Healthcare in Paraguay: My First-Hand Experience with Public and Private Healthcare
Since moving to Paraguay and living here for the past few years, one of the most frequently asked questions I get from other expats and digital nomads is: What’s the healthcare in Paraguay like?
Honestly, I had the same curiosity when I first arrived. As someone who has personally used both the public and private healthcare systems here, I can say that healthcare in Paraguay can be excellent, or can be bottom of the barrel… it depends on the treatment you are seeking.
My healthcare journey in Paraguay has included everything from walking into an old public hospital for basic services to visiting modern, clean private clinics that rival those in Western countries. I’ve also taken advantage of Paraguay’s free vaccination programs and navigated the system for routine check-ups.
In this article, I’ll walk you through exactly what you can expect when it comes to healthcare in Paraguay—whether you’re planning a long-term stay, looking to get residency, or are planning an upcoming trip in Paraguay.
Overview of Healthcare in Paraguay
The healthcare system in Paraguay is split into two categories: public healthcare and private healthcare, each having quite different experiences, costs, and levels of care.
Both systems are accessible to locals, expats, and even tourists, though the quality of service, waiting times, and costs can vary quite a bit depending on the level you are seeking.
Public Healthcare System
Paraguay’s public healthcare system is free for all residents and even foreigners, making it a good option for basic medical needs. However, as someone who’s actually visited a few public hospitals here, I can tell you firsthand—it’s very much a “you get what you pay for” scenario.
The infrastructure is usually old, the equipment is almost always outdated, and while the doctors are capable, they are usually overwhelmed with many patients at once. Not the kind of medical experience you want to go through when you are needing services in a timely manner.
One example from my own experience: I visited a free public hospital in Asunción for a simple check-up. The building itself looked like it hadn’t been updated since the 1960s. Paint peeling off the walls, old benches, and a chaotic waiting room filled with patients. It worked fine for the basics, but I wouldn’t want to rely on the public system for anything urgent or specialized.
That being said, public healthcare does have its perks. For example, I received my yellow fever vaccine completely free of charge at one of Paraguay’s health buildings. Sure, the building was old, and the process wasn’t the most organized, but the service was available to me as a foreigner, and I didn’t pay a cent (and my vaccine is valid for 10 years).
Private Healthcare System
On the flip side, private healthcare in Paraguay is an entirely different experience—and one I use regularly.
Private clinics and hospitals here are well-equipped, clean, and run professionally, often offering same-day or next-day appointments with short wait times. Prices for consultations range from $15 to $50 USD, depending on the specialist and facility, making it incredibly affordable compared to North America or Europe.
Another thing I like about the private healthcare system is that it is quite easy to find most private clinics or offices on WhatsApp, and contact the receptionist directly via the app. No need for phone calls or emails back and forth.
To get a dental cleaning, I go to a dental training school, where I can get a full cleaning for 35 USD. I have also been to various dermatologist appointments in Asuncion, most of which cost around 25 USD for the initial doctor consult (the doctors speak English), and are well trained, oftentimes internationally.
I have had a full panel of bloodwork done here, with around 24 different blood tests taken, all for the cost of about $200 USD at a private, walk-in, 24/7, blood work clinic. If you compare that to US or international healthcare costs, I would say healthcare in Paraguay is a bargain.
Health Insurance Options in Paraguay
When I first started using private healthcare in Paraguay, I paid out of pocket for each appointment because it was already so affordable. But after living here for a while, I realized that having private health insurance would be better as a long-term expat here—especially for unexpected situations or more expensive treatments.
There are several insurance options for expats and locals, and some of the most well-known providers are Asismed and Santa Clara.
Getting set up with a private insurance plan here is pretty easy. Monthly premiums usually range between $30 to $100 USD, depending on the level of coverage you choose and whether you want additional services like dental or vision.
