Prepare to pay three times more for the cost of insurance. The rent was $87 and the insurance $ 240. And it is mandatory to take, they won´t allow the use of any other insurance, even though you have one. Do not expect the same service you receive in the USA. I booked an SUV and they gave me one of lower level (Creta instead of a Tucson) arguing that they were of the same level. It clearly is not. In Thrifty Panama, there is no policy to give you a better car if they do not have the one you rented, you get a worse car one for the same price, even if you disagree. They do not offer the transfer service to the hotel or airport. You should take a taxi in an area that is not safe. I do not recommend it.