Medical Tourism Medtravel

Posted on 2 March 2009 in Uncategorized by admin

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The question and description often arises in terms of medical insurance and medical insurance coverage of “pre-existing illness”.

Specifically medical insurance coverage may not cover or include “pre-existing illnesses or pre-existing conditions”.  What does this mean and what are the implications as well – both to you, your family and loved ones – and as well to your abilities to be insured and as well covered for treatment by your medical insurance plan ?

In a nutshell what this means is that if you had the illness previously – or even if was suggested in a medical diagnosis and you did not disclose or detail this on your submission and application for medical benefits coverage – then the insurance company has every right not to provide coverage.  It is the patient’s and insured policy holder’s responsibility not the insurance company.

It is a similar case and situation to a person who has a heart condition – wishes and plans a trip for a wedding to Baltimore in the US – and proceeds either to not tell or disclose her pre-existing heart disease – having had a history of cardiac trouble with documented heart attacks and treatment by a recognized cardiologist .  That person, patient , may of gotten away taking  the chance before and simply thinks that “they will get away with it again”  – that the chance of a cardiac attack or cardiac illness returning or being an issue or problem on a simple family wedding trip are slight if not unlikely.  Most likely – they “got  away”  with it before – its a simple chance of low probability.   Its all worth the risk.

The problem is that the insurer in this case ( the travel medical insurance coverage) , can easily dispute the claim – based on the well documented fact – with background medical documentation and records , that the illness – in this case – documented cardiac illness – had occured previous to purchasing the policy.  The claim can simply and legally correctly be denied.  The insured will be out of pocket themselves.  No amount of protestations  or twisting of facts will change the case and situation.  It is a simple as that.  It is the responsibility of the insured to disclose the facts – not the responsibility of the company to discover hidden or undisclosed facts and medical history and histories.  Clerks and agents cannot be held liabile as well.  On making and completing the insurance coverage application for the policy itself and requests for benefts and coverage various legal forms are signed by the applicant.  It is the responsibility of the applicant for medical insurance coverage to disclose all. Simple as that.  Otherwise the insurance company can deny claims.  Simple as that.  On top of that an insurance company that has been provided false , misleading or fraudulent information – has the responsibility to file this information to its industry sources – alerting the industry  of this history – making it more difficult if not more expensive and maybe not possible for the insured to obtain medical insurance coverage from other insurance carriers.

Medicall Tourism India Medical tour India

Medical Tourism Blog: BUPA Insurance for Medical Tourists – Lastly, this is an informative blog, and we are dedicated to bring you the latest news and developments and expert opinion regarding medical tourism. We are not in any way affiliated with BUPA, BUPA International or any of their subsidiaries or … Perhaps you can also speak to CIGNA and Aetna for more info about coverage for overseas treatment. They are players in the international scene. If you;d like, you can email me re; med travel and insurance issues etc…. cheers! …

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Local Health Care Insurance Utilization of Medical Tourism

Posted on 19 September 2008 in Uncategorized by admin

What is interesting to note is that even the medical insurance industry has now stepped into the act of evaluation , promotion and use of medical tourism both as a cost saving and queue shortening procedure..
Some will say that the basic tactic and reputation of insurance companies is to gladly accept insurance premiums while trying to shirk or avoid payouts.  While this is not true, it is true that as if with any business profitability is key.   Thus any cost savings or reductions are highly powered for any insurance provider or company due to its very powerful effect on the bottom line.  Any cost savings are money earned for the firm.  The one major concern to medical insurance providers who utilize medical tourism in an effort to save costs is prevention of any additional costs – whether it is for additional therapy when the patient returns home and has problems, or even of lawsuits.  For patients themselves it can be a nightmare.  The foreign medical care may be protected first by actual geographic and cost logistics, their legal and / or medical system and the costs of conducting legal actions in the far away foreign country.  As a result the first actions of unhappy or ill treated medical tourists who have been sent for far away medical care by their health care insurance company is to seek redress from their insurance provider.
As a result health care insurance companies have shied away from using medical tourism and medical tourist facilities – at least until the cost structure more than justified it.

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