Be Well San Miguel

Taking care of your healthcare needs in Mexico

The Best!

I’d put myself in Deborah’s hands if it relates to health related issues in SMA

She’s the best!!

Ken Schleife

An incredibly grounding and healing experience

Working with Deborah Bickel has been an incredibly grounding and healing experience. I’ve struggled for years with patterns of overthinking and rumination that can leave me feeling stuck and hopeless. The therapy itself was helpful, but what made the real difference was Deborah’s compassionate presence and the guidance she offered throughout the process.
She doesn’t just administer the treatment — she walks with you through it, creating a safe space to talk, reflect, and begin to shift old patterns. For anyone who feels trapped in cycles of anxiety or depression, I believe this kind of support can be a powerful and transformative tool. I’m deeply grateful to have found this kind of care here in San Miguel.

Spenser

So amazed and impressed!

I had the opportunity to see how Deborah Bickel works..and believe me, she is in a league of her own. I was so amazed and impressed how she handles herself. Her professionalism and her compassion are rare. As said by others, SMA is so lucky to have her. There is nobody in town whom I would recommend more highly!

Jackie Brummund

We have been using the services of Be Well San Miguel since 2016 and have never been disappointed. Deborah has been our go to person for all things health related. Over the years she has directed us to the best of physicians and medical facilities. Most important to us is how responsive Deborah is and we are comforted by the fact that we can turn to her and the rest of her bilingual colleagues and staff in an emergency. Through Be Well we have completed advanced medical directives as well as putting an emergency plan in place in the event that something goes wrong. We view Be Well’s services as an insurance policy. We consider joining Be Well was one of the smartest moves we have made since we began coming to San Miguel de Allende.

Kirin

I can’t thank you enough

Thank you, for your newsletter on emergency preparedness last week.  It was a serious dose of reality, and the messages are important.  I can’t thank you enough.

Robert Verbrugge

Perfect Handling

Deborah has handled the most difficult health situations that you can imagine, often out of the goodness of her heart.    She is one of the most competent and compassionate advocates for ex-pat health that we are fortunate to have.  I highly recommend her services if you need someone by your side when you get sick in SMA—–whether it’s COVID or something else.

San Miguel Expat

So Grateful

I  have had health challenges from long covid…  Fatigue, vertigo and overall weakness.  With the guidance and directions to medical professionals and alternative treatments, I have improved significantly after a month of working with Be Well San Miguel. There are so many services they offer.  Next is to put into place the Advanced Directive.  The one you have in the USA doesn’t work here in Mexico. Deborah is an amazing advocate with extensive knowledge of the medical system. I am so grateful that she was recommended to me by dear friends here in San Miguel.

Grateful Client

Help available 24 hours a day

I have seen Deborah Bickel create a home care situation from the moment she encountered an elderly ex-patriot, English-only patient in the hospital after she was called in by a concerned community member. She contacted the family and found out their wishes, and assured them that someone would be with their father around-the-clock until the patient was able to care for himself.

When she arrived at the hospital he was severely confused and the Attending doctor spoke no English. She contacted the family in the United States and she organized immediate care in the hospital and after discharge personally accompanying him in the ambulance to home. She then organized home visits and around-the-clock care provided by an excellent team of bi-lingual Mexican nurses, doctors and other care-providers until the family could arrive from the United States. She arranged for non-nursing staff to provide food and ensure safety. Deborah made herself, and high-level physician care, available 24 hours a day, until the family arrived. Having Deborah available to us means that, before our family reaches us, we can get excellent and compassionate care.

San Miguel Resident

I can’t say enough good things about Deborah Bickel

I can’t say enough good things about Deborah Bickel, PA, MPH, and the ketamine therapy sessions she administers at Be Well San Miguel! Intake was quick, respectful, and complete. Informed consent was included. The sessions take place in a very comfortable and private cozy room where you relax with an eye mask and earphones that play the perfect ketamine soundtrack. The experience itself is intense and helps one take a new perspective on what’s been gumming up the works. Relax, enjoy, and grow!

