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salsagoth54

Aug 25, 2005, 10:57 PM

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health insurance

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Do any of you retirees in Mexico keep an hmo plan or catastrophic plan n.o.b. just in case? I'm cashing out on my present job and am eligible for cobra for 18 months (I'm age almost 61, divorced).



Anonimo

Aug 26, 2005, 12:47 AM

Post #2 of 24 (2817 views)

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Re: [salsagoth54] health insurance

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I'm just subscribing to this for email notification. Thanks.


bdudge

Aug 26, 2005, 10:29 AM

Post #3 of 24 (2739 views)

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Re: [salsagoth54] health insurance

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It seems to me it would make a huge difference depending on where you plan on being in Mexico. My goal would be to not pay the huge premium I'm now paying NOB on Cobra and living in an area that has good medical resources...such as Guad. And paying either IMSS or Private Mexican insurance, feeling confident that I will get good medical care, even catastrophic, in MX. That wouldnt happen everywhere, so you'd have to know where you plan on living. Right now two months of HMO Cobra almost pays a year's private insurance in MX for me. Crazy.
Barbara


Esteban

Aug 26, 2005, 10:51 AM

Post #4 of 24 (2730 views)

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Re: [bdudge] health insurance

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The problem with waiting to buy a Mexican private insurance policy is that if you develop something catastrophic, you probably won't be insured. The cost of major medical, with EMERGENCY ONLY international care is SIGNIFICANTLY less with a Mexican policy such as Grupo Inbursa. Unless you have an extreme emergency, it won't matter where you live because the policy is good in the whole country of Mexico. If you get diagnosed with something severe, you may have to go to a bigger city for treatment but at that juncture who cares.


Don


Aug 26, 2005, 10:54 AM

Post #5 of 24 (2726 views)

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Re: [salsagoth54] health insurance

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It all depends on your health needs or possible health needs. I came within "inches" of needing a liver transplant. Don't know if problem will return. Therefore, I maintain my medicare and a supplemental policy in the U.S. I go to private doctors in Mexico and pay out of pocket. I also have IMSS here in Mexico for major problems here. I live full time in Mexico, but do return to the U.S. yearly to see family. Sometimes I access my insurance in the U.S.


jennifer rose

Aug 26, 2005, 11:09 AM

Post #6 of 24 (2718 views)

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Re: [Esteban] health insurance

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I'll second Esteban's recommendation of Inbursa. It's reasonably priced, I have it (yeah, like that's a recommendation), and I've recommended it to others, none of whom have complained. http://www.inbursa.com.mx/

Grupo Nacional Provincial is also a good company, but I found their rates to be much higher than Inbursa.


Bubba

Aug 26, 2005, 4:04 PM

Post #7 of 24 (2659 views)

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Re: [salsagoth54] health insurance

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Our ING health plan in Mexico includes emergency health care anywhere in the world when we are out of Mexico up to $50,000 USD. Anywhere.


Gringal

Aug 26, 2005, 4:06 PM

Post #8 of 24 (2657 views)

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Re: [Bubba] health insurance

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Please tell what ING is. We're searching for health insurance and would like to check that one out, too.


ncferret

Aug 26, 2005, 4:25 PM

Post #9 of 24 (2655 views)

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Re: [Gringal] health insurance

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Here are some insurance options:


MultiNational Underwriters has a number of policies you can apply for online. I found their rates to be among the best. They have options for Worldwide or Mexico only policies. They are licensed in the state of Indiana. An obvious advantage to purchasing coverage from a company based in the US is that the policy is written in English.

Allianz Mexico, an affiliate to Allianz International. This is a very large company with excellent coverage options.

Groupo Inbursahas a local office and offers Mexico only coverage. This is a PPO policy with very inexpensive rates. They have local offices in many cities.

Another excellent option for retirees is IMSS

But if your insurance is only good in the states consider Skymed insurance (evacuation). Tel. 1-800-475-9633 for specific questions.


