November 21st, 2009
Haute Living, the lifestyle publication for the super-rich, recently published an article about Mead Brown Costa Rica. The magazine will be featured at a party given by Candy Spelling in December. Mrs. Spelling’s Holmby Hills home, The Manor, is offered for sale at $150 million.
Costa Rican Luxury Adventure of a Lifetime
By Erika Thomas
Mead Brown has answered the call for a vacation experience that truly delivers in this gem of a country bridging North and South America.
 Villa Firenze at Los Suenos Golf Resort and Marina
Created by vacation connoisseurs Mark Mead and Michael Brown, Mead Brown strives to create unforgettable, luxurious ravel experiences. The cofounders, who once enjoyed successful careers in the U.S. working with princes and presidents, diplomats and debutantes, are quite the duo that, as Brown explains, “perfectly balance one another. We are completely different in personality, but we have wholly complementary skill sets.” Those impressive skill sets are what have made them the go-to guys for Costa Rican travel.
Their inventory of properties in the land of la pura vida includes everything from condo units in the über-posh Vista Las Palmas, villas at Manuel Antonio National Park or in Los Sueños Golf Resort & Marina, and remarkable grand estates. The crown jewels of the property portfolio includes Punto de Vista, a 10-bedroom, all-inclusive event manor situated on an acre of tropical rainforest. As Brown divulges, “The owner conceived it as a yacht on land. It’s perfect for a wedding, special birthday, corporate group function, or large family gathering.”
But what really catapults Mead Brown into a category all their own is their commitment to over-the-top concierge services. “We are so much more than just a vacation rental firm,” Brown says, explaining that if a client can imagine it, they can make it happen. From personal chefs and Dominican cigar rollers to scheduling spa appointments and arranging yachting excursions, Mead Brown attends to virtually any desire with over-zealous attention to detail. “Once a guest called and requested a case of Cristal. There was none in the whole country, so we had it helicoptered in from Panama,” says Brown.
Their ability and commitment to over-deliver on their promises to guests and owners is what has allowed the company to grow leaps and bounds, despite the global economy in 2009. “Our success is driven by our ability to fulfill the needs and expectations of the sophisticated North American traveler that had previously been unmet in this market.” He explains that when traveling to Costa Rica, the American luxury connoisseur wants to be enveloped in the natural beauty of the country, but still wants the creature comforts of the modern lifestyle to which they are accustomed.
According to Brown, the draw to set up shop in Costa Rica was “the awe-inspiring landscape, stable democratic government, and the high literacyrate, which at 96 percent is higher even than in the U.S. People here are educated and genuinely friendly,” Brown points out.
“Americans are attracted to Costa Rica specifically for the adventure,” he says, “the monkeys the flora, the fauna. Think of the migration patterns of animals such as birds and whales between North and South America; because they all pass through or by this very narrow bridge of a country we have an incredible abundance of nature all around.” Brown is dead on; Costa Rica boasts more than 1,000 species of butterflies, 1,300 types of orchids, and is a world-class sport-fishing destination for sailfish and marlin.
Mead Brown clients can fly private into San Jose, where they are then transported to a tropical vacation oasis by helicopter or Mercedes shuttle.
Posted in Costa Rica Vacation Rentals, Uncategorized | No Comments »
October 14th, 2009
Our friends at Luxury Latin America wrote, “In just a few short decades, Costa Rica has gone from some little backwater that nobody visited to being the most popular destination in Central America by far. Costa Rica has some decent beaches, but the main draws here are activities in the great outdoors.
“Costa Rica has long been a beacon of stability in the region, with a democracy that’s over 100 years old, a literacy rate of 95 percent, and the highest standard of living in Central America. There are a lot of natural superlatives in this country as well. Arenal Volcano is Central America’s most active volcano. Some five percent of the world’s species are found on this small plot of land, including more species of birds than the U.S. and Canada combined. A quarter of the country is devoted to protected lands and parks and the government here has been far more enlightened about environmentally friendly tourism than most other countries anywhere.
“Don’t plan on having the whole place to yourself though. The secret has been out for ages and this is one of the most popular destinations for North Americans, drawing over 1.5 million total visitors per year. A fair number of those visitors never made it back home: this is a popular place to retire to and buy or build a dream home.
“The good side of all this traffic is that upscale facilities are quite good, the better guides speak English well, and staffers aren’t just figuring all this out as they go along. Some of the eco-tourism pioneers are based here, so eco-friendly lodges and hotels that “think green” are more prevalent than those that are not–a welcome change in the luxury market.
