As some of you may have noticed from other threads, I work for a company doing medical assistance for insurance companies customers. When they get sick or injured we are asked to step in and manage the case.
I would definately advise against travelling without insurance. Even in countries with recipricol agreements you may need insurance to cover repatriation. Some EU countries (notabaly Spain) are refusing to accept the EHIC and demanding you pay. Also, if you have an accident in Europe, and you don't have insurance, you will be billed for treatment if you don't have an EHIC, but the big new thing is, if you apply for an EHIC retrospectively, YOU WILL NOT GET THE MONEY REFUNDED like you used to.
If you aren't covered, you will pay, and you won't get it back.
And if you are really sick or badly injured, we're talking life changing, lose your house type amounts here, so, make sure you apply BEFORE you leave these shores.
Even then, in some countries you may be asked to contribute a percentage of the cost, and in some you have to pay for the ambulance. So, the gold standard is, get insurance.
In most even if you have insurance you may have to stump up a fair bit in advance, like several thousand, and the insurance won't set a guarantee of payment immediately, there is a process that has to be gone through first to make sure you have a valid policy, so make sure you have access to a decent amount of fundage for emergencies, say a credit card with a 5k limit.
I would strongly advise against getting multiple policies and stringing them as described above. If you are out of the country for longer than the allowed amount you aren't covered, regardless of whether you used that particular policy for some of the time. They will ask for evidence of travel dates and telling them you only left last week, but now your in Thailand without an air ticket to explain how you got there so fast just isn't going to wash. Also, lots of credit card policies require you to pay for your holiday using the card, tricky if your on a motorbike.
Declare EVERYTHING they ask for. Some companies will take the slightest non declaration as an excuse not to pay. The cheaper the policy, the more likely they are to try and weedle out of paying, because the tighter their margins are. Before treating you for an illness and some accidents they will require a comprehensive report on your medical history from your GP so they will find out. This will also delay cover being inplace, so as above, make sure you can cover the initial costs.
Also your GP will charge you for this report and generally the insurance company won't pay for it, so make sure you have made arrangements for it to be paid. Almost no GP surgeries will take a card or internet banking payment, they are really that backward!
READ THE SMALL PRINT. make sure the activities you are doing are covered and that the countries you are travelling in are covered, there are often exclusions (typically the USA). we are currently managing a case for a guy in the British Virgin Islands. His policy excludes the USA and Caribbean. he will probably have to pay for an air ambulance to move him to Martinique where he can be treated on an EHIC, cost will be knocking on the door of 100k by the time he's finished.
Don't assume only the states is expensive. You get put in intensive care anywhere and your looking at life changing amounts of money.
Your not just paying for medical care, your paying for us to move you in an emergency, either home or to a place of safety. Our most common moves are from African countries to South Africa. We had to move a girl who had an appendectomy in Zimbabwe. Unfortunately, the Zimbabweans delayed giving us the permits to fly in long enough for the surgeon to go back in and have another bash sorting out the mess he made the first time when he inadvertently nicked her bowel and gave her life threatening peritonitis. Even after reconstructive surgery in SA she was a mess. She's only in her 20s, if she had been older she probably wouldn't have survived.
Also, we will recommend you what clinics to go to. Even for Turkey we have a list of what clinics will rip you off or have a high risk of malpractice or poor quality treatment.
Insurance is a rip off, and everyone who works in it crooks, right until you get that $900000 American medical bill (as one man had recently, who wasn't covered) or your laid in a hospital bed in Botswana with a broken back, multiple internal injuries and not much skin left (like a 19 year old we recently moved to SA)
I can't recommend specific companies for this type of insurance because it's not what we usually look after, Our customers are holiday makers and business travelers. But I would strongly suggest finding one. It won't be cheap, not because the insurance companies are ripping everyone off, it's far too competitive a market for that, but because (big shock to those spoiled by the NHS!) medical care isn't cheap. I saw a bill recently from an American hospital for a guy who was admitted for 24 hours with gastroenteritis. Cost, $20000!!!!!!!!!!!!!!!!!!!
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1990 Landcruiser H60. Full rebuild completed 2014
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