By USA law, Medicare is not applicable outside
By USA law, Medicare is not applicable outside the borders of the states. But there are many expats who use Medicare as a secondary alternative to healthcare in Nicaragua. Many people who live here in Nicaragua have their Medicare deducted from their Social Security, and then go back to use their personal doctor in case of dire emergency.
My personal insurance is covered for major medical from the Vivian Pellas Metropolitano Hospital, one of the accredited hospitals in Central America. Most doctors are bilingual, and have been trained on the newest equipment and many in the United States.