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When you leave home you shouldn't have to worry about anything. Atlas Travel has a variety of plans to cover everything from emergency hospital & medical insurance, trip cancelation, single and multi-trip plans, and student coverage when traveling outside of Canada.

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September 2010

News from The Benefit Specialists Corp.

From: The Benefit Specialists Corp. <sean.murray@telus.net>
Subject: News from The Benefit Specialists Corp.
Reply: sean.murray@telus.net
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   September 2010
The Benefit Specialists Corp. Newsletter
In This Issue
TBSC Tidbit: Important Travel Tips and Definition of Earnings
Medical Access Insurance: A Supplement to Provincial Health Care
TBSC Report: Wait List Statistics
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TBSC Tidbit
Important Travel Tips

In a recent article, Mark Anevich brings to light the fact that many Canadians, regardless of the location of their travel, still do not buy Travel Insurance.  An Ipsos Reid poll states that 37% of Canadians do not purchase Travel Insurance for trips to the United States.  Many Canadian road trips head south as a cost-efficient vacation, but without Travel Insurance, they are risking major expenses. 

Over the years we have heard several stories of clients who had received medical treatment out of the country and paid for it out of pocket instead of contacting their travel insurance provider.  One such case was that of a young couple whose one-year old daughter had mistakenly swallowed a loonie... or so they feared.  Not knowing for sure, they went right to the hospital.  After a $900 x-ray, they realized that she had not swallowed the coin.  They did not understand how out of country coverage worked, and thus had to foot the bill.

When out of country, no matter how minor the treatment, be sure to contact your travel coverage provider within 24 hours.  They will give you the instructions you need to ensure easy processing of your claim and the best possible reimbursement.

Thanks to Mike Anevich, we would like to provide you with a list of other misconceptions had about Travel Insurance:

1. My Canadian health plan will cover medical expenses in the USA
Provincial health plans do not cover the cost of treatment outside of Canada. Only a fraction of the cost of any US health care claim will be reimbursed if any.

2. My credit card provides travel insurance coverage.
Most credit cards do not provide travel health insurance coverage and those few premium credit cards that have travel insurance coverage either don't provide travel health insurance or if they do the policy has restrictions which may limit or exclude coverage.

3. I'm covered at work through my employer group health insurance plan;
Many group plans have limits on the amount of out-of-country coverage or have pre-existing exclusions. More importantly what happens in the event of a medical emergency and the hospitals request up-front payment guarantee or you require emergency air evacuation which can cost $10,000 or more?

4. If something happens to me in the USA, I can easily come home to get treated back in Canada;
This may be true for minor medical treatment which is non-emergent. However, in the event of a motor vehicle accident or serious medical emergency it is unlikely you would be able to delay treatment or be unable to travel due to your medical condition.

5. Travel insurance is too expensive and not worth the cost;
The average cost for a family of 4 travelling on a 2 week vacation by car to the US is less than $100 which works out to an average of $1.80 per person per day, less than the cost of a Starbuck coffee! Travel insurance can easily be purchased on-line or through a travel agent and is relatively inexpensive to protect your family against possible financial disaster.

For more questions on travel insurance, out of country coverage or for a quote, please contact TBSC.

Definition of Earnings
lt is important to know how your carrier defines earnings because it will come into play when a new employee is hired, or when a disability or life benefit is claimed.

Essentially, earnings is the Employee's regular rate of pay including regular bonuses, regular overtime pay and regular commissions.   Sporadic overtime earnings  as well as bonuses and incentive pay would not be included.   As this is a summarized version of how earnings is defined, we ask that you familiarize yourself with your carrier's definition which is found in your Group Benefits contract.
Medical Access Insurance: A Supplement to Provincial Health Care

by Jim Viccars,
Acure Health Corp.          
                
