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PDF Editor FAQ

What is the difference between travel insurance and a full global health plan like Cigna International?

The short answer: One, Travel Medical Cover, is primarily for illness and emergencies only and the other, Global Medical Insurance Plans, will cover that and much more, include inpatient, outpatient, health and wellness, vision and dental, and more.Travel medical plans also include some travel insurance components like trip interruption and coverage for lost luggage that global medical plans do not.Both provide options for you to be able to go to the doctor and have the insurance company pay the bill directly. Otherwise, with both, depending on the doctor you go to, you may have to pay yourself and file a claim to be reimbursed.Travel medical plans are typically for a year or less. Global Medical Plans are annually renewable plans for longer term coverage.Read more at: Choosing and Buying International Insurance Plans

What is the health care system like in Mexico?

Health Insurance for Internationals Living in MexicoHealth Care and Insurance for Foreigners in MexicoIf living well is the best medicine, Mexico may just be one of the healthiest countries in the world. The combination of gorgeous views, a delectable foodie scene, and warm communities make Mexico a beloved destination for expats, especially retirees. Expats in Mexico can enjoy an exceptional quality of life everywhere from bustling cities to sleepy, oceanside hamlets. And the genteel climate and affordable prices certainly don’t hurt at all! But the combination of low prices and relaxed living doesn’t mean that expats in Mexico can ignore their health insurance needs.Understanding Mexico’s Healthcare SystemHealth Care in Mexico is often less expensive than in other countries such as the United States. However, medical treatment–particularly emergency medical care–can still be quite expensive without insurance coverage, and most health care providers will require that those without insurance pay prior to receiving treatment. Be aware also that certain healthcare facilities in areas with large international tourist populations have been known to inflate medical charges. The quality of care is good to very good but will vary widely across facilities.IMSS – Mexico’s Healthcare SolutionThe Mexican healthcare system has resources for expats with three different levels or streams of care to make note of. The most basic level focuses on care for the unemployed. This level isn’t really applicable to expats. The middle level is the public sector national healthcare programme, Instituto Mexicano de Seguro Social (IMSS). Foreign citizens who are employed in Mexico are eligible for IMSS coverage. It’s a great resource for working expats with a temporary or permanent residency visa. One advantage – The cost of the coverage through IMSS is very affordable, ~ US $500 per year.The top level of healthcare comes in the form of services at private clinics and hospitals. Like private healthcare facilities around the world, you can expect more comfortable conditions compared to the government operated facilities found at the second level of care. If you’re an expat who is covered through the IMSS for your regular insurance needs, you’ll want to consider purchasing supplemental insurance that would equal this third level of care. This is especially true if you’re based in a more rural area where the available standard government provided care might be very basic indeed.Public hospitals are often crowded and the primary language spoken will be Spanish. Private hospital rooms, a greater range of specialists, and shorter waiting times are some of the perks you can expect to enjoy if you supplement your coverage. Although IMSS has a broad network of hospitals, waiting periods can be lengthy for non-emergency procedures. Access to some of the better private hospitals will be limited or not available at all. IMSS members who are covered through their employment receive preference over independent enrollees. Be aware, IMSS will limit or exclude coverage for certain pre-existing conditions.For Retirees in Mexico: Insurance for Retired Citizens Living AbroadIn addition, be aware of your options regarding health care providers in different areas of the country. Doctors, dentists, and emergency medical personnel are located throughout the country. However, English-speaking doctors are much more readily available in large cities like Mexico City and Monterrey as well as regions that are well-known tourist destinations. The country’s highest-rated hospitals and clinics are clustered in a few cities as well: Mexico City, Monterrey, and Guadalajara.Worldwide Insurance Cover for Expatriates and Internationals Living in MexicoA primary consideration for those living in Mexico is choice of where you are able to receive treatment. Local Mexican insurance will cover you for care in Mexico. However, if you want the option of receiving your care in another care, or in your home country, a global medical insurance plan is the way to go. A private insurance option will also provide you with your choice of hospitals in Mexico where you can receive care.Best International Medical Insurance in MexicoExpatriates in Mexico have options for their global medical coverage. Two leading providers are Cigna Global Medical and GeoBlue Xplorer. Cigna Global is a great option for most and you benefit from their flexible plan design allowing you to tailor coverage by selecting specific modules to meet your specific coverage needs. GeoBlue Xplorer plan is an excellent insurance option for US citizens living in Mexico as they will provide up to 9 months of coverage back in the USA as well as worldwide.The Best Global Medical Insurance Plan for US Citizens in MexicoXplorer Worldwide Medical PlanCustomize your medical coverage to suit your needsDefine your deductible and prescription benefitsChoose providers either in or out of our elite networkPlan Details | View Brochure | Get a QuoteA Leading International Health Plan for All Foreigners in Mexic0Cigna Global Medical Insurance PlanAccess to Cigna Global’s network of trusted hospitals, clinics, and doctorsThe flexibility to tailor a plan to suit your individual needsThe convenience and confidence of 24/7/365 customer servicePlan Details | View Brochure | Get a QuotePayments and Paperwork Considerations for Healthcare in MexicoNon-residents, retired expats, and those working as freelancers or Nomads won’t have the advantage of IMSS coverage. Instead, they’ll require their own private international healthcare insurance coverage. However, it’s important to remember that a good insurance policy doesn’t mean you don’t have to worry about paying for emergencies. It’s a smart idea to keep a reserve of cash on hand in your bank. In many cases, clinics and hospitals in Mexico don’t participate in direct billing programs for international insurance. Patients have to pay before leaving the hospital and submit the relevant paperwork in for reimbursement. They may even have to make a deposit against their final bill at the beginning of their stay.In other cases, hospitals require your insurance company to send them a Guarantee of Payment certificate. This is so the hospital is confident they won’t be out of pocket. In these circumstances, it’s great that you don’t have to pay up front – but it also means coordinating international paperwork when you’re not feeling your best. It would be prudent to have a conversation with your insurance provider pre-departure to see what their requirements are in terms of notifying them before you seek treatment and what kind of receipts they would require for reimbursements.Services and Standards for Hospitals in MexicoIt’s important to remember that healthcare services may not be available in English, regardless of where you seek treatment. Of course, many Mexicans do speak English, especially those who work in the medical system. But you should never assume that you will automatically be treated by English speaking staff. Thankfully, most insurance providers include telephone support, can help you find a local translator, or even help with the interpretation directly over the phone. Language matters aside, the overwhelming majority of expats are very happy with healthcare in Mexico. Nearly 80% surveyed reported being somewhat satisfied to very satisfied with their experiences.Related: Best International Hospitals in Mexico and Safe Places to Live in MexicoBeyond Mexico – When Expats Hit The RoadWhen expats first catch a glimpse of Mexico’s sunny beaches, they vow that they’re never going to leave. And who can blame them? The truth, however, is that most expats do leave Mexico now and then for a short sojourn. They may pop up over the border to the United States to enjoy a little cross-border shopping with their favorite brands or take advantage of deeply discounted winter airfare to visit ski destinations outside the area. In these circumstances, never assume your healthcare insurance for Mexico will cover you if you leave the country. In particular, visits to the United States may be catastrophically costly if you are so unlucky to experience a traffic accident or unexpected serious illness. As with all travel experiences, it’s good to plan ahead to make sure you are covered.Related: Travel Insurance for Visitors to Mexico

