I am so excited to announce my latest endeavour as a Relocation Consultant! After 5 years of helping wayward expats find answers to their most burning questions about life in Nicaragua, I’ve decided to formally offer my services as a Relocation Consultant. Please visit my new page to learn more about the services offered, topics covered, and fees. I look forward to working with you and to helping you find home in Nicaragua.
When we moved to Nicaragua, my dad’s first request was that I not get pregnant while living abroad (a physician, I assumed this was his recommendation based on health – I only learned much later, with my first child, mind you, that this was actually a grandfather plea). In any case, I’ve since had two kids here and all has gone exceedingly well. But I digress. His second request, let’s be honest here – his second demand – was that we have some form of health insurance.
“I was talking to a friend whose brother worked over seas for a few years and the phrase was (a bit out of date), “For minor illnesses you take two aspirin, for major illnesses you take Pan Am.” -Dad (September 2007)
And so we began our research by looking into catastrophic insurance, which would essentially help only if we needed medical evacuation. Justin, in his usual charming way, reached out to an expat we’d met during our visit to Nicaragua the previous year:
“I’m writing you to ask about health insurance. We are fine with going to Nica doctors for bumps & bruises, etc, but I’d like to have coverage for anything catastrophic. Like cancer, monkey attacks, or (gasp) if I knock my wife up.” (November 2007)
Run a search on “medevac insurance” and you will be inundated and overwhelmed by options. We eventually paid through the nose for a catastrophic insurance policy via IMG (International Medical Group). And as a fellow expat once shared,
“This is how I look at it (and it might be a little harsh but..), chances are if you get in a catastrophic accident here in Nicaragua, the probability that you get to a hospital in time, they get organized and get that helicopter that you need to fly you out of Nicaragua is probably not going to happen. But, good news is, that the Vivian Pellas hospital in Nicaragua is world class, and has a host of international doctors there.”
Thankfully, we never needed to be airlifted out of Nica, but it did appease my risk-averse dad who had a friend who did, indeed, need to be med-evacuated out of Costa Rica (20 years ago) after a heinous rappelling fall. I will say that international health insurance policies appear to have come a long way in just the six years since we moved, including basic travel insurance and not just catastrophic options. So I do recommend looking into all options before discounting them altogether.
After a year, we let our policy lapse, but fortunately, our health did not. Then, we began the baby talk and decided that even if we didn’t worry so much about our own health, it was time to take the responsible road and insure our children’s health.
We ended up purchasing a policy via Seguros America. With an office in Managua, they were easy to find, helpful in choosing the appropriate policy for our needs, and very affordable. Seguros America offers tiered coverage, including a silver or gold plan with varying deductibles. You can purchase a policy that covers you in only Nicaragua, in all of Central America, or worldwide. Obviously, those plans with lower deductibles and greater geographic coverage are more costly, but they are still quite reasonable.
For under $1,000 per year for the entire family, our policy provides us with regional coverage, up to $25,000 per person per year. The plan provided up to $2,000 in maternity care (prenatal and labor and delivery). You have up to two weeks after the birth of a child to add him/her to your policy and receive coverage for newborn costs. Ambulatory visits are unlimited and will be reimbursed up to $20 per visit. Specialized medicine visits are also unlimited and covered up to $30 per visit. There are plenty of more detailed items that are covered, based on your chosen deductible and package, including ER visits, surgeries, physical therapy, etc. It’s best to consult with an insurance agent to review these details prior to purchasing a package.
To obtain coverage, you must first meet with a rep from the SA office and then submit to a physical exam. We still pay out of pocket for all medical expenses and then submit receipts, along with a basic reimbursement form signed by our doctors, to the headquarters in Managua. We typically receive reimbursement checks within two weeks. All of our healthcare has taken place at Hospital Metropolitano, Vivian Pellas and have had no problems seeking reimbursement.
Another option, which I understand functions similarly to Seguros America, is the insurance plan offered by Vivan Pellas. They have an office on the first floor of the hospital.
