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Q:Query about Medical Insurance (thru IMG) for Parents Hi, I have bought medical insurance online through AMG for my Mom who is to visit on this month 8th. I have got the confirmation reciept by e-mail. There were no questions about pre-existing medical details while filling the details. My question is how do the IMG know of any pre-existing conditions as we have not provided details anywhere? Or will I recieve any other form later to fill-in these conditions ? Or did I miss something here which was supposed to be done. This is the first time I am buying for my parents and dont have any idea on this. Any further information on this will be appreciated. Thanks!

A:
Questions about pre-existing conditions are not asked while purchasing visitors medical insurance as they are not medically underwritten plans. You will neither get any forms subsequently regarding it. And this is same with all US based companies. When you get sick and get treatment, based on the doctor's opinion, attending physician statement and medical records, insurance company's claims department will determine whether something is a pre-existing condition or not. In other words, until something happens and claim is submitted, you will not know whether something was pre-existing condition or not. Please read /visitor-medical-insurance-pre-existing-conditions/ for more information regarding visitors medical insurance and pre-existing conditions. I hope this answers your question. If you have any other questions, please feel free to post them here or contact us at any time.
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Q:AIG Insurance Hi, What is AIG Insurance? What are their Products? How they work? I want to know about those, can anybody explain to me.. Thanks in advance.

A:
AIG is a huge insurance company. And they deal with all kinds of different insurance. Without any context, it is very difficult to say anything. It would be best if you call our office and we can discuss your needs and suggest you best suitable plan for you.
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Q:Can I get PPO discount for Visitors Care plan Hi, I am thinking about getting Visitor's care plan for my in-laws. I wanted to make sure that If we use First health Plan PPO providers, can we get network discount rate? For example, If physician ( come under PPO) charge $500, If I hold insurance, will I get network discount rate, something less than $500? Thanks.

A:
Visitors Care participates in First Health PPO network. Therefore, if you go to the providers in the network, they will charge you network negotiated rates (discounted rates) as long as it is a covered expense, even if those charges come under your deductible. I hope that clarifies. If you have any additional questions, please feel free to post them here or contact us at any time. Hi, In your previous reply you mentioned that PPO discount is applicable for any covered expense in visitor care plan. Does it mean in Visitor Care plan for non-covered expenses PPO discounts are not applied ? In otherwords if the doctor visit is a result of pre-existing conditon do I get PPO network negotiated Fee if I want to pay the bill ? You get PPO discount only for covered expneses, not for pre-existing conditions and not for any other not covered expenses.
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Q:Some queries on how Protection America insurance will work in real life need I am expecting a relative to visit me some time next year and came across this forum while trying to search for a visiter insurance plan for them. After going through the information available from forum as well as the website, I must say that the effort put in by Mr.Narender in replying to all the queries is really impressive. Protection America looks good for all purposes and it also has a good number of network of Hospitals, Doctors and labs associated with it. I am relatively new to US and have not needed to go to any doctor till now, so not much clear about how the medical system and insurance work here. So I have some queries about how this protection America insurance will work in case of some medical need or emergency for visiter in real life situation. 1. Say if someone fall over in house and fractures some bone, you dial 911, ambulance will take to some hospital as per their assesment of medical need as you can not tell them where to go, it will be all their decision. If that hospital is not a part of that PPO network, will Protection America cover the expenses, if yes how much. 2. If the condition not serious enough to warrent 911 call, but you take the person yourself to ER. Will it make any difference if the Hospital to whose ER you go is a part of PPO Network of Protection America or not. The information on website says that for treatment received from a provider outside the PPO network, the plan pays 70% of eligible expenses up to US$5,000, then 100% up to the Policy Maximum. I underatnd this apply for outpatient visit to a doctor. Does this apply to ER visit and the subsequent expenses if admitted there, also. 3. What about presciption drug coverage and lab tests, I see that they give a Pharmacy Drug Card which allows members to purchase prescriptions at the lowest cost available. But, is that it. Or can you still get reimbursement of that presciption drug cost that you will pay and form it a part of single claim like say (doctor visit/ outpatient treatment within network + tests at partcipating lab + Presciption drug expenses) and you can get reimbursed after copayment and deductibles. I mean, do the presciption drug expenses and lab test expenses comes under outpatient treatment which is covered to 100% of policy maximum after coinsurance & deductables or not. Thanks in advance.