Zander Westendarp

Utilize Be Well San Miguel’s many services wisely

I recommend that you utilize Be Well San Miguel’s services wisely.  Before a major event occurs, discuss with them the best, most reasonably-priced hospital(s) you can use and salt-away as much money as you can for unexpected medical emergencies.  While you will not have the luxury of an insurance plan looking over your doctor’s shoulder, Deb and her crew provide the next best alternative, ensuring that the diagnosis is correct, lab tests accurate, and that you are using the best facility for that particular medical event.

Ava Wilson, founder of Boomers in Paradise

Be Well Staff was incredible

I had to take a friend to the hospital and called Be Well San Miguel to walk me through the process. Be Well Staff was incredible. A member came to the friend’s house, called the ambulance and we took him to UNIMED. Be Well has stayed on top of this situation and I can’t say enough good things about them. If ever you are in a medical situation and need help, I would highly recommend Deborah Bickel and Be Well.

Louise

The Best!

I’d put myself in Deborah’s hands if it relates to health related issues in SMA.

She’s the best!!

Ken Schleife

Always on our side

To Deborah Bickel, advocacy means working on behalf of the patient, not the doctor or facility. Be Well”s top priority is to make sure that each member’s desires are understood and laid out clearly and legally so that, if necessary, there is no confusion about what services to provide when called into action. 

Be Well helps us find the best medical care available in the area, helps us and our emergency contacts know what to do in case of an emergency, provides oversight to our health care if needed, and helps coordinate home health care if necessary. This can mean arranging for beds, oxygen, nurses, and other medical specialists. 

Working closely with Dr. Emilio Ramirez, an emergency room physician and specialist, and the new Director of Joya Hospital, Deborah and her team have the depth of knowledge and skill to handle all levels of medical emergencies. 

Laurie Lawson

I can’t thank you enough.

Thank you,  for your newsletter… the messages are important.  I can’t thank you enough.

Robert Verbrugge 

Deborah is an amazing advocate!

I have had health challenges from long covid, etc. since February. Fatigue, vertigo and overall weakness. With the guidance and directions to medical professionals and alternative treatments, I have improved significantly after a month of working with Be Well San Miguel, Deborah Bickel. There are so many services they offer. Next is to put into place the Advanced Directive. The one you have in the USA doesn’t work here in Mexico. Deborah is an amazing advocate with extensive knowledge of the medical system. I am so grateful that she was recommended to me by dear friends here in San Miguel.

San Miguel Expat

Deborah is a blessing

Deborah’s talk at St. Paul’s made me choose her as my care manager. I also have some friends without adult children who will need a care manager in the future. Most of these children know nothing about healthcare in SMA and will need a care manager to advise. Having a savvy and qualified person like Deborah in our community is a blessing.

Ellie

[/row]

Don't Miss Our Free Newsletter!

For health tips and vital information, sign up below. You will receive a confirmation email that you must click. Check your spam folder.



Medical Care

We do not practice medicine but can help you find the best medical care available and assist you in making an appointment. We work with excellent physicians and care providers. Our understanding of their specialties and available technologies  ensures that you receive the best possible care.

In Home Nursing Care

We offer cost-effective home health services with a well-trained team of nurses, home health providers, respiratory therapists, and other professionals. We can locate and procure home health equipment such as beds, oxygen, toilet facilities, etc. A care team can be arranged for within 12 to 24 hours.

Emergencies

We prepare you for health emergencies, advising family and household what to do in an emergency. We can also:
• Help with admission process
• Remain at your bedside at key times
• Assist with discharge planning
• Provide post-operative medication advice

Education

We provide health and medical education on the management of acute events, chronic conditions, and wellness care.

Care Abroad

We help you determine if you can safely receive care locally or need to seek care elsewhere.

Advanced Medical Directives

We help with advance directives and end of life decisions. Click here to find out more…

Translation

Our excellent bilingual assistants can translate documents for use by clinicians on both sides of the border.