Would ‘Medicare for all’ worsen the doctor shortage?

To understand how M4A would worsen the shortage of doctors you need to understand how Medicare as it exists now, covering only older Americans, is making it worse.Medicare predetermines how much a service or procedure will be reimbursed. There is no negotiation or discussion of rates. You accept the rate or you do not treat Medicare patients. As a result bureaucrats and non physicians are determining how much physicians are paid. What has been the result? Without any real pressure to offer a fair rate Medicare (and Medicaid) have become the worst paying insurances in the United States. Far worse than Blue Cross, Blue Shield, United Health Care, Aetna, Cigna and so on. Many physicians because of this low rate do not even see these patients in their offices. Others will limit them to a percentage of their practice. Medicare often does not pay enough to cover expenses.And worse, Medicare since it is arbitrarily imposed, does not pay all physicians equally. Certain specialties are reimbursed at rates far higher than others. So there is pressure going back to the choice of residency/specialization pushing physicians away from certain types of medicine. This is helping to create an imbalance of physician supply.I will give you an example from my own field. For an hour of anesthesia Medicare will pay $78. Blue Cross will pay $320. So in a real day you may get 5 or 6 hours of actual OR time. Time spent setting up a case, evaluating the patient, reviewing labs is not paid. Only actual OR time is paid. That is why over an 8 hour day we may only have 5 hours of OR time. Most of us did not do 4 years of college, 4 years or medical school, 3 to 7 years of specialized training, accumulate $200,000 of student debt and delay starting our careers until we are in our 30's to earn $400 per day with Medicare.Even in government run V.A. hospitals and county hospitals anesthesiologists are on a salary at a far higher rate of reimbursement. So even government realizes it can not hire qualified physicians at that rate.Imagine M4A where all those rates are predetermined. Physicians would avoid many specialties. Many students would not go into medicine at all. The shortage today will be nothing compared what will occur. Of course the US is importing thousands of foreign born, foreign trained physicians who will historically accept those lower rates because they are still better than what they would receive in their home countries. They are outsourcing your medical care.Currently physician reimbursement is only 6% of all Medicare costs. Cutting physician reimbursement to zero would have little effect on overall costs. There is no plan to rein in other costs. Hospital CEOs will still earn $800,000 per year. Nursing costs will not change. Anyone who thinks that reducing physician reimbursement is the solution for reducing the cost of medical care in the US is deluded or lying to you to get elected.Even in Canada the physicians negotiate rates with the government. It is not imposed.Medicare for All will only worsen the current physician shortage because it will only aggravate many of the current factors contributing to the problem.Physicians are bright. They have choices while still in college. As Medicare for All poisons the work environment for physicians word gets back. Fewer people will choose medicine as a career. Law, engineering, finance and many other avenues will offer brighter futures. We will see in medicine what happens in any industry the government attempts to control.Venezuela has the largest oil reserves in the world. After nationalization oil production has fallen steadily and become more expensive. We can see the result today. The government started with optimum conditions when they took over and 20 years later it is a disaster.There is no enterprise the government can not ruin when they take control.Why is SpaceX launching missions to the international space station instead of NASA? Why is NASA incapable of launching an American into space today?There is no business the government can not make worse by taking it over.Medicare for All is no different.

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