No 3-hour waits. No language barriers. No repeating your history to a stranger. Same-day access, 60-minute visits, and a bilingual physician who knows you by name — not a number. For less than $5 a day.
Every expat in Panama City eventually learns the hard way: private hospitals here look like the West, but don't work like it.
More than half of patients say their doctor knows them "only somewhat or not at all." At Cresta, there is no rotating roster of strangers. Your physician knows your name, your history, your family, and your goals — and they answer your calls directly, not a receptionist, not a nurse line.
Comprehensive annual health assessments, advanced diagnostics, and a proactive plan built around you — so problems are caught years before symptoms appear, not in an ER at midnight.
Most people don't think about their doctor until something goes wrong. That's exactly when you don't want to be finding one for the first time — in a foreign hospital, at midnight, with no idea who to call.
Cresta members who enroll healthy stay that way — because they have a physician who monitors their health proactively, not reactively. Research shows concierge patients experience significantly fewer hospitalizations and earlier detection of serious conditions.
Call your care team directly. Get seen today — not in three weeks. No gatekeepers, no hold music, no runaround.
Comprehensive annual assessments with advanced diagnostics — catching problems years before symptoms appear, so you can act early.
Need a specialist? We coordinate everything — appointments, records, and follow-ups with top physicians in Panama City, Miami, and Houston.
Prescriptions, lab work, insurance, travel health — a dedicated care team handles the logistics so you don't have to think about it.
Dr. Madsen trained in New York City before serving as Department Chief at a leading European orthopaedic centre. He has now brought that rare combination of North American rigour and European leadership to Panama City — where he sees patients directly, as your physician, not a rotating stranger.
No hidden fees. No insurance headaches. One membership that covers everything you need from your primary care team.
"I've backed healthcare companies in Canada for a long time — I know what rigorous clinical standards actually look like in practice. What Dr. Madsen has built here is the real thing. The kind of care where your physician remembers what you told them three months ago. Panama needed this."Shaun V.
"I relocated here for work and spent two years just hoping nothing would go wrong medically. The first time I needed Cresta, I messaged at 7:45am. Dr. Madsen replied in ten minutes, we had a proper conversation, and I walked out of a same-day appointment with answers — not a referral to come back in six weeks."Sydney T.
Secure your founding membership with a card-on-file authorization. Your card is not charged — we'll only process the first month when we're ready to launch.
We'll schedule a complimentary introduction with your care team to discuss your health priorities and build your plan.
Your membership begins. Same-day access, extended visits, and a care team that knows you by name — from day one.
Most members join when they're perfectly healthy. They join because they've been in Panama long enough to know: the moment you need a doctor is the worst time to be looking for one. A Cresta membership is the relationship you build now, so it's fully there when it matters.
We're accepting a strictly limited founding cohort. Reserve your spot now with a card-on-file authorization — nothing is charged until Cresta Health launches. Cancel anytime before then. Zero fees, no questions asked.
We'll get back to you personally — usually within a few hours.
No. Reserving your founding spot is a card authorization only — not a charge. We securely save your payment details via Stripe so that when Cresta Health launches, we can begin your membership seamlessly. Your first month of $149 is only collected at launch. Cancel any time before then and you owe nothing — not a cent.
No. Cresta Health is a membership practice that complements your existing insurance. Your membership covers enhanced access, extended visits, care coordination, and your annual health assessment. You'll still use your insurance for specialist referrals, labs, prescriptions, and hospital care — we help coordinate all of it.
Absolutely. Our entire care team is bilingual (English and Spanish). You'll never face a language barrier when discussing your health.
Panama has excellent private hospitals, but they're still reactive — you go when something is wrong. Cresta is proactive. You have a dedicated care team that knows your history, monitors your health continuously, coordinates everything across providers, and is available 24/7 by phone. Think of it as the layer between you and the healthcare system that makes everything work seamlessly.
Yes. Family memberships are available. Each family member receives their own comprehensive care plan and direct access to the care team. Contact us for family pricing details.
Simply email us at any point before our official launch date. We'll remove your card authorization within 24 hours. No questions asked, no fees, no awkward conversations. Your spot is held with zero obligation until we launch.
That's $4.93 a day — less than a coffee and a croissant in Panama City. A single after-hours ER visit at a private hospital here runs $800–$2,500 before any treatment. One avoided urgent care visit pays for six months of membership. But the real value isn't the math — it's having a physician who knows you, answers your calls, and keeps you out of the ER in the first place. Most members say they can't imagine not having it after the first three months.
Most of our founding members are healthy. They're joining because they've learned — or watched others learn the hard way — that Panama's healthcare system is not designed for emergencies or English speakers. When something happens, you don't want to be introducing yourself to a new doctor in a language you're not fluent in, at midnight, with no context on your history. A Cresta membership is the relationship you build now, so it's fully in place when you need it.
$149/mo locked in for life — saving you $1,800 every year. Only 18 spots remain. We launch April 2026, and nothing is charged until then.