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Everything posted by Sheryl
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If you have not contacted them, how can they even know about, let alone help resolve, the problem? Brokers have means of contacting insurers that we mortals lack. They can find out quickly what it is that is causing the delay. If it is information needed from the hospital, they can find out what, so that you can then follow up with the hospital specifically. (Assume nothing when dealing with the hospital insurance people). The 30 day bit is very clearly spelled out in the deatiled schedule of benefits: "Outpatient consultations, treatments, diagnostic tests and medical procedures related to hospitalisation/outpatient surgery 30 days before and after hospitalisation (hospital certificate required)" - 100% covered Can't fault a broker for assuming people have read that. There are likely other things on that schedule as well that they did not describe or emphasize, since it is there in easy to read format. I have had 2 day surgeries paid for by April including, in both cases, consultations and MRIs done prior (within 30 days of course) and outpatient follow up within 30 days after. To be fair, in both cases I elected to skip getting pre-authorization because the surgery itself cost under US $2,000 (the threshold for needing pre-authorization) and I was in a lot of pain and did not want to wait. So I did not go through pre-authorization process for day surgeries with April, though I have twice gone through pre-authorization for inpatient care. Your biopsy may well exceed that amount in which case that is not an option. Also, be forewarned that reimbursement of out of pocket expenses is slow. One advantage of the reimbursement approach is that the detailed receipts and medical certificate make clear what was done and that it involved use of an OR. Who knows what Bumrungrad put on the forms they submitted.
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Do you really mean outpatient, or do you mean inpatient? A thyroid FNA (which I recently had) is a simple office procedure. Only a policy that covers general outpatient care (which few of us have) would cover that. I paid for my FNA completely out of pocket. Wasn't all that costly. A "day surgery" would be something requiring use of an operating room or equivalent and at least a brief period of observation afterwards. Not something done in doctor's office or adjacent treatment room.
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Sorry to hear that. I highly recommend the services of Dao Mercslf at Amar (formerly Allison Monkhouse). https://www.amarinternational.com/funeral-services.html They will handle all paperwork with the Embassy and hospital and arrange whatever is desired, from simple no-frills cremation (with or without shipment of ashes back home) to locsl funeral to repatriation of the body. No pressure or up-selling reported. Can pre-pay as well which may expediate matters as there are daily charges for storage of a body. There is need for the family to fill out a next of kin declaration with the Embassy. I think form may be on Embassy website. This is a pre-requidite for Embassy to authorize the hosputal to release the body.
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Your policy will cover the MRI and other outpt costs if related to subsequent hospitalization (including day surgery) within 30 days. That is an entirely separate coverage category than outpatient cancer care . But can only be claimed after you have been hospitalized. There is no way it can be approved before that since eligibility is tied to hospitalization. Assuming the biopsy is considered a day surgery (as I would expect, but if does depend on how the hospital presented it on the forms) then the fact that cancer not yet confirmed is irrelevant. Confirmed cancer diagnosis needed only for cover under outpatient cancer care. It normally takes only 7-10 days to get pre-authorization for a (non emergency) hospitalization. I suspect there is some issue with the information provided by the hospital. Ask your broker to run interference. In doing so be dure to emphasis day surgery/ hospitalization. I have had problems in the past with Bumrungrad and insurance (different insurer at that time) and day surgery coverage because the hospital presented it as an outpatient procedure rather than a day surgery. Their 3rd party payment office appeared not to understand the concept and insurance implucations of day surgery. Ir may be necessary to call and explain this to them. Buf first gind out from broker if this is the the hang up.
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OP yoh should see an ophthslmoligist. 1 - opticians in Thailand on the whole are poorly trained. In fact many people filling that role have no formal training at all. 2- it is possible the problem is not the prescription but an underlying eye problem like cataract. Which optician cannot diagnose.. in terms of hospital fees I suggest the ophalmologust at Queen Sirikit Hospital (government facility) or same doctor at her private clinic on Pattaya Klong (evenings and weekends only. Arrive 4-5 PM).
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Is Pavlovid of Pfizer available in Thailand?
Sheryl replied to Puccini's topic in Health and Medicine
I would also add, it is expensive. -
Ask broker to help. Normally only takes about a week (for non-emergencies). But sometimes there is back-and-forth with the hospital due to hospital not breaking costs out suffuciently. Insurer might be awaiting info from hospital....and hodputal may have dropped the ball. While you might think a place like Bumrungrad would be skilled in dealing with insurers, they are not. If broker can find out what the hang-up is then you can pursue it with the hospital.
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A large number if off topic posts (along with some thoroughly unhelpful ones) have been removed. The OP is looking for practical advice in a very, very difficult situation. This thread is not the place to argue about the UK NHS, health insurance issues, etc
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You need to meet with the hospital administration (senior person) and tell them clearly there are no more funds available to pay his bills and request that they transfer him at once to a government hospital. Make clear in this discussion that you are not related to him and have no legal obligation and that he has no close family in US. They will arrange transfer once convinced no more money but your problem will be that they may refuse transfer until existing bill is paid. You can try to negotiate a payment agreement over time (monthly payments). There will still be the problem of paying the government hospital but costs will be about 1/3 to 1/2 that of Camillian.
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Bets doctor for implants in that area is at Phyathai Sri Racha. Costs less than BPH as well (though I must say I am surprised they quoted you only 50k...suspect that is not an all-in price). . I forget the doctor's name but if you email Gavine Wadeel >[email protected]> he can tell you.
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Members have recommended http://www.adenzadental.com/ https://pattayadentalcare.com/Home.htm https://pattayadentalcare.com/Home.htm
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First of all, do not base any decision on his current condition. Dementia is progressive and he will steadily get much, much worse. In time -- maybe not too much time --he will be oblivious to his surroundings and have no idea where he is, let alone enjoy the warmer weather. Secondly as other poster advised, it is essential there be someone - with a power of attorney and health care proxy - living in the area where he is. Someone has to oversee his care and see to his affairs. It does not need much time (at least nto initially) but it does need physical presence. Lastly as someone else also advised, McKean Hosptals' Dok Kaew gardens in Chiang Mai is by far the best place and probably the only one I could recommend in a case like this. https://mckean.or.th/dok-kaew-gardens/ (whatever level of care he starts out at, he will eventually need the highest level so factor that into the financial decisions)
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Visa Extension For Medical Reasons?
Sheryl replied to manonthemon's topic in Thai Visas, Residency, and Work Permits
@manonthemon You need a letter from the hospital stating that you are unable to travel and why, and for how long. Bring that to immigration (or have someone else bring it) to immigration. You will also need photocopies of your passport pages, a passport/visa sized photograph and they usually also want photos of the patient (lying in bed and looking as unwell - or in your cases pregnant -- as possible.) -
Consult a dermatologist to get a proper diagnosis. Will save you money in the long term as opposed to continued self treatments that don't work.
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Baiting, trolling and bickering posts have been removed
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Remains of 10 Thais who died in Cambodia’s casino fire brought home
Sheryl replied to snoop1130's topic in Thailand News
Not Chinese. A well known Thai ex-politician in partnership with Cambodian military bigwigs. -
I belueve it refers to some type of handicap. OP would help if you gave more details e.g. wheelchair? Blind? Etc And also what part of Bangkok
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Deadly fire at Cambodian casino blamed on electrical fault
Sheryl replied to geovalin's topic in Cambodia News
And for building and furnishing a casino/hotel complex with non-fire resistant carpets and drapes and cheap plywood etc etc