What health insurance options are available in El Salvador?

Several health insurance options exist for expats and long-term visitors in El Salvador. Local private insurance from companies like ASESUISA, Seguros del Pacifico, or AIG El Salvador costs $50-200 per month depending on age and coverage level. These plans cover private hospitals and clinics within the country. International insurance from companies like Cigna Global, Allianz Care, or SafetyWing ($40-80 per month) provides coverage across Central America and beyond ??? a good option for nomads who move between countries. If you establish residency, you can access the public ISSS system through employment contributions. Many expats use a hybrid approach: local insurance for routine care and a high-deductible international plan for emergencies or evacuation. Travel insurance from World Nomads or IMG is recommended for short trips. Always verify that your plan covers the specific hospitals you want to use ??? not all international plans have networks in El Salvador.