It Is Possible to Dispute Health Insurance Decisions for Medical Tourism Costs
Often patients get very frustrated waiting in medical treatment queues. Who needs this they say. On top of this the mental turmoil of waiting in the medical treatment queue can cause needless mental turmoil and much worse patient treatment outcomes.
However in some cases the medical insurance administration will refuse to pay costs for overseas or out of country medical treatment – deeming that such treatment is “unnecessary” , “not essential” or even a vacation by the patient.
I t can often be said that medical insurance administrators see them themselves not as providing essential levels of medical care but rather as parcels out or controllers and allocators of limited resources. On top of that as the resources become less and less even more medical administration is needed , not less , ” to dole out the limited resources”.
However a U.K. woman has won a three year legal battle with her local medical insurance agency to force the local NHS Health Trust to pay for her medical treatment abroad- an enforced reversal of their stated judgment.
This decision and judgment can well form the basis of precedents of further claims for medical tourism treatment costs , especially in daunting potential life threatening illnesses – such as cancer – where time is of the greatest essence.
In this case the patient was told that the time frame for a simple scan of her back would be approximately one year.
T he patient picked up and had the relatively simple procedure done at a private clinic in another E.U. country. Attempting reimbursement for the approximately $ 700 scan – the claim was refused , resulting in a three to four year legal battle.
In the end the NHS Health Care Trust relented and agreed to pay both legal and medical costs.
Thus a precedent has been set in both medical , legal and medical tourism venues.
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