Showing posts with label Health Insurance. Show all posts
Showing posts with label Health Insurance. Show all posts

Sunday, November 16, 2008

Medical Tourism moving from India to Korea now…




News and Reviews: We all know that only thing constant is CHANGE. We are now witnessing change on every mark – be it American Politics or Global Finance. It is visible every where. Now, a sweeping change is affecting core Indian strength – Viable Outsourcing. Yes, we have solid reason to believe that Indian Outsourcing Industry is facing credible threats not from Political Policies of the WEST but emerging markets like China and Philippines. Now, latest to join the list is South Korea and that too in our bastion of MEDICAL TOURISM (MT).
Competition is always good as it helps players to remain on innovation and service curve but too many players in a niche market like Information Technology (IT) Outsourcing or Medical Tourism (MT) will kill competitive advantage of INDIA. So, why is India losing ground? May be we have still not built INFRASTRUCTURE or our PRICING is not competitive or may be we are not graduating in terms of Service & Product Offerings. We are not experts of Medical Tourism. But since we deal with Health Insurance, we feel that it is indeed suffering due to Insurance Part missing from Medical Tourism piece. Here is a simple explanation. If I am an American who would like to come to INDIA to see Taj Mahal and also would want to complete the Facial Uplift (Cosmetic Surgery), my American Insurance should be able to pay for that Indian Services, which is not the case. Worst is that Western World, particularly Americans are still not sure of the Medical Treatments and Quality Diagnosis is available in INDIA is at par with America. Essentially, it is more of Marketing or Communication challenge to change the American mindset and grow the opportunity. With South Korea joining the fray, it will be really difficult for Indian Medial Tourism Players to present clear and attractive USP vis-à-vis competition. Time will only tell who will win this race but sure Indians will have to come out with better strategies to maintain the leadership position in the World of Outsourcing including IT and MT. Choe Sang-Hun writes about the ascent of Korean Medical Tourism. Click to read on


Choe Sang-Hun says that in South Korea’s Apgujeong district, famous for its high-end boutiques and plastic surgeons, tourist buses unload Chinese and Japanese visitors looking for a nip and tuck as part of their packaged tour.


On the resort island of Jeju, the government is building Health Care Town, a 370-acre complex of medical clinics and upscale apartments surrounded by 18-hole golf courses and scenic beaches, to lure foreigners in need of medical care.


West of Seoul, on the muddy beaches of Inchon where American troops splashed ashore 58 years ago to fight in the Korean War, a new steel-and-glass town is rising to attract foreign visitors, including medical tourists.


South Korea has joined Thailand, Singapore, India and other Asian nations in the lucrative business of medical tourism. Heart bypasses, spinal surgery, hip-joint replacements, cosmetic surgery — procedures that may cost tens of thousands of dollars in the United States — can often be done for one-third or even one-tenth of the cost in Asia, with much shorter waiting times and by specialists often trained in the West.


Americans fleeing the high cost of medicine at home have spurred the trend. Last year, 750,000 Americans sought cheaper treatment abroad, a figure projected to reach 6 million by 2010, according to a recent study by the Deloitte Center for Health Solutions, a consultancy. Asian nations are also wooing wealthy Middle Eastern patients who have found it more difficult to get a visa to enter the United States since the 2001 terrorist attacks.


The number of foreigners coming to South Korea for Medical Care is still a fraction of those getting treatment in India, Thailand and Singapore, industry officials said. But clinics and the South Korean government are trying hard to attract these tourists, who not only bring in money for cash-strapped hospitals but also help the economy by staying on to shop and sightsee after their procedure is over.


The government has revised immigration rules to allow foreign patients and their families to get long-term medical visas and altered laws to permit local hospitals to form joint ventures with foreign hospitals in some cases.


When Hassan and Fatima Al-Abdulla of Qatar arrived in Seoul in October, they found a car and an English-speaking nurse waiting at the airport.


Soon they were checking into the Wooridul Spine Hospital so Ms. Abdulla could have surgery for her chronic back and leg pain.


