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TBSC Tidbit
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| 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.
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Medical Access
Insurance: A Supplement to Provincial Health Care
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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.
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TBSC Report: Wait List Statistics
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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.
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Sean Murray The Benefit Specialists Corp. sean.murray@beneco.ca (403) 547-5236
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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
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