“Don’t plan a Costa Rica trip around colonial history and sightseeing. Instead come here to find jungle adventures, white-water rafting, hiking, mountain biking, and then a bit of beach living” in a luxurious vacation rental villa, private home or condominium on Jaco Beach, at Los Suenos Golf Resort and Marina on Playa Herradura, or Manuel Antonio.
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September 22nd, 2009
It’s not all about heavy partying anymore

Jaco Beach on Costa Rica’s Central Pacific Coast is the perfect destination for a beach-focused bachelor party adventure vacation. With the Pacific Ocean in your front yard, rain forest in the back yard, the possible activities include surfing, fishing for marlin, sail fish, dorado and wahoo, sailing, jet skiing, hiking, zip lining, white water rafting, horseback riding, birding, golfing, and smoking Cuban cigars (they’re legal here!). Adventure, luxurious accommodations, excellent restaurants and private chefs, and Mead Brown’s legendary personal service combine for a fun factor that’s off the charts.
Recently Neil Nagraj wrote in Forbes Traveler about bachelor parties that are centered around adventure, “In movies and lore, the bachelor party blowout is all but synonymous with exotic dancers and heavy partying. But today’s best men are lining up different fetes for the groom-to-be, planning elaborate destination parties that don’t include wild nights on the town. That’s not to say that the traditional Las Vegas blowout is a thing of the past. “Vegas is still king, says Jake Schraufnagel, publisher of Today’s Groom. “But more best men are arranging whitewater rafting trips, golf weekends and other extreme vacations.”
Nagraj continues, “According to the most recent U.S. census, Americans are staying single for nearly five more years than their parents did. The average man walks down the aisle when he’s 27.1-years-old; a quarter century ago, he would’ve been 23.2-years-old. (For women, it’s 25.8 and 20.8, respectively.) This may explain why bachelor parties are changing, says Schraufnagel. ‘As the groom and his friends get older, they can afford a memorable weekend getaway for a bachelor party. Having more disposable income is a huge deciding factor in the bachelor party festivities.’”
Nagraj went on to write, “Older grooms-to-be may also have different priorities than their younger counterparts. ‘A younger groom may have younger attendees who are single themselves with no wife to answer to at the end of the bachelor party,’ says Schraufnagel. ‘Guys are using the bachelor party as a reunion and a great opportunity to introduce new friends of the groom’s to old friends from the past.’ The focus, then, shifts from a night at the strip club to a weekend to remember with the guys.”
Michael Brown of Mead Brown Costa Rica Vacations says, “My best advice is to start planning now. With so many schedules to coordinate, you generally need to plan three to four months in advance to line up the best fishing boats (exceptional boats and crews book well in advance, particularly December through April) for our world-class sport fishing (more than 60 world record fish have been caught here) and accommodations. We are expert at logistics and at providing personal service; this results in bachelor parties that are memorable for all the right reasons.”
Here are a few of the adventures to consider for your beach bachelor party on Costa Rica’s Pacific Coast:
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Sport Fishing
The cobalt blue waters of the gulf stream combined with the mineral rich waters of the Pacific create some of the most fertile fishing grounds in Central America. We know the best boats and captains to make your adventure memorable! The ultra-modern 250 slip marina at Los Sueños is a short run on flat seas to blue water. Off shore, angle for sailfish, blue or black marlin, wahoo, yellow fin tuna, and dorado. In shore you’ll find snapper and snook and those thrilling fighters roosterfish. All vessels are equipped with GPS, color fish finders, VHS, and emergency first aid kits. All captains and mates have many years of experience in the area and are fully licensed and qualified. Call us, we’ll hook you up! |
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Canopy Tours (yes, the zip line!)