What I really like about health insurance in Paraguay is the flexibility. For example, I have a mid-range plan that covers general consultations, specialist visits, emergency care, and discounts on lab work and medications.
One thing I noticed is that insurance here usually works on a reimbursement basis for some services, meaning you might pay upfront and then submit receipts for partial reimbursement. But many clinics—especially those working with major insurers—allow you to use your insurance card directly, so there’s no need for additional paperwork.
If you’re planning to live in Paraguay longer-term, I would recommend looking into private health insurance. Even though costs are already low, having insurance gives you that extra layer of protection and ensures you can access the country’s best private facilities without hesitation. And the best part… both these insurance companies have a WhatsApp chat, for you to easily ask questions. Not bad, right?
So… What Do I Think of Healthcare in Paraguay?
Living in Paraguay over the past few years has given me a first-hand understanding of the healthcare system here—and honestly, it’s one of the aspects of life in Paraguay that pleasantly surprised me.
While the healthcare system here is not going to be for you if you have a chronic condition or are needing serious treatment, like radiation therapy, for acute, fairly straightforward issues, I much prefer the private healthcare system, which is also quite cost-effective.
If you are looking for a more advanced healthcare system, I would recommend instead living in a country like Uruguay, where yes, the cost of living will be higher, but you will also have access to the best healthcare in Latin America.
Overall, it’s a choice of lifestyle. Are you wanting to live in Paraguay’s relaxed lifestyle, while still having access to good (but not the best) healthcare, or is healthcare a top consideration for you, making Paraguay a much less interesting option. The choice is yours.
You can read more here about my visit to a natural doctor in Paraguay and if I would go back to a natural doctor in Paraguay again.
FAQ: Healthcare in Paraguay
Yes, Paraguay offers free public healthcare to both locals and foreigners. Public hospitals provide basic services, vaccinations, and emergency care at no cost. However, the facilities can be outdated, and wait times are long.
Private healthcare is very affordable. A standard consultation ranges from $15 to $50 USD, depending on the clinic and specialist. Services like lab work, dental care, and minor surgeries are also reasonably priced.
While not required, private health insurance is a good idea if you plan to use private clinics regularly. Plans with providers like Asismed or Santa Clara typically cost between $30 to $100 USD per month, offering discounts and coverage for a range of services.
In private clinics, it’s common to find doctors who speak basic English, especially in Asunción. However, learning some Spanish medical terms will make your healthcare experience easier.
Yes, foreigners can use Paraguay’s public healthcare system. You don’t need to be a resident to access services like emergency care or vaccinations at public hospitals and clinics.
Vaccines, including the yellow fever vaccine, are available for free at public health centers like the National Health Building. While the facilities may be old, the vaccines are accessible and the process straightforward.
Two of the most reputable private healthcare providers are Asismed and Santa Clara. Both offer quality care, a range of specialist services, and affordable consultation prices.
The balance of affordable private healthcare, combined with free public options, makes Paraguay a great destination for expats, digital nomads, and retirees who want quality care without the high costs seen elsewhere.
🌟 Is Paraguay Safe? – My honest take on safety as a long-term expat living in Paraguay.
💸 Is Paraguay Expensive? – A detailed breakdown of costs for travelers and expats alike.
🌿 Natural Medicine in Paraguay – My unique experience visiting a holistic doctor in Asunción.
🛍️ Mercado 4 in Paraguay – Exploring Paraguay’s biggest and most vibrant local market.
🏙️ La Cuadrita Asuncion – A trendy walking street packed with cafes, restaurants, and nightlife.
🌎 Paraguay Residency – What to know about obtaining residency and living long-term.
🌆 What to Do in Ciudad del Este Paraguay – Top experiences in Paraguay’s bustling border city.
Hi! Which dermatologist do you recommend that spoke English? Also which hospital do you recommend?
Hi Bandi, I recommend Dermadue as a good dermatologist in Asuncion, and La Costa hospital is a great private healthcare clinic