(This post was edited by ncferret on Aug 26, 2005, 4:28 PM)


Ed and Fran

Aug 26, 2005, 4:35 PM

Post #10 of 24 (2646 views)

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Re: [Gringal] health insurance

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ING is basically a huge international financial organization. For their insurance, see:

http://seguros.ing-comercialamerica.com/index.asp


Regards

Ed


Bubba

Aug 26, 2005, 4:39 PM

Post #11 of 24 (2644 views)

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Re: [Gringal] health insurance

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ING Comercial America is a subsidiary or division of a company headquartered in The Netherlands (I believe) and has offices and coverage all over Mexico and many other places around the world. We have not only our health insurance with them but our auto insurance for our Mexico plated car and our household insurance. They are not competitive for foreign plated (or tourist) automobile insurance.

Their Mexican headquarters is in Mexico City. Their 800 number is 01-800-001-8700.


Gringal

Aug 26, 2005, 4:41 PM

Post #12 of 24 (2643 views)

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Re: [ncferret] health insurance

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Thank you for all the information. That is the wonderful thing about these forums - we can help one another. We'll check these out. We are living here full time and no longer have U.S. health insurance. For ordinary medical care, we have been paying cash. It's the biggies that we want to cover, just in case. Fingers and toes crossed, always.


Gringal

Aug 26, 2005, 4:44 PM

Post #13 of 24 (2640 views)

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Re: [Bubba] health insurance

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Thanks. Our beloved 99 Toyota truck is too young to become a Mexican, so it's insured through the local Lloyd's office. We'll check out the health insurance.


jennifer rose

Aug 26, 2005, 5:10 PM

Post #14 of 24 (2631 views)

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Re: [ncferret] health insurance

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Inbursa is not a PPN-only insurance program. It offers a range of plans, ranging from a very basic plan with a preferred provider network to a traditional plan to a "even go to the Mayo Clinic for elective medical care if you want" plan which isn't inexpensive. And the prices for its plans vary accordingly.


Esteban

Aug 26, 2005, 7:28 PM

Post #15 of 24 (2598 views)

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Re: [ncferret] health insurance

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David: Grupo Inbursa also offers emergency international care not just Mexico only.
If you know of someone who has a policy, read the coverage and you may be surprised.


ncferret

Aug 27, 2005, 7:12 AM

Post #16 of 24 (2532 views)

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Re: [jennifer rose] health insurance

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Jennifer is correct. Groupo offers a wide variety of plans. The site I listed gives some of the options. I should have said my wife uses the PPO (preferred provider organization) plan. It is reasonable priced. The other plans they offer, which have international coverage, are very expensive.

Yes, Esteban the PPO plan from GI offers a $50,000 emergency option, so if you are traveling you are somewhat covered.

For comparison purposes:

The rates for a 45 yo woman under the GI plan were under $400 a year ($1000 deductible). Under this plan routine care is not covered, but its cheap enough to pay yourself.

The rates for the Multinational plan were $700 for a 45 yo male ($2000 deductible). The MultiNational plan covers everything including many services not covered under the GI plan. If you have treatment in Mexico (or anywhere esle in the world, including Europe) your bills are covered at 100%. If you elect treatment in the US or Canada, your charges are paid at 80% up to an additional $5000 deductible. I have this coverage.


Miguel Palomares


Aug 27, 2005, 7:25 AM

Post #17 of 24 (2527 views)

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Re: [ncferret] health insurance

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mcferret says:


Quote
Another excellent option for retirees is IMSS


This depends very, very much on where you are in Mexico. From what I have heard, some IMSS facilities are okay. I would not consider setting foot in others, however, due to the horror stories of people I know personally and trust.
From Tzurumutaro, Michoacan, "The Village of the Darned."
_______________________________________

The nuts and bolts of moving to Mexico:
http://michaeldickson.blogspot.com/
The dark side of living in Mexico:
http://mexicopeeks.blogspot.com/
Scintillating life in a Mexican pueblo:
http://tzurumutaro.blogspot.com/
http://tzurumutaro2.blogspot.com/


ncferret

Aug 27, 2005, 7:38 AM

Post #18 of 24 (2522 views)

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Re: [Don Palomares] health insurance

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Click on the IMSS link above and then go to IMSS report. This is a real experience from someone who uses the system here in Mazatlan. Other gringos use it here as well and find the service more than acceptable. The report tells of the good and the bad in IMSS.

