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The Payment Card Industry Data Security Standard (PCI DSS)—which was developed by the PCI Security Standards Council (PCI SSC) created by Visa, MasterCard, American Express, Discover, and JCB—is an extensive set of technical and operational standards that a company needs to follow to ensure that all companies that process, store, or transmit credit card information maintain a secure environment.
There are many stringent requirements, including but not limited to:
PCI DSS has six major objectives, 12 key requirements, 78 base requirements, and over 400 test procedures. Click here for more information.
When a business is PCI-compliant, it means that that the business reviews and follows the guidelines set forth by the credit card companies to help ensure your credit card information is protected and your personal information is secure.
A concern of many visitors to the USA is having coverage in the event of a heart attack while visiting. Many may also wonder if they can be covered by travel insurance after a heart attack, or be covered by travel insurance with congestive heart failure. This article is intended to shed some light on those subjects as they relate to health insurance for foreign visitors in the USA.
There is no way to accurately answer whether or not that would be covered in advance. Once the providers (doctors, hospital etc.) submit all of the medical records such as physician report, treatment records etc. to the claims department, they will look into it to determine whether or not it would be a covered expense.
A heart attack may be caused because of many different reasons.
If it is determined by the claims department that the heart attack was caused by a pre-existing condition such as high blood pressure, diabetes, prior heart disease etc., then it would be considered a pre-existing condition.
According to the opinion of most insurance companies, if he is currently receiving treatment or taking any medications (including over the counter medicines), any heart related illnesses will be considered a pre-existing condition. If he is not currently receiving treatment or taking medications the decision will be made at the time of the claim, based on the attending physician statement (APS). The claim adjuster will determine whether or not it will be considered a pre-existing condition.
The heart disease is a pre-existing condition and the heart attack is an aggravated condition of the ongoing heart disease. Even though the last heart attack occurred 5 years ago, if the person is still taking medications regularly for the ongoing heart disease, the heart disease is still a pre-existing condition. From our experience, everyone who had a heart attack takes regular medication for blood thinning, etc.
No, we have seen heart attacks being covered as well as being declined. It really depends upon the details of each individual case, which can only be determined after the heart attack occurs and the Claims Department has all medical records to review the case.
That is not true. It is determined on a case by case basis. The claims department will determine whether or not it is a covered expense by using the medical records and the attending physician's statement.
It is simply not possible to do so. Until someone has reviewed the medical records of the condition that has occurred, it is impossible to make an accurate determination.
No, the claims department will utilize the most current medical records which are generated if and when he hasthe heart attack. These medical records can't be generated in advance. Therefore, until that happens, there is no way to know for sure.
If a person has high blood pressure and everything is stable and all of sudden they have a heart attack without any prior symptoms or warnings and treatment is received in the next 24 hours, this may be considered an acute onset of a pre-existing condition.
Important: As a reminder, you should not consider all similar cases to be exactly the same and assume that such cases would always fall under acute onset of a pre-existing condition. Coverage is determined on a case by case basis based on medical records received.
If someone is having minor chest pain for the last 4-5 days, or if the person has been complaining of elevated blood pressure for the past 3-4 days, and then they have a heart attack. The heart attack is not acute, it was not all of sudden nor unexpected. It would not be considered an acute onset of pre-existing condition, and would not be covered unless the plan specifically covers pre-existing conditions.
A heart attack is most often an acute manifestation of the underlying medical condition of coronary artery atherosclerosis (CAD) (Please note that there are some rare causes of heart attacks that are not caused by CAD, e.g., Takotsubo Cardiomyopathy, Prinzmetal Angina, etc., but examples below deal with CAD as the primary cause of heart attacks.) If someone had a pre-existing diagnosis of CAD, they could have had symptoms or manifestations of CAD without having a heart attack - e.g., chest pain diagnosed as Coronary Angina, stent placed in a blocked artery, or the discovery of CAD on routine physical leading to medical or surgical intervention. If the same person had that condition stabilized then suffered a heart attack after their Effective Date, it could be considered a sudden recurrence of the pre-existing condition.
Your analysis is correct. There is no way to know in advance whether a particular condition would be covered. You should carefully analyze the risk before inviting elderly relatives to visit, and think about how you would handle any non-eligible medical expenses.
Yes, in addition to numerous customers being covered, our company Co-founder's mother-in-law had a heart attack while traveling overseas and it was covered even though she had high blood pressure. Please note that each case is different and no one should assume everyone with a similar situation would be covered under all circumstances because it is determined entirely at the time of the claim based on the medical records and attending physician's statement.
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