Mr. Abdulla found his wife’s hospital room — furnished with a television, broadband Internet access, private bathroom, sofas and an extra bed — so comfortable that he decided to stay with her rather than go to a hotel.


Ms. Abdulla had all her pre-surgical tests the day she arrived. The next day, she was on an operating table.


“I feel very good,” she said five days after her surgery. “I can walk and shop now.”
Mr. Abdulla said he and his wife were now eager to visit the stores and museums in Seoul, “probably spending more on shopping than in the medical center.”


Wooridul Spine Hospital said it expected to draw about 1,000 foreign patients and $1 million in revenue from their treatments in 2008, its third year of wooing foreigners. It said its patients hailed from 47 countries, with about a third from the United States.


Wooridul plans to build a hospital branch, apartments, a concert hall and an art museum on the Jeju island as part of its medical tourism offerings, in addition to the golf course it has already built, said Lee Mi-jeong, a Wooridul spokeswoman.


“We believe this is a major future industry for our island,” said Kim Kyung-taeg, head of the government-run Jeju Development Center. “The town will specialize in medical checkups, long-term convalescence and procedures Korean doctors do well and cheaply, such as plastic surgery and dentistry.”


No government records are available on how many medical tourists come to South Korea. But a survey of 29 hospitals showed that they treated 38,822 uninsured foreign patients — excluding certain categories like long-term Korean expatriates — between January and August, compared with 15,680 in 2007, according to the government-financed Korea Health Industry Development Institute.


It said 25 percent of those patients were from the United States, and 10 percent each were from China and Japan.
Medical fees are strictly controlled by the government as part of a national health insurance program, but hospitals like Wooridul can negotiate fees with foreign patients without interference from insurance authorities.


Gregory Kellstrom, a civilian forklift operator at the American military base in Seoul, decided to go to Wooridul recently to get spinal scans and medication for his back and hip problems instead of returning to the United States.


“For me personally, this is not about money,” said Mr. Kellstrom, 42, who paid out of his own pocket but planned to apply for reimbursement from his American insurer.
“In the States, it will probably take easily six months just to get the treatment I have here in one day,” he said.


Baialinova Dariakul, 49, the wife of a wealthy businessman in Kyrgyzstan, said she came to Wooridul for treatment for her spinal tumor because it was unavailable at home. Fumiko Yamada, 75, a Tokyo resident who recently had a back operation at Wooridul, said she would have had to wait years to get an appointment with a leading Japanese surgeon who performs the same operation.


Some Koreans fear that social inequality will grow if medical resources and skilled workers migrate from public health care to better-paying jobs that cater to foreigners, said Dr. Yoon Dae-hyun, a psychiatrist at the Healthcare System Gangnam Center at Seoul National University Hospital. But he added that the effort to attract foreigners could inspire more local hospitals to upgrade their services.


“There isn’t much of a gap anymore between the good hospitals in Asia and the United States,” he said.


His center plans to open a marketing office in Los Angeles, and hopes to attract medical tourists from the pool of two million Korean-Americans. Foreigners who can document Korean ancestry can qualify for the South Korean national health insurance.


Sally Im, a Korean-American from Honolulu, recently traveled to Wooridul for back surgery. After her husband paid two months’ worth of premiums — about $90 — on their arrival, a portion of Ms. Im’s medical bill was covered by the South Korean government. The couple ended up spending $3,200, rather than the $30,000 that her operation would have cost in the United States, Wooridul said.


Not everyone in South Korea is happy about such arrangements, fearing that ethnic Koreans from abroad could become a drag on the national insurance coffers. There is talk of limiting benefits to long-term residents.


The Ims, meanwhile, were happy that they had an alternative to the American medical system.
“We met a good doctor and had good surgery,” said Ms. Im’s husband, Stan. “We feel very lucky.”


Monday, April 7, 2008

Health Insurance in India. Your queries answered.

