Bupa International and the Medical Tourism Association recently teamed up for a successfully co-sponsored webcast on “Centers of Healthcare Excellence & Global Health Insurance - The Future of Mobility in Healthcare”
Jose Quesada, Medical Director, Bupa InternationalOne of the challenges multinational employers and insurers have experienced as they expand across borders is identifying centers of excellence and building a quality hospital network for their employees or insured. Jose Quesada, Medical Director of Bupa International and Jonathan Edelheit, CEO of the Medical Tourism Association explored solutions that allow multinational employers to reduce their expenses by eliminating the need to develop their own medical network through the use of global centers of excellence. View the replay below.
The webcast covered the following topics:
Centers of healthcare excellence and global insurance policies; what is their trend in growth as well as costs?
Difference between individuals purchasing insurance policies versus employers.
Where are individuals traveling to?
What are the future trends with regards to growth of these policies?
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Centers of Healthcare Excellence and Global Health Insurance – The Future of Mobility in Healthcare
1. Jose Quesada
Medical Director
Bupa International Private Medical Insurance
Jonathan Edelheit
CEO Medical Tourism Association
Director of Global Benefits Association
5. Plan
Premier Plan is our flagship product offering extensive benefits worldwide through our network of over 9,600 listed health services providers.
The plan allows direct billing facility within ******network of health service providers. At the same time, you also have the choice to go to a doctor or
hospital of your choice outside our network, and get a reimbursement for services covered in your policy.
Annual Limit AED 5,000,000 Per Person - $ US 1,361,247
Emerge
ncy
Treatm
ent
Covered worldwide
Inpatient
Benefits
Hospital Fees (including room charges, meals, nursing, drugs, Operation Theatre charges)
Diagnostic tests during your hospital stay
Specialist‟s or Physician‟s Fees, and Visiting Doctor‟s Fees
Childbirth or any pregnancy related complications
New born care and accommodation
Benefit for parent and companion accommodation in specific conditions
Home Nursing - On doctor‟s recommendation, plan covers for health services required at home
Cash compensation in case of free inpatient treatment
Emergency cases leading to inpatient treatment
Exclusive
Benefits
Dental Cover including consultations, extractions, root canal, dentures, tooth bleaching, gum treatments and more
Optical Cover including vision tests, spectacles, contact lenses and Lasik surgeries
A preventive medical check-up every policy year
Annual screening for breast, prostate and colon cancer above the specified age as mentioned in your policy
Alternative medicine including Homeopathy, Osteopathy, Acupuncture, Chiropractic treatments and more
Psychiatric treatment for diseases or disorders related to mental health
Consultation with Dietician on nutritional adequacy
Vaccination
Dialysis
Vitamins as prescribed by your doctor
Contraceptives and birth control treatments, as prescribed by your doctor
Hepatitis treatment including hepatitis B and C
Infertility treatment
Groups with more than 50 members have the flexibility to choose from additional coverage modules, including Dental Cover, Optical Cover, Alternative
Medicine and Chiropractic, Home Nursing, and Annual Health Check Ups.
Specialized
Services
A global emergency assistance program through our partner „******
Access to top-class medical experts globally for second opinion services through our partner „******‟
An in-house Health Support team to support members with chronic diseases on treatment facilities, procedures and medications
Access to 24/7 call center staffed with bi-lingual representatives
Easy and safe access to our online portal “My ******” to submit and track claims, search for providers, and more
Access to “**********Customer Club”, an online *************member community, offering exclusive offers from our trusted partners, health and wellness tips
Territori
al Limit
Worldwide (WW)
6. Plan
Our Enhanced Gold Plan offers health insurance coverage across 4,500 listed providers
worldwide excluding USA and Canada.
What‟s more, you even have the choice to go to a doctor, hospital or pharmacy of your choice and get a reimbursement for services covered under this plan
Annua
l Limit
AED 2,500,000 Per Person US $68000
Emergenc
y
Treatment
Covered worldwide; For maternity in Non-Network – 80% on Reimbursement worldwide
Inpatient
Benefits
Hospital Fees (including room charges, meals, nursing, drugs, Operation Theatre charges)
Diagnostic tests during your hospital stay
Specialist‟s or Physician‟s Fees
Childbirth or any pregnancy related complications
Benefit for parent and companion accommodation in specific conditions
Emergency cases leading to inpatient treatment
Specialize
d Services
Annual screening for breast, prostate and colon cancer above certain age
A global emergency assistance program through our partner „*******************
Access to top-class medical experts globally for second opinion services through our partner „**************
An in-house Health Support team to support members with chronic diseases on treatment facilities, procedures and medications
Access to 24/7 call center staffed with bi-lingual representatives – Arabic and English
Easy and safe access to our online portal “My ******************” to submit and track claims, search for providers, and more
Access to “**************Customer Club”, an online ******member community, offering exclusive offers from our trusted partners, health and wellness tips
Territorial
Limit Worldwide excluding USA and Canada (WW exc. US CAN)
Network
Network within UAE: Exclusive 1 (Direct billing available in American Hospital for In-patient treatment only)
Network outside UAE: WW exc. US CAN
Reimburs
ement at
Non-
Network
Provider
80% for Non-Network providers
In case of Emergencies:
a) 100% covered worldwide
b) 80% covered in Non-Network for Maternity
7. Plan
Enhanced Bronze Plan offers you health insurance coverage for all health services within UAE. With a network of over 1,400 health service
providers, you may be rest assured that the plan offers complete coverage for inpatient, outpatient, and emergency benefits. You can
also get a second opinion from medical experts globally, should the need arise to
consult them.
Annual Limit AED 500,000 Per Person (AED 250,000 for individuals and small groups*)
Emergency
Treatment
Covered outside UAE, in select list of countries
For maternity in Non-Network – 80% on Reimbursement in select list of countries
Inpatient
Benefits
Hospital Fees (including room charges, meals, nursing, drugs, Operation Theatre charges)
Diagnostic tests during your hospital stay
Specialist‟s or Physician‟s Fees
Childbirth or any pregnancy related complications
Benefit for parent and companion accommodation in specific conditions
Emergency cases leading to inpatient treatment
Specialized
Services
Annual screening for breast, prostate and colon cancer above certain age
Access to top-class medical experts globally for second opinion services through our partner „***********************‟
An in-house Health Support team to support members with chronic diseases on treatment facilities, procedures and medications
Access to 24/7 call center staffed with bi-lingual representatives
Easy and safe access to our online portal “My ***************” to submit and track claims, search for providers, and more
Access to “*********************Customer Club”, an online ***************member community, offering exclusive offers from our trusted partners, health
and wellness tips
Territorial Limit UAE
Network
Network within UAE: Comprehensive 3
Network outside UAE: NA
Reimbursement
No Reimbursement in Non-Network Providers
In case of Emergencies:
a) 100% covered in select list of countries
b) 80% covered in Non-Network for Maternity
10. USA
Top Global and Regional Destinations
UK
Singapore
Hong Kong
UAE
Brazil
Mexico
France
Germany
Qatar
11. -
20.0
40.0
60.0
80.0
100.0
120.0
140.0
160.0
Argentina Chile Netherlands UK Spain Switzerland France New
Zealand
South Africa Australia USA
US$(‘000)
Normal Delivery Knee Replacement Bypass Surgery
Source: International Federation of Health Plans, 2012 Comparative Price Report. Variation in Medical and Hospital Prices by Country
18. • Bundle Payments
• Continuum of Care Protocols for International Patients
• Transformational Performance Improvement of Hospitals
• Hospital Quality Program & Bupa Preferred Providers
• Collaboration between Payors and Providers