IMSS – HEALTHCARE IN MEXICO

IMSS –

One

Possibility

for

Health

Insurance

Coverage

in Mexico…

Well, friends, I really messed up sending out my email notice last week – some of you may have received as many as 4 notices, one right after the other – so sorry. When that happened, I just canceled the whole process and decided to give the computer and me a break!  We’re all ready to give you more info now…

IMSS, Mexico’s national health insurance, is offered to anyone living in Mexico – retirees originating from another country as well.

Many expats decided to forego insurance completely, and just put money aside for anything that may come up.  Remembering, that as long as you are a citizen of the United States, you can return to the States at any time, and have your Medicare take over. That gives a person a bit of a safety net, just in case.

While IMSS health insurance offers a very low-cost option, the annual fee for persons over 60 is approximately 3,500 pesos  (about $260.00 US) a year,  it is not exactly the insurance you are used in the States.  IMSS is sometimes compared more to Canada and Great Britain’s systems – probably because you may have to wait for appointments, especially to specialists – but, shoot, I’ve waited for appointments in the States!

Let’s do a quick walk-through:  For example, you need a doctor:   Your first step, under IMSS, would be to go to Unidad Medicos Familiares (Family Care Clinic), and have a consultation with your family doctor.  All of these clinics include a pharmacy on the premise, but the quality of these clinics can vary significantly, with some better equipped than others – having the capability of lab testing and x-rays.  If you have gone to the doctor for something not significant, you are done – the doctor will probably give you a prescription, which you will fill right there – you go home and get well.  It you need further aid, such as a specialist, then you will be sent by your family doctor to one, who are at either regional clinics, hospitals, or medical centers.  Many of the Family HealthCare Clinics have limited hours – they are not equipped for serious emergencies, so they send you one step higher. 

For an emergency, you would go straight to any IMSS clinic or hospital.  You are assigned to a hospital and that is where it’s preferred you go – but if you are in another area at the time of your emergency, you would go to the nearest hospital.

IMSS health coverage includes dental care (extractions and fillings only), eye, ear, hospital, and medical, and also includes lab tests, x-rays, reconstructive surgery and mental health consultations, and prescriptions.

Hospital care in Mexico is usually up to par with what you are already accustomed to in the States. 

Some of the cons:  You must have the proper Visa.  Your family doctor may be different each time you go to Clinic.  Your files are there, it’s just that the doctor you have seen may not be there when you have your appointment.  And, appointments may take a while to get – get used to waiting – so, make your appointments early, if possible, especially for just checkups, etc.  There is not always someone there who speaks English – I’d suggest taking a friend who knows Spanish pretty well.  You must not let your coverage lapse.  You can and should pay your renewal one month before your actual coverage runs out.  Hours at the Clinics are limited, so work your visits into your schedule and just accept that you may be there waiting all day…after all, it’s Mexico. 

I’ll probably follow up my next article, telling you the process to apply for IMSS…keep reading!  

So, here’s all the rest of the info I promised :) – I feel I owe it to you:

To apply for IMSS, you will need: 

1. Birth certificate,

2. Proof of Marital status,

3. Proof of Citizenship (your Passport),

4. Two photos of the applicant,

5.  Valid proof of your status in Mexico (FM3, Temporary, etc),

6.  A filled out questionnaire, in Spanish.  This is to detect chronic diseases that may preclude IMSS acceptance, and includes chronic degenerative diseases, cancer, HIV, renal disease, diabetes, heart disease and psychosis,

Then, you must undergo a checkup with a family doctor.  If any of the above shows up, you may need to have further tests.  The detection of such diseases in the first six months of IMSS affiliation may lead to being rejected without return of the application fee. However, if a chronic disease develops after the first year of affiliation, you should have no reason to be rejected. 

Certain services, such as care for pregnancy, are not available during the first 10 months of IMSS affiliation. There is also a waiting period of one year for all gynecological surgery, and two years for orthopedic surgery, after acceptance.

After you have received your IMSS Card, you must go to your local IMSS clinic so they can assign a Doctor to you.  Take with you your IMSS cards, proof of payment for your IMSS, and your health questionnaire (in Spanish).

Private insurance is another option for your life in Mexico.

Health, IMSS article by Barbie

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16 Responses to IMSS – HEALTHCARE IN MEXICO

  1. CLARENCE WEBB

    October 5, 2011 at 1:15 pm

    HI BARBIE, JUST A SHORT LINE TO SHOW MY SINCERE APPRECIATION FOR YOUR CORRESPONDENCE. KEEP UP THE GOOD WORK. YOU ARE TRULY A GEM. YOU MAY PUBLISH THIS IF YOU WISH. YOU MORE THAN DESERVE IT.

