|Cédula with its sleeve cover|
It required meticulous preparations and great dedication to detail to assemble all the necessary documents before we returned to Costa Rica earlier this year. Equally as important, it necessitated an intimate knowledge of the bureaucratic ins and outs – and trust me, this beautiful country has plenty of bureaucratic twists and turns – of our immigration lawyer, Abogada y Notaria Mónika Valerio de Ford, who shepherded our journey toward residency status as pensionados, or retired old fogies.
Part of the process of acquiring residency is mandatory participation in the National Health Care System, CCSS, usually referred to as CAJA. This card neither possesses a hologram nor is it laminated. I will have to do that myself soonest – otherwise, it’s never going to survive till it’s expiration date in 2016. There is an interesting little tidbit relating to my CAJA card. You might’ve noticed the term ‘voluntario’ in the lower right quadrant. That is our participation ‘category’ within the social security system. It implies that we had a choice about either being part of National Health or receiving medical treatment privately. Well, not really. The voluntary participation is mandated by residency laws and one doesn’t actually have a say in the matter. The fees, which are graduated according to pension or income, have to stretch to cover everybody seeking treatment, irrespective of their ability to pay. So we hope that our stiff monthly contribution will help someone who really needs it. Even if we should elect to continue to go to private physicians, CAJA provides great, low-cost pharmacy services and the CAJA clinic is located just down the hill from us, a short 3 min. trip in an emergency, can’t beat that!