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Annual angst about proposal to renew current April International Health Insurance Policy - new AA recommendation to replace with Regency for Expats Policy. What to Do?????


dinga

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Huge frustration every year at this time as there's the decision to be made about what on earth to do with Health Insurance Policy (even more so as I'll be 70 at the time of next renewal).

 

I've been reasonably happy with April International for OP only coverage until now (albeit I've never made a claim)- with the exception of their annual fee increases.  This year the Premium is up by an astounding +18%   I'm fortunate to maintain medical coverage under the Thai Social Security arrangements by continuing to pay the some 500 baht in monthly subs  -  so guess it's a matter of time really before unaffordable costs force me to abandon an International Policy.    

 

I bleated to AA Brokers about that increase and they have come back with a recommendation to get a new Policy with Regency for Expats.  I had never heard of them but a very brief consultation with Prof Google has raised some red flags - incl;uding:

*  Trust Pilot 

*  Laws of Nevis (West Indies) are the applicable laws for the Policy.  [Nevis being a noted tax haven]

 

None of that stuff gives me confidence. 

 

Appreciate any information/experience with Regency and any suggestions about what alternative I should consider.

 

Thanks & best regards  

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5 hours ago, dinga said:

I'm fortunate to maintain medical coverage under the Thai Social Security arrangements by continuing to pay the some 500 baht in monthly subs  -  so guess it's a matter of time really before unaffordable costs force me to abandon an International Policy. 

Did anybody here try that? What is your experience with that?

(Sorry, I hope this fits into this thread.)

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8 hours ago, OneMoreFarang said:

Did anybody here try that? What is your experience with that?

(Sorry, I hope this fits into this thread.)

 

YES - I've created another Thread for this specific question (Thai Social Security Health Coverage)

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On 12/21/2023 at 6:53 PM, dinga said:

Huge frustration every year at this time as there's the decision to be made about what on earth to do with Health Insurance Policy (even more so as I'll be 70 at the time of next renewal).

 

I've been reasonably happy with April International for OP only coverage until now (albeit I've never made a claim)- with the exception of their annual fee increases.  This year the Premium is up by an astounding +18%   I'm fortunate to maintain medical coverage under the Thai Social Security arrangements by continuing to pay the some 500 baht in monthly subs  -  so guess it's a matter of time really before unaffordable costs force me to abandon an International Policy.    

 

I bleated to AA Brokers about that increase and they have come back with a recommendation to get a new Policy with Regency for Expats.  I had never heard of them but a very brief consultation with Prof Google has raised some red flags - incl;uding:

*  Trust Pilot 

*  Laws of Nevis (West Indies) are the applicable laws for the Policy.  [Nevis being a noted tax haven]

 

None of that stuff gives me confidence. 

 

Appreciate any information/experience with Regency and any suggestions about what alternative I should consider.

 

Thanks & best regards  

Unfortunately with an OA Visa here you are forced into a Thai Health Insurance.  Very expensive especially after the age of 75 years.

Sooner then later one can expect that the O Visa also would require the same, a Thai Insurance, for a yearly renewal at the Immigration.

 

Keep in mind: My advise is get as early as possible into a Thai Health Insurance. If you wait till you forced getting a Thai Health Insurance, especially after the age of 75 you are paying astronomical premiums just to get in!

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37 minutes ago, Jurg said:

Unfortunately with an OA Visa here you are forced into a Thai Health Insurance.  Very expensive especially after the age of 75 years.

Sooner then later one can expect that the O Visa also would require the same, a Thai Insurance, for a yearly renewal at the Immigration.

 

Keep in mind: My advise is get as early as possible into a Thai Health Insurance. If you wait till you forced getting a Thai Health Insurance, especially after the age of 75 you are paying astronomical premiums just to get in!

 

What you write is not correct, when you would be 75 years old even if you have been insured for 20 years you will still pay astronomical amounts for health insurance

 

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16 minutes ago, TICINO said:

 

What you write is not correct, when you would be 75 years old even if you have been insured for 20 years you will still pay astronomical amounts for health insurance

 

True but you would have very limited options in terms of available policies if no pre-existing conditions.  And some would automatically apply exclusions you could otherwise avoid by getting in earlier.  If you have pre-existing conditions (most people do, by age 75) then you might be completely unable to get insured.

 

All that said, best to not get (or get rid of) O-A policy in favor of extensions basedo n non-O so that you are not tied to Thai insurers.

 

International policy rates also go up with age but not as severely as Thai policies. (Many Thai companies will not insure at all past a certain age, or will drop you at a certain age). 

