This is the offer from Pacific Cross to me...A joke, but a bad one!
I am 71 years old, except COPD, according to the findings of the hospital for my age very healthy!
I had to make the examination to be able to make a claim at all!
The examination pays the insurance, but only when the contract is signed!
But that is not important to me!
I was, I say it kindly "Very Surprised" when I got the offer of the health insurance!
Here is the letter to this insurance, which of course I will not conclude!
The letter:
Referring to your application for insurance, the company would like to confirm your enrollment based on the completed application form.
The terms and conditions are as follows.
Does not cover the diagnosis and treatment of heart disease and abnormalities diseases and disorders of cerebrovascular disease and diseases and disorders arteriosclerosis, including hypertension and hyperlipidemia, their consequences and complications
Does not cover diagnosis and treatment of emphysema chronic obstructive pulmonary disease, asthma, bronchitis, pneumonia, disease and disorders of the respiratory system and lungs, including sequelae and complications
Does not cover examination and treatment of diseases and disorders of the prostate, urinary tract infections, urinary incontinence urinary insufficiency, lower urinary tract syndrome, including sequelae and complications
(Does not cover examination and treatment related to eye diseases and abnormalities, but does cover eye defects resulting from accidents and casualties
Waiting period(s)
Does not cover diagnosis and treatment of diseases and disorders of the bony joints of the neck and back covered by the policy, include
Complications for a period of 3 years Coverage for acute fractures. will reconsider After this waiting period, however, the requirements for 30% of the joint responsibility for the diagnosis and treatment of such disease apply
Does not include diagnosis and treatment of moles and skin lesions, including complications, for a period of 3 years and will be reconsidered).
Waiting Period means a condition that was originally excluded from coverage because the Waiting Period was included.
Automatically covered after the expiration of the waiting period. Future coverage of previously excluded conditions is conditional.
When reviewing the customer's most recent claims and treatment history If the customer has undergone a prior examination or treatment Excluded conditions during the waiting period This condition may be considered a condition that exists and does not exist by the insurer.
Protection may be offered in the future. This review will be conducted on a case-by-case basis. Future coverage options may include co-payments.
An application for health insurance must be submitted with a certified copy of the passport or a copy of the identification card of the individuals whose names are certified
to the Company to be lawful, effective and correct.
2: This offer is valid for 30 days after the insurance application form is completed.
3: The policy will come into effect according to the terms of when the insurance premium has been paid.
My decision:
Thus, all possible illnesses for which there is currently no indication from the medical side
(see hospital report) are excluded from any treatment!
These exclusions include as good as ALL diseases that could occur somehow!
So I pay in case of a hospital stay not only the ca.62.000.- THB contribution, which is the amount with 50% discount, but also 300.000.-THB deductible, and the health insurance rejects all claims, because yes 99% of all possible diseases are excluded!
And for the rest, there is certainly a causal relationship with the diseases excluded from the regulation.
OK, a fracture of the arm or leg would possibly be partially regulated as a gesture of goodwill!
In addition, the biggest uncertainty factor for the future is this passage in your contract conditions:
The insured has the possibility to extend the contract continuously up to the age of 99 years: (If i can still afford it...).
Premium and coverage can be adjusted based on claims history, health status and increasing age.
THAT means for me:
Claims history with me! Health condition that actually does not improve and increasing age, which is pretty sure will lead to exclusions and exorbitant premiums!
Now I seriously ask myself, what should I do with a health insurance that does not pay for illnesses that occur?
Now this is not meant ironically by me, but just a factual statement.
So once again thank you for your kind support and help!