1. What is a Health Cover. Pls give layman Definition for better understanding?

Check this link:
http://www.insurancemall.in/blog/post/2008/04/Health-Insurance.aspx

https://www.insurancemall.in/Forms/frm_G_Search_Page.aspx?qsInsr=L&qsInsrTypId=IT0015


2. Why is Reliance Cheaper - quick comparison Chart Vs ICICI / Bajaj / United / Star / DKV ?

Every Company has its own way of pricing its products, as per its own internal marketing and underwriting guidelines.
Please note that although, Reliance is a cheaper product, it does not accept cases where the customer has any illness while submitting the proposal form.
Otherwise, Reliance Healthwise Gold is currently the cheapest and the best featured Health Insurance product in India. It has some really good features like Double Critical Illness cover at a very attractive price.

3. What is Individual Plan Vs Family Floater ?

A Family Floater plan is a group cover with a group limit on the cover which means the sum insured is shared amongst all members of the family.
For e.g. Mr. Kumar takes a Family floater for his family comprising of him, his wife and his daughter of Rs. 2 Lakhs.
All of the family members of Mr. Kumar can collectively claim Rs. 2 lakhs in a given year. So If Mrs. Kumar has claimed Rs. 80000 during the year, all the members [including Mrs. Kumar] can claim upto Rs. 1.20 Lakh for the remaining period.
Note: Currently Insurance Companies provide Family Floater in combination of only following members – Husband, Wife and Dependant Children generally upto age 18.

4. What is the Health Insurance buying process at InsuranceMall?

Reliance Healthwise and ICICI being an instant policy, has a different procedure
The general procedure is as follows:
- Once the customer has made an order and payment, you will get an acknowledgement of receipt of Order and Payment.
- the customer care will email/courier the relevant proposal form with self addressed stamped envelope which the customer needs to scan/courier and send it back to http://www.insurancemall.in/ .
- On receipt of the proposal form, the same would be submitted to the Insurance Company for issuance of policy.
- Generally Policies would be delivered within 10 working days from receipt of the proposal form.

Procedure for Reliance Healthwise:
- Once the customer has made an order and payment, you will get an acknowledgement of receipt of Order and Payment.
- The customer care will send by courier:
i. a pre-filled proposal form
ii. inactive Health Cards
iii. Our Self Addressed Stamped Envelope

- You need to sign on the proposal form and send it back in the envelope.
- On receipt of the proposal form, the same would be submitted to the Insurance Company for issuance of policy.
- Generally Policies would be delivered within 10 working days from receipt of the proposal form.

5. Is Maternity Covered in any Plan ?

Maternity is covered under Apollo DKV Exclusive and Premium products, but with a waiting period of 4 years. So one can claim only after 4 years of renewal.

6. Is PED (Pre-Existing Disease) Covered in any Plan and when?

Pre-existing illness/disease is not covered from same year.
Most Plans cover pre-existing from the 4th year.
There are some plans which offer better but partial pre-existing cover
i) Star Health Red Carpet covers 50% pre-existing for people between 60 to 69 from the second year.
ii) ICICI Health Advantage covers pre-existing from the 3rd Year.
iii) Bajaj Silver Health – for senior citizens covers pre-existing from the 2nd Year.

7. Can I get Tax benefits for my purchase of Health Insurance from InsuranceMall?

Yes, you will get all benefits from your Health Insurance that you enjoyed earlier.
Insurance Companies will issue Income Tax Certificates for the same.

8. How is InsuranceMall different from my friendly neighborhood Agent?

- Excellent Combination: At InsuranceMall you will enjoy the combined of benefits of a system driven company and a personalized agent
i. You will not be dependant on one agent/one Company for your products. We will offer neutral advice based on your requirements.
ii. At the same time, we would strive to have one customer service executive handle your entire requirement, so that you get personalized service.
- Wider Choice: An agent/An Insurance company employee would be able to offer you limited no. of products from limited no. of companies. We don’t have any such limitation.
- Speedy Service: We estimate our delivery and response to be atleast 30% more than any agent/Insurance Co. Check it out for yourself.
- Top-end Online Management:A proprietary host of online services likeTrack your Policy : All your policies bought online would be available for any-time download.Manage your Policy: Upload your existing policies and get your complete portfolio analyzed instantly.

