
The public health system (Sistema Único de Saúde, or SUS) is free to everyone on Brazilian soil (citizens, residents, and tourists alike) with no contribution test and no waiting period.
But SUS runs only in Portuguese, and waits can stretch from weeks to years. That's why most expats add private cover: for speed, English-speaking doctors, and access to top private hospitals. Paying out of pocket isn't cheap, either: a private GP visit costs about R$ 350 (€60), and a hospital day can run R$ 6,250 (€1,065) or more.
Plus, the digital nomad and retirement visas both require private insurance.

Brazil's public system, SUS, is free at the point of use for anyone physically in the country. No income, contribution, or nationality test. To get a SUS card, you'll need your residency ID (the National Migratory Registry Card) and a Brazilian tax number (Cadastro de Pessoas Físicas or CPF).

Brazil's cities are full of pharmacies: Chains like Droga Raia, Drogasil, Pacheco, and Pague Menos are everywhere, with 24-hour branches in every state capital. They operate in Portuguese, antibiotics need a prescription, and generics cost a good deal less. There's also a government scheme (Farmácia Popular) that subsidizes medicines for anyone with a tax number.

Dial 192 for the public ambulance service (SAMU), or 193 for fire and 190 for police. Response times average around 14 min in cities and are slower in rural areas; dispatchers speak only Portuguese. Public ERs will (and must) triage and stabilize anyone who comes in.
Plans from €56/month. Sign up online in minutes.

Without cover, the bills add up fast. A private GP visit in São Paulo costs R$ 350+ (€60), a specialist visit R$ 540+ (€92), and a private hospital stay R$ 6,250+ (€1,065) per day. A private birth costs around R$ 27,500 (€4,675).
SUS is free at the point of use for everyone in Brazil. No contribution, income test, or waiting period. Just register at a local health center with your tax number.
Regulated domestic plans cost R$ 350+ (€60) a month for basic outpatient cover, up to R$ 2,350+ (€400) a month for premium cover. Feather's international plans start at €56/month for Essential and €84/month for Plus.
Long-stay Brazilian visas require proof of private health insurance. Digital nomad policies must cover all 26 states plus the Federal District, and student visas often need €30,000+ in cover with repatriation.

Both Feather plans cover all 26 states plus the Federal District and meet the thresholds for the digital nomad (VITEM XIV), retirement, student (VITEM IV), and work (VITEM V) visas.
Your proof of cover, with English certificates, lands in your account the moment you sign up. Accepted by Brazilian consulates.
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Takes 2 minutes. From €56 per month. 4.8/5 rated on over 2,500 reviews.