Panama🇵🇦
U.S. dollar economy with the best retiree visa in the Americas
Panama stands out as one of the most accessible and financially advantageous destinations for American expats, combining a U.S. dollar economy, territorial tax system, and world-class Pensionado program into a uniquely attractive package. With an estimated 30,000-40,000 Americans already living there, established expat infrastructure makes the transition smoother than most Latin American destinations. From Panama City's modern skyline to Boquete's eternal spring climate, the country offers remarkable diversity for every lifestyle and budget.
Capital
Panama City
Currency
$ USD
Language
Spanish, English
Timezone
America/Panama
Why Panama
Panama offers a unique combination of benefits rarely found together: use of the U.S. dollar eliminates currency risk entirely, the territorial tax system means foreign-source income (including U.S. pensions and remote work income) is completely tax-free, and the Pensionado program provides one of the world's best retirement visa deals with just $1,000/month pension requirement. Add world-class healthcare at 25-75% U.S. prices, modern infrastructure, and direct flights from major U.S. cities, and you have an exceptionally compelling package.
U.S. dollar economy eliminates currency risk
Territorial tax system - foreign income tax-free
Best retirement visa in the Americas ($1,000/month pension)
World-class healthcare at 25-75% U.S. prices
Large established expat communities
Modern infrastructure and shopping
Direct flights from major U.S. cities
Pensionado discounts up to 50% on services
No hurricanes - outside hurricane belt
Equal property rights for foreigners
Extreme heat and humidity in lowlands
Banking can be challenging due to FATCA compliance
Car essential outside Panama City
Higher cost than many Latin American countries
Rainy season brings daily downpours (May-November)
Spanish needed outside tourist areas
Traffic congestion in Panama City
Power outages common in rural areas
Who Thrives Here
Retirees seeking maximum pension purchasing power thrive with the Pensionado discounts (50% off entertainment, 25% off utilities/restaurants/airlines). Remote workers benefit from U.S. dollar income going further while maintaining timezone alignment. Healthcare seekers find quality care at fraction of U.S. costs. Those wanting first-world conveniences without first-world prices appreciate the modern shopping, banking, and infrastructure. Highland lovers escape tropical heat in Boquete's eternal spring.
Who Should Look Elsewhere
Those who cannot tolerate heat and humidity should look elsewhere unless committed to highland living—Panama City and coastal areas maintain 86-90°F year-round. People seeking authentic immersion in local culture may find the large expat communities insular. Budget travelers expecting Southeast Asia prices will find Panama moderately expensive by Latin American standards. Those prioritizing public transportation outside Panama City will struggle, as cars become essential in most areas.
At a Glance
How Panama compares across key indices
Cost of Living
46 vs NYC
100 = NYC
Safety Index
58/100
Healthcare
62/100
Quality of Life
121/200
Climate
68/100
Cost of Living
How far your money goes in Panama
Cost of Living
46
100 = NYC baseline
Rent Index
23
100 = NYC rent
Groceries
52
100 = NYC groceries
Restaurant Prices
42
100 = NYC dining
City Costs Comparison
Panama City
Cheapest$2,191/mo
Safety & Crime
Moderate RiskHow safe residents feel in Panama — based on surveys of people living there
Safety Index
58/100
Crime Index
42/100
Lower is better
Crime Trend
67/100
Crime perceived as increasing
Walking Safety
24 point drop from day to night
Problem Severity
0 = no problem, 100 = severe problem
What Residents Worry About
Based on 231 survey responses. 0 = not worried, 100 = very worried.
Cities in Panama
Panama has 6 cities with Numbeo data. Panama City has the lowest estimated monthly cost at $2,191. Panama City leads on safety, scoring 54/100. Panama City ranks highest for quality of life at 119/200.