I'm sure the quality of services do vary from place to place, just like most medical care.


(This post was edited by ncferret on Aug 27, 2005, 7:52 AM)


Miguel Palomares


Aug 27, 2005, 7:59 AM

Post #19 of 24 (2510 views)

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Re: [ncferret] health insurance

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As I said in my first response, some are good, according to what I have read and heard. Here is a posting I put some months back on the Yahoo Morelia forum. Following that is a posting from another person, whom I know personally, on the same forum. IMSS is a crapshoot. Maybe you win. Maybe you do not. I would avoid it.

"I have a Gringo friend here in Patzcuaro. He is married to a Mexican.
They are not rich folks, but they have IMSS coverage. She recently was
diagnosed with cervical cancer. She underwent surgery in a big IMSS
hospital in Morelia. Unfortunately.

Hubby was waiting outside the operating room during the surgery,
listening to his wife´s screams. I am not making this up. At some
point, he spoke to a nurse asking what was happening, and saying he
could buy anesthetic at a nearby pharmacy if it were necessary. He
knows Mexico. Oh, no, said the nurse, we have anesthetic!

Screams continue.

The next morning, as the poor woman was lying in bed, totally drained,
trying to get her wits together, my friend discovered the truth. They
had anesthetic, but not enough. The nurse the night before was lying
(as is common). It would have looked bad had she admitted the truth.

I wouldn´t have used an IMSS clinic for something serious before
learning this. Now, I wouldn´t be caught dead in an IMSS clinic."

Now, here is the second report:

"My husband had hernia surgery at (an IMSS hospital) several years ago. The floor he was on was
filthy. Not one of the toilets in the men's bathroom was not
overflowing. Only one functioned in the women's room. They gave him
an expensive Tylenol substitute for the pain after surgery. Nothing
more.

I had a student for probably two years in a Teacher Training Course
I was doing who, during the time she was my student, met and married
a fellow. We went to the wedding and were surprised to see that my
husband knew the groom!

Several months passed. The new husband decided to have elective
surgery on his nose, deviated septum, I believe. His now pregnant
wife took him to the IMSS at the designated time and went to pick
him up at the time they told her to return.

She waited where she was supposed to, then a doctor came out and
explained how sorry he was, that they had given her husband
anesthesia, he went into cardiac arrest, they got him back, but then
he died.

As the husband worked for a local television station this was
immediately all over the news, which is how I found out what had
happened. I went to the funeral home and barely recognized my former
student. What had been a joyously awaited pregnancy the day before
now was tragic. During the mass given at the funeral home the priest
put all hope into the baby and that the husband would live on
through this little boy.

Three weeks later she went into labor, the baby coming three weeks
early. IMSS did not take the proper care with the premie with
underdeveloped lungs, and he too died."

So, those are two reports from personal friends of mine. Others, I have read, are happy with IMSS. Myself, I would not touch IMSS.
From Tzurumutaro, Michoacan, "The Village of the Darned."
_______________________________________

The nuts and bolts of moving to Mexico:
http://michaeldickson.blogspot.com/
The dark side of living in Mexico:
http://mexicopeeks.blogspot.com/
Scintillating life in a Mexican pueblo:
http://tzurumutaro.blogspot.com/
http://tzurumutaro2.blogspot.com/

(This post was edited by Don Palomares on Aug 27, 2005, 8:05 AM)


Esteban

Aug 27, 2005, 8:11 AM

Post #20 of 24 (2501 views)

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Re: [ncferret] health insurance

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I think you may be misreading your policy as to coverage. The emergency international coverage does not have a special limit. It is limited only with your policy cap. Plus, you may be reading the numbers as dollars when the policy is written in pesos. With the numbers you quoted, your cap should read 500,000 Pesos with a 10,000 peso deductible. Is that correct?


