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Unfortunately  as  veterans  we  cannot  use  our  VA benefits here in Mexico.  The  only  option is to see  a  local  doctor "consultorio"  which I use for routine checkups.  In San Miguel de Allende I use the local doctor next to Similares Farmacia  which   commonly  have a consultorio next  door  to  their pharmacy/farmacia.  For  urgent matters  I  am  aware of   the hospital  in San Miguel de Allende but  I  have not used it.   I  know that if I have an urgent need,   my  local  doctor here  is  willing  to  help me if need be.  Develop relationships with local  doctors and locals in general as this community has shown me  their compassion to help  me  become a part of the community  and  adapt to a new life here.
I hope  that  I've  answered  your questions and feel free to stay in touch.  Semper Fi  brother veteran.

I’ve been in Mexico for almost 5 years and have not needed major medical assistance yet. I contacted the Va and was told that it was like Tricare Overseas. You pay for the service and submit a form and get reimbursed. I’m retired AirForce and 100%VA. I’ve used the tricare and it takes time, but it works. I suggest you contact the VA and discuss it with them. Good luck!