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For Americans

Verified Apr 15, 2026· source: SafetyWing

Medicare Does NOT Cover in Panama

If you move to Panama, Medicare stops working the day you cross the border. You need insurance that covers Panama AND your trips back to the US.

SafetyWing · 4.2/5 Trustpilot (3,232 reviews)

What Americans don't know

  • Medicare has zero coverage outside the US, 0%
  • An emergency medical flight Panama → Miami: $50,000+
  • Local Panama insurers (ASSA, SURA) don't cover in the US
  • An ER visit in the US without insurance: $3,000–$10,000

SafetyWing covers Panama + USA

USA included

US emergencies covered. Perfect for family visits, vacations, or medical appointments back home.

30/90 days at home

US coverage 30 of every 90 days. Ideal for those who travel between Panama and the US regularly.

Fraction of the cost

$63/mo vs. $600+/mo for an ACA plan. Save thousands per year.

No network, no restrictions

Any hospital in Panama or the US. No referrals, no prior authorizations.

Plans for Americans

Verified Apr 15, 2026· source: safetywing.com

Nomad Essential

$63/mo

  • USA: emergency coverage
  • $250K worldwide coverage
  • Any hospital in Panama
  • Evacuation to USA included
  • No Medicare needed
Sign up now
Recommended

Nomad Complete

$177/mo

  • $1.5M total coverage
  • $0 deductible
  • USA + Panama + worldwide
  • Preventive care included
  • Emergency dental
Sign up now

Affiliate link, no extra cost to you. Prices from safetywing.com for the youngest age bracket; they rise with age.

Frequently asked questions

Can I keep Medicare and SafetyWing?
Yes, but if you live outside the US, Medicare pays nothing. Many Americans pause Medicare Part B to save $170/mo and use only SafetyWing.
Is SafetyWing accepted at Panama hospitals?
Yes. It works by reimbursement: pay at the hospital and then submit the claim online. Simple and fast process.

Compare before you buy

SafetyWing is the cheapest option for nomads and short stays. If you live in Panama permanently, have pre-existing conditions or are over 64, compare with PassportCard, Cigna, ASSA and MAPFRE in the comparison tool.

Get covered in Panama and the US, From $63/mo

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