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Old 23-06-2016, 14:55   #16
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Re: Canadian Life insurance and health insurance

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Originally Posted by tmoandj View Post
...snip
What about disability insurance? I currently have it but I assume that they probably wouldn't cover me anyway if they found out that I was "between jobs"
Typically you have the option of maintaining your disability contract providing you notify the insurer of your change of circumstance. The risk factors will be reviewed and your coverage terms will/may be adjusted accordingly. Also, review your payment strategy to ensure adequate funds are always available to maintain the policy.
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Old 23-06-2016, 14:58   #17
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Re: Canadian Life insurance and health insurance

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Originally Posted by Mike OReilly View Post
Yes, although specifically with OHIP anyway (not sure about other provincial systems) they will cover emergency medical treatments up to certain limits. From the OHIP website:
  • "For physician services, OHIP will pay the actual cost billed by the out-of-country physician(s) or the cost of the same physician service(s) in Ontario, whichever is less. Physician services in Ontario are usually rendered at a significantly lower cost than those billed at out-of-country health facilities. Please note that out-of-country health facilities and physicians usually bill separately.
  • For outpatient emergency room services, OHIP will pay $50 Canadian (CDN) per day.
  • For inpatient services, OHIP will pay $200 CDN per day. If the services are inpatient services rendered in an operating room, coronary care unit, intensive care unit, neonatal or pediatric special care unit, then OHIP will pay at the higher rate of $400 CDN per day for hospital services.
  • For outpatient dialysis services, OHIP will pay $210 CDN per day.

As I read it, OHIP will cover emergency medical costs as long as you remain OHIP-eligible (note the residency requirements), but the amounts they will pay are, in the website's words: "very limited."

Reading between the lines, I think they're really saying if you're going to the USA, be sure to get additional coverage b/c the costs there are nuts. But in other parts of the world your OHIP emergency coverage might be not too bad.
You are quite right about "between the lines" Mike
The rates that all provinces pay would hardly cover a bandaid in the US.
As for Canadian based travel insurance companies,they will fight tooth & nail to avoid paying. They may pay to patch you up & to fly you(only) home. I know from experience.
Do not travel to USA without travel insurance-dodgy as it is. It's better than nothing & will at least get you patched. US hospitals assume insurance will pay-so they will take you in. After that-it can be a legal fight,but at least you are home.

I have no experience with outside of Canada insurance companies,but I would trust them more than our scammers.At least,the offshore companies expect to pay & charge accordingly.
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Old 23-06-2016, 15:13   #18
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Re: Canadian Life insurance and health insurance

One caveat about traveler's insurance, they do not want to cover you for any pre-existing condition. Now, this can probably be worked out, right out of your own pocket! We have such insurance here in Australia. It is only partial, and it is expensive.

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Old 23-06-2016, 15:27   #19
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Re: Canadian Life insurance and health insurance

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The suggestion to call IMIS is probably a good start, they are true professionals in every sense of the word.

Then call DAN, the Divers Alert Network, who this year started offering a "Boaters" insurance plan similar to the place they have for divers, which include some of the best medevac coverage available. They will repatriate the victim AND a companion if home-quality care is not available closer.

IMIS and DAN get nothing but praise, check 'em out.

In the US, your "hospital bill" is your least worry. It gets more complicated than this, but:
1-The hospital may accept Federal funding as a non-profit, in which case they will adjust your bill if you have reduced income, etc. Or they may be a commercial hospital group, who have no obligation to do so and will not do so. Can be a 10x or greater difference in the bill.

2-The hospital bill does not include specialists, such as the radiology group ($4000 for an MRI?) or an anesthesiologist ($$) or a surgeon ($$$) or other people that you thought were part of the "hospital". Any policy or broker who says "Pays the hospital bill" has just low-balled you, the hospital bill is often less than half of the total bill for an incident.

And if you are a trauma victim, a stroke victim, got hit by a bus, or for some other reason the airline won't allow you to fly home even if you beg them to, because you're in the process of bleeding out or dying? Then yes, you need coverage IN the US and you need it then and there.

Or, if you are in a bus or train crash in Columbia or Venezuela or Cuba? Guess where the medevac flight is going to take you? The closest Cat1 Trauma Center is Miami's Jackson Ryder, you're going to the US for treatment that is not available in those countries. And you'll get a US bill.

The picture isn't as simple as some replies would have it sound, is it?