Panama City
$2,191/mo
Panama City
54/100
Panama City
119/200
Panama City
61/100
| City | Monthly Cost | Safety | Quality of Life | Healthcare | Pollution |
|---|---|---|---|---|---|
| Panama CityGuide | $2,191 | 54/100 | 119/200 | 61/100 | 62 |
| BoqueteGuide | — | — | — | — | — |
| CoronadoGuide | — | — | — | — | — |
| Bocas del ToroGuide | — | — | — | — | — |
| DavidGuide | — | — | — | — | — |
| PedasÃGuide | — | — | — | — | — |
Data from Numbeo. Monthly cost estimates are for a single person including rent. Pollution: lower score = cleaner air. Click column headers to sort.
Compare Cities Side by Side
Detailed comparison of cost of living, safety, and quality of life
Visa Options
6 visa types for Panama
Digital Nomad Visas
Temporary Residency
Retirement Visas
Investor Visas
Healthcare
8 qualityHealthcare system overview for Panama
System Overview
Panama's private healthcare system offers quality comparable to the United States at 25-75% lower costs, with many physicians trained in the U.S. or Europe and fluent in English. The country has emerged as a medical tourism destination, with Hospital Punta PacÃfica serving as the only Johns Hopkins-affiliated facility in Central America. Multiple JCI-accredited hospitals provide world-class care in Panama City, while regional options exist in David and other cities.
Public Healthcare
Panama's public healthcare system (CSS - Caja de Seguro Social) serves primarily Panamanian citizens and legal residents who contribute through employment. Quality is adequate for basic care but facilities are often crowded with long wait times. Most expats avoid the public system in favor of affordable private care. Pensionado visa holders and other legal residents can access CSS services.
Private Healthcare
Hospital Punta PacÃfica (PacÃfica Salud) - Johns Hopkins-affiliated, JCI accredited, 250+ doctors, robotic surgery systems. Second location opened in Costa del Este (2022). As of April 2025, accepts certain Medicare Advantage plans for direct billing.
Hospital Nacional - Affiliated with University of Nebraska Medical Center, 1:10 nurse-to-patient ratio, excellent reputation.
Hospital San Fernando - First JCI gold-star rating in Panama, offers senior health insurance with no age restrictions (premiums $143-232/month for ages 60-90+), satellite clinics in Coronado and other locations.
Regional options: David has two private hospitals providing good care for western Panama. Bocas del Toro and rural areas have only basic clinics—serious care requires travel.
Typical Costs
dental
Data not available at this time
doctor visits
Data not available at this time
prescriptions
Data not available at this time
us comparison
Data not available at this time
Cost data for some categories is not available. Connect with an expat insurance broker for quotes.
Quality Breakdown
How satisfied residents are with healthcare costs relative to quality
Based on 75 survey responses
Insurance Coverage
Recommended PartnerDon't skip health insurance
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Environment
ModerateAir quality, water, and environmental conditions in Panama
Pollution Index
56/100
Lower is better
Environmental Quality
Concerns
0 = no concern, 100 = severe concern
Based on 101 survey responses. Perception scores are 0–100 where higher is better unless noted.
Transport & Commute
How people get around in Panama
Average One-Way Commute
35minutes
Average
Traffic Index
156
Moderate congestion
Inefficiency
179
Time wasted in traffic
CO2 Emissions
7.0kg/trip
How People Commute
Based on 59 survey responses.
Taxes
Tax system and obligations in Panama
Tax information is for general guidance only. Consult a qualified tax professional for advice specific to your situation.
Panama operates a territorial tax system, meaning only income earned from Panamanian sources is subject to taxation. Foreign-source income is completely exempt regardless of residency status. For Americans working remotely for U.S. companies, receiving U.S. pensions, or earning foreign investment income, Panama effectively charges zero income tax on these earnings. This makes Panama exceptionally attractive for retirees and remote workers.
Tax Residency Rules
Tax residency triggers at 183 days of physical presence in Panama during a fiscal year. However, simply holding an immigration visa does not establish tax residency without meeting the presence requirement. Tax residents pay tax only on Panama-source income; non-residents pay only on income derived from Panama. The territorial system applies equally to residents and non-residents.
