If you can, get insurance coverage in the DR before you turn 64. In most cases, it becomes impossible after that age, no matter how much you are willing to pay. I am part of a group plan and I pay 1000 pesos a month (less than $25 a month). I don't have coverage for my prescriptions. Most doctors honor my insurance and my copay is 500 pesos ordinarily. For doctors that don't, the cost is about 1000 pesos. Some things aren't covered, like the tetanus shot I got yesterday when I went to the emergency clinic (1500 pesos/$32). I cut my hand and had six stitches. The emergency room, doctor to treat me and the procedure and other drugs (lidicaine before the stitches) cost nothing to me. Insurance covered it all. I also have to go the hospital every few months for a transfusion. That costs me about 2000 - 3000 pesos for the upgrade to a private room (usually all that is available. The blood is extra. That costs about US$100 per unit. My medication, which in the US would be very expensive, is relatively inexpensive here. I take generic Nexium, an antidepressant and regular antihistamine/decongestant tablets every day. I also take medication for a bone marrow disorder as an injection once a week and also medication for Parkinson's. The total I spend on medication is about US$250 a month. I didn't budget for that, but I did budget for golf, which I can't play anymore! My pay for Part B of medicare would be US$120 a month with it only paying 80% of doctor visits and no prescription coverage. Most Part D or other plans that do include prescriptions predict an out-of-pocket of at least US$8,500 a year. Overall, i am very pleased with the healthcare I receive and wouldn't consider returning to the US for medical treatment for lots of reasons, including cost, but also because my doctors here seem to care about me personally. They take all the time I need, rushing and they are always there when i need them, not some other doctor or nurse practitioner. PM me if you have questions.