These exciting tours can be considered a thrill of a lifetime as you traverse the tropical primary forest on a system of cables and platforms. You climb to the top for a bird’s eye view and then experience the exhilaration as you rapidly glide between each platform, led by experienced guides who put your safety first. Mead Brown knows the best canopy tour for you (and there are several close by!) Perhaps our favorite and most popular tour! Commonly called “zip lines.” You will call them a blast! |
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Sea Kayaking
Ocean going outriggers, single and double kayaks, river kayaking and surf kayaking are just a few of the kayaking options that you can enjoy while here on the Pacific Coast. Paddle through the warm waters and enjoy this popular sport. It’s the perfect way to appreciate the wonders of nature and the beautiful coastline. Your guide will also take you to the perfect spot for snorkeling, where you will quickly be surrounded by a wide variety of tropical fish. Let Mead Brown book the best trip for you! |
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River Rafting
After a short trip by air-conditioned minivan you are taken up river to start your adventure of 18 miles of pure fun and unsurpassed beauty. This is a trip of full contact with nature, with exposure to lush vegetation and the white water rapids. The time flies as you race down the rapids – you will want to go again as soon as you are finished! Mead Brown can book this for you – just ask! |
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Surfing
The Central Pacific Coast means surfing – year ‘round! Some of the best beaches for hanging ten are right here – minutes from all our properties. We know the locals – the people who know the best places and times to catch the waves of your dreams! The ocean is waiting for you and your board. We can book surf classes for all ages and experience levels. |
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ATV Adventure
Capture extraordinary ocean views and mountain vistas as you drive through rustic trails and rare teak plantations. Professional bilingual guides will lead you through the exotic tropical rainforest just a short ride from the famous Jacó Beach. End your adventure with a refreshing swim in a natural pool at an amazing waterfall. A Mead Brown favorite and destined to be one of yours. |
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Jet Skis
Jet skis are plentiful and can be rented by the hour or day. Scoot around the various beaches to check out what’s happening. Scoot along the ocean at your leisure enjoying the sun and surf around you at your own speed. Wild and all out or bobbing along enjoying the view. If you have never operated a personal watercraft, there are instructors who can teach you and your family how to operate them safely. The kids are going to love it and you will too. |
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SCUBA Diving
One of the best ways to get a first hand glimpse of Costa Rica’s stunning underwater marine life is through a scuba diving tour. Scuba diving facilities in Costa Rica are now world class those on the Central Pacific Coast are no exception. Massive schools of fish, an amazing array of marine life and an ideal water temperature throughout the year mean that SCUBA diving conditions in Costa Rica are perfect. With professional PADI instruction courses as well as top quality dive shops with equipment rental services, SCUBA diving here has reached new heights (or should we say new depths?). We can assist fully on all aspects of your undersea adventure. |
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Championship Golf
Nestled alongside an exotic rainforest in Los Suenos Resort & Marina with breathtaking ocean views, this 18-hole, par-72 championship La Iguana golf course offers not only a challenging Ted Robinson-designed layout but also a spectacular gallery featuring friendly monkeys and brightly hued macaws. Your knowledgeable golf guides will be happy to point them out. But make no mistake: the mesmerizing scenery masks a challenging course – one well worth conquering. |
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Posted in Costa Rica Adventure, vacations | 1 Comment »
September 14th, 2009

Follow Mead Brown on Twitter (@MeadBrown) for special deals available only to followers. Offers may include accommodations, meals, clubs, tours, transportation, lessons, chefs, plus inside info on what’s happening in Jaco Beach, Manuel Antonio, Los Suenos Resort and other vacation hotspots in Costa Rica.
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September 14th, 2009
 Casa Mono Loco is perched above Los Suenos Resort, Herradura Bay and the Pacific Ocean
Designed by Ronald Zurcher, Costa Rica’s most esteemed architect, Casa Mono Loco is a distinctive rental villa within the Los Sueños Resort & Marina, yet it offers secluded splendor. With dramatic, spectacular vistas of Bahia Herradura, the resort and the surrounding rain forest and nature preserve, Casa Mono Loco also affords maximum privacy. Recently upgraded, redecorated and refurbished by the new owners who pay homage to the architectural integrity and beauty of the original.
The open and clever design of Casa Mono Loco allows one to experience the monkeys, toucans, scarlet macaws, other sights and the sounds of the surrounding lush, tropical rain forest from the comfort of your private Shangri La. Satellite TV and VOIP with free telephone calls to the U.S. and Canada.Three air-conditioned bedrooms with private en suite bathrooms. The master with king-sized bed is a detached pavilion, providing maxium privacy. The Dome Room bedroom has two full beds and a domed ceiling. The Coral Room bedroom also has two full beds. Every room has a spectacular ocean view. The living area is an open air rancho beyond which is the pool with an infinity edge that melds into the blues of Herradura Bay.
Casa Mono Loco is the only house on the very quiet road; you’ll have no human neighbors! If you seek tranquility and to be at one with nature but desire comforts that are more than civilized, this is the home for you. Yet you’ll have access to all the amenities of the Los Suenos Resort, including the spa, marina, shops, restaurants, golf course, room service from the Marriott Hotel, casino and more just two minutes away by car. The blossoming beach town of Jaco is 10 minutes away and Manuel Antonio National Park is about 75 minutes away.