To date, we have been exceedingly happy with our coverage. Though it does not cover us when we travel outside of Central America, we have found great travel insurance plans via Seven Corners. They provide you with a quick and easy online quote after completing a basic questionnaire. Look into travel insurance provided by your credit cards, as well.
For further reading on health insurance in Nicaragua, visit The US Department of State website:
“You can’t assume your insurance will go with you when you travel. It’s very important to find out BEFORE you leave whether or not your medical insurance will cover you overseas. You need to ask your insurance company two questions:
- Does my policy apply when I’m out of the United States?
- Will it cover emergencies like a trip to a foreign hospital or a medical evacuation?
In many places, doctors and hospitals still expect payment in cash at the time of service. Your regular U.S. health insurance may not cover doctor and hospital visits in other countries. If your policy doesn’t go with you when you travel, it’s a very good idea to take out an additional policy for your trip. For more information, please see ourmedical insurance overseas page.
Be wary of private companies that claim to provide Medicare coverage outside of the United States. Generally, Medicare does not extend to beneficiaries overseas; we recommend you purchase additional medical insurance to ensure complete coverage. Please see the pamphlet Medicare Coverage Outside the United States for more information.”
Thinking about a move to San Juan, but don’t know how much to budget for a rental? Your monthly rent will vary widely depending on your needs, comfort level, and amenities. Here are a few examples:
When we first moved to San Juan, we rented a small one-bedroom, one bath home in Nicovale, a quiet community of 8 or 9 homes owned and managed by a Nicaraguan/Italian couple. Located up a rather steep hill, the neighborhood was still walking distance to town (under 10 minutes), and a great workout on the way home. Though we didn’t have a view, we loved the area for its proximity to town without being right on the main roads. We could still hear the bumpin’ Semana Santa parties, but we were far enough removed from the main streets to escape the hourly announcement from the fruit and veg/scrap metal/politico trucks. The owners were also very dedicated to their properties and managed repairs and ongoing maintenance swiftly. Five years ago, we paid $450 per month, which included rent, electric (no a/c), water, twice weekly cleaning, security, parking, cable tv, and wifi. The house came sparsely furnished, with basic kitchen utensils, and also included linens that were washed and changed twice a week. The landlord also had a backup generator that he turned on during nighttime power outages. The apartment served us well until we outgrew it and moved here:
When I learned I was pregnant, two years later, we upgraded to a 2-bedroom, 2-bath newer construction unit in the same neighborhood. This home had modern appliances and nicer furniture, as well as air conditioning in both bedrooms. It also had the added bonus of a large balcony overlooking the bay. We paid $700/month, which included all of the above amenities, minus electricity. We averaged approximately $150/month on our electric bill, running both a/c units nightly.
Two years later, our growing family prompted a third move – this time to a 4 bedroom, 2 bath house that also includes a fifth bed/bath in the pool house. And it goes without saying that a pool house also suggests a pool (a large lap pool). The house is a stand alone with large rancho, grill, as well as a two-car garage (we use one side while the other is reserved for the owners). It sits in a small development of other standalone homes, each with different owners. It’s nicely located within a 10-minute walk to the town beach and a 20-minute walk to town center. Rent is $1,000/month and includes water, satellite tv, wifi, caretakers who maintain the grounds (excluding the pool) and provide security. The house does not have backup and the water is on a pump system, so when the power goes out, we not only lose power, but water, too.
To find out how we achieved the rental rate that we did, check back soon. I’ll be offering more details and info on how to get the best rate for your rental.
To give you a sense of other options:
These 1 bedroom, furnished apartments, located right in town, rent for $350/month
This small development offers a variety of options sleeping 2-6 people and renting for $400 and up.
This studio, located just a few minutes walk from the beach currently rents for $550/month.
This 3 bedroom, 2-bath stand-alone home, in-town, rents for $600/month.
This 2 bedroom, 1 bath is a short walk to Playa Marsella and rents for $800/month.
This 2 bed, 2.5 bath condo, located a few minutes north of town rents for $1,200/month.
This stand-alone three bedroom home, located in the hills of the Pacific Marlin development, appx 10 minute drive from town rents for $1,500/month.