 

I would not call the rates for inpatient only interntional insurance at age 75 "astronomical". Higher than at younger ages certainly, but not "astronomical". Some Thai policies really are, though. 

 

 

 

 

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32 minutes ago, Sheryl said:

True but you would have very limited options in terms of available policies if no pre-existing conditions.  And some would automatically apply exclusions you could otherwise avoid by getting in earlier.  If you have pre-existing conditions (most people do, by age 75) then you might be completely unable to get insured.

 

All that said, best to not get (or get rid of) O-A policy in favor of extensions basedo n non-O so that you are not tied to Thai insurers.

 

International policy rates also go up with age but not as severely as Thai policies. (Many Thai companies will not insure at all past a certain age, or will drop you at a certain age). 

 

I would not call the rates for inpatient only interntional insurance at age 75 "astronomical". Higher than at younger ages certainly, but not "astronomical". Some Thai policies really are, though. 

 

 

 

 

 

Yes, you are right, my comment was about Thai insurance where I called them astronomical because after 75 y you have to pay an annual amount equal to the amount you are insured. At this point, as written by spidermike007, it is only advisable to self-insure in Thailand.

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19 minutes ago, TICINO said:

 

Yes, you are right, my comment was about Thai insurance where I called them astronomical because after 75 y you have to pay an annual amount equal to the amount you are insured. At this point, as written by spidermike007, it is only advisable to self-insure in Thailand.

Confusing post..can you explain better what you mean..thanks

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On 12/23/2023 at 11:13 AM, couchpotato said:

Confusing post..can you explain better what you mean..thanks

What he means is that some Thai insurers charge premiums at older ages equal to the full maximum coverage. Incredible, but true. Apparently the assumption is that anyone that age will be hospitalized every single year and run up bills at or over their maximum cover. Ridiculous but that is the way it is. Many will not insure past age 65 at any price. It is a rare Thai policy that guarantees lifetime renewal. 

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On 12/21/2023 at 9:53 PM, dinga said:

Huge frustration every year at this time as there's the decision to be made about what on earth to do with Health Insurance Policy (even more so as I'll be 70 at the time of next renewal).

 

I've been reasonably happy with April International for OP only coverage until now (albeit I've never made a claim)- with the exception of their annual fee increases.  This year the Premium is up by an astounding +18%   I'm fortunate to maintain medical coverage under the Thai Social Security arrangements by continuing to pay the some 500 baht in monthly subs  -  so guess it's a matter of time really before unaffordable costs force me to abandon an International Policy.    

 

I bleated to AA Brokers about that increase and they have come back with a recommendation to get a new Policy with Regency for Expats.  I had never heard of them but a very brief consultation with Prof Google has raised some red flags - incl;uding:

*  Trust Pilot 

*  Laws of Nevis (West Indies) are the applicable laws for the Policy.  [Nevis being a noted tax haven]

 

None of that stuff gives me confidence. 

 

Appreciate any information/experience with Regency and any suggestions about what alternative I should consider.

 

Thanks & best regards  

What is this 500 bht insurance that you are talking about?

 

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  • 3 weeks later...
On 12/22/2023 at 10:08 AM, Sheryl said:

AA Brokers no longer handles international policies. Supposedly their international portfolio was shifted to something called AA World based in India, website not functional. Personally I switched to a broker based in France when this happened (AOC).

 

If this Regency policy was recommended to you by AA Brokers in Thailand, it is a Thai issued policy and to be avoided.

 

Like many insurers, April has 5 year age brackets and there is always a big increase when you move from one 5 year bracket to another.   In between such changes all you will have are inflationary increases (if any) applicable to all.

 

In other words you will probably not face this level of increase for the next 4 years after this renewal. (But likely a bigger one on turning 75).

 

Since you have SS, additional insurance is not essential but of course provides you with a free choice of doctors and hospitals. Up to you whether worth it. 

 

 

G'day Sheryl

 

Seems April is a Black Hole  -  utterly Zero specifics about how the Premiums are calculated or the current Premium payable for renewal of a Policy with exactly the same conditions as my current one - with the exception that if the age at renewal was 70 (rather than my sprighty 69).  This is the answer provided via AA World:

 

"April has mentioned that the tariff based on 70 years of age will not be taken into account until 2025, and they do not yet have information on these tariffs. Indeed, the insurer defines premium for each year on the basis of the age of the insured and the zones of cover and formulas chosen".

 

Penny to a pound that the Premium increase for my renewal in 2/2025 will greatly exceed the 18% increase offered now.

