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  1. #1
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    Edmond's Avatar
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    Health Insurance - preexisting condition.

    Have had a minor issue for around 10 years, on my upper left torso. Thought to possibly be a small stone in my left ureter (too small to show up on x-rays/ultrasounds etc), or it got kinked (one Thai doctor’s thoughts), or possibly something else such as a pinched nerve, etc.


    Typically go for a full medical checkup every 3 – 5 years, with extra mention to check that area for possible causes of the dull pain that comes and goes to varying degree. Have probably done 3 full checkups –xrays/ultrasounds, all fluids checked etc etc and none have ever found a cause.


    As the years go by it’s definitely getting worse in terms of level of discomfort, and frequency and duration of such, but isn’t overbearing yet. If the docs were able to find the cause I’d get it sorted, but it isn’t showing its head yet.


    Maybe time to get some health insurance with a view to them ponying up whatever the cost is to fix it when it does get too much in xxx years time. Previously covered with Bupa, but not anymore. I’ve never bought any health insurance myself, only car and motorbike insurance.


    This seems quite good for seeing different packages.


    Health Insurance Thailand | Compare Health Insurance For Free!


    But it’s all gobbledygook to me.


    Of course it will all have been money down the khazi that could have been money saved is they say ‘Preexisting condition, no coverage!’


    So I’d like one that doesn’t have that clause. If possible. Is there a way to check for such things, where maybe they add to the premium, but an issue that requires surgery that has existed in the patient for 10 years before buying their coverage will be covered?


    I’d also like to be covered for cancer treatment.

  2. #2
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    Edmond's Avatar
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    Selecting Outpatient as well as Inpatient multiplies the premium by around 3. Which is a bit odd. I'm not too concerned about the premium, but about it being completely wasted if they say no on a technicality.

    I'd be planning on possibly using it for surgery somewhere down the line, if the ailment gets a lot worse that they can actually diagnose what it is, where you're plonked in the hospital for a day or 3 while they get to work with the Thanksgiving carving knives.

    Though it seems that surgery where you don't stay the night there is classed as outpatient?

  3. #3
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    Shutree's Avatar
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    Quote Originally Posted by Edmond View Post
    Have probably done 3 full checkups –xrays/ultrasounds, all fluids checked etc etc and none have ever found a cause.
    If there is no medical record then it is not a pre-existing condition. IMHO

  4. #4
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    Shutree's Avatar
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    Quote Originally Posted by Edmond View Post
    Selecting Outpatient as well as Inpatient multiplies the premium by around 3. Which is a bit odd.
    I needed a scan, which could have been done as an outpatient. I have only inpatient insurance. So they admitted me, did the scan and the insurers paid. A bit of paperwork, otherwise straightforward.

  5. #5
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    Quote Originally Posted by Shutree View Post
    If there is no medical record then it is not a pre-existing condition. IMHO
    Interesting, cheers.

    I presumed preexisting conditions would mean that you've had the condition from before you started their insurance policy, whether it's on your medical record or not.

    Does Thailand have national medical records, can an insurer go into a national database and see the 3 or 4 full checkups I've had at different hospitals in different cities and see the files?


    Anyone?


    Fokin' 'ell, I know less about health insurance than football, bitcoin and cooking combined. :/

  6. #6
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    Edmond's Avatar
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    Quote Originally Posted by Shutree View Post
    I needed a scan, which could have been done as an outpatient. I have only inpatient insurance. So they admitted me, did the scan and the insurers paid. A bit of paperwork, otherwise straightforward.
    Cool, cheers. I'd rather throw 5 or 10k a month away rather than 15 or 30 if they say no after a few years of paying.


    I also don't like deductibles.

    In the words of Khabib, Thiz iz Number Wan Bullsheet.

  7. #7
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    I use Muang Thai Life, and they ahve been very good, and of couirse years on never using it and then this year paid dividends.

    had an urgent operation for a potentially life threatening condition (one of the doctors told my wife it was stage 4 cancer for sure; thankfully not the case).
    used Ram hospital and ran up a 700K bill, which was settled without qualm. even telling the hospital to stop being silly when they tried to tag on soeme xtra charges (admin not nedical incompetence which is the main pain point).

    as part of the proceduce i needed some "wiring" between the kidneys and the exit. found i actually was born with only 1 kidney (i knew but was a shock to everyone else).
    This could hve complciated things but didnt take as pre-exisiting or anything.
    im pretty sure im not answering your question but one of the follow ups (to remove some plumbing theyed left in) was covered much as shutree mentioned, so pretty sure OPD is sufficent.
    we won it at wemberlee
    we on it in gay paree...

  8. #8
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    Edmond's Avatar
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    Cheers Re.

    Glad to hear it all went well.

    Quote Originally Posted by reinvented View Post
    so pretty sure OPD is sufficent.
    Do you mean Inpatient?

  9. #9
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    Mendip's Avatar
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    Quote Originally Posted by Shutree View Post
    If there is no medical record then it is not a pre-existing condition. IMHO
    Yes, I would have thought so too, Shutree. Unless you specifically want to tell an insurer about something so they can underwrite it.

