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jfriesen1


Oct 13, 2010, 3:32 PM

Post #1 of 17 (3079 views)

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Medical insurance for Canadian seniors 3 month stay at Lakeside

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I'm a Canadian (68 yrs old) and am planning to drive down from Toronto in January to stay in Ajijic until April. I find the info on health insurance policies confusing and very limiting. Lots of limitations on number of meds and long stability periods without changes in meds needed. And they are expensive, often upwards of $1500.00 for a single trip coverage.
I would like to hear from Canadians at Lakeside (or elsewhere) what I should plan on doing. Would my Ontario government OHIP be a somewhat adequate coverage for a 3 month period? Any experiences?
Looking forward to getting some advice.
Thanks,
John Friesen



chinagringo


Oct 13, 2010, 3:43 PM

Post #2 of 17 (3065 views)

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Re: [jfriesen1] Medical insurance for Canadian seniors 3 month stay at Lakeside

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Cannot answer from a Canadian point of view. However, you might take a look at Mexican auto insurance policies that come with travel medical insurance. Each policy that we purchase for travel into MX has included medical insurance, emergency flights and other coverages for non-accident related medical issues during the period of coverage.
Regards,
Neil
Albuquerque, NM



jfriesen1


Oct 13, 2010, 4:24 PM

Post #3 of 17 (3053 views)

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Re: [chinagringo] Medical insurance for Canadian seniors 3 month stay at Lakeside

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Thanks Neil,I'll check that out. I had, not auto, but motorcycle insurance for a 6-week, 10,000 mile ride from Toronto through much of Mexico. That insurance I recall also had some medical coverage, but I don't remember the details. Cost for a full-year was about $600 usd. It also included medvac and other stuff. I'll see if I can find that old policy and check it out. I suspect, however, that the only medical stuff they will be covering is related to an accident.
Cheers,
John


Maesonna

Oct 14, 2010, 5:12 PM

Post #4 of 17 (2970 views)

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Re: [jfriesen1] Medical insurance for Canadian seniors 3 month stay at Lakeside

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Check this website for quotes. I gave it a run-through, pretending I was you, and got a much lower quote. (But it may actually be much higher than my result, depending on your pre-existing conditions and medications).

OHIP will not help you for practical purposes because you would have to pay for any medical care up front, and OHIP will only reimburse you after the fact and (if I recall correctly) only up to the amount the same procedure would have cost in Ontario. Of course OHIP would not help at all if you need repatriation with medical transportaion.

On the other hand, you really only need insurance to cover catastrophic events, ones that would require a hospital stay. For minor things, a visit to a doctor can be as little as a hundred pesos (or even less if you visit an in-pharmacy doctor), and it wouldn't even be worth applying to your insurance to get reimbursed. Say you get an infection and you need to see a doctor and get a prescription. doctor and medicine together may not cost more than a few hundred pesos.


heathesq

Oct 14, 2010, 6:10 PM

Post #5 of 17 (2959 views)

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Re: [jfriesen1] Medical insurance for Canadian seniors 3 month stay at Lakeside

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You really need more than OHIP. Canadian plans are cheapest since they know how to offset costs on OHIP. try http://www.ecanadianinsurance.com/index.html for a quote. Ray Battiston has been in the travel insurance business for years.


jfriesen1


Oct 15, 2010, 2:11 PM

Post #6 of 17 (2896 views)

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Re: [jfriesen1] Medical insurance for Canadian seniors 3 month stay at Lakeside

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Thanks for the replies. Yes, it really is for the big costs that you need insurance, especially beyond what OHIP covers. And I guess OHIP will only cover what costs it would cover in Canada, although that should suffice as costs are much lower in Mexico. And paying out of pocket for smaller amounts is acceptable for the same reason. I found that the rates for the Ray Battison site are extremely high compared to what I have seen for the same kind of coverage in other companies. I recently found a Canadian company (Southern Odyssey) where the costs are much less. I believe they are based in Winnipeg. But I’m still looking. I believce my coverage under the Southern Odyssey plan 2 would be about 7 or 8 dollars per day for a 3-month lookback period for changed medications for diabetes 2 (non-insulin) and BP. And no mention of cholesterol meds. So far that is the most reasonable (and intelligent) approach I have found to existing conditions situations.
But I’m still looking.
John


Maesonna

Oct 15, 2010, 5:00 PM

Post #7 of 17 (2875 views)

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Re: [jfriesen1] Medical insurance for Canadian seniors 3 month stay at Lakeside

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In Reply To
And I guess OHIP will only cover what costs it would cover in Canada, although that should suffice as costs are much lower in Mexico.
John


Except if (heaven forbid) you have a large-scale emergency that puts you under intensive hospital treatment for a prolonged period. What will you do once your credit card is maxed out, since you can't get your OHIP reimbursement until later when you're back in Canada. Forgive my pessimism but one has to consider the unlikely worst case.

