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The Affordable Care Act ("ACA") and its regulations have been incorporated into the Puerto Rico Health Insurance Code, as amended, and guidance has been issued by the Office of the Insurance Commissioner to such effect.
Does Puerto Rico Get Medicaid? All 50 states and all U.S. territories (Puerto Rico, American Samoa, Guam, Northern Mariana Islands, U.S. Virgin Islands) have access to the United States Medicare and Medicaid programs, though it may be a little different in each place.
Can I keep my U.S. health insurance plan in Puerto Rico? If you are traveling to Puerto Rico for a short amount of time, your U.S. health insurance plan will continue to cover you. If you plan on moving to Puerto Rico from the U.S., you will most likely need a new health care company.
Through Section 1108 of the Social Security Act (SSA), each territory is provided base funding to serve their Medicaid populations. For the period of July 1, 2011 through September 30, 2019, Section 2005 of the Affordable Care Act provided an additional $5.4 billion in Medicaid funding to Puerto Rico.
The Commonwealth of Puerto Rico is the chief provider of health services for the indigent population, principally through the Medicaid program. The program operates within a publicly-owned and centrally administered health care delivery system which has operated under a Federal financial cap since 1968.
Public healthcare in Puerto RicoThe quality of public healthcare is generally good, but due to the shortage of doctors, expats should expect long waiting times even if they've made an appointment in advance. Most expats opt for private healthcare instead.
Public Healthcare in Puerto RicoNo, healthcare is not free. However, the government provides insurance for those who qualify for the la Reforma, a government-funded program.
Can I keep my U.S. health insurance plan in Puerto Rico? If you are traveling to Puerto Rico for a short amount of time, your U.S. health insurance plan will continue to cover you. If you plan on moving to Puerto Rico from the U.S., you will most likely need a new health care company.
Puerto Rico has elected to operate a title XXI funded Medicaid Expansion program, and covers children up to age 19 with family income up to 266 percent of the local poverty level.
Compared to U.S. insurance prices, Puerto Rico health insurance can sometimes cost half as much and covers much more. An individual PPO plan for a family of 5 is about $700 per month including medical, RX, dental and vision. A single medical plan including medical, RX, dental and vision is less than $200 per month.