Ultimately, your decision on where to live will come down to your priorities. Do you need a room with a view, a yard with a pool, or are you willing to sacrifice space for location and be closer to town? How many rooms does your family require? Can kids share bedrooms? What amenities are you willing to give up and what are deal-breakers? Do you want to live in a community or a standalone home? Do finishings matter or can you make anyplace a home? Keep in mind that power is expensive in this country. You may think you want a home with central air (which is actually not too common here) until you receive your first electric bill. Pools are fantastic to have, but you may prefer a rental with a shared pool that doesn’t require your time and energy. Stand alone houses are great and private, but would you be happier in a neighborhood setting?
There are myriad ways to find your perfect rental. When we moved here nearly 6 years ago, no one had long term options listed online. We were lucky to find vacation rentals at that time. But a lot has changed since 2008 and now you can do a large chunk of your search online at one of the many real estate/rental companies. If that doesn’t work for you, it’s worth your time to skim the vrbo.com listings. More often than not, owners there are looking for short-term vacation tenants, but you might get lucky. Don’t forget to check local classifieds found in the Del Sur News. You might even have luck checking Craigslist Nicaragua and Encuentra24, but these sites tend to focus on Managua and not San Juan del Sur. And while it’s hard to imagine moving to a new country without home base, if you are traveling solo or have some flexibility, your best bet may be to stay in an inexpensive Guest House your first few weeks and spend some time simply wandering the streets. You’d be amazed at what you can find just by asking around and showing up.
When you do find your dream spot, don’t forget the details. Most rental companies will have you sign a rental agreement and pay some form of deposit. If you rent direct from a homeowner, they may require a lease, but many don’t. And be sure to ask the right questions:
-Is electricity included? Find out if they have old bills or can provide estimates of monthly usage if you will be paying this bill.
-What else is included? wifi, cable, water, security, parking, housekeeping, pool maintenance, etc.
-Any recent security issues?
-Who pays the caretaker salaries? What happens if I am unhappy with the caretaker?
-Do you have backup power/water?
-What kind of water system does the house have, i.e. gravity tank, pumped well, town water. This is important to ask because the type of water you have will determine when and how often you could be without.
-Are pets allowed? Children?
-Who manages the property and to whom do I report maintenance issues?
-Who pays for repairs on the home?
It may seem complicated at first, but once you’re settled in your new place with a Nica Libre and the most beautiful sunsets, you’ll know that it was all worth it. To learn some tips on how to save on rentals, check back soon for more exclusive info.
Nicaragua’s Independence Day is upon us (September 15). For more on the history and celebration of this important day, you might hop over to ViaNica. In the meantime, enjoy the festivities:
Don’t miss this exciting opportunity to live abroad in paradise while working with fantastic teachers and students. San Juan del Sur Day School, located in San Juan del Sur, Nicaragua is looking for a highly trained, experienced primary school teacher from the United States or Canada to work part time in a multi-age English immersion class of 18 students ranging in age from 4-8 years old. Fluency or familiarity with the Spanish language is desirable, though not required. A minimum of a one-year commitment is expected. In addition to teaching, candidate will have the opportunity to study/improve Spanish, practice yoga, and surf. Applicants should submit a resume, cover letter, and two letters of reference to the school’s director Julie Speier at julieaspeier at hotmail dot com. To learn more about San Juan del Sur Day School, please visit our Facebook page at http://www.facebook.com/pages/San-Juan-del-Sur-Day-School/109137455588?ref=ts&fref=ts“
Each year, our friends, Blue and Jamie, hold a Christmas Bucket Drive to raise money to fill buckets with supplies needed most by the local communities near their ranch in San Juan del Sur. The cost to purchase is just $25 and provides a family with 5 gallon buckets with household items that the families would buy with what little money they have. This includes items such as:
- cooking oil
- toilet paper
- laundry soap
- soup mixes
- sacks for harvesting
- and last year we had enough donations to add new machetes to the buckets
- and about 80 new files
- PLUS they get the bucket with a lid as well… a very useful tool around the house.
Let the spirit of giving begin and happy holidays!