Despite the best efforts and intentions of provincial governments, wait times for medical services continue to be a major problem. The Canadian system ranks extremely poorly in relationship to other public systems in the world, many of which do not have wait lists but all have some component of private health insurance in support of the public system.  In 2007, the Canadian Medical Association estimated wait lists for medical services cost Canadian businesses more than $14.7 Billion in direct costs and loss of production.
               
Acure's program of Medical Access Insurance is supplemental and not a replacement for the public system. Clients call Acure's claims department as soon as they are placed on a medical wait list.  The coverage for over 135 conditions and almost 500 procedures and treatments is triggered if the wait list is found to be longer than 45 days.  Due to the public concerns about wait lists, some provinces are delaying providing appointment dates to patients. In most cases, when a patient cannot confirm an appointment date, a claim process is opened at the client's request.
               
Many opponents of private health insurance conveniently forget that insurance is already a key component of healthcare through dental, prescriptions, physiotherapy and health services plans.
               
Medical Access Insurance was designed for the average person or family who wants an option for themselves or their family. In order to make the program available to the vast majority of the population, the program highlights include:
               
·        No medical underwriting or evidence of insurability is required
·        No deductibles or copayments are required
·        Costs are paid directly to the service provider
·        Approved travel expenses are included
·        Free second opinion provided on insured services
·        Coverage is provided to age 75
·        Pre-existing conditions are covered once a person has been on the policy for 24 consecutive months
·        $1 Million USD of lifetime coverage
               
Clients who purchase Medical Access Insurance are eligible to purchase up to $150,000 of Guaranteed Issue Critical Illness Insurance.  This money can be used to arrange for treatment at US or other international facilities for serious or life threatening conditions.  All Acure programs include advice and help in arranging medical services provided through One World Assist (OWA) a Richmond, BC company with over 45 years experience in assisting Canadians in accessing US medical clinics and services.
               
Recently, Acure has introduced a new group benefits program called Diagnostic and Specialist Access Insurance or DSAI.  DSAI allows employees who are placed on a medical wait list longer than 21 days immediate access to diagnostic exams (MRI and CT scans) and Specialist consultations in 10 important categories:
                                   Cardiology                                  Ophthalmology
                                   Ear Nose and Throat                Orthopaedic
                                   Gastroenterology                      Rheumatology
                                   General Surgery                        Spine Team or Physiatrist
                                   Neurology                                   Urology
                                  
               
Recent studies show that seeing a Specialist within three weeks of referral by a GP may result in a reduction in the intensity of treatment and reduce recovery time by as much as 75%.  Importantly, receiving a confirmed diagnosis from a Specialist is the trigger point in receiving treatment in the public system.  Waiting for Specialist appointments can be as long as one year often resulting in employee absenteeism, unnecessary pain, worry and deterioration of health and well being.  Returning employees to work sooner reduces disability costs and contributes to higher productivity.  This is an incredible benefit for any business.
 
Like all Canadians, Acure wants to see a strong, efficient, responsive Canadian public system.  Wait lists which result in citizens living in pain, fear, and possibly resulting in death are not acceptable. Medical Access Insurance provides an option to Canadians to avoid this fate. The nature of the system means most Canadians will be placed on a wait list sometime in their lives- it need not happen.
 
Information on these programs can be obtained on our websites: www.acurehealth.com, www.fasthealth.ca or by calling 1-866-416-2259.

TBSC Report: Wait List Statistics

Wait times for important medical tests or treatment are never in the forefront of our minds- until we're on a waiting list, waiting for care.  Being aware can help you prepare when in  need, and furthermore, can help shed light on the political issues surrounding health care.  Here are some statistics taken from the Alberta experience:

Acute Care (Hospital Based Care)[i]:
Coronary Artery Bypass Graft Wait Times:
·         Urgent (Foothills)- 1 week before 90% of patients had their surgery
·         Urgent (U of A Hospital)- 2 weeks before 90% of patients had their surgery
·         Semi-Urgent (Foothills)- 2 weeks before 90% of patients had their surgery
·         Semi-Urgent (U of A Hospital)- 7 weeks before 90% of patients had their surgery
Timeliness of Care in Tertiary Oncology Facilities
·         Medical Oncologist (Cross Cancer Institute)- 6.1 weeks before 90% of patients will have their first consult
·         Radiation Oncologist (Cross Cancer Institute)- 9.9 weeks before 90% of patients will have their first consult
·         Medical Oncologist (Tom Baker)- 6.1 weeks before 90% of patients will have their first consult
·         Radiation Oncologist (Tom Baker)- 6.9 weeks before 90% of patients will have their first consult

Weeks Waited from Referral by GP to Appointment with Specialist[ii]:
·         In 2009, 10 weeks, up 0.8 from 2008
·        By specialist:
o   Plastic Surgery, 16.0 weeks
o  Gynecologist, 11.5 weeks
o  Opthamologist, 6.0 weeks
o  Otolaryngology, 12.0 weeks
o  General Surgery, 5.0 weeks
o  Neurosurgery, 16.0 weeks
o  Orthopedic Surgery, 28.0 weeks
o  Cardiovascular Surgery (urgent) 4.0 weeks
o  Urology, 12.0 weeks
o  Internal Medicine, 5.5 weeks
o  Radiation Oncology, 2.3 weeks
o  Medical Oncology, 4.0 weeks
Weeks Waited from Appointment with Specialist to Treatment[iii]:
·        In 2009, 9.6 weeks up 0.2 from 2008
·        By specialist:
o   Plastic Surgery, 16.3 weeks
o  Gynecologist, 7.2 weeks
o  Opthamologist, 8.8 weeks
o  Otolaryngology, 10.2 weeks
o  General Surgery, 6.0 weeks
o  Neurosurgery, 10.1 weeks
o  Orthopedic Surgery, 16.6 week
o  Cardiovascular Surgery (urgent) 1.0 weeks
o  Cardiovascular Surgery (non-urgent), 5.0 weeks
o  Urology, 5.1 weeks
o  Internal Medicine, 7.7 weeks
o  Radiation Oncology, 3.0 weeks
o  Medical Oncology, 2.1 weeks
Waiting for Technology: Weeks Waited to Receive Selected Diagnostic Tests[iv]:
·        CT Scan: 4.0 weeks (2009), 4.0 weeks (2008), 4.0 weeks (2007)
·        MRI: 8.0 weeks (2009), 8.0 weeks (2008), 10.0 weeks (2007)
·        Ultrasound: 3.0 weeks (2009), 2.0 weeks (2008), 2.0 weeks (2007)
 
 

[i] Alberta Health Services, "How Long Are Patients Waiting for Acute Care Services?" http://www.albertahealthservices.ca/761.asp.
[ii] Nadeem Esmail, Waiting Your Turn: Hospital Waiting Lists in Canada.  2009 Report- 19th Edition (Calgary, AB: Fraser Institute, October 2009) p. 41, 66.
[iii] Ibid, p. 42-43.
[iv] Ibid, p. 52.

Sean Murray
The Benefit Specialists Corp.
sean.murray@beneco.ca
(403) 547-5236

The information contained in this bulletin is for general information purposes only. The articles published in this bulletin have been collected by The Benefit Specialists Corp. (TBSC) and we make no representations or warranties of any kind, express or implied, about the completeness, accuracy, reliability or availability with respect to the information, products, services, or related graphics contained.  Any reliance you place on such information is therefore strictly at your own risk.  In no event will we be liable for any loss or damage including without limitation, indirect or consequential loss or damage, or any loss or damage whatsoever arising from loss of data or profits out of, or in connection with, the use of the information contained in this bulletin.  Through this bulletin you are able to link to other websites which are not under the control of TBSC.  We have no control over the nature, content and availability of those sites. The inclusion of any links does not necessarily imply a recommendation or endorse the views expressed within them.
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