A:
You have to first pay the deductible once before insurance company pays anything at all. After that, if you go in the First Health PPO network, Protection America will pay 80% for first $5,000 in covered medidcal expenses, you pay remaining 20%. (Or 90/10 if you have purchased that rider at 5% extra premium.) After $5,000, insurance company will pay 100% up to the selected policy maximum. If you go out of the PPO network, it will pay 70/30 for first $5,000 and 100% after that up to the policy maximum. This applies whether it is an emergency or not, outpatient or not, hospitalization or not. 1. That's not true. Most of the hospitals are in the network anyway. Still, you can tell them where to go given the choices of several hospitals. And you don't have to wait until something really happens. You just look up the network in advance (right now) and remember the hospital names. I had a real life scenario with one of the customers. On a Saturday morning, one person's father was walking down the stairs. As he was with holding baby in his hand, he could not see when the steps were ending, he fell down and broke his leg. While Mr. was busy with ambulance people, Mrs. called our office and rep. picked up the phone. She asked us to look up the PPO network and described the situation. Rep transferred the call to me. (Actually, customer should have called the insurance company, but I was happy to help in all ways I can.) I told her the names of few hospitals and they told the ambulance where to go. I was busy with this family whole Saturday morning and afternoon, even though ideally it is not part of my duties as a broker. And everything was taken care of properly. I asked them to post the experience on the web site, but they never did. Anyway. In short, if the hospital is not part of the network, 70/30 for first $5,000 and 100% up to policy max after that. 2. Many people go to emergency room even when it is not really an emergency because it is weekend or appointments are not available easily. It costs lot of money in ER unnecessarily many times. Therefore, every insurance company has made some rules regarding ER. In Protection America, the rule is that if you go an ER and if you are not subsequently admitted into the hospital, you are subject to extra $250 deductible per that visit. Again, if the ER hospital is not part of the network, 70/30 for first $5,000 and 100% up to policy max after that. 3. Prescription drugs and lab tests are covered just like anything else. For labs, there is a PPO network. However, for prescription drugs, there is no PPO network. You just use the Universal Rx card, get the Rx at the discounted price, pay the price and file for reimbursement with IMG, subject to deductible and coinsurance. In other words, prescription drugs are covered just like any other eligible medical expenes. In short, going to PPO network is always recommended and beneficial to everyone. Just review the network for your area in advance and go there so that you don't have to search at the last moment. Having said that, First Health PPO is such a large network that practically I have not heard from any one so far saying that they needed to go out of the network. Please let me know if you have any other questions. Thanks for the replying to my queries. I will definitely buy the insurance through you once the dates of visit are finalised. Keeping a ready made list of all the hospitals that are in network is a really good suggestion to avoid last minute panic like one of your customers as you said. I can not think of any other query right now. Will post again if will I have any I am about to purchase Protection America plan for my relatives. We are thinking about the 90/10 plan with 0 deductible. But I do have a lot of questions about the plan. 1. Does the plan cover any preventive care (flu shots, children's immmunizations, annual check ups, etc.) 2. If the child is sick but has no fever, just cough, runny nose, sore throat or ear infection or stuff like that and we go to the doctor (one that's in your provider's directory of course :-)) - will that be covered? 3. Does the plan cover any dental stuff? 4. If we were to buy this plan for 6 month - do we have to pay the entire amount right away or can we get charged monthly? 5. What is the copay for doctor visits? 6. Are there any limitations or restrictions on how much is covered as far as doctor visits, hospital stays, and emergency room visits? For example: Doctor Visit cost 120 dolors but insurance only pays 60 dollars' per visits after I paid co-pay? Or if someone broke his arm and we go to emergency room which cost $300 but insurance only pays $100. I just want know if a there are any restrictions. Thank you in advance for your help 1. No 2. It will be covered, as long as it is a new medical condition as determined by the insurance company's claims department based on the doctor opinion, attending physician statement and medical records. 3. This is primarily a medical insurance. Dental Injury: If you get into an accident and injure your sound natural teeth, it will be covered just like any other medical expense. Sudden Acute Pain: Maximum $100. For any other coverage, look at CAREINGTON dental plan available at /individual-family-dental-plans/ It is $12/month for entire family and there is one time application fee of $20. It gets effective either first of this month or first of next month. 4. Buying and paying is one and same thing. If you want to buy for 6 months, you must pay for 6 months right away. On the other hand, if you want to pay for 1 month, you have to say that you want to buy for 1 month and then you renew it. As long as you renew the insurance 1 month or more, there is no renewal fee. If you renew for less than 1 month, there is a $5 renewal fee in addition to the premium. No matter how many times you renew the insurance, the deductible and coinsurance (80/20 or 90/10) are just once a year (annual). 5. There is no copay. First you pay the deductible (which is $0 in your case) and they you pay the coinsurance for first $5,000 (90/10 in your case). 6. There are no limitations like that. You first pay the deductible ($0 in your case). Then insurance company pays 90/10 (in your case) for first $5,000 and 100% after that up to policy maximum. However, there is a special rule for emergency room. Look at item #2 in my previous reply. Please feel free to post here or contact us if you have any more questions. Thank you for the fast reply, ;) I do have some more questions. :confused: 1. If we buy this insurance say for 1 year and then during that year one of the insured gets stroke and then at the end of that one year we want to renew again - is that stroke going to be considered a pre-existing condition? 2. Also, what is the maximum total term that we can have this insurance (say if we get for 1 year, then renew for another one, and so on)? 3. What if the insured leaves the country (goes home for a couple of weeks) during the term? Will they still have the coverage after they return to the US? I do understand that it's not going to cover their health expenses at home country. 4. If we were to go with deductible $250 - is that an annual deductible per person or per family? 5. What does the renewal process involve? Do we need to fill out a new application? or is that just a matter of calling in and saying 'Yes, we want to renew'? Thank you so much for your time. 1. As long as it was covered in the first period and there is no gap in the coverage, it will be covered after you renew as well. 2. 3 years. 3. Incidental home country coverage is available. Read the brochure at /patriot-america-lite/visitor-insurance/ 4. Per person. 5. It is very simple. You can either call us or visit /international-medical-global-extension/ to renew online. It only takes few minutes. Please let me know if you have any other questions. How many days in advance should/ can the health insurance be purchased for a visiter before the actual date of start of visit. The insurance is required only for duration of visit of course. Insurance can start as early as the next day or any future date you specify. Insurance is effective according to 12.01 AM Eastern time the day you specify. And in order to cover during the travel time as well, keeping timzeone difference in mind between India and US, you should make it effective one day in advance. e.g., if the person is traveling on Dec 15, you should make it effective Dec 14, and you should purchase it latest by Dec 13. Of course, you can purchase it at any later time as well, if you wish. I am sorry, i think i did not make my question clear enough. I intend to buy insurance for my mother effective from 2-Feb-07 to 31-May-07. She will be reaching here on 3rd-Feb-07 and leaving on 30-May-07. The question I was trying to ask was whether I should/can buy the insurance right now (fill the form, pay the money etc. for coverage for desired period) or say 1 month before visit start date or just a week before the visit start date or after she reaches here. I guess it could be purchased anytime, but what is the best advisable time or it does not matter at all. Thanks in advance. 1 week to 10 days in advance.
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Q:HDFC Life insurance + Pension Plan Does anyone know about HDFC Life insurance Pension Plans? I guess most of us on H1/F1/E3 visas do not have any 401K and/or life insurance options provided by our companies. I just saw an ad for HDFC Life Insurance, they have some new life insurance + pension plans i.e. you pay small life insurance premiums until you retire and get a pension every month after retirement based on the life insurance premiums you have paid until retirement. (This is unlike traditional life insurance plans where you pay premium until you die and then based on the qualifiying criteria your family may or may not receive the benefits). Has anyone tried this HDFC Unit Linked Pension Plus or any similar plan where you can get retirement income plus life insurance based on the life insurance premiums paid?