Mediating Communication

Often it is confusing for family members when one is injured or ill in Mexico. We are experienced at helping loved ones make appropriate and helpful decisions.

Medication

Understanding your medication is vital to your overall health. We help you recognize and avoid potential side effects and drug interactions while simplifying your medication schedule.

The sick and the aged have priorities beyond merely being safe and living longer. (We must) sustain meaning in life and transform the possibilities for the last chapters of all of our lives.

- Dr. Atul Gawande -

Our Team

 

Deborah Bickel

As the founder of Be Well San Miguel, I use my knowledge and experience as an international health worker to ensure that the needs of each one of our clients is met with utmost professionalism, compassion, and confidentiality.

I am a graduate of the Stanford University Physician Assistant program and hold a Master’s degree in Public Health from the University of California at Berkeley. I have lived and worked in many countries including the United States, the Netherlands, Mexico, Guatemala, Cuba, Nicaragua, Zambia and Mozambique.

Read More

I moved to San Miguel in March of 2014 and am delighted to call this community my home. Previously, I practiced medicine in a busy inner city clinic for nine years while teaching medicine at Stanford. I also did post graduate work in nutrition at the Tropical Institute in Amsterdam. I am fluent in Spanish and have practiced medicine in the United States, Mexico and Guatemala.

Now, after nearly 10 years working in the San Miguel community as a  patient advocate, my mission continues to be giving clients a voice, to understand their needs and provide valuable information to help them make informed decisions.

I have a particular interest in geriatrics and helping people choose the highest quality of living even when that may mean shortening our span of years but vastly improving our experiences moment by moment.

Phone : +52 (415) 115-7815
Email : deborah@bewellsanmiguel.com

 

Dr. Emilio Ramirez

Dr. Emilio Ramirez: A leading San Miguel physician and vital Be Well partner for over eight years, Dr. Ramirez is renowned for his expertise in critical care, emergency medicine, and trauma management. Board-certified in both specialties, he’s served as Chief of Medicine at multiple local hospitals, significantly raising healthcare standards by recruiting top specialists from across Mexico. His leadership has ensured high-quality care for tourists, expats, and Mexicans for nearly a decade.

Read More

With 28+ years of experience in both public (including IMSS as Chairman of Emergency Services) and private sectors (like Amerimed), Dr. Ramirez is invaluable to the community. The Be Well team deeply respects his medical knowledge and dedication to every patient’s well-being.

Recently, Dr. Ramirez has shifted his focus to direct patient care, reducing hospital administration duties. He continues seeing patients at Joya Hospital, is finalizing consultation space at MAC Hospital, and will be affiliated with a new San Miguel hospital opening soon.

Be Well consults him or his referred specialists on all patient cases. His treatment and courtesy are consistently exemplary, earning him universal praise. Beyond his medical skills, Dr. Ramirez possesses a great sense of humor and boundless energy. Contact him at +52 (322) 109 1414.

Mobile Phone : +52 (322) 109 1414

Lic. Laura Miranda

Be Well is delighted to announce the addition of Ms. Laura Miranda to our support and advocacy team. Laura is a seasoned attorney and graduate of the esteemed faculty of law at the Universidad de Guanajuato, further honing her expertise with a Master’s degree in Public Administration from Tecnológico de México. Her specialization in mediation and dispute resolution brings an invaluable dimension to our services.

Read More

Before embarking on her legal career, Laura gained valuable experience at the Tribunal Fiscal de la Federación and the government of Guanajuato, where she contributed to statewide education and training programs. Her dedication to social justice is evident in her subsequent tenure as a subdirector within the Ministry of Social Development from 2005 to 2015, where she spearheaded poverty relief initiatives.

In 2015, Laura established her own consulting services, catering to a diverse clientele ranging from civil organizations and private firms to hotels, local and external commercial markets, and real estate agencies. Her extensive experience and expertise have made her a sought-after advisor in the social and legal spheres.