Posted in Los Suenos Resort, Luxury Travel, Luxury Villa Vacation Rentals, Uncategorized, luxury rentals, luxury vacation rentals | No Comments »
September 11th, 2009
 A proud mother who's just laid a nest of Olive Ridley turtle eggs
Last night my buddy Raul and I met up at the Back Yard Bar and Grill and then drove the six or so miles to the south end of Hermosa Beach (Playa Hermosa) just 10 minutes from Jaco; the last five miles were all within the Tulin Playa Hermosa Refuge, a nature preserve established by the government about eight years ago. The north end of this beach is where the World Surfing Games were held during the first week of August 2009.
Four of the world’s seven species of marine turtles nest on the Pacific Coast of Costa Rica — the Pacific Green, Leatherback, Hawksbill and the Olive Ridley. Forty-seven beaches on the Pacific Coast have been identified as having turtle nesting activity
The Olive Ridley turtle lays 70-120 eggs at a time, and typically lays two-three batches per year. This is one of the many interesting bits of info shared by Raul, a Costa Rican who knows so much about his beautiful country, including its history, flora and fauna.
 Tulin Playa Hermosa Refuge on Costa Rica's Pacific Coast
Our mission was to walk the beach looking for turtle tracks, which lead to nests of just-laid eggs. Mostly we walked by moonlight; it’s easier to see the tracks. Occasionally we turned on our red-light flashlights to check out whatever dark mass was in our path (always just a large log or beautiful piece of driftwood, typically from an ancient growth tree struck down by age and the elements). Artificial light disorients the turtles; they navigate by the light of the moon.
Raul has experienced so much of Costa Rica. While walking toward the mouth of the Tulin River and the 100 or so crocodiles who call it home, he told me about fishing in there and catching rooster fish and huge snook. At a river further south, he met an old guy in an ancient canoe who had told Raul about the crocodile who ate his dog. Enraged at losing a loved companion, the old guy killed the 12 foot long croc with a grappling hook. When Raul expressed disbelief, Cocodrilo Dundee took Raul to his hut and pulled the croc skull with teeth out from under his bed. Sr. Dundito had eaten the dog-eating croc!
I asked Raul what croc tastes like and his response was the one heard the world over, “Like chicken!” My high school chum Tammi Mclaughlin wrote on Facebook, “I’ve actually had crocodile and I think it tastes like not much of anything with a nice rubber texture to boot!”.
 Olive Ridley turtle laying eggs
Once at the river, we shined our flashlight across the broad waters and were met by the reflections of about 20 red dots. Each dot represented one eye of a croc hunting in the river (the second eye of each was on the other side of their head and not seen by us).
We walked back to the nursery where about 100 nests are covered by protecting wire mesh (to help keep raccoons and other predators out) and surrounded by a wire mesh fence. We found that one nest had been destroyed by ants and all the eggs had been ruined. Better luck at the next nest, where one baby turtle had hatched and was somewhere in his hour-long process of waking up and gathering energy for his journey to the sea. With a gloved hand (to protect him from our insect repellant and other forms of contamination), the tortugito (baby turtle) was carried to the water’s edge, where he was gently washed out into the Pacific with the next small wave.
I said a silent prayer for his health and well-being and imagined what changes the world would see during his lifetime, which could be 70 years. (Another Bush presidency? China’s world domination? Scott Miller becomes house trained again?)
We then walked up the beach in the other direction, looking for a momma turtle making her way to lay eggs. What we found were fresh turtle tracks. She had made a roundtrip, which means the eggs had been buried above the high tide mark. We found the nest, dug up the eggs, counted and placed them in a plastic grocery bag. Turtle eggs—Olive (so named for their color) Ridley turtle eggs—do not have a hard shell. The eggs are squishy, softer even than a hard-boiled egg that’s been peeled.
 Turtle eggs being laid; think "squishy ping pong ball"
I carried the eggs to the nursery and re-buried them in the sand, within the protective enclosure. Of the 106 eggs, 85 or so will likely hatch. Those nearest the top of the nest (a hole dug in sand, elbow deep) will likely be female, those on the bottom will likely be male. Gender is determined by the temperature during an early developmental stage (eggs nearer the top are made warmer by the sun).
