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Travel Medical Insurance

Question:

Travel Gap SIngle Trip Excursion Hi Narender I read travel gap excursion brochure for my mother in law (USA citizen with medicare coverage 80%) who is travelling canada in 2 weeks. She is having Diabetes, Hypertension, Liver cirrhosis but asymptomatic since 6 month. Before I purchase the insurance for her I wanted to be sure that her insurance will be approved with her existing condition. For instance 1. What will NOT be covered? 2. Proof of coverage - will insurance company provide a card? 3. Do we have to co pays for each of the service (eg. drs visits, ER visit, meds etc). 4. Any particular hospital or specific doctor if they accept this insurance 5. Any problems with insurance coverage in Toronto and if yes, what kinds of problems have been reported. 6. What kind of equipment coverage is available, for e.g. say if need O2 at home, is that covered? 7. If she is hospitalized on the 3 month insurance, and if I need to renew premium, will they renew it at the same rate or higher? if she is not hospitalized, will it be renewed at the same rate or lower I appreciate your early response Nadia

Answer:

She has extensive health problems that will require care abroad. Someone like this is clearly leaving with the intent of accessing care abroad. Impossible to say what is covered or not in a unique case like this one. We don't know all the circumstances here. I am going to caution you to read the policy and the list of exclusions very carefully. Please read this specific exclusion below on the TravelGap Excursion plan, which reads: "Treatment or medical services required while traveling against the advice of a physician, while on a waiting list for a specific treatment or when traveling for the purpose of obtaining medical treatment." 1. Please read the plan description and the exclusions carefully. /travel-health-insurance/ 2. Yes. 3. This depends on the plan design selected. A deductible may apply based on the plan chosen. 4. A member can seek care from any provider overseas. Benefits are paid at 100% of reasonable fees, less the plan deductible. HTH has a small number of select doctors, hospitals and clinics under contract in Toronto. Due to Canadian law, they are not permitted to publish the actual details and profiles of the doctors. Only registered members are permitted to access the hospital list online. 5. Canada has a national health system. Contracting with private medical insurers can be a challenge for public hospitals. There is a possibility that a member will have to pay upfront if they go to a non contracted provider. 6. Home health is not covered. See the certificate for all exclusions. 7. The rate does not vary.

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Visiting USA?

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Did you know that your insurance may not cover you abroad or that it may only provide limited coverage?

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