 

Mighty unhappy with April's lack of candour and transparency - got some thinking to do. 

 

Like a few other posters, I was shafted by Allianz when they closed down Hauteville (via David Shield) and generously offered alternative policies 'under the same terms' [but then screwed us with massive premium increases in the subsequent year/s].  To say I lack confidence in Health Insurance Companies is a gross understatement, given my experiences over pretty well the last decade.

 

 

 

BRs   

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On 1/16/2024 at 6:55 PM, dinga said:

G'day Sheryl

 

Seems April is a Black Hole  -  utterly Zero specifics about how the Premiums are calculated or the current Premium payable for renewal of a Policy with exactly the same conditions as my current one - with the exception that if the age at renewal was 70 (rather than my sprighty 69).  This is the answer provided via AA World:

 

"April has mentioned that the tariff based on 70 years of age will not be taken into account until 2025, and they do not yet have information on these tariffs. Indeed, the insurer defines premium for each year on the basis of the age of the insured and the zones of cover and formulas chosen".

 

Penny to a pound that the Premium increase for my renewal in 2/2025 will greatly exceed the 18% increase offered now.

 

Mighty unhappy with April's lack of candour and transparency - got some thinking to do. 

 

Like a few other posters, I was shafted by Allianz when they closed down Hauteville (via David Shield) and generously offered alternative policies 'under the same terms' [but then screwed us with massive premium increases in the subsequent year/s].  To say I lack confidence in Health Insurance Companies is a gross understatement, given my experiences over pretty well the last decade.

 

 

 

BRs   

 

I think the issue may have more to do with your broker than with the insurer. "age of thew insured, zones of cover and formulas chosen" are all known factors specific to you and your policy.

 

It is true that no insurer can tell you in advance exactly what rates will be a year hence since there are inflationary adjustments each year. But they can tell you what the rates are, by age, currently and from that you can get an idea of how much more increase is likely as you age. A good broker could readily get that info for you.

 

 

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  • 3 weeks later...
On 1/21/2024 at 9:00 AM, Sheryl said:

 

I think the issue may have more to do with your broker than with the insurer. "age of thew insured, zones of cover and formulas chosen" are all known factors specific to you and your policy.

 

It is true that no insurer can tell you in advance exactly what rates will be a year hence since there are inflationary adjustments each year. But they can tell you what the rates are, by age, currently and from that you can get an idea of how much more increase is likely as you age. A good broker could readily get that info for you.

 

 

G'day Sheryl

 

A couple of times I asked exactly that question (via the Broker)   -  what is the Premium renewal now for my exact policy coverage, but for a 70 year old (not 69 as I now am).

 

This is the reply I finally received"  “Our processing times are currently affected by a surge in activity. We apologise for this delay. 

For your information, the rates for the My Health International are not based on age-related increases. 

Furthermore, we have no visibility over price increases for next year, as these are set by the insurer. 

We look forward to hearing from you. Please do not hesitate to contact us should you require any further information.
 

 

I will not be renewing this policy as:

 

1.  I don't believe the advice that the Premium next year will be unaffected by my moving into the next standard Age Bracket that seems to be used by most/all other Insurers; 

 

2.  April and/or the Broker has been/is a Black Hole in relation to service, response times and more importantly, transparency.

 

    

 

 

 

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1 hour ago, dinga said:

G'day Sheryl

 

A couple of times I asked exactly that question (via the Broker)   -  what is the Premium renewal now for my exact policy coverage, but for a 70 year old (not 69 as I now am).

 

This is the reply I finally received"  “Our processing times are currently affected by a surge in activity. We apologise for this delay. 

For your information, the rates for the My Health International are not based on age-related increases. 

Furthermore, we have no visibility over price increases for next year, as these are set by the insurer. 

We look forward to hearing from you. Please do not hesitate to contact us should you require any further information.
 

 

I will not be renewing this policy as:

 

1.  I don't believe the advice that the Premium next year will be unaffected by my moving into the next standard Age Bracket that seems to be used by most/all other Insurers; 

 

2.  April and/or the Broker has been/is a Black Hole in relation to service, response times and more importantly, transparency.

 

    

 

 

 

Definitely, rates vary with age.

 

Broker info is incorrect.

 

For me, I paid $3,229 at age 69 then $4,073 at age 70 (this is with a $500 deductible, and the Essential plan - years were 2022 and 2023 respectively).

 

If I were you I'd try a better broker. Which you will need anyway even if changing policies (which they can advise you on).

