Virtually all expats use private healthcare exclusively. The public IHSS system is accessible but severely underfunded — long waits, limited equipment, and inconsistent quality. Private hospitals in Tegucigalpa and San Pedro Sula are genuinely good, and the cost difference vs. U.S. prices is dramatic enough that even expensive procedures are manageable out-of-pocket.

Routine care is very affordable: GP visits run $40–$80, specialist visits $60–$120, dental cleaning $40–$80. Serious procedures are a fraction of U.S. prices — an appendectomy runs $3,000–$6,000 vs. $15,000–$30,000+ in the U.S. Most expats budget $100–$200/month for routine healthcare and carry international insurance for emergencies.

The most common combination: SafetyWing (~$40–$60/month) for emergency coverage, with out-of-pocket for routine care. Families and long-term residents often upgrade to Cigna Global or IMG Global for more comprehensive coverage. Local Honduran insurance options exist but have significant limitations for expats — international plans are generally more reliable.

At the main private hospitals in Tegucigalpa — particularly Hospital Viera and La Alborada — you’ll find English-speaking specialists, especially among those trained abroad. In Roatán, most medical staff are bilingual due to the tourism economy. In San Pedro Sula, English proficiency is less consistent — bring a Spanish-speaking friend or ask your attorney for referrals to English-speaking doctors.

Yes — dental care is excellent and extremely affordable. Many expats plan “dental trips” specifically to Honduras. A crown that costs $1,000–$1,800 in the U.S. runs $200–$400 here. Implants, cleanings, orthodontics — all dramatically cheaper. Ask in expat Facebook groups for current dentist recommendations in your specific city.