Did you try the Kanetix site I gave above yet? I would be interested to know if it gave you better results than you've found so far.


jfriesen1


Oct 15, 2010, 6:28 PM

Post #8 of 17 (2864 views)

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Re: [Maesonna] Medical insurance for Canadian seniors 3 month stay at Lakeside

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You're right. Paying up front for a large bill would present possible problems. I checked out the Kanetix site but it seems they have somewhat prohibitive pre-existing conditions and stability clauses - rather than 90 days most are 180. This is a problem since I have changed meds recently.
John


Scottm

Oct 16, 2010, 6:25 AM

Post #9 of 17 (2827 views)

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Re: [jfriesen1] Medical insurance for Canadian seniors 3 month stay at Lakeside

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My wife and I are in similar circumstances, and rely on OHIP reimbursment for major services. For real disasters,
we use an emergency 'evac' service from Medjet Assist (or Skymed). They basically fly your sickly ass to any
North American destination that you choose. BUT: You must be an inpatient in a Mexican hospital and be
returning to a Canadian hospital to access the evac service. Otherwise, their policy fineprint is very minimal,
and mostly common sense stuff that does not require 3 lawyers to interpret.
Cost for 2, 60+ geezers was about $470 CDN for a full year of service.
After a couple of OHIP experiences, I discovered the critical importance of having detailed treatment records
from your Mexican doctors and hospital....get lots of paper.
For general medical stuff in Mexico, just pay cash for the services of a good local doctor, and don't bother to
claim for it..it's just not a big deal.
We feel this suits our needs at this stage in our lives, and I would hate to be doing a phone battle with some slime
tourist medical insurer if I'm flopping around in some Mexican hospital.
FYI: Medjet even drags your remains home if the medical service doesn't pan out ..LoL
For added comfort, you might make sure your credit cards have fatter limits than you would normally carry back
in Canuckistan....Just another item to keep in mind.
Your American friends probably won't understand Canadian worries about medical insurance. It's just something
we just a 'never leave home without it' thing that comes with our universal medical coverage back home.


BobC

Oct 16, 2010, 2:35 PM

Post #10 of 17 (2785 views)

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Re: [jfriesen1] Medical insurance for Canadian seniors 3 month stay at Lakeside

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The really scary part of the trip is the drive through the U.S. You do not want to be driving through the states without coverage. You can buy travel insurance that will only cover you for a few days but it is only good for the trip down. You cannot get coverage from a Canadian company for the trip back because that trip does not originate in Canada. We bought coverage last year from a Quebec-based company called Travel+Med (don't have the website handy, but a Google search should turn it up.)They were flexible and (we thought) reasonably priced so we bought coverage for 12 months to cover us for casual trips across the border as well. You could try them.

OHIPs allowances would probably take the bite out of a minor medical problem in Mexico (but don't forget you will have to pay the costs upfront and claim back later) but the peace of mind of knowing you are fully covered is probably worth the price if you can afford it.

Good luck and enjoy your stay!

Bob


Moisheh

Oct 16, 2010, 7:24 PM

Post #11 of 17 (2751 views)

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Re: [BobC] Medical insurance for Canadian seniors 3 month stay at Lakeside

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I have had lots of experience in both buying and utilizing Travel health insurance. One of the least expensive is underwritten by Manulife. They are the largest n Canada. However I have to add that they are very difficult when it comes to claims. Be cautious of some of those"no name" companies. Have you tried RBC. There rates are very competitive and great coverage. Some companies employ a 3rd party to handle all claims. These 3rd parties are there to keep from paying the claim!!! Or at least to keep the cost low. Lately when you have an injury that is over a few thousand dollars the insurer will fly you home. If you need some serious medical care the cost for a USA style Dr. and hospital will not be a few hundred pesos. Most Provinces seem to cover about 2/3 of the cost for a first class facility. It can take more than 6 months to get reimbursed. Just googling for Canadian Travel Health will keep you busy for many nighjts!


BobC

Oct 17, 2010, 6:08 AM

Post #12 of 17 (2727 views)

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Re: [Moisheh] Medical insurance for Canadian seniors 3 month stay at Lakeside

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Moisheh's points are all well taken. The real test of an insurance company is how they handle claims.
Fortunately, I never had to test Travel+Med service on claims. I will say, though, that their customre service at the point of sale was excellent. But almost everyone has had at least one experience with the great salesman whose company doesn't follow through on his promises!

T+M do have a claims office in Florida (which may or may not be operated by a third party), which suggests that they at least do a good business in Quebec. One hopes that if their service is poor, they wouldn't be in business too long.Word does get around.

