Assisted Living and Home Healthcare

With so many foreigners moving to Panama and many at retirement age, it’s natural to start thinking about later-in-life care facilities. However, this is one area in which culture plays an essential role in the availability and types of care for the elderly in Panama. While private assisted living facilities and nursing homes are common in North America, they are not in Panama.

In Panama, families usually care for their older relatives. For example, you’ll often see three generations living in one household: grandparents, parents, and children. You might even see four generations, including the great-grandparents.

There are very few private assisted living facilities but many more government-run ones, which I will discuss in more detail below.

Most foreigners living in Panama decide to stay in Panama as they age, even if they need home healthcare or assisted living. It does not happen often, but some return to their home country to be close to family.

Why are there so many retirees in Panama?


There are plenty of reasons why Panama has become a haven for retirees. One big reason for Panama’s popularity is the ease with which you can receive residency as a foreigner, especially as a retiree. The Pensionado Visa is specifically for retirees. You must earn at least $1000 USD in lifetime income each month through social security or a pension, and you will qualify for the visa. A couple will need to show $1250 in lifetime income.

Another big reason people retire in Panama is its low cost of living, especially compared to the US, Canada, and Europe. With a limited income and savings, a large part of retirement is figuring out how to make your money last. Panama provides a unique opportunity for retirees to live a new adventure and do it for less money, which appeals to many. Panama is a practical option money-wise and allows you to start a new, exciting chapter of your life.

Panama rolls out the red carpet for retirees by offering these discounts, which help you save even more money:

50% off on recreation and entertainment such as movies, theaters, sports, etc.
50% off hotels Monday through Thursday (30% off on weekends)
30% off public transportation like buses, trains, and boats
25% off airfare to anywhere in the world!
20% off restaurants (15% off fast food)
25% off electrical and water service
20% off doctors and specialists
20% off prosthetics and other personal assistance devices
15% off hospitals and private clinics
15% off dental and optometry services
10% off prescription medications (many places offer a 20% discount)
tax-free importation of household goods, up to $10,000

Apart from being more affordable and having a relatively simple visa process, Panama is a beautifully diverse country with great weather all year. It has gorgeous beaches, lush mountains, and tropical rainforests. The local culture is quite welcoming and warm.

Many who have relocated to Panama have reported improved health and even being able to stop taking medications!

Coronado Bay

Types of Assisted Living/Nursing Facilities


There are only a few private assisted living facilities in Panama, but many more government-operated assisted living facilities.

Assisted Living or Nursing homes provide residents with 24/7 personal and medical care, and memory care is available, too.

Assisted living homes provide nutritional support, assistance with daily tasks, and medical support. They also have social activities and may provide other medical assistance, such as physical therapy and recreational activities.

Private Assisted Living Facilities in Panama

While there aren’t many options for private assisted living facilities in Panama, we’ll look at one in Panama City and one soon to open near Volcan.

Insigna Panama City

Located in Panama City, Insignia is an exceptional assisted living facility that offers varying levels of care: independent living, assisted living, and memory care. This facility has over 20 years of experience serving the elderly in the United States and Latin America. As such, it is based on the American concept of Senior Living.

Residents will enjoy exceptional meals, social events, and activities in which they can socialize. Additionally, wellness professionals are needed at each level of care. Whether they help manage their medication, ensure fall prevention, or take them to their doctor’s appointments, there are plenty of qualified and caring experts to support the residents.

Additionally, Insignia offers memory care, too. This is specific care for those with Alzheimer’s or dementia. Trained professionals will support you or your loved ones with the care they need to manage their conditions while maintaining quality of life.

The cost of these private assisted living facilities will vary depending on the level of care you need. They can range from $2,500-$4,500 USD a month. Naturally, the more care you need, the higher the price. (Don’t worry, you will learn about other more affordable options below)

insigna panama

Golden Years

Golden Years, a North American-style independent and assisted living facility, is being built south of Volcan and plans to open in October 2024. It’s designed to transition from independent living to assisted living if necessary and advanced care if needed. Staff is available 24/7. The owner is Sonia Perez, who has many years of experience with assisted living facilities in the United States. A one-bedroom unit (unfurnished) costs $1500 per month, including all utilities, housekeeping, food, and local transportation. This graphic includes Sonia, the owner’s email and phone number. You can contact Sonia for more details.

