Traveltalkonline.com Forums


SXM Cruise Schedule TTOL Sponsors SXM Travel Calendar
Forum Statistics
Forums39
Topics39,203
Posts317,914
Members26,632
Most Online3,755
Sep 23rd, 2024
Top Posters(30 Days)
Kennys 43
bdeeley 26
RonDon 23
Colour1 18
mahokid 17
erb923 13
Member Spotlight
GeorgeC1
GeorgeC1
GA/NC
Posts: 7,160
Joined: April 2002
Today's Birthdays
marotta, somewherenthesun
Who's Online Now
25 members (SXMNAN, Bernd, Cincinnati_Kid, IWIWSE, lcote, ColoBoater, xrayman67, Kennys, jaxon60, Rnd, NumberCruncher, charlie, GeorgeC1, jrw, pandpfromcanada, SURICK, 9 invisible), 1,726 guests, and 228 robots.
Key: Admin, Global Mod, Mod
Previous Thread
Next Thread
Print Thread
Rate Thread
Joined: Aug 2000
Posts: 1,397
Tom Offline OP
Traveler
OP Offline
Traveler
Joined: Aug 2000
Posts: 1,397
Recently there has been conversation on TTOL regarding medical coverage for seniors while in SXM. Most of us know that Medicare won't cover anything out of the US. We just checked with our Advantage (supplemental) medical coverage plan and learned that they will cover most medical problems while we are in SXM. We are in our 70s and had thought that we might need medical evacuation insurance as well as medical and travel insurance to avoid potential $50,000 fees for evacuation. That is not necessarily accurate. I suggest that you contact your supplemental insurance carrier to get your coverage information. Understand that they won't replace travel insurance (usually only around $50) but may cover all standard medical and emergency evacuation when you cannot get the required medical attention you need in SXM. Some of us may save considerable $ with coverage we already have.

SXM Sponsors
Joined: Aug 2000
Posts: 83,639
Traveler
Offline
Traveler
Joined: Aug 2000
Posts: 83,639
Tom--You have your terms totally crossway there. Medicare ADVANTAGE versus Medicare SUPPLEMENT plans are two totally different products. Also, it depends on what your definition of "MOST" medical problems is and how much they actually cover. Our supplement policy only pays 80%. 20% of $50,000 is still $10,000. The cost for a REAL travel insurance policy including medical evac is not that much, to me, versus the risk. We paid about $150 I think for our upcoming trip. When we were young, we NEVER bought travel insurance. Now? Sh*t happens when you're old.


Carol Hill
Joined: Mar 2009
Posts: 19,237
Traveler
Offline
Traveler
Joined: Mar 2009
Posts: 19,237
I used to have medical evaluation coverage through DAN but now can't get it because of age 76 and state we live in. Best to really research it and get it all in writing.

Joined: May 2002
Posts: 5,481
Likes: 1
Traveler
Online Content
Traveler
Joined: May 2002
Posts: 5,481
Likes: 1
Just had and a very good client of ours had to fly his Wife out on their cost and they still came back after a week abroad . God"s blessings .

Joined: Mar 2009
Posts: 19,237
Traveler
Offline
Traveler
Joined: Mar 2009
Posts: 19,237
Difference being is if it was a private medical evaluation or just a commercial flight. Would be good to know the particulars.

Joined: May 2002
Posts: 5,481
Likes: 1
Traveler
Online Content
Traveler
Joined: May 2002
Posts: 5,481
Likes: 1
The Wife had a Heart attack and survived , came back to the Island and finally just left today back home. Lots of his money spent .

Joined: Aug 2000
Posts: 1,397
Tom Offline OP
Traveler
OP Offline
Traveler
Joined: Aug 2000
Posts: 1,397
I don't claim to be an expert but our research on Medicare supplemental medical coverage (Medigap/Advantage/Supplement, whatever name an insurance company calls it) resulted in our learning that our coverage includes "normal medical care" that is available in SXM (broken bones, strains, sprains, dental and optical problems). It also offers cost support for life threatening medical conditions that cannot be provided by facilities in SXM. This includes medical evacuation to a facility that can provide such services. Our plan covers all of these via reimbursement after expenses are paid.

Look, my intent was to suggest that others look into their personal coverage so that they avoid getting something they already have. We were about to spend $600 for 2 weeks medical coverage in SXM because we were uninformed. Sometimes trying to help others goes unappreciated.

Joined: Nov 2006
Posts: 443
Traveler
Offline
Traveler
Joined: Nov 2006
Posts: 443
I usually get the medical evacuation insjurance. The basic medical care on the island seems to be pretty good and fairly inexpensive vs. US prices.

