Prices are reasonable. In general, medical services are good. Many doctors in both the national health system and private clinics have been trained abroad and are fluent in English. Specialists are available in almost all branches of medicine. Although seriously overcrowded, Hospital Mexico and the San Juan de Dios Hospital are the best-equipped in Central America.
Private clinics accept major credit cards.
As in any tropical climate country, insects thrive. Although the mosquitoes in San Jose do not carry malaria, the dengue mosquito has been found in Costa Rica, particularly in low-lying areas along both coasts. Numerous eradication programs are presently in operation throughout Costa Rica. In areas outside of San Jose, medical care is more limited. Doctors and hospitals often expect immediate cash payment for health services.