9. Will it not be good that I buy directly from Insurance Company rather buying online at InsuranceMall?
Every Insurance Company has a basket of good and not-so-good products. We help you buy the good products from each basket. We provide you with one stop solutions across all Companies and products.
You may buy your policies from different companies, but it would be difficult to manage contact, records and claims for so many different companies, compared to a FREE solution at hand called http://www.insurancemall.in/

10. Will I get discount if I buy from InsuranceMall?

We don’t believe in discounting, but savings. We have easily provided more than 20% of savings to customers through our unique quote engines.

11. Will InsuranceMall assist in case of Claims?

Generally claims need to go through the normal route/infrastructure offered by the Insurance Company. In case you are not getting satisfactory response for the claim within 24 hours of registering the same, you can get in touch with us. We would try our best to offer you the best of our assistance.

12. I don’t like Policy I purchased. Can I cancel it now?

Policies do have a cancellation clause. You need to go through the policy wordings or contact our customer care at customercare@insurancemall.in with your specific policy bought.

13. Can I pay for my Health Insurance renewal premium purchased from an Agent through InsuranceMall secured payment gateway?

No you can’t pay for policies that have been bought from another agent as of yet. At InsuranceMall, you can order for fresh policies [or] pay renewal premium for policies originally bought at http://www.insurancemall.in/

14. If I buy the policy from InsuranceMall, how quickly I get the Physical Policy in hand?

Whenever you have decided on buying a product, you can click on the Policy Details button next to the logo. The last lines of the policy details provide for the no. of days it would take for the policy to be delivered.

The general time it takes for activation of policies/cover note:
1. Health Insurance 5-10 working days depending upon company
2. Personal Accident 10 working days
3. Critical Illness 10 working days
4. Travel Insurance 3 working hours
5. Car Insurance 8 working hours
6. Life Insurance 15 working days


15. Where are offices of InsuranceMall with Phone Number?
http://www.insurancemall.in/ Online Operation is based out Mumbai HQ. All policies are processed from here. Our numbers are 02230503050 OR 02267242424. We have physical offices at Bangalore and New Jersey (USA) too.

16. I see your rates quoted on InsuranceMall is different from my Agent. Why?

http://www.insurancemall.in/ updates rates on a weekly basis, so chances of wrong rates are very low. In an unlikely event, though it is a distant possibility, in case our rates our found to be incorrect
- if the rate is higher, we will refund you the excess premium
- if the rate is lower, we will absorb the shortage, and you don’t have to pay a thing.

On you finding an error on our website, we offer a 5% coupon which can be used for you next purchase at http://www.insurancemall.in/ .

17. I want to take Health Insurance for my Family? What is the best Health plan you suggest?

If your age is less than 45 and no Pre-existing Illness – Reliance
If your age is between 45 and 60 – Apollo DKV
If your age is more than 60 – You need to go for individual covers


18. I want to take an Individual Policy. What is the best Health Plan you suggest and why?

We recommend Reliance in case you are looking for a good price-feature combination.
We recommend Bajaj Allianz in case you are looking for a good Claims Track Record.

19. I want some one to come to my home and explain me the Insurance Policy. Will InsuranceMall do that?

InsuranceMall has developed Do-it-Yourself infrastructure, so that you can compare and buy yourself, with minimum help from Chat, Emails and Phone Calls with our Customer Care.
Our current set-up does now allow experts to come to your home to explain.

20. I want a Group Health Insurance (Mediclaim) for my Office. Can you help?

Of course, we can help. http://www.insurancemall.in/ , powered by Bonsai Insurance Broking Pvt. Ltd. is a multi-pronged, full service Insurance super mall.
We cater to large corporate customers ranging from Godrej, 3G, EsselGroup, Aditya Birla Group, Systime etc. Pls email your queries to our Principal Officer Mr Niraj Jain at niraj@bonsaiinternational.com or call him at +91 9820255292.

