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Joined: Mar 2009
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Traveler
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I submitted all my receipts for my 2 Doctor visits and 2 Labs when I had an issue in St Maarten and got my check yesterday. All they did was deduct 3 $15.00 copays. Glad I took the time to do the paperwork.

1 member likes this: Kennys
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Good deal.


J.D.
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Yes, I find it pleasantly surprising when I have no issues with a claim while in the US. laugh


Carol Hill
Joined: Jul 2006
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You were luckier than I was. Medicare denied my claim, and my supplemental will pay 100% of Medicare approved claims, but nothing if Medicare didn't approve it. Cost me over $3,000 for my diverticulitis while on the island last year mad

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Wow, not good. Did Medicare say why they wouldn't pay? Did you buy travel insurance?


Carol Hill
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Medicare doesn't cover anything outside the US. And for some reason, we didn't have travel insurance; not sure why. Won't make that mistake again!

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I'm on Medicare and my Supplement through United Healthcare covered it.

1 member likes this: Kennys
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Blessings 👍😊

Joined: Aug 2000
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Georgia-- Our Supplement covers 80% out of the country. IF Medicare would otherwise cover it. I don't know how they determine that Medicare would otherwise cover it, if it was in the country. We always buy travel insurance regardless.


Carol Hill
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I had to file with Medicare first, before my supplemental would even review the claim. Once Medicare declined it, the supplement wouldn't even consider it. I guess I should have pushed the issue, but with everything else going on in our lives at that time, it just wasn't worth the stress.

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I just filled direct with United.

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OK, I understand. As you said, you need to always buy travel insurance in future. I am most concerned about medical evac coverage.


Carol Hill
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I contacted my BCBS first, but they told me I couldn't file directly with them, that I had to file with Medicare first, and that Medicare would file with them for the unpaid portion. They did that, and both claims were denied.

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OK, sorry to hear that.


Carol Hill
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Last February, I submitted a claim for my wife's two visits to see the doctor at the Maho clinic and for some prescription drugs. We received 100% back with no deductible.
I even emailed the clinic from home and she sent me more additional information that was required for the claim.

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You might had done better not submitting to Medicare at all, not calling BCBS and just mail in the claim forms. That's what I did.

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You could be right; I called to find out how to file the claim, and that's the information they gave me. Whatever...it's done now.

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Last year when i was rushed by ambulance to the medical center, had to pay like three grand to the hospital. when we got back was told to put through a claim on medicare......but they won't pay it. BUT....once denied was told to submit it to my secondary, which is United American. They covered 80 percent ....which i was thrilled with.

Joined: Mar 2008
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Looking to purchase travel medical insurance for our next trip to SXM. Any recommendations would be much appreciated. Thanks

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gracie--Please check out TTOL sponsor Insure my Trip. You can compare various insurance plans side by side and get what is most important to you. Click on the sponsors list.


Carol Hill
1 member likes this: Kennys
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I have an annual plan with Allianz

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We have an annual plan with GeoBlue. I had an issue this past March and ended up with a couple of doctor visits some meds and a CT scan while on the island. I sent the receipts to GeoBlue when I got home and within a couple of weeks, they sent me a check for everything less a $100 deductible.

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Joined: Mar 2008
Posts: 177
Thanks so much for the info. Appreciate hearing from people on TTOL & their personal experiences with the insurance. We will definitely check out GeoBlue. We had used Allianz several years ago, not for medical insurance but travel insurance. We got royally screwed by them. Difficult to deal with. The insuremytrip sponsor on TTOL is wealth of info as well. Thanks so much.


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