Laura’s arrival at Be Well marks a significant expansion of our services, allowing us to provide comprehensive support that encompasses both legal and social aspects. Her expertise will be instrumental in enhancing our emergency planning capabilities, ensuring effective logistics, and bolstering our member and patient care activities. We are incredibly fortunate to have Laura on board, and we look forward to the invaluable contributions she will make to our team.

Phone : +52 (415) 115-7815
Email : laura@bewellsanmiguel.com

 

Availability

Be Well staff make every attempt to be available 24/7. When not available, we have clinical backup provided by MDs and nursing staff with a one bilingual staff member at all times. Please be assured that urgent circumstance will be attended to as quickly as possible. From its inception, our advocacy service has never failed to respond immediately to a patient in crisis.

Benefits & Fees

Our Annual Membership Plan includes the following benefits and services:

• A  detailed initial intake, including complex medical and social issues, review of relevant laboratory and various imaging and other medical reports. This process can take up to three or more hours of time. It includes the following: 

 Referrals to appropriate specialists or alternative practitioners and help with appointments if needed.
• Review of current medications and supplements for poly pharmacy and toxic interactions.
• Review of recent medical records from US, Canada, or elsewhere, if available, to determine best care options, in the San Miguel de Allende region.
• We work with you to develop an emergency plan tailored to your specific circumstances and create a form with critical information for first responders, for you to post prominently.
• Review of medical insurance status.
• Review of standard health screening actions with recommendations tailored to the client.
• Review of Mexican documents to see if adequate in case of an emergency (i.e. wills, POA, living wills (Medical Directives))
• Entering your personal information into our files electronically, shared by Deborah Bickel and Dr. Emilio Ramirez.
• Rapid response to referral needs or advice. Appointments with one of our team members or urgent referrals can nearly always be scheduled within 24 to 48 hours.

We offer a 45 minute to an hour consultation to discuss our services and your health care needs. At the time of reservation a one time payment of $100 USD is required. We hope that you will decide to subscribe to Be Well San Miguel, in which case the consultation fee will be credited to your account.

All of our artwork is by Andrew Osta

Costs of membership and services

Annual Membership: 8000 pesos or USD equivalent.
Renewal: 7000 pesos.
Quarterly membership: 4000 pesos.
Couple rate: 12000 pesos.
Those on a fixed income are welcome to discuss fee reduction.

Membership services are provided upon payment. We prefer cash payment in pesos, but accept payment through Wise or PayPal with a 10% extra fee to cover exchange rate and processing. PayPal email is deborah@bewellsanmiguel.com.

If you are unable to keep an appointment for reasons other than illness, and do not give a 24 hours advance notice, we reserve the right to charge for your missed appointment. We expect fee-for-services payment at the time of service. A 10% surcharge applies if payment is delayed beyond 5 days.

Additional Services

We charge 800- 1500 pesos an hour or fraction for members depending on the type of services needed. Non-members pay $1,700 an hour for services such as :

* Assistance with documentation necessary for creating a medical directive legal in Mexico.
* Accompanying you to medical appointments and taking notes as needed.
* Consultations on particular medical problems, including plans and referrals.
* Translation in person for medical care or of Spanish-language documents.
* Communication with family members.
* Assistance with medical billing issues.
* Help with decisions regarding insurance and management of care between the US and Mexico.

 

Patient Advocacy

Deborah Bickel and Dr. Emilio Ramirez have decades of combined clinical experience and medical training that are put to use on your behalf. We don’t just provide information, we help you understand your important health and wellness options.

In the event of an illness or injury, finding an English-speaking physician may not be enough. Bilingual ability together a professional understanding of both US and Mexican medical services can dramatically improve the quality of care you receive in Mexico.

Medical practices can vary greatly from one country to another, For example, private practice physicians in Mexico are not required to keep patient records beyond the patient’s name and day of the visit. Having a fluent and medically capable advocate at such times will be critical to your continuity of care, your peace of mind, and the right outcome.

A short phone call will help us identify what your needs may be and is usually followed by an hour-long appointment to orient you to medicine, health and well-being in San Miguel de Allende.