They also included the Skymed air evacuation program as part of the policy. They also will return your vehicle and pets to Canada. We went down with two dogs, so the latter was attractive to us.

We did approach ManuLife last year, but their medical restrictions were such that, because me blood pressure meds had changed slightly within the previous six months, their premiums were quite high. Travel+Med only required that they had not changed within the previous three months.My wife had had an incident with chest pain and they had their doctor speak with her about it and he agreed that it had been a false alarm, so no problem there.

We also checked with RBC Insurance, but their rates were about double Travel+Med and 50% over Manulife's.

So much depends on medical history. A company that is good for one may not be good for another.

It is definitely a tough job sorting it out. A good insurance broker may be able to help.We worked with one and he was helpful, but in the end found T+M ourselves.

Again, good luck!

Bob


BobC

Oct 17, 2010, 7:17 AM

Post #13 of 17 (2708 views)

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Re: [jfriesen1] Medical insurance for Canadian seniors 3 month stay at Lakeside

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Another company I should mention is Medipac (www.medipac.com).

I have many friends who are retired military or federal civil service. They were always referring to Medipac for when they go to Florida, etc. I had thought that it was a special plan they had so never thought to check it out last year. Then I found out that, while they do have their own special program with the company, they also sell to individuals. I've never heard my friends say a bad thing about them--but have to admit that I don't know if any of them have ever had any claims, either!

By the way, if you want to discuss the medical insurance issue further in detail--or pick our brains about Lakeside in general, the drive down, etc.,-- PM me and I'll send you our phone number.

Bob


Moisheh

Oct 17, 2010, 2:05 PM

Post #14 of 17 (2674 views)

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Re: [BobC] Medical insurance for Canadian seniors 3 month stay at Lakeside

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My Google search did not turn up that Travel+Med plan??

Thanks

Moisheh


BobC

Oct 17, 2010, 4:17 PM

Post #15 of 17 (2654 views)

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Re: [Moisheh] Medical insurance for Canadian seniors 3 month stay at Lakeside

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Sorry, gang! It's Tour+Med!

http://www.tourmed.ca/

This old age is a bummer!

(I see that they are also sold through brokers.

Bob


jfriesen1


Oct 23, 2010, 6:20 PM

Post #16 of 17 (2518 views)

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Re: [BobC] Medical insurance for Canadian seniors 3 month stay at Lakeside

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Thanks BOB for all that info. I appreciate it. Thanks to everyone else as well. I did check out Tour & MEd (in Quebec) and the rates seemed reasonable. I checked out Blue Cross as well to compare and it seemed to be the same cost but a higher Maximum ($5M instead of $2M) and also included dental/accidental, which I thought Tour*Med did not include. Anyway, I probably will go with Blue Cross. Both these companies were easy-going on the pre-conditions and number of meds I was taking, unlike many other companies which had severe restrictions. I think the cost is around $750 for an annual multi-trip 30-days plan including the top up for 90 days in Mexico.
I've been wondering if it's important or useful to have a higher maximum than one or two million. Anyone know about that?
We will probably arrive in Mexico beginning of February and stay to near end of April or so. Now looking for a house to rent, hopefully in the village of Ajijic, two bedrooms and maybe a study, with potential internet and Sat TV and nice indoor/outdoor spaces, patios. I like the Mexican style rather than the U.S./Canadian style of housing. I know it is difficult to get something like that at this late stage. I see lots of the advertised (on internet) houses that I like, and in my cost range (approx $850 to 1000/mnth) are already booked. Even if I don't get something arranged beforehand I will go and try to find something when I get there. In the meantime I can stay somewhere like Laguna B&B (I've stayed there before) while I'm looking.
Any ideas on a strategy for finding a place for 3 months starting beginning of Feb?
Thanks again for all the good advice,
Cheers,
John Friesen


BobC

Oct 25, 2010, 6:43 AM

Post #17 of 17 (2439 views)

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Re: [jfriesen1] Medical insurance for Canadian seniors 3 month stay at Lakeside

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No problem, John. You are most welcome. We also had tried Blue Cross last year, but even though we already have Blue Cross coverage with my wife's pension, TourMed still seemed a better deal on travel insurance.

If there is a lesson here for everyone, it is that there most definitely is NOT a one-size fits all solution to travel insurance--unless maybe you are 21 years old! It is really important to shop around--and, if you are thinking about taking a trip and your doctor wants to adjust your meds even slightly, ask if it is really necessary...

As to finding a place down there, although we had pretty good luck last year renting over the internet (albeit through a friend-of-a-friend) I agree that the best approach is to go down and stay in a B & B and see for yourself before renting.

My offer still stands if you want to pick our brains about the trip down, what to take, where to stay, etc. Just PM me and I'll send our phone number.

Bob
 
 
 
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