Some other options for private assisted living in Panama City are:

Harmony House – Their website says, The Residence “Harmony House,” born as a committed response to this demand, seeking to be more than a home care in Panama City, this project was born with the conviction that the stage of old age deserves to be lived with dignity, respect and love; being not only a physical space, but an environment where the joy, integral health and emotional well-being of each resident are encouraged. Our vision is based on the premise that each person, regardless of his age, deserves a full and meaningful life. Therefore, this project profile aims to present a comprehensive proposal that combines specialized medical care, modern amenities and a human approach focused on the individual needs of each resident.

A high-end (expensive) independent and assisted living project called Generation Tower in Coste del Estate is being built near Panama City. You have to buy the units plus pay a monthly fee. We do not recommend doing any pre-construction projects.

Government-Run Assisted Living Facilities:

The Panama government runs many assisted living facilities. Foreigners who have legal residency in Panama can stay here, too. To be considered for these facilities, you need a doctor’s referral, medical evaluation, and labwork (see details below). Keep in mind that most of these government-operated facilities may only have Spanish speakers. This is their mission statement:

To become a specialized and leading institute at the national level, which guarantees compliance with the human rights of older people, based on the principles of inequality, social justice, equity, gender and intergenerational.

See the list below of assisted-living/nursing homes organized by province. You can click on the link to each facility to get more information. Each facility has their own website. (open in Chrome to automatically translate into English)

Panama (Panama City) has 10 assisted living facilities.

Panama Oeste (west) has 2 assisted living facilities

Los Santos has 1 assisted living facility

Herrera
( Chitre) has 1 assisted living facility

Veraguas (Santiago) has 1 assisted living facility

Chiriqui Province has 4 assisted living facilities.

Colon has 4 assisted living facilities

To give you an idea of the price for a government-operated assisted living facility:

Panama City assisted living facility, the Residential Dulce Compania is $850 – $1000 a month and includes:

In Chriqui Province, the Doña Carmen de Barroso Nursing Home costs $600 for a shared room or $1000 for a private one.

They include:

* Feeding/Meals
* Housekeeping
*Ambulance
* General Medicine Physician
* Laboratories
* Geriatrician extra $40.00 a month
* Psychologist, Psychiatrist (memory care) extra $50.00

These assisted-living facilities have

*Individual or shared rooms with a private bathroom
*Admit bedridden people
*Supports patients with dementia
*Supports people confined to a wheelchair

The government-operated assisted living facilities will require this information from your doctor for you to be admitted:

To verify that you can live in a community with others and be over 60 years old, these medical evaluations are required:

Primary Care Physician’s Medical History (Illnesses and Medication);
*Electrocardiogram
*Complete Blood Count
– Lipids (Cholesterol, Triglycerides, HDL)
– Glucose hemoglobin for diabetics
– TSH for Thyroid Patients
-Swab Test for COVID-19 Others according to the pathology
-Chest X-ray (reading)
-CT scan in case of cerebrovascular event or diagnosis of dementia.
– Others according to circumstances and eventual conditions.

All prospects must undergo Psychiatric Evaluation, be stable and under treatment -especially patients with Dementia.

After the physical, mental, and socioeconomic evaluation, the administration, together with the medical team and the coordination of caregivers, will evaluate the patient, and an admission decision will be made, which will be communicated promptly;

The socioeconomic report, prepared by social worker: a) socioeconomic report by social work of the CSS (Caja de Seguro Social), for insured persons) socioeconomic report by MIDES for uninsured.

Provide proof of economic solvency (individually and confidentially).

If you are approved to be admitted to a government-operated assisted living, you must provide the information on THIS INTAKE FORM.

Home Health Care

Home health care is the most popular option in Panama for elderly support. You can hire a private nurse or opt to go through an agency.

You may need home healthcare for a short time after a surgery or accident, or you can get home healthcare 1-7 days a week. Live-in-home healthcare is available, too. This option can be affordable depending on the services and care you require and which route you take.

