The Premium/Benefit Trade Off

For new ex-patriots, leaving our Countries to be based in a developing country, perhaps for some years, it is often a shock to discover that medical treatment of a reasonable quality is just not available, or very expensive, in their new location.

Conditions can differ vastly from Baku to Beijing to the Bahamas. Many documented case histories sadly indicate the devastating experience both mentally, physically and financially of falling seriously ill when overseas, can become. Private Medical Insurance when abroad is like a parachute when flying. You may not need one but it better be there, as you and your family would may not survive without one. e.g.: Being evacuated from the Gobi desert, following a car accident resulting in broken bones, coupled to a suspected fractured skull is not an easy matter at any time.

The medical insurance plans you may need are readily available through a worldwide network of specialist Brokers, Independent Financial Advisors, or via the Plan Insurers themselves, who advertise extensively through magazines and expatriate media. Several specialist independent Brokers now have their own websites, offering multiple choices of health insurance plans. The taking of independent advice is always recommended, in order that you not only buy the right plan, but pay premiums appropriate to your new country area. Do not buy a plan without studying the policy wording carefully, particularly underwriting conditions, benefits, etc. If in doubt, ask and then complete all application forms fully, to the best of your ability.

The Premium/Benefit Trade Off

Too frequently, a potential customer or new client will look to lowest price or premium cost comparisons, before really considering the specific benefits and area of cover they may actually need. The ex-patriot client should carefully review benefits of cover offered, check out any limits to that cover and any exclusions made by the insurer. Some plans are cheaper for a reason. Often they include large voluntary deductibles on any claim you might make in future and may severely cap the benefits received under the plan. Cover limits can vary from ¥ 50, 000 Yen total cover to as much as
¥ 5, 000, 000 total cover. Any major operation in the USA or perhaps an organ transplant can soon eat up a " capped cover" plan. Exclusions to the policy should also be read carefully and advice taken from an independent Advisor. Our motto is for clients to " define their needs" first, particular Area of cover they need, then their annual healthcare insurance budget. Then, they should look to premium comparisons, last of all.

Many new entrant expatriate Insurers are taking a much easier line on HIV and AIDS issues as well as offering chronic conditions cover, if such conditions develop during the plan lifetime. Post September 11th 2001, many expatriates are now considering the purchase of income replacement insurance, term life and kidnap insurance, or travel insurance, in addition to their Health Insurance Plans.

Underwriting Terms of Plans

For the individual expatriate or family there are usually only two ways to take out international medical insurance. By means of a " moratorium" application or a " full underwriting" application. It is important to understand this rather jargonised phrases as claims can be rejected if you have inappropriate underwriting. A moratorium plan means that any " pre existing" condition, for which you have had treatment, advice or consultation upon during the last 2, 3 or even 5 years in some cases, will be EXCLUDED from cover. Should you then not have any treatment, advice or consultations for such conditions for a further two years, your insurer may add that condition to your policy. Full underwriting applications mean that all medical history questions have to be completed (not needed on a moratorium plan) and that most insurers may then exclude any particular stated condition, which they feel will lead to claims upon them. Full underwriting schemes are a little more complex as sometimes confirmation and clarification letters may be needed from your Doctor in order to have a specific condition covered under your new plan, or for that insurer to offer cover at all (E.g.; HIV or AIDS conditions cover or other long-term endemic/chronic conditions.)

For larger groups of expatriates and large corporate plans, Insurers will frequently offer cover on a " Medical History Disregarded" basis, meaning that a new plan member might even be in hospital for a triple bypass, but still have that condition included in the total corporate plan. Clearly with larger numbers of people in a plan, insurers are prepared to take higher risks and offer lower premiums. Company plans can have premiums some 15% to even 40% less than individual plans, due to the larger numbers of employees and higher annual premium overall, charged by that Insurer.

Complaints

All Insurer Plans should clearly stipulate the complaints and disputes procedures they follow together with any Regulator. They should illustrate how you may contact the right adjudicators in their company or contact your independent Advisor for help) There are also independent Regulatory Authorities available n most Western countries, such as the UK, who can assist you with a dispute with an Insurer (who is being difficult when settling your claim) If you have bought your Plan through the offices of an independent Broker or Specialist Advisor they will almost certainly be glad to help in legitimate disputes with an Insurer. If you are right, have proper records, the Insurers will pay up.