Sunday, March 9, 2008

Does Office Health Insurance Cover OPD or only In-Patient / Operative expenses? by Mr Chirag Patniak



I have a query on company provided medical insurance? (I've never used it so I don't know) Does this cover OPD expenses as well or only inpatient/operative expenses? Asked by Mr Chirag Patniak.

Dear Chirag :

It really depends on what kind of policy your company has taken for its staff.

Generally a large company segregates the cover benefits based on seniority or job role. Management Team in a company generally would have high coverage (any thing between Rs 2-25 Lacs Cash-less floater) with comprehensive plan including Parents.

But since Health expenses are growing in double digit now in India too, many companies prefer to cover just the immediate family and not the parents because of high Annual Premium. Also, based on negotiations an Insurance Broker does with Insurance Companies on behalf of the Corporate, Pre-Existing ailment / Maternity / OPD or Annual Health Check-up could get appended or excluded.

Remember an Insurance Plan is like an individual serving (Entrée), more items (read Risk Features) you add from the menu and more it becomes expensive.

So, essentially, it boils down to the budget a corporate allocates for Staff well-fare or in other words smart saving negotiations done by the chosen Insurance Broker from Insurance Companies on behalf of the Corporate.

I am confident, in your case, OPD / Pre-Existing and Maternity should have been covered as you belong to a big and branded Group in India.

More on these nuances of Health Insurance, its merits etc. could be read at Insurance Mall Blog. I invite you to read them for your information. Here is the link - https://www.insurancemall.in/blog/

Good Luck Chirag. You can always encourage your HR or Finance Head to take an informed decision by out-sourcing the Insurance negotiations to an able Broker this season. It does not cost a penny to the company as Brokers are paid directly by the Insurance Company. Bonsai Insurance Broking team would be more than happy to work for your group.

Buy Insurance and Stay Safe.

Cheers !!!

Manish Jaiswal

for http://www.newsandreviews.in/

Link - http://www.buynowindia.com/newsandreviews/index.php/insurance/

What is a good Policy for my parents ? Asked by Dr Sagar Bhargava




Hi ! This is Dr Sagar. My parents wish buy a Health Insurance Policy for themselves. My mother has no preexisting illness and her age is 54. My father has undergone a Bypass Surgery and is 57 yrs. Can u guide us as to which policy will cover them both for next 15 years. Thanks. Dr Sagar Bhargava.


Dear Dr Sagar :

Thanks for your mail and query. We will be glad to guide you to the best Health Policy for your parents.

Fortunately, both of them are in good age to pick the right policy but is should be bought on a yesterday basis as their age is getting into High Risk Age Zone (HRAZ). Your dad my encounter some problem as Insurance Companies don’t cover Pre-Existing disease for at least 2-4 yrs. Insurance companies are not charitable organizations, hence they are very selective in picking a risk (read providing Insurance cover) from an individual or a family. They are still lenient to cover a bad risk when it comes to Group Insurance because premium is high and Insurance works on the principle of large numbers .

I would recommend the following Insurance companies in the preference order.

1. Apollo DKV
2. Star Health
3. Reliance Health-wise
4. Bajaj Allianz Family Floater
5. ICICI Lombard
6. Govt. Insurance companies


I am sure, you could see them at www.InsuranceMall.in (Click & Buy at Health Insurance Options).

My colleague Mr Mahavir Chopra has written number of articles on Health Insurance. You could read them on our Insurance Blog. Quick link – https://www.insurancemall.in/blog/

Good Luck Dr Sagar. Take your choice. Buy do encourage your parents take Insurance with Critical Care ASAP.

Buy Insurance and Stay Safe.

Cheers !!!