With our one hatchling safely launched and our eggs buried, we called it a night. I cannot wait to return; Raul is a terrific guide. Easy company and very knowledgeable. His family has grown coffee in the San Ramon area of Costa Rica for generations and Raul sells it via a web site he built. Check out the site; better yet, order a few bags for yourself and friends; Finca Rica (rich farm) ships to the U.S., Canada, Europe and elsewhere.
 A just-hatched Ridley turtle making its way to the Pacific Ocean
When you come to Costa Rica for an adventure vacation off the beaten tourist path, let me know and I’ll hook you up with Raul. His specialties as a guide are outings that are “non-touristy” and include surfing, fishing, waterfalls, coffee farm tours, snorkeling and this hands-on turtle tour at the Tulin Playa Hermosa Refuge.
This weekend Raul is heading to Playa Camaronal in the Guanacaste region on the Northern Pacific Coast for “arribada” (mass arrival) of Ridley turtles. Check out Christopher P. Baker’s blog for an excellent description of this wonder of nature.
The photos for my story were all taken by Raul, with the exception of the “arribada” photo (below).
 "Mass arrival" of Olive Ridley turtles coming to lay eggs
Posted in Costa Rica Adventure, Costa Rica Travel, Uncategorized, fauna | 2 Comments »
September 6th, 2009
 Casa Playa Vista is available for vacation rental. The location next to Manuel Antonio National Park and guest access to a semi-private beach make this home an ideal holiday retreat.
Casa Playa Vista is a remarkable, contemporary luxury home located in the heart of Manuel Antonio with access to a secluded beach. The villa’s prime location provides tremendous privacy, stunning views and a beach below the house that awaits just you. With more than 6,000 square feet of air-conditioned living space on three levels and four bedrooms and 4.5 bathrooms, this spacious retreat provides ample room for gathering as a group and for quiet time away to read, nap and relax.Casa Playa Vista is rented by the week, from Saturday-Saturday. Please call or email Mead Brown Costa Rica Vacation Rentals directly to inquire about a shorter stay in this rental home.
The unique floating bridge entrance along with the media room that has a full wall projection TV, full bar, wine refrigerator, ice maker and complete entertaining area that opens to a water feature are just a few of the many custom touches that makes this villa stand out from all of the others (plus access to your semi-private beach!). Every room of this fabulous retreat is wired with an iPod-compatible touch pad stereo system.
Granite countertops, stainless steel appliances, and almond wood floors are just a few of the deluxe finishes in this home. The massive master suite features a mini bar, refrigerator, coffeemaker, Jacuzzi tub, dual shower heads, double sinks and a walk-in closet. Each guest room has a private terrace. The open floor plan with floor to ceiling sliding doors surround the main living area and 10 foot ceilings throughout, provides fantastic scenery from every angle, including the infinity pool with a sit down bench to watch the vibrant sunsets.
This fantastic home has both ocean and mountain views. Wildlife including monkeys, exotic birds, sloths and domestic ox are frequent visitors to the property. The villsa is located on virgin land that the owners have had in their family for decades, which makes it one of the most special and desirable spots in Manuel Antonio.
Hotel-like services and amenities at this luxury estate include daily maid and personal laundry service (regular wash items only and minimal weekend hours), 24-hour security guard and your personal concierge manager to assist with planning your exciting vacation prior to your arrival, coordinate your transportation from San Jose Airport and arranging car rental, scheduling spa treatments and tour reservations, and any other request you may have to ensure your stay is relaxing and stress free. Mead Brown would be delighted to arrange for a private chef to shop, prepare, serve and clean up for one, all or as many meals as you desire.
Other vacation rental homes in the Quepos and Manuel Antonio areas available through Mead Brown Costa Rica include Casa de Frutas (3 bedrooms), Casa Maravilla (6 bedrooms), and Punto de Vista (10 bedrooms, all inclusive).
Posted in Luxury Villa Vacation Rentals, Uncategorized | 1 Comment »
August 23rd, 2009

Whether you visit a yoga retreat, try a surf camp or just get some much needed R&R on the beach, Costa Rica is an excellent heart-healthy destination for your next vacation.
With zero trans fat and a wealth of free vitamin D, a trip to Costa Rica might just be what the doctor ordered to get you in a healthy state of mind and body. According to Conde Naste Traveler’s September 2009 article “Your Next Vacation Could Save Your Life”, denying yourself vacation can lead to negative changes in your health and wellbeing.