A:
We are unable to advise on this.
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Q:Huge Medical Bill... IMG Paid My mother visited this year (2006) from February to June. This was her 2nd visit in 10 years and she was all fine in the first visit in the year 2000. She was all fine until May and got sick. Initially, she had throat infection, then it was followed by nausea, vomiting and burning in the stomach. Taking her to a Urgent care center did not help and finally had to take her to Emergency. Once I went into emergency, they started doing all kind of things. Since she was Diabetic and BP, the Dr. started diagnosing for possible heart problem. Then, this diagnosis went on for 2 days admitting her to ICU unit. For our question to why this diagnosis when the patient is having no chest pain or whatsoever related to heart, the Dr. said that is the normal procedure they follow for BP and Diabetic patients. I had taken Protection America 8020 Comprehensive coverage insurance. As anything related to BPDiabetic could be considered preexisting, I was worried the insurance company may not cover these expenses. After 2 days of straining my mom w all kind of heart tests, all the results came negative for any possible heart problem. Then, it was the gastro (GI) Dr.s turn to finally find out what problem she had. On the third day, he scheduled for and Endoscopy and came out to say it is just "inflammation in the stomach", that has caused all these problems. I asked the Dr. right there if this is considered preexisting The Dr. said "NO", it is true "medical emergency" , then sent my mom home back on the third day and she is fine in India now. I raised a question to the case worker in the hospital on all the tests they did for heart, when it was actually related to Stomach. I also said, the insurance company may not consider your tests as they may consider this as preexisting. His answer was, that is how we proceed for patients who are BP & Diabetic. After 10 days, I got a huge $35,000 bill from the hospital and other providers. I submitted all the claims as per IMGs claim procedure. IMG started the claim procedure, and in the meantime the providers started sending the same bill for every 15 days. IMG did the review on the case, and paid all the bill upto $5000 at 8020, and the remaining $30,000 at 100%. This left me to complete the deductible and 8020 coninsurance formality. The bottom line is 1. If your parents are above 65 and have preexisting conditions, then it is your decision to sponsor them to visit US. 2. If you sponsor, do some home work and buy comprehensive insurance here in the US (not India). Hope this my experience helps guys who are planning to sponsor their family members. drs