Manish Jaiswal

for www.NewsandReviews.in

Link - http://www.buynowindia.com/newsandreviews/index.php/insurance/

Thursday, February 21, 2008

Health Insurance in America

OK… In the series of my writings on Insurance and particular Health Insurance, I feel like dwelling more for the benefit of 6.00 Million Indian Americans residing in United States. Here it goes…

Amongst the expenses for Americans, Health cost could be easily adjusted as top 3 monthly expenses after Mortgage (Rent) and Food. For lucky ones who get the Health Cover from their employer, the cost may not exist, but for the Self Employed / Students or Retirees, the cost is un-bearable and growing year on year. I am sure, India is no different now, but still health cost is not as expensive as in America. It will not be an aberration to mention that falling sick without medical Insurance in United States is a sin, thus every resident as well as visitor to this country must ensure that he or she is adequately covered. The bad news is that over 40 million resident Americans are not even having a basic cover.

Even someone having a Health Card (Insurance), one may not really know what is covered or not, unless one has read the Policy fine prints on Inclusions or Exclusion. A simple common exclusion could be Ambulance charge. Thus the thumb rule is that any thing less than USD 500K Comprehensive Coverage for a family of 4 will fall short in case of medical emergencies. You are in better position, incase you are part of the Group Health Plan purchased by your company. Higher the members in your plan, better you are in terms of coverage and inclusions.

Individual or Family Health Insurance holder may not get the renewal, if the claims were high last year. To protect millions, Lawmakers in several American states are limiting insurers' ability to cancel health policies for consumers who buy their own coverage. It is been reported that over 18 million people have individual or family coverage in United States.

Unlike group health policies offered by employers, individual plan may require applicants to submit many years' worth of detailed medical information. The insurers use that information in deciding whether to offer coverage and how much to charge. Most states allow insurers to revoke an individual policy — generally within two years (called contestable period in Insurance parlance) of granting it — if they find an applicant lied or inadvertently omitted information on an application. Cancellation of a policy is retroactive. Patients must pay for all their past medical care, even if the insurer previously approved and paid for the care. There is little nationwide data on the extent of cancellations.

Prompted by numerous consumer complaints and lawsuits against insurers, state lawmakers are finally taking some action. Worth mentioning are :

• New Mexico : The Legislature this month passed bills requiring insurers to show that applicants deliberately gave incorrect information on an application. Current law allows cancellation if the error or omission was inadvertent.

• Connecticut : In October, a new law took effect requiring approval from the state insurance commissioner before an insurer can cancel an existing policy.

• California : Legislation introduced last week would require insurers who want to cancel a policy to first win approval from the state's Department of Managed Health Care. Last year, legislators adopted a law requiring insurers to pay for any medical treatment they approve, even if they later cancel the policy. California state regulators have announced cancellation-related fines against some insurers, including Blue Cross, Kaiser Permanente and Blue Shield of California.

• New York : The Governor Eliot Spitzer may come out with some limiting clause soon.

Insurance companies argue that only a small percentage of policies are cancelled vis-à-vis the live policies. They say the action is necessary to protect against fraud, such covering up medical conditions. "To the extent that applicants aren't honest and forthright about their health care status, that means costs are shifted to everyone else," says Karen Ignagni, president of the industry lobbying group America's Health Insurance Plans. I kind of agree with this argument. USA Today reports that Blue Cross of California has said it cancels less 1% of all new policies.
This debate will go on but fact of the matter is that Insurance in America is expensive. It is expensive because managing Health Care (Doctors / Medicines & Infrastructure) is really expensive out here.

Fortunately for Indians in America (Non Citizens only) or any where in the world, one can buy less expensive American Health Insurance from http://USA.InsuranceMall.in (Click Visitors Health). There is no medical test required and the Health Card could be printed On-line today. The (Visitor)Health Insurance Plan is created exclusively for non Americans and is cheaper vis-à-vis American Health Insurance for Americans. It could be a good Health Policy for you if you are H1 / L1 / F1 / J1 and Green Card Visa Holder in United States.

Cheers. Enjoy and Stay safe.

Manish Jaiswal
CEO – Bonsai America, Inc.
http://usa.insurancemall.in/


for

http://www.newsandreviews.in/

Link - http://www.buynowindia.com/newsandreviews/index.php/Insurance/