Even the anticipation of going on vacation helps people to de-stress and improve their emotional health. While on vacation, travelers tend to get more sleep, try a broader range of foods, get out in the sun more and perform an increased amount of physical activity.
According to a 16-year study published by the State University of New York, Oswego in 2000, male patients at risk of heart disease who did not take an annual vacation had a 30 percent greater chance of dying from a heart attack than those who did.
Of course certain vacation habits like excessive drinking, self-inflicted sun poisoning, or spreading your time so thin you end up with no sleep or energy, are not exactly ideal when you’re in need of a recharge. It is important that you choose your destination and activities well and don’t forget to schedule in plenty of down time to relax.
So does Costa Rica fit the ticket for the perfect rejuvenating getaway? Taking the following points into consideration, the country might just be the perfect cure for depression, heart problems, obesity and more! It sure beats going to the gym…
1. World Class Spas & Yoga Retreats — From Arenal’s natural volcanic mud treatments to ocean front massage opportunities on the Nicoya Peninsula and yoga retreats paired with surf schools in Santa Teresa, Costa Rica is a health nut’s paradise. From the exotic to the tried and true, you are never too far from pure relaxation while traveling around the country. Sample Tabacon’s ayurvedic cuisine or a hot stone massage at Reserva Conchal and say goodbye to unwanted toxins and bad vibes.
2. A Jet Setter’s Dream — Costa Rica is less than 3 hours flying from main U.S. hubs like Miami and Dallas and direct flights leave from most of the major cities including Denver, Chicago, New York, Washington D.C., Orlando, Boston and more. That means instead of spending your first day dreary-eyed and jet-lagged, you can head straight to the beach or on a tour.
3. Sunshine – We weren’t joking about that vitamin C. As Brits will attest, a little bit of sun goes a long way! Let your body store up on this essential vitamin while you work on your jealousy-inspiring tan. There are worse ways to care for your health — just don’t forget the suntan lotion!
4. Fresh Air — Most visitors are shocked when they first witness the endless plots of undeveloped land that anchor this tiny eco-conscience nation. More than 25% of it is actually government protected in national parks and wildlife reserves, while so many more acres remain untouched. Be it a cool Guanacaste evening or a night of start watching on the Caribbean coast, you can’t help but breath deep and enjoy a heightened feeling of purity and freshness.
5. Fresh Food — The fruit salad you order here didn’t spend 3 weeks frozen in a cargo container before reaching your supermarket shelves. Costa Rica is known for its fresh produce which includes avocados, mangos, papaya, coffee, bananas and more. Local coastal cuisine is also infused with fresh seafood, while protein-rich black beans are a staple throughout the country.
6. Natural Thermal Hot Springs — The prevalence of active volcanoes in Costa Rica has brought with it naturally heated rivers throughout the center of the country. Imagine taking a dip in a natural river or one of the many landscaped hot springs properties. You can feel your worries melt away as the warm water and steam open your pores and relax your muscles. No wonder they are fabled to have healing powers according to local lore.
7. Adventure Sports – Depending on your level of fitness, a trip to Costa Rica doesn’t have to be just lounging around dining on fresh fruits — the dynamic landscapes and plentiful coastline have given way to a wide availability of adventure sports as well. Try your hand at surfing in Tamarindo, ocean or river kayaking, white water rafting down the Pacuare or even kite surfing on Lake Arenal. Even a refreshing hike to see exotic wildlife or a stroll down the beach may be an improvement on your regular home exercise regime!
Re-distributed from Costa Rica Pages
Posted in Costa Rica Travel, Uncategorized | No Comments »
August 23rd, 2009
By Tom Murphy, The Associated Press
Elizabeth Kunz left her dentist’s office this spring with a mouth full of problems and no way to pay for them.
The South Carolina resident went out of her way, literally, to find a solution, which turned out to be in Central America. Her trip to the tropics is part of a health insurance experiment for trimming medical costs: overseas care.
As Washington searches for ways to tame the country’s escalating health care costs, more insurers are offering networks of surgeons and dentists in places like India and Costa Rica, where costs can be as much as 80% less than in America.
Until recently, most Americans traveling abroad for cheaper non-emergency medical care were either uninsured or wealthy. But the profile of medical tourists is changing. Now, they are more likely to be people covered by private insurers, which are looking to keep costs from spiraling out of control.
The four largest commercial U.S. health insurers — with enrollments totaling nearly 100 million people — have either launched pilot programs offering overseas travel or explored it. Several smaller insurers and brokers also have introduced travel options for hundreds of employers around the country.