    This is a big problem with medical insurance... once you've had treatment for something it will be classed as a pre-existing condition, with underwriting making it difficult to change insurance companies.

    Bupa are getting very expensive as I age, yet as I've had treatment for hypertension in the past and taken mild blood pressure pills, any new insurer would underwrite anything associated with hypertension. So, the treatment for any future stroke, heart attack, etc etc would probably not be covered. They could probably assign all manner of other illnesses to high BP as well, if it meant they could wriggle out of a claim. I am kind of stuck with the costs of Bupa.

    Incidentally, my new gym regime and slight weight loss have had a noticeable affect on my blood pressure which is now down to acceptable levels, and I hope to soon get off the meds completely. But, it'll still be a pre-existing condition.

  10. #10
    Thailand Expat taxexile's Avatar
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    I dont think hospitals in thailand share data relating to patients, but insurance companies probably do.

    if you made a previous claim for your regular check ups and results with any health insurance company, then anything found may very well be considered as a pre existing condition.
    Last edited by taxexile; 23-10-2024 at 04:33 PM.

  11. #11
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    Quote Originally Posted by Edmond View Post
    Typically go for a full medical checkup every 3 – 5 years, with extra mention to check that area for possible causes of the dull pain that comes and goes to varying degree. Have probably done 3 full checkups –xrays/ultrasounds, all fluids checked etc etc and none have ever found a cause.
    How can it be a pre existing condition if doctors didn't find anything? 3 times of finding nothing, can it be more NOT pre existing?

  12. #12
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    reinvented's Avatar
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    ^xx
    yes inpatient, sorry for teh confusion

  13. #13
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    Edmond's Avatar
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    ^ Cool, thanks very much. :-)


    In fact, thank you very much to everyone but Molle The Mong.

    Quote Originally Posted by Molle View Post
    How can it be a pre existing condition if doctors didn't find anything? 3 times of finding nothing, can it be more NOT pre existing?
    Well, such an underlying condition preexists any insurance policy.

    Which I then want to use to pay for its treatment.

  14. #14
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    I do have a mate, actually an old flat mate from university who i bumped into at samitvej srinakarin while my so was getting his MCL looked at.

    This lad had a major back surgery the doctors butchered, and he was struggling to get insurance becaue of iit. but i think the severity of the situation may ahve been a major factor. i will ahve to check in with him and see if he found somewhere

  15. #15
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    Other than me is there any body that uses the Thai NHS. Served me okay for the last 19 years.

  16. #16
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    Quote Originally Posted by Edmond View Post
    ^ Cool, thanks very much. :-)


    In fact, thank you very much to everyone but Molle The Mong.



    Well, such an underlying condition preexists any insurance policy.

    Which I then want to use to pay for its treatment.
    When are you getting that debilitating 3rd nipple removed

  17. #17
    hangin' around cyrille's Avatar
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    He's convinced himself he's an Adonis for near enough forty years.

    Getting an insurance company to buy in should be a breeze.

    It'll only be for 20 years after all, when he wants to be dead, apparently.

  18. #18
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    ^hoo-wat?? He doesn't want to reach the ripe, sage age of Mr. Norton?

    Re: insurance, AO's wife is in the insurance business, I think? Maybe he can point Lulu in the right direction/ recommend an agent.

  19. #19
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    Quote Originally Posted by Pragmatic View Post
    Other than me is there any body that uses the Thai NHS. Served me okay for the last 19 years.
    I used it once after a motorbike highsider which fractured me wrists around 2007-ish. When I stopped working here I didn't continue in the SSO scheme, which I really should have. I can't remember the reason. Perhaps they said I needed a pink ID card and I didn't have one at the time, or was planning to join the workforce again. Whatever the reason I didn't stay in it, unfortunately.

  20. #20
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    Quote Originally Posted by reinvented View Post
    ...

    as part of the proceduce i needed some "wiring" between the kidneys and the exit. found i actually was born with only 1 kidney (i knew but was a shock to everyone else)..
    Are you sure someone didn't do a bit of organ harvesting when you were blind drunk?

  21. #21
    Days Work Done! Norton's Avatar
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    Quote Originally Posted by katie23 View Post
    He doesn't want to reach the ripe, sage age of Mr. Norton?
    Me either...

  22. #22
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    Quote Originally Posted by Edmond View Post
    Selecting Outpatient as well as Inpatient multiplies the premium by around 3

    I pay for my own Cigna plan (Silver) and I have Inpatient and Outpatient. each cost almost the same, so double not triple.

    Costs me 400USD a month and covers me worldwide excluding USA.

    I can give you the advisor's email if you'd like to get a quote.
    Lang may yer lum reek...

  23. #23
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    Edmond's Avatar
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    ^ a hundred large for yer passy and cigna card for 2-3 weeks.


    Quote Originally Posted by dirk diggler View Post
    I can give you the advisor's email if you'd like to get a quote.
    Cheers. I'll probably get policied up in the new year. No deductible BS.

  24. #24
    Member Salsa dancer's Avatar
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    Have the doctors mentioned the possibility of 'referred pain' ? It could be somewhere nearby(ish) but the pain is not localised there.

  25. #25
    Thailand Expat misskit's Avatar
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    It’s probably just gas and will only get worse with age.

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