A:
Hello, Thank you very much for posting your detailed experience with Protection America. Most people avoid posting good experiences as they consider that is how insurance should work and it is normal procedure and don't feel urge to report. And as we as a broker, work for you, and not for the insurance company, come to know about the claims experiences (good or bad) only when our customers report. We are glad to know that your claims were processed and the bills were paid. Protection America (IMG) is indeed the best visitors medical insurance plan available in market today. And once again, it has proved itself. I reccommend everyone to purchase it for their relatives visiting USA. drs, if you don't mind, could you please give me your certificate number and name in the private message or through an email, just for my reference purposes? Of course, we will never bother you with phone calls or will never provide your contact information to any one unless you specifically authorize us to do so. We respect your privacy and your time. Protection America is available for instant purchase at /patriot-america-lite/visitor-insurance/ Would you still recommend Protection America for the following instance? My father is 74 and my mother is 64.. they are going to be here for approximately 3+ months from October 2007 to Jan 2008. thanks, -Arun For 70+, if you want $50,000 comprehensive, go for Protection America. if you want $100,000 comprehensive, go for WorldMed. Both available at / Thanks for the information. Just wondering if World Med is as good as IMG as far as claims is concerned. Any positive postings that you have come across? Or any information that you know personally about how they have handled claims? thanks, -Arun Yes, WorldMed is pretty good as well. So it is actually time for my parents to arrive now. For my mother , who is 64 I can buy Protection America and for my father who is 74, I can buy WorldMed and cover upto 100000 correct? Or would you suggest World Med for both of them... any advantage in taking separate plans because of different age group? thanks much, -Arun There is no advantage in putting both parents in the same application. Anyway, policy maximum is per person, deductible is per person, premium is per person. Everything just adds up. If you want to buy $100,000 for both of them, go ahead and purchase Protection America for mother and WorldMed for father. If you want to buy $500,000 for your mother, you can buy WorldMed for both of them as well.
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DISCLAIMER: Information presented in our Questions and Answers section is generic and was deemed to be accurate at the time of response. Please use the answers as a guide and do not make decisions based on the answers. The answers presented may be outdated and altogether inaccurate currently or not relevant as the details provided such as the insurance terms and conditions, plan benefits, eligibility and coverage may have changed. Insubuy assumes no responsibility for relying on such answers. You should review the latest certificate wording of the insurance policy (available on this website) for the product you are considering for the latest and complete details. If there is any conflict between the answers provided here and the certificate wording, the details of the certificate wording will prevail.

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