Don


Aug 27, 2005, 10:07 AM

Post #21 of 24 (2471 views)

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Re: [Don Palomares] health insurance

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You will hear "horror" stories about IMSS as you will about other hospitals and doctors. I know some "gringos" and both the wife and huband had operations in IMSS in Guadalajara. Both were very pleased with not only their treatment, but with the service they received. One of the operations was for prostate cancer. You will find that some doctors in IMSS also have a private practice. They work at IMSS for a certain period of time to earn their very good retirement. My nephew in Colima is a dentist and a doctor. He has a private office and has a very good practice of dental implants and facial surgery. Well respected in the medical community. He also works for IMSS to earn the pension.


Bubba

Aug 27, 2005, 10:49 AM

Post #22 of 24 (2454 views)

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Re: [Esteban] health insurance

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From the ING Comercial America Health Insurance Policy:

Urgencia Medica en el Extranjero
Suma Asegurada USD $50,000. Deducible USD $50.

All other references in the policy are in Pesos.

By the way, I forgot to mention that, in order to maintain our premiums at previous levels, we raised the deductible to $25,000 Pesos for the local major medical coverage.

Those IMSS stories are pretty scary but I think we'll join just as a backup. ING says we can never be dropped but, while that may literally be true, they could certainly raise the premiums through the roof.

The New York Life agent with the office at the Lake Chapala Society (when we moved here in 2001 - not the same person who is there now) )also told us that the Lake Chapala Group Health Plan could never be cancelled and that is a main reason we subscribed to that plan. Then, New York Life dropped that plan like a ton of bricks.

By the way, what brilliant mathematical genius at New York Life came up the notion that it was a good idea to write a group health plan for an association of geezers. I'd love to see the claims list on that product.


(This post was edited by Bubba on Aug 27, 2005, 11:11 AM)


Marlene


Aug 27, 2005, 12:05 PM

Post #23 of 24 (2437 views)

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Re: [ncferret] health insurance

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But if your insurance is only good in the states consider Skymed insurance (evacuation).


Hmmmm..... If anyone is considering purchasing one of these medevac plans, I urge you to check out the exclusions VERY carefully prior to signing. There continues to be a good deal of misunderstanding associated with these policies.

For an example, check the wording below from one insurance company out very carefully. One must NOT assume that just because they purchased such a policy that the attending physician will approve an emergency evacuation. In reality, Doctors can treat the injury or illness right here in Mexico and that is generally what happens.

I know of a case not long ago where the fellow who had injured himself refused to even go to a local doctor or hospital, instead ordering the attendants to "call my medevac company and tell them to pick me up - I'll be by the pool". You can imagine how far he got.

DESCRIPTION OF BENEFITS

Emergency Medical Evacuation Expenses *
If you or any covered dependents become sick or injured during the period of coverage and it has been determined that an Emergency Medical Evacuation is required to either the nearest medical facility, where appropriate medical treatment can be obtained, or to your Home Country, all eligible expenses incurred are covered up to $100,000. An Emergency Medical Evacuation must be recommended by a legally licensed physician who certifies that the severity of the Injury or Sickness necessitates such Emergency Medical Evacuation, and agreed to by you or your representative.


Here is a list of their particular exclusions from one other insurance company.
http://www.consumerbenefits.net/...devac-exclusions.htm

Read exclusions very carefully each and every time you purchase an insurance policy. The rules will not be bent in your favor at the time of a claim.


(This post was edited by Marlene on Aug 27, 2005, 2:36 PM)


pam16

Sep 7, 2005, 4:54 PM

Post #24 of 24 (2204 views)

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Re: [ncferret] health insurance

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Hello! I'm sorry, but on my page I don't see the link to check out the IMSS. What is IMSS anyway, Mexican national health insurance that gringoes can subscribe to for a price? We are losing our health insurance here in the US and will have to buy some of the ridiculously expensive stuff. We have a place in Mexico anyway, and were planning on going there in a few years, but it might be sooner than expected just because of the medical stuff. Most of the posts are positive about the quality of medical care and health insurance in Mexico, so I want to check it out. Thank you.
 
 
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