Colombian Health System

Colombian Health System. The Colombia healthcare system is one of the world’s best. The World Health Organization ranks it as the 22nd most efficient in the world, as previously mentioned in another article, above Canada, the United States, and Australia. For the region, Colombia’s hospitals are among the best in South America. In particular, Cali has some of the best facilities in the area.

Costs of the Colombia Healthcare System

In general, healthcare in Colombia is very affordable. According to the experts, about 20% of government spending is directed towards healthcare in the country. Additionally, approximately 5% of Colombia’s GDP is related to healthcare. This level of investment has made on-the-ground costs for patients accessible.

Under the EPS public health insurance system, there is a three-tiered payment system. These payments cover co-payments for lab tests, diagnostic imaging, specialist visits, and medications. The copay rates are approximately $1, $4.25, and $11.15. The applicable rate is dependent on income and most retirees fall into the middle tier. For those without health insurance, out-of-pocket costs start at about $50 for a consultation with a physician in Cali.

The Pros and Cons of Public Care

There are significant differences in the standard of care between rural and urban areas. For instance, in Bogota, Medellin, and Cali, nearly 100% of the public is covered by health insurance. As well, the standards of healthcare are excellent. For those who can afford it or who have insurance, being treated in a private facility means a more comfortable experience at a modern facility.

Who is Eligible for Colombia Healthcare
All legal residents in Colombia are required to sign on with EPS. Expats can opt out but they must show proof of coverage through another healthcare plan. Those who must opt-in are required to pay 12.5% of their gross monthly income to the EPS. For those employed with a Colombian company, that amount goes down to about 4% as the employer pays the rest.
Each patient chooses which EPS-registered company they want to have as their insurance administrator.

Healthcare Options for Expats and Foreigners

In order to apply for EPS public health coverage, new residents must:
Obtain a visa: EPS coverage is only available to legal residents and citizens. As such, you must enter the country with an appropriate visa to your situation which allows you to work. Other common visas include options for retirees, real estate purchasing, business ownership, and business investment.
Get your identification card or cédula: Once you have your visa in your passport and enter the country, you must go to a Migración (immigration) office to register your visa. Here, you will apply for your cédula or identification card. You will need to complete a form, pay a fee, have digital fingerprints taken, and a photo.
Wait for processing: Next, it’s time to wait. The process usually takes two to four weeks for your application to be processed. You will pick up your card at the same immigration office.
Sign up with EPS: With your cédula in hand, you may then sign up with EPS. First, you must choose an insurance administrator and make an application with them. Once you are approved, your coverage starts immediately. You won’t be issued a health insurance card. Your cédula identification is all you need to make an appointment.

Checkout our webpage and learn more about our health system and health plans.

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