Growth has been slow in part because some patients and employers have concerns about care quality and legal responsibility if something goes wrong. Plus, patients who have traditional plans with low deductibles may have little incentive to take a trip.
But a growing number of consumers with high-deductible plans, which make patients pay more out of pocket, could make these trips more inviting.
In the meantime, the insurance industry’s embrace of overseas care has had a pleasant side effect at home: some U.S. care providers are offering price breaks to counter the foreign competition.
This domestic competition and the slumping economy have led to slower growth for medical tourism over the past year, as patients put off elective procedures that involve big out of pocket costs, said Paul Keckley, executive director of the Deloitte Center for Health Solutions.
Last year, the center estimated that 6 million Americans would make medical tourism trips in 2010. But Keckley has since shaved that projection to about 1.6 million people. Still, that more than doubles the roughly 750,000 Americans who traveled abroad in 2007, the last year for which Deloitte had actual numbers.
Keckley expects the medical tourism industry to recover, as more health insurers offer the option and as more people wind up with high-deductible plans.
Health care costs for employers who offer insurance to their workers were projected to rise 9.2% this year and another 9% in 2010, according to the consulting firm PricewaterhouseCoopers. That could mean double-digit percentage increases for employees through higher premiums, deductibles or copays.
Overseas care can lead to price breaks of more than $40,000, not counting travel costs, for procedures like knee replacement surgery or heart bypasses. Insurers, or employers who provide their own insurance, can save between 50% and 90% on major medical claims, said Jonathan Edelheit, president of the Florida-based Medical Tourism Association. A lower cost of living and lower prices for medical supplies and drugs help drive down care costs overseas compared to American providers.
While employers or insurers reap much of the savings, these lower costs can be the difference between a manageable expense and a bank-breaker for patients with high-deductible plans. These increasingly popular plans can lead to out-of-pocket expenses surpassing $5,000 for individual coverage and $10,000 for family plans.
High out of pocket costs also are common with dental coverage, which is one reason dental care trips have proven popular.
Kunz, 47, initially doubted the potential savings she might see from visiting a Costa Rican dentist though a program offered by her insurer, BlueCross BlueShield of South Carolina. But a little comparison shopping — with help from the insurer — persuaded her to get on a plane.
She had eight crowns replaced, a tooth filled and root canal. The work would have cost her $10,000 out of pocket back home, but she paid just $2,800 after insurance.
Ben Schreiner of Camden, S.C., would have paid the entire $10,000 deductible on his insurance policy if he had his hernia surgery done last year near home. For that reason, Schreiner, 63, had planned to wait until he turned 65 and qualified for Medicare before fixing it.
After reading about medical tourism in his insurer’s annual report, the retired bank executive flew to Costa Rica and paid about $4,400, including travel expenses. Frequent flier miles covered his flight.
Schreiner said he was initially skeptical about the quality of care he might receive but reading about the doctors who could perform the surgery put him at ease.
“When you read the bios and the backgrounds of the doctors, you kind of lose your skepticism,” he said.
However, apprehension about medical travel remains a high hurdle.
“People still do not understand that there could be a hospital in Thailand that can be as good as any hospital anywhere in the world or in the United States,” said John Ferguson, chief marketing officer for Georgia-based BasicPlus Insurance Services.
BasicPlus, which underwrites and provides group health insurance plans to employers, started offering medical tourism as part of a benefits package last year. About 200 employers it contracts with around the country now offer that option, but no patients have used it.
Quality can be a legitimate worry, said Harvard Medical School professor Sharon Kleefield, who has worked overseas with several health care systems to establish quality measurements.
The average patient has no way of comparing hospitals worldwide on quality, which can vary widely. But, Kleefield said, insurers are helping to raise standards through careful inspections of hospitals before including them in an overseas network.
Concerns about liability also may be keeping some employers from adding overseas care options to their plans.
U.S. employers who encourage an overseas medical trip could become litigation targets. It can be difficult to sue an overseas provider in U.S. courts, said Nathan Cortez, a Southern Methodist University law school professor who studies medical tourism. And the average malpractice recovery in Thailand is about $3,000, roughly 1% of the U.S. average.
To ease this fear, medical tourism companies have started offering insurance that protects employers who send employees overseas from liability.
Some employers also have learned they don’t have to send people overseas to save money.
Shortly after Hartford, Conn.-based Aetna Inc. and the Maine-based grocery chain Hannaford Bros. Co. launched a program to send patients to Singapore for hip and knee replacements, some New England hospitals countered with their own deals.