  2. Barbie

    Barbie

    October 8, 2011 at 10:57 pm

    Thank you so much :) Best to you. Barbie

  3. Donna

    October 9, 2011 at 12:36 pm

    health care is good price than medicare. My sister don’t want me to live in Mexico because of drug wars. I said HUH? Question about you. Is your area safe in Mexico?

  4. Ollieburger

    October 10, 2011 at 7:17 am

    I am interested in expats living in La Paz, B.C.S., and in Loreto, B.C.S. We are considering both of these areas. My husband speaks only a few words of Spanish, and I am moderately fluent at speaking, but still very poor at understanding spoken Spanish. I am hoping someone can provide a comparison between the two cities.
    Thanks very much.

  5. David Kindopp

    October 10, 2011 at 10:49 am

    Thanks!

  6. robert

    October 10, 2011 at 1:54 pm

    what is the maximum age limit to apply for IMSS coverage ?

  7. dana

    October 11, 2011 at 12:46 pm

    Many thanks for the info,

    can any xpat use the imss and at any age,??

    dana,,

  8. Barbie

    Barbie

    October 11, 2011 at 7:53 pm

    Yes, Dana. Age is not a consideration. Barbie

  9. Barbie

    Barbie

    October 11, 2011 at 7:54 pm

    Hi Robert – I don’t believe there is a maximum age for IMSS. Barbie

  10. Barbie

    Barbie

    October 11, 2011 at 7:56 pm

    You’re very welcomed, David. Barbie

  11. Barbie

    Barbie

    October 11, 2011 at 7:57 pm

    Okay – Readers?? Send any info, in this blog, and I’ll make sure Emily receives it. Thanks in advance! Barbie

  12. Barbie

    Barbie

    October 11, 2011 at 8:01 pm

    Donna, read everything here about Mexico. Yes, there are drug wars going on. You must have lots of info, and be very secure. There is no area probably more safe than another – other than, of course, the border towns are just purely scary! You need to listen to your sister, study the possibilities, and make up your own mind. Barbie

  13. MARIO MACIEL

    October 27, 2011 at 7:51 pm

    Hi, I was born in Mexico but I have been living in the U.S all my adult life; I married an American Angel (Mary), we have been married for 31 years. My dream is to retire in good health and last longer than normal so I can protect my wife and make her very happy.
    We are planning to retire in Mexico in 7 years so I am trying to prepare my wife to understand the culture.
    I thank you for your involvement trying to reach and help others. I hope to be able to help retirees from the U.S by simply being there for them to advice or thru my knowledge of the Spanish language find the proper help or services needed etc. I think it would be very good for my wife to create a friends base so she can feel more like at home.
    I also want to help people in need so; I am learning the science of Hydroponics and Aquaponics to create a sustainable supply of vegetables and fish for others and us….
    Thanks

    I will be in touch.

    Mario

  14. Barbie

    Barbie

    November 9, 2011 at 6:11 pm

    Hi Mario – Sit your lovely wife down, turn the computer on, bring up my site, get her a cup of coffee, and tell her to sit there and read every article I have. That’s the very best advice I can give you. Good luck.

  15. Gordon

    February 7, 2012 at 8:14 am

    In 2005, I took my wife and 2 young children and we moved to Ajijic in the Lake Chapala area. We wanted to live in a foreign country and give our children a cultural experience. We stayed for 2 years and it was a wonderful experience. As far as safety, we felt safer there than we do here in the states. The only concern we had was minor petty thefts, but as long as you are cautious, there isn’t much to worry about. We returned just before the cartel problems that you hear about started. I still have many snowbird and full-time friends living there and have communicated with them and they say the problems do not affect them, only the border towns. Good luck in your search and your choice to live abroad!

  16. Gordon

    February 7, 2012 at 8:18 am

    I forgot to mention, 1 week after moving to Mexico, my wife found out she was pregnant. She was stressed and worried about having a baby there, so I had to convince her that millions of Mexicans have had babies in Mexico just fine. As the pregnancy progressed, she found a Dula (midwife), who helped prepare her, and my wife decided for an all natural water birth. It was a beautiful experience, much more so than our other two births in the states. The doctors on standby seemed much more caring. The total cost in 2006 was $2000 USD with no insurance.

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