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Ecuador · Visa Nómada (Rentista) · Insurance

Health insurance for the Ecuador Visa Nómada (Rentista) visa

Verified data Last verified June 15, 2026 Reviewed by Henry van de Vorming

Most digital-nomad visas make health insurance a condition of approval — and the Ecuador Visa Nómada (Rentista) is no different. Here's exactly what's required, the plans that plausibly meet it, and what to check before you buy.

The requirement

Insurance
Required (explicit)
Minimum coverage
Not specified
Required for
Full visa period

The gob.ec tramite page explicitly requires a valid national or foreign health insurance covering the same period as the visa ('seguro de salud nacional o extranjero vigente por el mismo periodo del visado'); if contracted abroad it must provide coverage in Ecuador. No minimum coverage amount is published by the Cancilleria. Once a cedula is obtained, residents may also enrol voluntarily in the public IESS social-security health scheme.

Plans that meet the requirement

Ranked by requirement fit, then price. Qualification status is shown per plan — always double-check the policy certificate matches the consulate's wording before you apply.

SafetyWing (underwritten by SafetyWing Insurance I.I., Puerto Rico; Complete health portion by VUMI Group I.I.) · Nomad subscription

SafetyWing Nomad is a worldwide travel-medical plan that runs the full stay and covers Ecuador, matching the visa's accepted 'travel' type with no published minimum to clear; sold globally with no residency restriction.

  • Subscription model: Essential auto-extends every 28 days (5-364 days per policy) and can be bought while already abroad; coverage in 170+ countries
  • No deductible on either plan; Essential also includes travel benefits (lost checked luggage, trip interruption, evacuation from local unrest)
  • Complete is full health insurance (USD 1.5M/year) including routine and preventive care, mental health, cancer treatment and limited maternity; renewable for life if enrolled before age 64

Genki UG (policyholder/agent); underwritten by Squarelife Insurance AG, Liechtenstein · Long-stay travel insurance

Genki Traveler is a worldwide long-stay travel policy (EUR 1,000,000/yr) that covers Ecuador for the visa period and is buyable globally regardless of nationality, satisfying the accepted 'travel' insurance type with no minimum threshold.

  • Up to EUR 1,000,000 medical coverage valid in every country for up to 12 months, with monthly billing and cancellation possible after the first month
  • Sign-up is possible while already abroad and up to age 69; insurance certificate for visa applications and border checks is issued immediately after the first payment
  • 24/7 emergency assistance (MCI Assist) with direct payment for inpatient hospital stays and no deductible on inpatient treatment

Cigna Healthcare (Cigna Global Insurance Company Limited) · International health insurance

Cigna Global is a worldwide international health plan (Silver $1M and up, no upper age limit) covering Ecuador, cleanly matching the visa's accepted 'international_health' type for someone relocating long-term.

  • Three core tiers with annual maximums of $1M/€800k (Silver), $2M/€1.6M (Gold) and paid-in-full with no overall cap (Platinum)
  • No upper enrollment age (18+); insurer states it does not terminate policies based on age
  • Modular design: outpatient, evacuation & crisis assistance, health & wellbeing, vision & dental can be added; deductibles ($0-$10,000) and cost shares (0-30%) reduce the premium

Care Concept AG (Bonn, Germany) · Long-stay travel insurance

Care Concept Care Expatriate is a worldwide long-stay expat/travel plan (authority-recognised, outpatient+inpatient+repatriation) that covers Ecuador and fits the accepted travel/international-health types with no minimum to meet.

  • Contract terms from 3 months up to 5 years; max entry age 74 (Care Expatriate); Germans/Austrians abroad can re-extend repeatedly until their 74th birthday
  • Home-country visits insured: 30 (Basic) / 45 (Comfort) / 90 (Premium) days per insurance year
  • Official insurer FAQ states products generally meet Schengen visa requirements; instant online confirmation issued at booking and products are recognized by German authorities (>EUR 30,000 coverage)
#5

MyHealth International

Needs verification

APRIL International Care France (health risk insured by Groupama Gan Vie; assistance/personal liability by CHUBB European Group SE) · International health insurance

APRIL MyHealth International is a worldwide full international health plan covering Ecuador and matching the accepted 'international_health' type, but eligibility depends on the max age 74 (60 in some countries) limit, so applicant fit needs checking.

  • Four plan tiers with annual limits from EUR/USD 500,000 (Explore) up to unlimited (Extensive/Elite; capped at EUR/USD 2M-4M for treatment in China, Hong Kong, Japan, Singapore, USA)
  • Enrollment from age 10 up to 74 in most countries; one-year contract with automatic renewal
  • Hospitalisation, medical evacuation and cancer treatment at 100% on all tiers, with hospital direct billing and free unlimited 24/7 telehealth (Teladoc)

Foyer Global Health S.A. (Foyer Group, Luxembourg) · International health insurance

Foyer Global Health covers Ecuador worldwide and matches the accepted 'international_health' type, but the buyer must select a region that includes Ecuador and is not a US permanent resident (not insurable), so eligibility needs verification.

  • No overall annual or lifetime limit on core medical cover in all three plans; unlimited inpatient benefits confirmed on the official plan comparison
  • Insurer FAQ explicitly confirms cover in the home country as well as the country of expatriation; worldwide or worldwide-ex-USA regions
  • Luxembourg-regulated insurer (Foyer Group); 24/7 medical assistance, evacuation, teleconsultation and second medical opinion included in all plans

Some links are affiliate links — see our disclosure. Rankings are based on requirement fit, never on commissions.

What to check before you buy

  • 📄The certificate wording matches the visa requirement — name the country and the coverage period explicitly.
  • 💶Coverage is comprehensive (inpatient, outpatient and emergency), since no fixed minimum is published.
  • 🚑Emergency treatment, hospitalisation and medical repatriation are all included.
  • 📅The policy runs the full stay you’re applying for — many travel policies cap the trip length.
  • 🌍You’re actually eligible to buy it (some plans only sell to EU/UK/US residents).
  • 🤝It pairs with how care works locally — see the health system page.
🛡️ How healthcare actually works in Ecuador →

Insurance for the Visa Nómada (Rentista): FAQ

Insurance for the Visa Nómada (Rentista): FAQ

Is health insurance mandatory for the Ecuador Visa Nómada (Rentista)?

Required (explicit). The gob.ec tramite page explicitly requires a valid national or foreign health insurance covering the same period as the visa ('seguro de salud nacional o extranjero vigente por el mismo periodo del visado'); if contracted abroad it must provide coverage in Ecuador. No minimum coverage amount is published by the Cancilleria. Once a cedula is obtained, residents may also enrol voluntarily in the public IESS social-security health scheme.

Can I use regular travel insurance?

Long-stay travel medical insurance is among the accepted types for this program, as long as it meets the coverage minimums for the full required period.

Sources