Understanding Health Insurance in Mexico: Major vs. Minor Medical Expenses
Understanding Health Insurance in Mexico: Major vs. Minor Medical Expenses
In Mexico, private health insurance is commonly divided into two main categories: Major Medical Expenses and Minor Medical Expenses.
Major Medical Expenses insurance is designed to cover serious health events like hospitalizations, surgeries, specialist care, advanced diagnostics, and high-cost treatments. It’s the most widely known and used type of coverage, ideal for protecting against unexpected and significant medical costs.
Minor Medical Expenses insurance, sometimes called primary care plans, covers everyday healthcare needs like general doctor visits, basic medications, lab work, dental cleanings, and routine checkups. These plans are generally more affordable and focus on regular care rather than emergencies.
Understanding this distinction can help retirees choose the right combination of coverage for their lifestyle and healthcare needs in Mexico.
Cost Estimates for Retirees
To provide a clearer picture, here are some approximate costs associated with healthcare services and insurance plans in Mexico:
Public Healthcare (IMSS): The Instituto Mexicano del Seguro Social (IMSS) offers healthcare services to residents, including retirees. Annual fees vary by age, ranging from approximately $218 to $590 USD per year.
Private Health Insurance:
Major Medical Insurance: Premiums for individuals aged 60 and above can range from $1,600 to $2,150 USD per year, depending on the deductible and coverage level.
Comprehensive Plans: International providers like Cigna Global offer plans starting at approximately $150 USD per month, with varying levels of coverage and benefits.
Out-of-Pocket Costs (Private Clinics):
Family Practice Doctor – Cost per appointment: $36 – $50 USD
Specialist Consultation: $62 – $80 USD
Emergency Room Visit: $100 – $300 USD
Hospitalization (per day): $500 – $1,500 USD
Minor Surgery: $1,000 – $5,000 USD
Major Surgery: $5,000 – $20,000 USD
Laboratory Tests: $20 – $100 USD
X-rays: $20 – $50 USD
Ultrasound: $50 – $100 USD
MRI: $300 – $600 USD
Dental Cleaning: $20 – $50 USD
These costs are significantly lower than those in the United States and Canada, making Mexico an attractive destination for retirees seeking affordable healthcare options.
Yucatan has high-quality and affordable healthcare. Many specialized doctors are trained abroad and speak English, and prescription medications are more affordable.
Additionally, a large chain of pharmacies in Yucatán often has a doctor on-site who can treat mild illnesses, such as stomachaches or colds, and provide care for minor injuries. This convenient service provides an efficient solution for those in need of quick medical attention, making healthcare more accessible for retirees. And their services are, in most cases, free!
Farmacias del Ahorro – Doctor’s visit FREE
Simi or Farmacias Similares – Doctor’s visit MXN 70
Mérida has some of the best hospitals in Mexico, with world-class healthcare at a fraction of U.S. costs.
Christus Muguerza, Faro del Mayab Hospital
StarMedica Hospital
Clinica Merida
Insurance Providers Catering to Expats
Several insurance companies offer plans tailored for expatriates residing in Mexico:
Cigna Global: Provides flexible international health insurance plans with a wide network of healthcare providers.
AXA Mexico: Offers a range of medical insurance products designed to meet the needs of foreigners residing in Mexico, including options for comprehensive coverage.
Bupa Global: Specializes in international medical insurance, offering plans with extensive coverage both in Mexico and abroad.
These providers offer various plans that can be customized based on individual needs, age, and desired coverage levels.