Home Health Agencies

These types of agencies exist mainly in Panama City. They offer personalized care, such as nursing care, physical therapy, and daily living assistance. Some might even offer medical services such as wound care, rehabilitation, medication management, etc.

In-home care allows you to customize your needs and receive the required attention. Some home health agencies that can assist you in finding the right caregivers are:

Vitae Salud,
Domi Salud,
Abundant Live PTY (Panama City only)
Panama Home Care (Chame to Penonome and El Valle de Anton)

Depending on your needs, you might also consider specialized medical care. Services can include visiting nurses, physical therapists, and other medical professionals. They can provide specialized at-home care such as wound care or management of chronic conditions.

Abundant Life


With the proper planning and location, Panama offers an appealing lifestyle for people who need assistance. Modern healthcare, accessible housing, and supportive services allow individuals to live comfortably and independently while enjoying all this beautiful country has to offer.

Many who move to Panama report that their health improves significantly. Some are even able to get off all medications after moving to Panama.

Come see how you can
LIVE BETTER for LESS in Panama!

Consider coming on an all-inclusive 6-day, 7-night Panama Relocation Tour to see how amazing life is in Panama.

Rest assured that assisted living or home healthcare are available in Panama if you need it!

This is what Annette had to say about Panama Relocation Tours:

Retirement Abroad is possible with Panama Relocation Tours
Oct 2023 • Solo
I actually took this tour in August of 2023. I had done a lot of research online and it was time to put boots on the ground. I found Jackie Lange’s Panama Relocation Tour. I booked it and had a wonderful time. From the start of the tour to the end of the tour it was absolutely lovely and very informative. The amount of information that I learned from this tour helped me get ready to relocate for retirement in Panama the following August 2024. Not only is the staff wonderful, the accommodations, the locations that we visited going from one end of the country to the other end of the country. The food that we ate, the atmosphere and the peacefulness of it all. Needless to say today I am a Panamanian and now belong to a supportive community which is The PRT Group.

Thank you Panama Relocation Tours!

Annette Cook
PRT #210

panama relocation tour group

Jackie Lange

Jackie Lange is the founder of Panama Relocation Tours and lives in the highlands of Boquete Panama. She has helped thousands of people relocate to Panama.

Reader Interactions

Comments

  1. Louisa Guzman says

    This is a fabulous article! Jackie, you are truly a walking encyclopedia and an angel for sharing all your knowledge and experiences.

    • Jackie Lange says

      Luisa, you’re welcome

  2. Grace says

    This is WONDERFUL!!! Thank you so much for your ongoing dedication to updating the Newsletter with such crucial information. This is the topic I am most concerned about and is the main reason I was hesitant to consider a permanent move to Panama.

    You are amazing – thank you so much.

    • Jackie Lange says

      Grace. You’re welcome. I’m glad the article was helpful

  3. Judy Strong says

    Very informative

  4. Jeff and Rita Schultz says

    Thanks for the info on assisted living ( dementia) in Panama. My wife and I had planned to visit (from Seattle area), about 12 years ago but her dementia and the need to be around familiar people made it impossible. As it progressed the need for memory assisted care increased but we were unable to even think of affording the local facilities outrageous fee of 120k per year.
    It was refreshing to read your article and thanks again😁

    • Jackie Lange says

      Jeff, I’m sorry to hear about your wife’s dementia. It is comforting to know that affordable assisted living and home healthcare are available in Panama.

  5. Stan J Arnot says

    Thank you Jackie,
    how timely and informative is your article, not to mention guide and all the videos, which we view often.
    Stan Arnot & Barbara Bednarczyk.
    PRT # 224

  6. Suzanne Bielak says

    Thanking you so much Jackie.
    You have provided me hope of enjoying the last quarter of my life in a place I planned to be, Panama.
    I don’t want to be a burden on family and needed to receive the information you have provided to be aware of my options.
    Thank you for caring enough to organize the particulars.

    • Jackie Lange says

      Suzanne. You’re so welcome. Many people have asked about assisted living so I knew I needed to write an article about what’s available

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