Income Tax Brackets
| Income Range | Rate |
|---|---|
| 0 – 11,000 | 0% |
| 11,001 – 50,000 | 15% |
| 50,001 – ∞ | 25% |
Rates apply only to Panama-source income. Foreign income completely exempt.
Other Taxes
Capital Gains
Capital gains on Panama assets are taxed at **10%** of the gain, or alternatively at **3% of the total sale value** (whichever benefits the taxpayer). Capital gains on foreign assets are exempt under the territorial system. Real estate sales have specific rules—primary residence exemptions may apply.
Property Tax
Primary residences enjoy exemption on the first **$120,000 of registered value**. Above that threshold, progressive rates apply: 0.5% on value from $120,001-$250,000, and 0.7% above $250,000. New construction may qualify for additional exemptions. Property tax is relatively low compared to U.S. rates.
VAT / Sales Tax
Panama's ITBMS (equivalent to VAT/sales tax) is **7%** on most goods and services. Some essential items are exempt or zero-rated. Restaurants and hotels charge this tax, though Pensionado discounts may reduce effective rates for eligible retirees.
Special Tax Regimes
Territorial Taxation
All foreign-source income is completely exempt from Panama taxation. This includes remote work income, U.S. pensions, Social Security, foreign investments, and foreign rental income.
Pensionado Benefits
Qualifying retirees receive extensive discounts: 50% off entertainment and hotels (Mon-Thu), 25% off restaurants, airlines, and utilities, 20% off medical services.
US Expat Considerations
No U.S.-Panama tax treaty exists, requiring Americans to rely on standard IRS provisions. Key considerations:
- FBAR Reporting: Mandatory if foreign account balances exceed $10,000 combined at any point during the year (FinCEN Form 114)
- FATCA Form 8938: Required for expats with foreign assets exceeding $200,000 on December 31 or $300,000 at any point
- Panama signed a Model 1 IGA with the U.S.: Panamanian banks automatically report American account holder information to the IRS
- Americans remain subject to U.S. worldwide taxation regardless of Panama residency
- Self-employment tax still applies to self-employment income even if FEIE is claimed
FEIE: The Foreign Earned Income Exclusion (FEIE) allows excluding up to $130,000 (2025) in foreign earned income if meeting the physical presence test (330 days outside U.S.) or bona fide residence test. Important limitations:
- FEIE applies only to earned income (wages, self-employment)
- Does NOT apply to pensions, Social Security, or investment income
- Remote work income for U.S. employers typically qualifies
- Self-employment income qualifies but SE tax still applies
- Must file tax return and claim exclusion even if no tax owed
Tax Treaty: No tax treaty exists between the U.S. and Panama. This means:
- No reduced withholding rates on dividends, interest, or royalties
- No tie-breaker provisions for dual residents
- Must rely on standard IRS provisions (FEIE, Foreign Tax Credit)
- Panama's territorial system means minimal Panama tax to credit anyway
- For most Americans, the lack of treaty has limited practical impact since Panama doesn't tax foreign income regardless
Frequently Asked Questions
Common questions about living in Panama, answered with data
What is the cost of living in Panama?
Panama has a cost of living index of 46 relative to New York City (100). It is moderately affordable compared to the US. Monthly costs for a single person start around $2,191 in Panama City.
Is Panama safe for expats?
Panama has a safety index of 58/100, making it generally safe for expats and travellers. Among cities with data, Panama City scores highest on safety at 54/100.
What is the best city in Panama for expats and digital nomads?
Panama City ranks highest for quality of life in Panama, scoring 119/200 on Numbeo's quality of life index. Monthly costs there run around $2,191/mo for a single person.
How good is healthcare in Panama?
Panama scores 62/100 on Numbeo's healthcare index, making it good by global standards. This index reflects the overall quality of the healthcare system, medical staff, and facilities.
Is Panama cheaper than the United States?
Yes. Panama's cost of living is roughly 54% lower than New York City and generally cheaper than most major US cities. Rent specifically is around 77% cheaper. This makes it a popular destination for remote workers looking to stretch their dollar.
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