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A New Ranking for Health Care Quality
International Living has recently published a study that evaluates the best health care systems worldwide, and Portugal has emerged as the leading country for American expats.
Affordable Access to Health Care
Portugal stands out due to its easy and affordable access to both public and private health care. According to the study, the average cost of a medical visit without insurance ranges from $65 to $145, while with insurance, it drops to around $20.
Insights from Expats
Reflecting on their experience, an expat couple shared their transition from Los Angeles to Lisbon four years ago. They emphasized the importance of considering various factors before moving abroad, especially health care. The International Living ranking reassured them that they made the right choice.
Rankings and Comparisons
In December, International Living released its list of the top five health care systems for expats in 2025. The rankings were determined by analyzing the costs of medical procedures and evaluating the consistency and affordability of care in both public and private sectors. Portugal was named the best destination for its quality health care.
Benefits of Private Insurance
Terry Coles, a contributor for International Living, highlighted the affordability and quality of health care in Portugal. Expats often opt for private insurance to gain access to top-notch care and avoid long wait times in the public system. The average cost of private insurance is around $550 per month, but many find plans for as low as $140.
Public Health Care System
Portugal's Serviço Nacional de Saúde (SNS) provides most essential medical services for free, with minor copays for non-essential treatments. While the public system is effective for emergencies, many expats prefer the private system for its shorter wait times and the availability of English-speaking doctors.
Other Top Countries for Health Care
In addition to Portugal, Costa Rica was ranked second, followed by France, Spain, and Italy. The assurance of quality health care is critical for those considering a move abroad, making Portugal a top choice for expats looking to settle in a new home.
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