Don't take anyone's word on what you need or what it covers. Start with the provincial authorities to find out your coverage limits (if you are away for 7 months, is there a waiting period before you requalify for ANY coverage?), see what the brokers say, and don't be afraid to ask an insurance carrier for a specific question or a copy of the policy they want to sell you.

Their job is not to make you whole, it is to make a profit. Some are better than others at doing #1 in order to make #2 happen in the long term.

Some of our hospitals in the US run real rackets. Like charging $100/liter for a saline drip, which costs them $1/liter, before the administrative costs. And as soon as you go into the ER, they want to hang those $100 bags "just in case". You're allowed to say "I don't think so, you'll wait until I need it, unless you're paying."
I wonder if a big part of the reason for high healthcare costs in the US is because it is private,for profit,insurance company controlled. I wonder how long the physicians,specialists,etc. have to wait for payment from insurance co.s. Do they get paid the full dollar or a "negotiated" percentage? How much is spent on legal fees by both sides?
The hidden costs could be astronomical.
US medical system must be a major,broad reaching industry,that employs thousands outside the actual caregivers - a major part of the US economy.
There is no doubt that is a top notch system-if you can afford it.
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Old 23-06-2016, 15:37   #20
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Re: Canadian Life insurance and health insurance

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Originally Posted by deblen View Post
I wonder if a big part of the reason for high healthcare costs in the US is because it is private,for profit,insurance company controlled. I wonder how long the physicians,specialists,etc. have to wait for payment from insurance co.s. Do they get paid the full dollar or a "negotiated" percentage? How much is spent on legal fees by both sides?
The hidden costs could be astronomical.
US medical system must be a major,broad reaching industry,that employs thousands outside the actual caregivers - a major part of the US economy.
There is no doubt that is a top notch system-if you can afford it.
a big part of the reason for high healthcare costs in the US is because it is private,for profit,insurance company controlled....that employs thousands outside the actual caregivers.

YES.

24% or more is "admin costs!" CROOKS!

Those extra thousand idiots do NOTHING but delay good health care.

Years ago my GP refused to join med insurance companies, because they were crooks. Once he did so, his patient load INCREASED. He was a great guy.
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Old 23-06-2016, 16:52   #21
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Re: Canadian Life insurance and health insurance

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They may pay to patch you up & to fly you(only) home.
On three occasions both of my parents-in-laws have been flown home to Canada together after one of them had a need to to US medical facilities. Once air ambulance, once just the two of them in business class, once business class with a nurse who does this sort of thing for living.

This was far less expensive than leaving them in the care of the US health system.
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Old 23-06-2016, 18:44   #22
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Re: Canadian Life insurance and health insurance

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On three occasions both of my parents-in-laws have been flown home to Canada together after one of them had a need to to US medical facilities. Once air ambulance, once just the two of them in business class, once business class with a nurse who does this sort of thing for living.

This was far less expensive than leaving them in the care of the US health system.
The travel health insurance we purchased for our 6 month motorcycle trip around the USA specifically included return of patient and one caregiver AND our vehicles. Seemed pretty standard in the policies I looked at.

Of course, I'm very glad we never put it to the test. I have about faith in insurance companies as I have in televangelists or bankers. I assume the company we went with would do everything they could to avoid paying anything. None-the-less it was fairly clear in the policy (which wasn't that expensive); that they would repatriate both of us in the case of an emergency evacuation back to our home province.
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Old 23-06-2016, 19:57   #23
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Re: Canadian Life insurance and health insurance

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Originally Posted by Mike OReilly View Post
The travel health insurance we purchased for our 6 month motorcycle trip around the USA specifically included return of patient and one caregiver AND our vehicles. Seemed pretty standard in the policies I looked at.

Of course, I'm very glad we never put it to the test. I have about faith in insurance companies as I have in televangelists or bankers. I assume the company we went with would do everything they could to avoid paying anything. None-the-less it was fairly clear in the policy (which wasn't that expensive); that they would repatriate both of us in the case of an emergency evacuation back to our home province.
YES!
I agree- Mike!! -including your faith comparison!-which agrees with my current "faith" in Can. insurance co.'s.
That is what Can. Ins. was-a "pooling of funds of shareholders" against the "calamity" of a few.
Also-Canadian insurance co.'s used to be a great investment vehicle for the avg.Canadian ,when they were policy holder owned.

Jeepers--how socialist of me!! To think that shareholder owned corporations were a great way to invest your money with like-minded folks with a common goal.
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