Overview

Generally, as with most Insurance services, you get what you pay for. Read the documentation carefully, particularly the benefits and exclusions clauses. International Medical Insurance is a complex and difficult field. Many Insurers are competing for your long-term business. They all will argue, " Their Plan is Best." Certain strategic insurance considerations have been also affecting the expatriate market since the World Trade Centre disaster. Many ex-patriots are now looking for international term life and income replacement cover, as well as medical insurance. Time will tell how long term insurance growth is affected in this expanding expatriate global market place.

If you purchase a comprehensive plan from a reputable Insurer, via an independent Broker, you are usually not disappointed. However, if you buy what is clearly a cheap cut plan, without advice, beware when trying to make a claim. (They may well have pages and pages of exclusions in the small print)

It is also important for your budget to choose the correct geographical area of cover. Routine travel options can be taken at much less cost than full-blown USA cover, if you do not really need elective USA cover. Voluntary excesses on claims can substantially reduce premiums, as can co- insurance payments. (Sharing risk costs with the Insurer)

In the final analysis, international expat medical insurance is best to have at your side so that " you may sleep at night abroad" rather than to think of ways to claim. If both parties fully understand the contract and deal in good faith, Insurers very much want to keep clients for the long term. It is always better however, to compare and study at least three packs of brochures from differing Insurers, or have a review done by an independent Broker specializing in the Healthcare Insurance field. All the material needs attention and careful reading. Understand what you are committing to, what the contract actually states, not what you may think it states (or some salesman told you) and what geographical limitations are set giving your area do cover.

You may not need to read this contract again until the moment you need medical aid. Remember, that Brand name alone does not necessarily indicate good service, but that in 2002, many lesser-known expatriate specialist Insurers offer excellent premiums, wide benefits, good claims records and fast efficient electronic client services. Professional support teams are vital in overseas emergencies. Your Helpline card is the key to medical help and assistance 24 hours a day, whilst Overseas. Make sure that you have it to hand and that you know how to use it. With most Insurers now offering toll free global lines 24 hours a day, these vital help-lines are the first port of call, prior to any treatment being arranged, with the exception of emergencies. Establish contact as soon as you can, then let the Insurers assistance teams do the rest.

https: //www.justlanded.com/english/China/Articles/Health/Insurance-Guide

For new ex-patriots, leaving our Countries to be based in a developing country, perhaps for some years, it is often a shock to discover that medical treatment of a reasonable quality is just not available, or very expensive, in their new location.

Conditions can differ vastly from Baku to Beijing to the Bahamas. Many documented case histories sadly indicate the devastating experience both mentally, physically and financially of falling seriously ill when overseas, can become. Private Medical Insurance when abroad is like a parachute when flying. You may not need one but it better be there, as you and your family would may not survive without one. e.g.: Being evacuated from the Gobi desert, following a car accident resulting in broken bones, coupled to a suspected fractured skull is not an easy matter at any time.

The medical insurance plans you may need are readily available through a worldwide network of specialist Brokers, Independent Financial Advisors, or via the Plan Insurers themselves, who advertise extensively through magazines and expatriate media. Several specialist independent Brokers now have their own websites, offering multiple choices of health insurance plans. The taking of independent advice is always recommended, in order that you not only buy the right plan, but pay premiums appropriate to your new country area. Do not buy a plan without studying the policy wording carefully, particularly underwriting conditions, benefits, etc. If in doubt, ask and then complete all application forms fully, to the best of your ability.

The Premium/Benefit Trade Off

Too frequently, a potential customer or new client will look to lowest price or premium cost comparisons, before really considering the specific benefits and area of cover they may actually need. The ex-patriot client should carefully review benefits of cover offered, check out any limits to that cover and any exclusions made by the insurer. Some plans are cheaper for a reason. Often they include large voluntary deductibles on any claim you might make in future and may severely cap the benefits received under the plan. Cover limits can vary from ¥ 50, 000 Yen total cover to as much as
¥ 5, 000, 000 total cover. Any major operation in the USA or perhaps an organ transplant can soon eat up a " capped cover" plan. Exclusions to the policy should also be read carefully and advice taken from an independent Advisor. Our motto is for clients to " define their needs" first, particular Area of cover they need, then their annual healthcare insurance budget. Then, they should look to premium comparisons, last of all.

Many new entrant expatriate Insurers are taking a much easier line on HIV and AIDS issues as well as offering chronic conditions cover, if such conditions develop during the plan lifetime. Post September 11th 2001, many expatriates are now considering the purchase of income replacement insurance, term life and kidnap insurance, or travel insurance, in addition to their Health Insurance Plans.

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