Inspect the Actual Medical Insurance Contract Document

Posted on 1 April 2009 in Uncategorized by admin

In the end – if one is to be thorough – a buyer of insurance always has to go to the actual insurance contract. There is no other way. Somewhere down the line the contract had to be vetted by lawyers and accountants and submitted to a government agency which oversees and regulates insurance plans and coverage’s. Nothing will ruin the long weekend or even the month of administrators of any insurance firm than a letter from the “registrar “or regulatory board of any insurance industry. One has to examine that actual document.The firm may be resistant to provide it or hand it over. They may say and respond at great length (usually verbally) that such a document or paper does not exist. It has to. In the end the company will have to forward you to those insurance documents. Glossy marketing brochures and the like are no substitute for such information. Actual legal documents are the only means of determining your insurance coverage. In a pinch or negotiations the insurer will use the data and facts – why not you as well?

The key factor in terms of medical tourism and insurance coverage is that now an increasing amount of insurance companies – group plans, commercial coverage and coverage by employers are now covering overseas treatments as well as surgeries.

Read the small print of your medical insurance coverage and benefits and as well the extent to which the coverage by the medical insurance coverage covers any follow-up treatments required. A key question as well is what happens if mistakes or complications arise – what costs are covered or are not covered. Are out of pocket or additional costs covered. It is not a negative feature of the care provider chosen. Complications can arise at home, or at the best first world medical care intuitions. Why not could they not arise overseas? The major difference here is that you are far away from home – or even far away from other specialized medical care if need be.

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The Strategic Importance of US Based Medical Care

Posted on 2 February 2009 in Uncategorized by admin

An interesting case in point regarding the concerns of the trending towards “Socialized Medicine” in America.   One of the major points of medicine in the United States it that it is still profit driven to a great degree.  This is true , however on the other hand there is feedback in the system leading to better care.  If I do not like the level of care – many patients can reason – I can go to another doctor / hospital / care provider.  The system is rewarded or punished for good or poor service levels or good or poor value.  There is a feedback system in check. Poor performers or poor providers are punished.

It is true that many patients who are in dire straights are not  given a choice.  They are deathly ill or without other access and must take what they are given.

In spite of its apparent costs the beauty of the American system is that is available.  Costs are what they are , however when oil sheiks need treatment – and money is no object – where do they run – its to the US.  Its not even to “private British hospitals ” nowadays.

Hence the American medical system remains an escape valve .  If a patient in dire straights in behind the ques in a country with socialized or limited medical care he or she can always go to the States for treatment.  Money has limited value if you are dead or in no shape to enjoy its mettle.

The interesting thing is that although Canada is held up as a model of available medical care with a socialized medical care system that when major political figures – not even the wealthy , have serious illness , its to the US that they run in a snap.  This is so widely reported and so common , Canadians ( who may well be in a treatment ques for an extended period for serious or debilitating medical illness )  do not even bat an eye towards this and question it.  Nothing much that can be done when it comes to the slowness of the medical system and all its bureaucracies .

Thus in spite of its failing , high costs etc the value of the American medical system , among other paradoxes is that it remains a good safety valve – available always when needed and in addition providing pressure as a good example in point to other less available or efficient medical systems of the world.

TheSpec.com – Local – Hotline will find you family doctor – A doctor shortage exists partly because in past years there were not enough students taken into medical schools to make up for those who were retiring. Also, Ontario’s population has grown, among other factors. …

HealthZone.ca – News & Features – New hotline to find MDs – A doctor runs through the medical history of a new patient on her first time visit to a health clinic in Toronto. Studies indicate that nearly one in every 13 Ontario residents does not have a regular family physician. … Natalie Mehra, director of the health-care advocacy group, the Ontario Health Coalition, said the doctor shortage is a “big problem” all over the province, particularly in Kingston, Windsor, Sarnia, Brockville and northern Ontario. …

Doctor Shortage? – We all know there is a doctor shortage in the US. There aren’t enough doctors to care for the patients. Especially, primary/family doctors. The bottleneck is said to be in the number of available residencies and rotations. …

Hospitalists,nocturnalists,admitologists,anyone rember personal … – A recent perceptive,poignant, essay has attracted the attention of two of my favorite medical bloggers. Dr. RW and DB have both blogged about this entry by Dr. Cherie Glazner. At least the patient described in the narrative saw a …

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