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Affordable Places to Retire Abroad With Good Healthcare

59 places abroad where the health system scores well, a quality hospital is within reach, and everyday prices run below the U.S., with what Medicare does and doesn't cover, in plain English.

Published 2026-09-26

A narrow Lisbon street lined with pastel buildings and tram wires, sloping down toward terracotta rooftops and the Tagus River.

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One of the biggest questions about retiring abroad isn't the language or the food. It's "What happens if I get sick?"

Here's the good news: good healthcare and a lower cost of living can go together. We found 59 places abroad where the health system scores well, a strong hospital is within reach, and everyday prices run below the U.S.

  • Latin America: San Miguel de Allende, Playa del Carmen, Medellín, Bogotá, Quito, Atenas, Panama City, Santiago, Viña del Mar, Montevideo, São Paulo, Rio de Janeiro, Salvador
  • Southern Europe: the Algarve, Lisbon, Porto, the Costa del Sol, Valencia, the Costa Blanca, Barcelona, Seville, Tuscany, Taormina, Ostuni, Rome, Nice, Aix-en-Provence, Malta, Athens
  • Central & Northern Europe: Ljubljana, Prague, Kraków, Budapest, Zagreb, Bucharest, Berlin, Munich, Vienna, Amsterdam, Edinburgh, Stockholm, Helsinki
  • Asia-Pacific: Tokyo, Kyoto, Seoul, Singapore, Bangkok, Chiang Mai, Hua Hin, Phuket, Pattaya, Kuala Lumpur, Penang, Auckland, the Gold Coast, Perth
  • Middle East & Türkiye: Istanbul, Dubai, Abu Dhabi

Staying stateside? See our Affordable Places to Retire With Good Healthcare in the U.S.


How we picked them

Each place had to pass three simple tests.

1. A strong health system

We used the World Health Organization's health coverage score (0 to 100), which measures how well a country's health system covers essential care. The U.S. scores 88. We required 75 or higher.

2. A quality hospital within reach

Here we used JCI accreditation. JCI is Joint Commission International, the international arm of the group that accredits most U.S. hospitals. A JCI-accredited hospital has passed an on-site review against U.S.-style safety and quality standards.

How we applied it depends on the country:

  • Middle-income countries (such as Mexico, Colombia, Thailand, Malaysia, Brazil and Türkiye): hospital quality can vary a lot from city to city, so we required a JCI-accredited hospital within about 75 minutes.
  • Wealthy countries (most of Europe, Japan, South Korea, Chile, Uruguay, Costa Rica, Panama): hospitals are usually accredited through national systems, so JCI is rare even at top hospitals. There, a WHO score of 80 or higher carried it. Smaller towns still needed a JCI or university hospital within about 75 minutes.

3. Everyday prices below the U.S.

We used the World Bank's price level for household spending, with the U.S. set at 100. A 50 means everyday spending (groceries, services, transportation, rent) runs about half the U.S. level. It doesn't cover buying a home.


First, a word about Medicare

Medicare usually doesn't cover health care outside the U.S., with only rare exceptions. Some Medigap plans cover emergency care while you're traveling abroad.

If you live overseas, plan on one of two routes: the local public system (in countries where legal residents can join) or private or international health insurance. Check both before you move.


Quick comparison: all 59

Destination WHO health score (U.S. = 88) Everyday prices (U.S. = 100) JCI hospital nearby
Latin America
Atenas (Central Valley), Costa Rica 84 62.5 San José (about 40 min)
Bogotá, Colombia 82 41.1 In the city
Medellín, Colombia 82 41.1 In the city
Montevideo, Uruguay 85 72.5 —
Panama City, Panama 82 49.7 In the city
Playa del Carmen, Mexico 79 58.8 Cancún (about 1 hr)
Quito, Ecuador 78 44.2 In the city
Rio de Janeiro, Brazil 84 46.2 In the city
Salvador, Brazil 84 46.2 In the city
San Miguel de Allende, Mexico 79 58.8 Querétaro (about 70 min)
Santiago, Chile 84 51.2 In the city
São Paulo, Brazil 84 46.2 In the city
Viña del Mar, Chile 84 51.2 —
Southern Europe
Aix-en-Provence, France 82 82.8 —
Algarve, Portugal 83 64.9 Faro
Alicante / Costa Blanca, Spain 84 68.7 Elche · Benidorm
Athens, Greece 77 65.5 In the city
Barcelona, Spain 84 68.7 In the city
Lisbon, Portugal 83 64.9 In the city
Málaga / Costa del Sol, Spain 84 68.7 Benalmádena
Nice / French Riviera, France 82 82.8 —
Ostuni (Puglia), Italy 82 72.9 —
Porto, Portugal 83 64.9 In the city
Rome, Italy 82 72.9 In the city
Seville, Spain 84 68.7 —
Taormina (Sicily), Italy 82 72.9 Catania (about 45 min)
Tuscany (Lucca area), Italy 82 72.9 Pisa (about 30 min)
Valencia, Spain 84 68.7 —
Valletta area, Malta 82 69.0 —
Central & Northern Europe
Amsterdam, Netherlands 85 86.7 In the city
Berlin, Germany 87 81.2 —
Bucharest, Romania 77 48.8 In the city
Budapest, Hungary 80 57.9 —
Edinburgh, UK 88 92.4 —
Helsinki, Finland 86 90.6 —
Kraków, Poland 82 54.9 —
Ljubljana, Slovenia 84 67.0 —
Munich, Germany 87 81.2 —
Prague, Czechia 83 67.0 —
Stockholm, Sweden 85 90.5 —
Vienna, Austria 84 84.8 —
Zagreb, Croatia 76 58.8 In the city
Asia-Pacific
Auckland, New Zealand 89 89.8 —
Bangkok, Thailand 82 32.3 In the city
Chiang Mai, Thailand 82 32.3 In the city
George Town, Penang, Malaysia 80 33.4 In the city
Gold Coast, Australia 89 94.8 —
Hua Hin, Thailand 82 32.3 In the city
Kuala Lumpur, Malaysia 80 33.4 In the city
Kyoto, Japan 86 69.0 —
Pattaya, Thailand 82 32.3 In the city
Perth, Australia 89 94.8 —
Phuket, Thailand 82 32.3 In the city
Seoul, South Korea 88 61.9 —
Singapore, Singapore 88 78.3 —
Tokyo, Japan 86 69.0 In the city
Middle East & Türkiye
Abu Dhabi, UAE 84 69.8 In the city
Dubai, UAE 84 69.8 In the city
Istanbul, Türkiye 77 45.0 In the city