Joined: May 2007
Posts: 793
Traveler
Offline
Traveler
Joined: May 2007
Posts: 793
We use Geo Blue. Cost for one week was $129 including $500,000 medical evac. They offer cheaper options. I cannot comment on how good they are because thankfully we have not had to use it.

Joined: Mar 2009
Posts: 19,237
Traveler
Offline
Traveler
Joined: Mar 2009
Posts: 19,237
Half a million is a lot of coverage. You planning an iner galactic trip? jester

Joined: May 2002
Posts: 5,481
Likes: 1
Traveler
Online Content
Traveler
Joined: May 2002
Posts: 5,481
Likes: 1
Thanks for the figure and just spoke to our friends about this for their next trip to our Island.

Joined: Aug 2000
Posts: 83,639
Traveler
Offline
Traveler
Joined: Aug 2000
Posts: 83,639
Tom--again, there is a HUGE difference between ADVANTAGE and SUPPLEMENT. You need to know the difference. If you choose an advantage plan, h*ll, you often aren't covered inside the US for things, if you go to the wrong provider. And even if you are technically covered outside the US, that doesn't mean that you don't have a HUGE co pay. COVERAGE is one thing. Coverage with no co pay is a whole different thing. People should look into their personal coverage, yes. But even in your own case, I don't think you went far enough.

Plus "reimbursement after expenses are paid"?? Again, you have to shell out $50K for a medical evac on your credit card and wait 6 months or a year for them to pay you back?

And you don't need to spend $600 for two weeks. That's crazy. We normally can get what we need for about $150 for 10 days. If you're looking primarily at the medical end of it, compare the policies, like on Insure My Trip, and you can get a good deal.


Carol Hill
Joined: Jul 2006
Posts: 13,465
Traveler
Offline
Traveler
Joined: Jul 2006
Posts: 13,465
Even in the US, the advantage plans are not the best option. Providers here are always happy when we say we have a supplement and not an advantage plan. Those extra benefits that the advantage plans tout aren't really worth what you pay for them.

Joined: Oct 2023
Posts: 127
T
Traveler
Offline
Traveler
T
Joined: Oct 2023
Posts: 127
Tough crowd here some times but you started a worthy discussion primarily to make sure you know what you got and do research.

I’ve learned some Medicare stuff here but as with all govt stuff so many scenarios and ins and outs to minimize your losses in the game of healthcare.

We too skipped over trip insurance by rolling the dice. No more.

Everyone absolutely needs repatriation medevac insurance to your home base hospital, not just some random Miami hospital.

I don’t know how the travel insurance companies make money as we have had many trip interruptions with baggage, hotels, clothing. Nothing big medical or medevac.

Most travelers must be honest chaps.

I just leaned there are to R’s in the word interruption thanks to TTOL spellcheck.

Joined: May 2002
Posts: 5,481
Likes: 1
Traveler
Online Content
Traveler
Joined: May 2002
Posts: 5,481
Likes: 1
Our friend flew to Guadaloupe and back to St.Maarten $ 21,000.00 of his own money .

Joined: Aug 2000
Posts: 1,397
Tom Offline OP
Traveler
OP Offline
Traveler
Joined: Aug 2000
Posts: 1,397
Carol,
Some clarification is appropriate here. I summarized our personal medical coverage.
We asked our insurance company for specific medical coverage in Sint Maarten. Their response was clear. If we required medical treatment of a basic nature while on vacation in SXM, it would be covered as if we were in the US, (we pay no copay for doctors or specialists) as there are no in network providers in SXM.. As stated earlier, any serious medical emergency that exceeded the capability of SXM medical personnel, our insurance representative stated that when contacted by the SXM doctor/hospital, preauthorization would be made and we would be evacuated to the nearest in network facility in the US that offered the required services. No $50,000 evacuation fee which has so many people concerned. I am aware that medical plans vary from state to state in the US.
Yes, even we were surprised at our emergency coverage and that is why I suggested that others contact their insurance provider to learn more about their personal coverage and potential to save money.
TG

Joined: Aug 2000
Posts: 1,397
Tom Offline OP
Traveler
OP Offline
Traveler
Joined: Aug 2000
Posts: 1,397
TJTrippe
Agree with most of your reply except the medivac part. For me, I care a lot more about someone knowing how to save my life and a lot less about where that saving happens.

Joined: Jan 2017
Posts: 3
B
Member
Offline
Member
B
Joined: Jan 2017
Posts: 3
An underlying theme here is managing gaps and redundant coverage. We use SquareMouth (www.squaremouth.com) to find policies with the specific features we need. Zipling in Costa Rica versus pub crawling in London include very different risk profiles. I have no interest in buying cancellation or interruption insurance because it’s already bundled with one of our credit cards. SquareMouth lets us toggle on & off the features we want without paying for something we don’t need.

