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Read this > /en/forum/central- … 2025-.html

As SimCityAT says, there is a lot of good info on this topic in the thread shared.

Some things are much cheaper - like healthcare. We pay about $130/month for good health insurance for two of us. In the US, that would be $1500 or more. We have both had surgery here (one major, one minor) and received excellent care. We find that with medications here, the price we pay here when not using insurance (because they are OTC, maintenance meds are a hassle to pass through insurance), are about the same as the copays we paid in the US.

Our auto insurance is more than we were paying in the US because the value of the car went up 30% when we imported it.

Some food items are really inexpensive and some are double the US price. Anything grown here will be cheaper, but imported goods are much higher! Groceries are our highest budget item since we own our home and don't pay rent. We eat in almost all of our meals, cooking from scratch and not using a lot of highly processed or convenience foods. We would shop at PriceSmart much more often if the closest one wasn't 2.5 hours away! The prices and quality there are excellent!

Any of the touristy areas are going to have a higher cost of living. We're in Las Terrenas and prices here are higher than what we've seen in stores in Santo Domingo.

What she said!!!!!   

As to rental prices, it depends greatly on the area you choose, how you want to live and whether you need furnishings! 

Highest cost to you is probably the learning curve! In the beginning you will overpay because you don't know how things are done, what's normal and who to trust. 

Read the thread linked  above. Then start scanning other threads. That will give you a lot of info!!!

@Mical Jhon

And welcome to the forums!