WHO Universal Health Coverage index, 2023. World Bank household price level, 2025 (UAE: 2024). JCI: Joint Commission International directory, checked September 2026. "—" means the place passed on its country's health score; hospitals there are generally accredited nationally. Ostuni passes on the university hospital in Bari (about 75 minutes).


Standouts

Chiang Mai, Thailand

Thailand has the lowest everyday prices on our list, with a price level of 32.3, about two-thirds below the U.S. Thailand's health system scores 82, and Chiang Mai has a JCI-accredited hospital in the city. Explore Chiang Mai →

Penang, Malaysia

A price level of 33.4, and three JCI-accredited hospitals in Penang: Penang Adventist, KPJ Penang Specialist and Gleneagles Penang. Malaysia's health system scores 80. Explore Penang →

Medellín, Colombia

Colombia's price level is 41.1, and its health system scores 82. Medellín is home to Hospital Pablo Tobón Uribe, which is JCI-accredited. Explore Medellín →

Istanbul, Türkiye

A price level of 45.0 and several JCI-accredited hospitals across the city, including Acıbadem Altunizade and Florence Nightingale. Explore Istanbul →

Panama City, Panama

Panama's health system scores 82, and its price level is 49.7, about half the U.S. Two JCI-accredited hospitals are in the city: Pacífica Salud Hospital Punta Pacífica and Clínica Hospital San Fernando. Explore Panama City →

Atenas, Costa Rica

Costa Rica scores 84, close to the U.S. Atenas is a quiet Central Valley town about 40 minutes from San José, home to two JCI-accredited hospitals, Hospital Clínica Bíblica and Hospital CIMA. Explore Atenas →

San Miguel de Allende, Mexico

Mexico's price level is 58.8. The closest JCI-accredited hospital is Hospital Angeles Centro Sur in Querétaro, about 70 minutes away. Explore San Miguel de Allende →

Santiago, Chile

Chile's health system scores 84, and its price level is 51.2, about half the U.S. Santiago's Clínica Alemana is JCI-accredited. Explore Santiago →

Lisbon, Portugal

Portugal scores 83, with a price level of 64.9. Lisbon also has JCI-accredited hospitals, including Hospital da Luz Lisboa and Hospital Lusíadas Lisboa. Explore Lisbon →

Valencia, Spain

Spain's health system scores 84, and its price level is 68.7. Valencia is a major city with large public university hospitals. Explore Valencia →

Kraków, Poland

Poland scores 82, with everyday prices about 45% below the U.S. (54.9). Kraków is a major university city with a large university hospital. Explore Kraków →

Seoul, South Korea

South Korea's health system scores 88, the same as the U.S., with everyday prices about 38% lower (61.9). Explore Seoul →


Close calls and "why not here?"


Find the one that fits you

Healthcare is one piece. Climate, cost, being near family, and how you want to spend your days matter just as much. Our quiz weighs what matters to you and points you to places worth a closer look, at home or abroad.

Find out which of our 200 retirement destinations actually fits you.

Take the free HomeAfterWork quiz →

Frequently Asked Questions

Does Medicare cover me if I retire abroad?
Usually not. Medicare generally doesn't cover health care outside the U.S., with only rare exceptions. Some Medigap plans cover emergency care while traveling abroad. Most people who retire overseas use the local public system (where residents can join) or private or international health insurance.
What is JCI accreditation?
JCI is Joint Commission International, the international arm of The Joint Commission, which accredits most U.S. hospitals. A JCI-accredited hospital has passed an on-site review against U.S.-style patient-safety and quality standards.
Which places have the lowest everyday prices on the list?
The Thailand destinations (price level 32.3, about two-thirds below the U.S.) and Malaysia's Kuala Lumpur and Penang (33.4). Each has JCI-accredited hospitals in the city.
Why aren't Lake Chapala or Cuenca on the list?
Both have good private hospitals, but we didn't find a JCI-accredited hospital within about an hour and a quarter. In middle-income countries, that was our test for the hospital piece.
What does the WHO health score measure?
It's the World Health Organization's Universal Health Coverage service coverage index, from 0 to 100. It measures how well a country's health system covers essential services. The U.S. scores 88.
Why don't European cities need a JCI hospital?
Most wealthy countries accredit their hospitals through their own national systems, so JCI accreditation is rare there even at top hospitals. For high-income countries, a WHO score of 80 or higher carried the healthcare test. Smaller towns still needed a major hospital within about 75 minutes.

Last reviewed 2026-09-26. Figures, requirements, and availability can change -- verify anything that matters to your decision before acting on it.

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