Brad

Joined: Aug 2000
Posts: 83,639
Traveler
Offline
Traveler
Joined: Aug 2000
Posts: 83,639
Brad--sounds very much like Insure my Trip. You can customize exactly what you want to purchase.


Carol Hill
Joined: Dec 2003
Posts: 436
B
Traveler
Offline
Traveler
B
Joined: Dec 2003
Posts: 436
Carol could you share where you got insurance for that price. We purchased insurance for our last two trips and paid more than you. Luckily we were insured last month when we had to cancel the morning of our flight. We had a check in hand within two weeks which totally amazed us.


Lived most of my life in Massachusetts
Joined: Oct 2023
Posts: 127
T
Traveler
Offline
Traveler
T
Joined: Oct 2023
Posts: 127
Your probably right if under life-threatening situation, but if stabilized and being repatriated from SXM, Europe or Asia, they may as well take us where we can navigate the health system and have a long-term network. Another few hours in the plane could make life a lot easier for recovery.

Joined: Apr 2002
Posts: 5,925
Traveler
Offline
Traveler
Joined: Apr 2002
Posts: 5,925
Your comment "but may cover all standard medical and emergency evacuation when you cannot get the required medical attention you need in SXM" may be subject to misinterpretation. I can tell you that (as a long time rep for a company providing medical evacuations) you MUST get to a hospital first for evaluation and emergency treatment. Before you can be evacuated by a proper, qualified company (mine is from Arizona), you must be declared "fit to fly" which says putting you on a plane will not endanger your health. And evacuations to the US now cost roughly $55,000 or more payable in cash in advance. That service is NOT normally provided in any health insurance policy. But if it is...check their fine print. For medical evacuations, it probably says they will "take you home OR TO THE NEAREST APPROPRIATE FACILITY" and their decision on the nearest appropriate facility may be the St. Maarten Medical Center, which is NOT home. Or they could drop you in St. Thomas or San Juan, both US territories. That's not home either. Home is where you live....big difference.

Jeff


Jeff Berger
Visiting SXM Since 1978
Joined: Aug 2000
Posts: 83,639
Traveler
Offline
Traveler
Joined: Aug 2000
Posts: 83,639
bob--I always book our insurance on Insure my Trip. Just go there and put in your information and what your needs are. It will bring up a huge list of policies. Then you can have them ranked cheapest to most expensive, if you like. For me, the nonrefundable part of the cost of the trip is usually very low, so, even though I get a comprehensive policy, I'm mostly getting it for the medical part of the policy. I would suspect most here are the same--if you literally couldn't go, probably you could get a full refund or transfer of your rooming cost (but maybe not, so check that out). Also, if you cancel a few days out, often you can get a refund of airfare to travel credit. Just look at your particular situation. But, Eric is the oldest and he is 70, so I wouldn't be surprised if the cost goes up pretty steeply, based on age. I haven't put in a fake age to check that out though. BUT! the older you are, the more you need it.

As far as medical evac, for us, a hospital in Miami is OK. If we had to be evacuated from anywhere, the closest suitable hospital to our house would probably be either Tampa or Orlando and either one of those is an hour and a half from home, so 3.5 hours to Miami isn't that different.


Carol Hill
Joined: Aug 2000
Posts: 1,397
Tom Offline OP
Traveler
OP Offline
Traveler
Joined: Aug 2000
Posts: 1,397
Jeff,
We thoroughly researched this subject. Our insurance folks were specific that if required and the emergency medical treatment was unavailable in SXM, (which would be a hospital and appropriate Doctor) the medical people in SXM would need to contact our insurance people and a preauthorization for medical evacuation would be issued by the insurance company. We confirmed that cost would be the responsibility of the insurance firm. I did not claim that evacuation would be to my home hospital but would be to a qualified medical facility. We are aware of your relationship with SkyMed but since we are 78/75, we are also aware of that cost. We simply just asked our personal insurance representitive and as stated, you must get the very best care during an emergency medical event. We know some folks want to go home, we would like to get to the nearest, in network, facility in the USA. Will we get additional coverage? We might. There are many websites that offer choices, length of coverage, and associated costs for folks like us.

Joined: Apr 2005
Posts: 7,603
Traveler
Offline
Traveler
Joined: Apr 2005
Posts: 7,603
Something to pack for your travels just in case https://jasemedical.com/

Joined: Oct 2023
Posts: 127
T
Traveler
Offline
Traveler
T
Joined: Oct 2023
Posts: 127
Martini,
Agree to either have your Dr. or use such a service and get some what/if questions answered on when to take what antibiotics AND WHEN NOT. Hunting down antibiotics around the world can be easier and or more difficult but the delay in treating something simple can ruin the trip.


Link Copied to Clipboard
Powered by UBB.threads™ PHP Forum Software 7.7.5