So far, three patients have benefited from the competitive pricing; Hannaford has sent no one overseas, even though the program pays travel and lodging costs.
“People travel all the time a couple hours on the interstate,” said Dr. Brian Kelly, Aetna’s national medical director. “That’s no big deal.”
From USA Today
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July 28th, 2009
 Love nature, food and art? Monte Azul is perfect for you.
This past weekend I re-charged at Monte Azul Boutique Hotel + Center for Art & Design near Chirripo, the tallest mountain in Costa Rica at 12,228 feet (as a frame of reference, Mt. Rainier in Washington state is 14,441 feet). Fishing and swimming in the really cold and beautiful river, hiking and seeing many species of birds, the community dance on Saturday night, amazing meals in the organic Cafe Blue, a really comfortable and thoughtfully designed casita decorated with world-class art, and goat cheese from the resident herd were all highlights.
I give Monte Azul my absolute highest recommendation. The 125-acre nature preserve is perfect for those who are delighted by nature (many species of birds are spotted here; monkeys, too!). The river with huge boulders and difficult to catch fish, lush trees, vines, orchids, bromeliads, the ethereal light, cloud forest, rainforest and all the jungle sounds make this an idyllic place for connecting with nature, resting, reading, thinking and hiking.
 Casita Amarilla was my comfortable home for the weekend
All of the casitas have first-class original art, really comfortable beds and bed linens, a spa-like bath with watery Italian tile and hand-made soap, a kitchenette perfect for brewing a cup of the organic coffee grown on the preserve, plush robes and lots of light. Each casita is situated for maximum privacy. I left my windows and doors open for most of my stay for the full effect of being in nature. No worries about creepy crawlies here!
The staff at Cafe Blue–led by Sherry Lee West–lovingly, artfully and professionally prepared and served some of the best food I’ve had the pleasure of tasting in Costa Rica. Much of it was grown, raised or made on site. Randy, the many-talented visionary-host-owner (there are 3) of Monte Azul, made the goat cheese served with fruit and a glass of wine in my casita just after arrival. Randy also made a pumpkin pie that rivals any made by my grandmothers! The bar in Cafe Blue is a “must see”; much of it is a beautiful work of art created by Alvaro Gomez. Cheese-making in the Swiss style with a local family is one of many offered activities. This is on the list of “to experience” for my next visit!
 The light, trees, orchids and bromeliads all combine for maximum lushness
Carlos Rojas Jara is another of Monte Azul’s visionary owners with many talents. He’s an artist and host with something interesting to say about many topics. His Monte Azul creation delights one’s senses of smell, taste and sight.
 Cafe Blue at Monte Azul features locally-produced, organic food perfectly prepared and attentively served
The climate at Monte Azul is perfect for me (I’m from the Pacific Northwest of the U.S.); it’s considerably cooler than Jaco, Los Suenos Resort, Manuel Antonio, Dominical, Tamarindo and other popular beaches along the Pacific Coast of Costa Rica. The topography, scenery, flora and fauna are all quite different, too. A perfect vacation for someone visiting Costa Rica for a week or more would be to stay at one of the beaches mentioned and then at Monte Azul. It’s about 2 to 2.5 hours from Manuel Antonio, 1 to 1.5 from Dominical and 3 from San Jose.
Activities in the immediate area of Monte Azul include whitewater rafting, horseback riding, cooking lessons, cheese-making lessons, yoga and massage, hiking, birding, trekking, swimming and fishing in the river (I did both and found the really cold water invigorating; the current is swift and the fish are impossible to catch, but what a way to spend an afternoon!).
For families or small groups, the newly completed Villa Palo Alto is a really special place to spend a week. The contemporary design fits perfectly into the land; the 1,100 square foot great room opens to a magnificent view of the valley with the rain forests and cloud forests above and beyond. The home is filled with art from some of the most talented artists active today. (The owners have art galleries in New York City and San Francisco and Monte Azul has a an artist in residence program.)
I could go on and on. The bottom line is that Monte Azul provides all the comfort in a stunningly beautiful setting that anyone who loves art, food, nature and life needs to create memorable experiences they’ll remember for a lifetime. I hope to make this my home away from home, with a retreat to the mountains every couple of months. It’s that special and that restorative.
Posted in Costa Rica Travel, Luxury Travel, Luxury Villa Vacation Rentals, Uncategorized, tourism, vacations | No Comments »
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