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The public healthcare sector in Puerto Rico is generally well-managed and is handled via a government-run program. No, healthcare is not free. However, the government provides insurance for those who qualify for the ?la Reforma?, a government-funded program.
Puerto Rico elected to expand Medicaid eligibility to the new adult group under the Patient Protection and Affordable Care Act (ACA, P.L. 111-148, as amended) (CMS 2016a). Puerto Rico also provides Medicaid coverage to aged, blind, and disabled individuals through the medically needy option.
If you live in Puerto Rico, youa??re not eligible to use the Marketplace to enroll in health coverage.
Private health insurance There are a number of private health insurers in Puerto Rico and costs are much lower than in the US. Many insurers also tend to be more open to covering things like pre-existing conditions. In most policies, small co-payments are common.
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.
Unfortunately, the insurance you have in your home state won't necessarily cover you in Puerto Rico. That's because the island is not a U.S. state. It's a territory, so not all of the rules on the mainland apply here. Healthcare providers here are different, so insurance providers are different too.
Take your prescription and your Aetna medical ID card to any participating pharmacies located in the United States, Puerto Rico, Guam and the U .