What it is like here
Uruguay is the only country on this site that grants permanent legal residence directly to someone arriving on passive income — not a one-year permission renewed forever, but the real thing, with citizenship reachable in a few years. Health cover through a mutualista is affordable and residents have the same rights as citizens. The cost is the cost: Uruguay is the most expensive country in South America by a distance.
How the process works
Get the income certified by a Uruguayan notary
The certificate has to state the source, the monthly amount and how it arrives in Uruguay.
File for permanent residence and expect it to take a while
Uruguayan processing is thorough rather than quick.
Choose a mutualista
Membership is the normal route to care and is priced monthly.