Allianz Home Insurance - Is Us Medicare Coverage in the Philippines Possible?
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A Look Back
Sources estimate that out of the 4 million legally staying Filipinos in America in 2008, roughly 80 percent hold U.S. Citizenship and a amount are covered by Medicare.
Medicare is America's federal condition assurance program. It was first created in 1965 to advantage citizens aged 65 and older. In 1972, the program was revised, allowing younger population with Lou Gehrig's disease, permanent disabilities and end-stage renal condition complications to enroll.
Understanding the Structure
Medicare is a social term that may contain a amount of plans:
original Medicare that provides hospital assurance and curative insurance Medicare advantage that provides both basic and extra healthcare services, as offered by hidden condition maintenance organizations (Hmos) and prescription drug plans that may or may not be tied to a Medicare advantage plan
Additionally, there are Medigap plans to supplement what primary Medicare does not cover. They are offered by hidden assurance companies.
The current policies are lettered C to J. However, in a fact sheet released by the division of condition and Human Services of the U.S., new Medigap plans M and N will replace plans H, I, E and J beginning June 1 of this year.
Off-Shore Medicare Coverage in Theory
Under the primary plan, the circumstances that allow Medicare portability are limited. Coverage surface America is permitted whenever a foreign hospital is nearer than any other hospital on American soil. In rare accident cases, those traveling "without unreasonable delay" straight through Canada may also avail of off-shore coverage - provided again that the Canadian hospital is much closer than an American hospital.
In March 2010, the division of Foreign Affairs of the Philippines confirmed that under the primary Medicare plan:
"... Residents of Guam and Saipan... Are allowed to seek curative treatment... On accident cases, availing of their Medicare benefits in Philippine curative facilities, due to the presence of the Philippines vis-a-vis Hawaii, the nearest Us state."
This improvement is credited to the efforts of Madeleine Bordallo, congresswoman of Guam, and of Roberto Romulo, previous division of Foreign Affairs secretary, who lobbied that Philippine hospitals be allowed to issue Medicare reimbursements.
Off-Shore Medicare Coverage in Practice
My Philippine seclusion made a round of phone calls to check either hospitals in the Philippines have already reimbursed Medicare benefits under the primary plan. There were no recorded cases yet, the staff said. In fact, majority of the hospitals appeared to be unaware of "U.S. Medicare."
They did furnish the following list of honored international condition assurance plans, some of which have tie-ups with Medicare advantage plans:
List A.International condition Insurances Honored in superior Luzon-Based Philippine Hospitals as of March 2010
(Allianz) Worldwide Care - Asian Hospital Aetna - Asian Hospital Aetna Global advantage - Makati curative Center Alliance - Asian Hospital Blue Cross International - Asian Hospital Blue Shield - Asian Hospital Calvo's - St. Luke's Hospital Cigna - Asian Hospital Gmc Services - Makati curative Center Hth World Wide - Makati curative Center Ima - Makati curative Center Img - Asian Hospital International condition assurance of Denmark - Makati curative Center International Sos - Makati curative Center Net Care - Asian Hospital, Makati curative Center Pacific International - Asian Hospital reputation International - Makati curative Center StayWell - St. Luke's Hospital TakeCare - Asian Hospital TieCare - Asian Hospital, Makati curative Center Vanbreda International - Asian Hospital, Makati curative Center William Russel - Asian Hospital
Availment of assurance benefits varies by condition maintenance club (Hmo), assurance plan and servicing hospital. The insured must question about their Medicare advantage benefits by Hmo or plan name. Definite concerns may be sent to the respective buyer care and credit/billing departments of the hospital.
List B. Caress information of superior Philippine-Based Hospitals that Honor International condition Insurances with possible Medicare advantage Tie-Ups
Asian Hospital and curative Center: info@asianhospital.com * +63 (2) 771-9000/ +63 (2) 876-5838 Makati curative Center: sales@makatimed.net.ph * +63 (2) 870-3000/ +63 (2) 870-3008 St. Luke's Hospital: info@stluke.com.ph * +63 (2) 723-0101/ +63 (2) 723-0301
Impact on Philippine seclusion Decisions
The affordability of healthcare services in the Philippines is somewhat let down by the "pay-as-you-go" system, but a new turn of events are changing the way possible retirees view the minor "cash first" inconvenience.
One such improvement is the direction that Medicare portability is headed. Statistical trends indicate that by 2011, Medicare expenditures will soon exceed the revenues generated from the trust fund. This can be prevented when cheaper off-shore facilities are used to deliver the same-quality healthcare services offered in the U.S., experts explain.
Another improvement is the condition reform bill on outpatient security and affordable care that U.S. President Barack Obama signed in March 2010. The current reform permits off-shore coverage and assurance of population with pre-existing condition conditions. There will also be a minimum annual tax penalty of 5 for those who are unable to regain condition assurance - now no longer just an option but a requirement.
Many U.S. Tax payers are anxious that the latest condition reform will come with a steeper price tag. "I'm anticipating my assurance superior (monthly payments) to growth from 0... To more than 0," fears Terry who works for the federal government and hopes to retire in 2020.
Lesser take-home pay (and savings) combined with the fact that U.S. Medicare coverage in the Philippines is possible (mostly straight through Medicare advantage plans) is prompting previous Filipinos like Terry to think the Philippines as a good place to get cheap but decent healthcare - yet the "best bang" for dollar earnings.*
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