Navigating Healthcare in Nicaragua

A Guide to Hospital Vivian Pellas Memberships

For many expats making the move to Nicaragua, securing high-quality healthcare is a top priority. While the country offers various options, Hospital Vivian Pellas (HVP) in Managua stands out as a premier destination for international-standard medical care.

Understanding that traditional insurance isn’t the only way to manage costs, HVP offers specialized membership programs designed to provide deep discounts for residents and expats alike. Here is a breakdown of how these programs can safeguard your health and your wallet in 2026.

1. Club de la Salud (Health Club)

The Club de la Salud is tailored for those prioritizing protection against major medical events, such as surgeries or emergency room visits. It functions as a discount membership rather than traditional insurance, with benefits typically activating just 24 hours after your first payment.

Monthly Membership Fees (USD):

Core Benefits & Savings:

• Emergencies: 100% discount for both Standard and Dorado tiers.

• Hospitalization/ICU: Up to 80% discount.

• Laboratory Work: 70% discount.

• Imaging: Discounts range from 40% to 60% for X-rays and up to 40% for MRIs and CT scans.

• Pharmacy: 30% discount on medications during hospitalization.

2. MediMás: Preventive Care for Daily Life

If you are looking for an accessible plan to cover routine checkups and diagnostic tests, MediMás is a budget-friendly, preventative-focused alternative. This plan is quoted in Nicaraguan Córdobas (C$) to keep it aligned with local costs.

• Primary Member: Approximately C$390/month (~$10.60 USD).

• Specialist Consultations: Rates start as low as C$275 (~$7.50 USD).

• Diagnostics: Offers up to 60% off on laboratory work, X-rays, and cardiology.

• Procedures: Includes up to 64% off for essential screenings like endoscopies and colonoscopies.

3. Executive Checkups

For those who prefer a “one-and-done” approach to health monitoring, HVP provides tiered Executive Medical Check-ups. These are fixed-price packages designed for comprehensive annual evaluations:

• Men: Packages range from $240 (under 40) to $500 (extended over 40).

• Women: Packages range from $300 (under 40) to $520 (over 40).

• Specialized Care: A Menopause/Climacteric package is available for $620.

Important Considerations for Expats

Before enrolling, it is vital to keep a few logistical details in mind:

• Not Traditional Insurance: These are hospital-specific memberships. While they offer massive savings at Vivian Pellas, they do not cover you at other facilities. HVP does, however, accept major international providers like BUPA, Cigna, and Aetna.

• Currency & Payments: Fees are often quoted in USD for ease of use, but payments are processed at the official exchange rate of the day.

• Dental Care: Memberships also include dental perks, such as 20% to 60% off basic cleanings and general assessments.

• Exclusions: Discounts generally do not apply to oncology drugs, vitamins, or cosmetic products sold in the pharmacy.

How to Get Started

To enroll or ask specific questions about your coverage, you can contact the hospital directly:

• Phone/WhatsApp: +505 2255-6900

• Email: info@hospitalvivianpellas.com