.

19.For how long can I keep my international/expat health insurance if I decide to leave Colombia and move to another country?

Typically, international/expat health insurance policies have a minimum contract duration of one year. However, this may vary depending on the specific policy and insurer. Some policies may allow for early termination in certain circumstances, such as relocation to another country. It is important to review the terms of your policy or contact your insurance provider for more information on how long you can keep your coverage if you move to another country.

20. Are there any exclusions or limitations on coverage for expats in Colombia?


Most health insurance policies will have exclusions and limitations, and this can vary depending on the specific policy. Some common exclusions or limitations for expats in Colombia may include:

1. Pre-existing conditions: Many health insurance policies will not cover pre-existing conditions, meaning any medical condition that existed before you purchased the policy.

2. High-risk activities: If you participate in high-risk activities such as extreme sports or adventure travel, your health insurance may not provide coverage for any injuries sustained during these activities.

3. Cosmetic procedures: Most health insurance policies do not cover elective cosmetic procedures.

4. Non-traditional medical treatments: Some policies may exclude coverage for alternative or non-traditional medical treatments, such as acupuncture or herbal remedies.

5. War or civil unrest: In the event of war, civil unrest, or political instability in Colombia, some health insurance policies may exclude coverage for injuries or illnesses related to these events.

It is important to carefully review the terms and conditions of your health insurance policy to understand any exclusions or limitations that may apply to your coverage as an expat in Colombia.