Cheap car rental in Nicaragua - Medical Facilities

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Medical Facilities

MEDICAL FACILITIES: Medical care is limited, particularly outside Managua. Basic medical services are available in Managua and in many of the smaller towns and villages. However, treatment for many serious medical problems is either unavailable or available only in Managua. Certain types of medical equipment, medications and treatments are not available in Nicaragua.

Malaria is endemic, particularly in low-lying areas such as Managua and around the beaches. Dengue is also a problem. Tap water in Managua has been tested and found safe for drinking, however, you are urged to drink bottled water, especially when traveling outside of the capital. Paying for medical services is typically done on a cash basis although the few private hospitals will accept major credit cards for payment. U.S. health insurance plans are not accepted in Nicaragua.

MEDICAL INSURANCE: The Department of State strongly urges Americans to consult with their medical insurance company prior to traveling abroad to confirm whether their policy applies overseas and whether it will cover emergency expenses such as a medical evacuation. U.S. medical insurance plans seldom cover health costs incurred outside the United States unless supplemental coverage is purchased. Further, U.S. Medicare and Medicaid programs do not provide payment for medical services outside the United States. However, many travel agents and private companies offer insurance plans that will cover health care expenses incurred overseas including emergency services such as medical evacuations.

When making a decision regarding health insurance, Americans should consider that many foreign doctors and hospitals require payment in cash prior to providing service and that a medical evacuation to the U.S. may cost thousands of dollars. Uninsured travelers who require medical care overseas often face extreme difficulties. When consulting with your insurer prior to your trip, ascertain whether payment will be made to the overseas healthcare provider or whether you will be reimbursed later for expenses you incur. Some insurance policies also include coverage for psychiatric treatment and for disposition of remains in the event of death.

Useful information on medical emergencies abroad, including overseas insurance programs, is provided in the Department of State's Bureau of Consular Affairs brochure, Medical Information for Americans Traveling Abroad, available via the Bureau of Consular Affairs home page.