While routine healthcare in Ulaanbaatar is accessible, Mongolia’s two-tier medical system presents significant challenges due to fragile rural infrastructure, severe winter pollution, and recent price hikes of 12% to 15%. Private facilities like Intermed and SOS Medica offer Western-standard care, but serious medical cases often require air evacuation to Beijing or Seoul costing $35,000 to $60,000. Securing comprehensive international health insurance with direct billing and high evacuation limits is essential for all expatriates.