 

Plant Based Medicine


Introducing Ketamine-Assisted Therapy (KAT) in San Miguel de Allende

KAT combines the proven, rapid-acting benefits of ketamine with targeted psychotherapy for long-lasting change. At low doses, ketamine opens a window of neuroplasticity — a state where your brain is more flexible and receptive. During this crucial time, therapy helps you build healthier coping patterns and lasting resilience. We also connect clients with trusted local therapists skilled in integrating psychedelic approaches.

Why KAT Works

• Goes Beyond Symptoms: We address underlying causes like trauma and negative thought loops.
• Fast Relief: Many people notice improvements in mood and anxiety within hours.
• Lasting Change: Therapy during neuroplasticity helps solidify new, healthier patterns.
• Safe & Professional: Carefully administered in a private setting, with thorough medical evaluation.

Treatment Tailored to You

Most clients complete a series of six sessions, though some improve with fewer. Each session lasts about 2 hours, and transportation home is recommended.

At $4000 pesos per treatment (~$225 USD), our sessions remain far more affordable than high-volume centers in Mexico City or the U.S., where costs run $500–$1000 per session. Unlike those medicalized clinics, we emphasize set, setting, integration, and re-entry — the elements that truly shape outcomes.

Don’t wait to feel better. Take the first step toward healing and a brighter future.

Contact Deborah to plan your treatment today.

 

Confidentiality

As members of your health care team, we are committed to the highest standards of professionalism and confidentiality. You may be absolutely confident that no personal information will ever be shared without your explicit permission.

Our Location

Our new location is Barrio de la Palmeta Privada de la Danza 1B

 

Our Blog
Feb 27

San Miguel de Allende’s Evolving Healthcare Landscape

“The secret of change is to focus all of your energy not on fighting the old, but on building the new” — Socrates Dr. Emilio Ramirez's Pivotal Role San Miguel…

Read More

Don’t wait for a crisis. Plan for medical emergencies now. Do it for those you love.  

As expatriates in Mexico, we often face unique healthcare challenges. Be Well San Miguel can help you navigate these complexities and create a personalized emergency plan. Key recommendations: Emergency contact…

Read More

Feb 17
Feb 1

Stem Cell Therapy: Hype or Hope?

Increasing numbers of people are asking for referrals for stem cell therapy. While offering a  promise of miraculous healing, the reality is that we don't fully understand how it works.…

Read More

The Double-Edged Sword of Weight Loss Drugs

You've probably heard about Ozempic and other weight loss drugs that have been taking the world by storm. These medications, originally designed to treat diabetes, work by mimicking a natural hormone that curbs…

Read More

Jan 11
Dec 24

Happy Holidays from Be Well San Miguel!

As we celebrate this festive season, let’s take a moment to reflect on the importance of health and well-being. Whether in San Miguel or celebrating the holidays elsewhere, we wish…

Read More

Summer Update

Another Covid outbreak, Antidepressants and Heart Disease, Ambulance service disruption. COVID in SMA  There is a rise in COVID cases in Mexico including SMA currently. I urge anyone who does…

Read More

Jul 28
Jun 5

Tired of Feeling Stuck?

  Break Free From Anxiety & Depression: Relieve Symptoms and Rewire Your Brain Be Well San Miguel, together with Discover Deep Wellness, offers a breakthrough treatment for anxiety and depression…

Read More

KEYS TO HAPPINESS

A Harvard study the longest-ever on happiness followed people for over 85 years. The following is a summary of the conclusions from a 2023 book written about this study called…

Read More

Apr 4
Nov 17

Psychedelics and Spirituality: The Quest for Meaning

Indigenous cultures have long embraced plant medicines for spiritual enrichment, a concept often foreign to Western society's structured religious framework. While religion typically involves shared beliefs and practices within a…

Read More

Psilocybin Notes From the Journey Room

Notes From the Journey Room The Psychedelic Revolution, WOW! This phrase is appearing more and more in the mainstream media reflecting the new attitudes toward these powerful healing medicines. It…

Read More

Sep 9
End