Healthcare and health insurance for foreigners in Nicaragua
The best medical care is in Managua. Outside the capital it is more limited, as the US travel advisory also notes.
Hospitals in Managua (embassy lists)
- Hospital Vivian Pellas (Carretera a Masaya)
- Hospital Bautista
- Hospital Monte España
- Hospital Salud Integral
- Hospital Militar
Sources: the UK FCDO list (2020) and the German Embassy list (2024). In León, the FCDO lists the public HEODRA hospital. We could not verify private hospitals in Granada, Rivas or San Juan del Sur in official sources.
International health insurance
- Confirm the policy covers residents of Nicaragua: some insurers restrict this country.
- Check whether it covers medical evacuation abroad and which hospitals bill it directly.
- We could not confirm whether foreign residents can join the INSS voluntary scheme or what it costs: ask directly.
Sources: FCDO list of medical facilities in Nicaragua (2020); German Embassy, hospitals in Managua (2024).
Reviewed: 13 Nov 2026