GringoPost | Ecuador: Signing up for IESS health insurance outside of Cuenca

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Signing up for IESS health insurance outside of Cuenca

I've read quite a bit of information here regarding IESS health insurance through the Cuenca office.

It looks like 9-1 Visa holders are being charged 17.6% of their income. It seems like this rate is only being charged by the Cuenca office. Is this correct?

Can I sign up with another office outside of Cuenca to get the lower rate of about $70 a month with a 9-1 Visa?

Steve D