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A guide in five chapters · Published August 2026

Healthcare for retirees in Bali

Bali is a wonderful place to retire and a complicated place to get seriously ill. Almost nobody writes down both halves of that sentence.

This guide does. It is written from seventeen years of running healthcare operations here and thousands of coordinated cases a year: the ICU capacity numbers, the real price comparisons, the insurance situation for the over-65s, the medication supply problem, and the fact that managed care facilities do not exist on this island. It is long, it is specific, and none of it is designed to sell you anything.

B7: ordinary Bali street, daytime
2.7
ICU beds per 100,000
Indonesia. Singapore has 11.4, the US around 30.
2
ECMO machines in Bali
The island's flagship international hospital has neither.
$7
A GP visit
Against $171 in the United States, $65 in Australia.
16
Assisted-living rooms
On the whole island, in one hospital-based facility.

The five chapters

01
The island tradeoff
What you gain, what you give up, and what it actually costs. ICU capacity compared honestly, why Singapore is not the emergency fallback people assume, the real price table, the insurance situation for the over-65s, and the medication supply problem nobody factors in.
12 min · Read chapter 1 →
02
Lost in translation
What it is actually like to get healthcare here when you are seventy. The language gap is layered: your specialist speaks English, the ward nurses and the consent form do not. Plus the cultural differences that catch foreign patients off guard, and why self-advocacy gets hardest exactly when it matters most.
10 min · Read chapter 2 →
03
There is almost no nursing home
There is one assisted-living facility on the island, attached to a hospital, with sixteen rooms. Everyone else ages in place, which here means building something custom rather than checking into something that exists. How to assemble a care team years before you need one, why the real risk is drift rather than mistreatment, and why every retirement plan here needs an eject button decided in advance.
11 min · Read chapter 3 →
04
The four horsemen
Cardiovascular disease, cancer, metabolic disease and neurodegenerative disease account for around two in every three deaths after 65, and none of them are lightning strikes. One thing to monitor for each, why early detection matters more on an island, and no biohacking.
12 min · Read chapter 4 →
05
Making the decision with open eyes
What to set up in your first month, first quarter and first year. Why the barrier to seeking care is higher abroad and how to drop it to nearly zero. How to have the endgame conversation with your family while it is still an easy one.
9 min · Read chapter 5 →

Why we wrote something this unflattering about the place we operate

A guide that told you Bali was straightforward would be more useful to us commercially and worth nothing to you. The retirees who do well here are the ones who understood the gaps before they arrived and planned around them. The ones who struggle are the ones who assumed it would sort itself out.

Most of what is in here costs nothing to act on. Get your bloodwork done. Find a GP while you are well. Check your prescriptions are actually available in Indonesia. Have the conversation with your family. You do not need us for any of that, and we would rather you did it than didn't.

Take the whole guide with you

All five chapters as a single PDF, useful for reading properly and for sending to the family member who has opinions about this. One email, no follow-up sequence, unsubscribe in one click.

Or skip the email and just read it here. The whole thing is on the site.

padma care

Medical concierge and advocacy for households in Bali. A service of Padma Medical Group, operating clinics in Indonesia since 2008.

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