 

 

 

 

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On 2/7/2024 at 3:07 PM, Sheryl said:

Definitely, rates vary with age.

 

Broker info is incorrect.

 

For me, I paid $3,229 at age 69 then $4,073 at age 70 (this is with a $500 deductible, and the Essential plan - years were 2022 and 2023 respectively).

 

If I were you I'd try a better broker. Which you will need anyway even if changing policies (which they can advise you on).

 

 

 

 

Tks Sheryl  -  AA World was the Broker (no surprise, eh!).  A feather will knock you over after I reveal that they were pushing Regency.  I concluded the claim (sic) about having no regard for age-bands was absolute b/s and I wasn't prepared to go through the usual exclusion of anything faintly smelling of existing conditions for an alternative policy.

 

I've had a gutfull of Health Insurance companies, and concluded it was only a matter of time anyway before the leeches would price health coverage well beyond reasonable & affordable. 

 

Hence, from now on I'll rely on my Thai Social Security cover and pay for any additional upgrades.  

 

 

 

 

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On 2/7/2024 at 3:07 PM, Sheryl said:

Definitely, rates vary with age.

 

Broker info is incorrect.

 

For me, I paid $3,229 at age 69 then $4,073 at age 70 (this is with a $500 deductible, and the Essential plan - years were 2022 and 2023 respectively).

 

If I were you I'd try a better broker. Which you will need anyway even if changing policies (which they can advise you on).

 

 

 

 

By way of comparison, I have a BASIC Plan, Hospitalisation & Basic Repat only, US$500 deductible for a Premium of US$3,324 when I renewed in February 2023 (at age 69). 

 

The proposed premium for renewal of this policy in February 2024 was US$3,925  -  and increase of over 18%. 

 

Your numbers suggest I could expect an increase of well over 20% if I was to renew my policy in February 2025 at age 70  -  taken the new premium to near US$5,000.

 

Bye-Bye April  

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  • 3 months later...
On 12/21/2023 at 6:53 PM, dinga said:

I've been reasonably happy with April International for OP only coverage until now (albeit I've never made a claim)

 

Stopped reading right there

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58 minutes ago, Sheryl said:

Update which may be useful to others insured with April International:

 

My nextpr emium has now been posted. There is indeed a change in coverage zone from  3 to 2 (due to reclassification of Thailand).

 

My premium increase is 37%, from $4,073  to $5,582 Age 71, Essential Plan, $500 deductible.  Broker (AOC) states this is due to zone reclassification.  I have an inquiry in to the broker to find out what premium savings would be if I either (1) switched to Basic plan or (2 increased my deductible or (3) both.  Whether I   do either one, will depend on what the numbers show.

 

I also have requested further broker clarification on use of hospitals in the "April International Health Network"  which the General Conditions again reference, now referring  to  the "Easy Claim" Mobile App to find out which hospitals are in that.  I downloaded that. Typing in just the location of Bangkok yielded a ridiculously small list, but  typing in specific hospitals found that many hospitals not shown on the initial search of just "Bangkok"   do come up as "recommended by April":  including BNH Hospital, Samitivej (all branches) , Saint Louis, Camellian, King Chulalongkorn, Vejthani etc. Notably absent are Bumrungrad and Bangkok Hospital (Bangkok branch -- some of the provincial branches do show).

 

According to the General Conditions 2024, if using a hospital not in the "network", 

" you will be subject to a 20% penalty applicable to the amount of your Claim if the cost of your treatment exceeds local standards”.  I had previously discussed this matter with the broker who assurred me that if April gives pre-approval (required anyhow for any hospitalization costing in excess of US $2,000)  and issues a Guarantee of Payment (GOP), that means they have agreed the charges are  reasonable and there cannot be a penalty later imposed.  However I have asked for re-confirmation of this point and also whether, in their experience,   I would be likely to have trouble getting pre-approval for hospitalization at either of those 2 hospitals.
 
I think but am not sure, that this network penalty business mainly pertains to reimbursment of claims not requiring pre-approval i.e. outpatient care (for those who have that optional cover, I do not) and day surgeries costing less than $2,000. 
 
 I will post what I learn when broker replies.
 
 

April International UK charges nearly double of the mentioned premiums for the Long term international plan. The policy is however for all countries worldwide ex US. The UK plans do not offer the different coverage zones. This company does also offer a Thai plan which is however the local Thai version registered here.

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1 hour ago, Sheryl said:

Update which may be useful to others insured with April International:

 

My next premium has now been posted. There is indeed a change in coverage zone from  3 to 2 (due to reclassification of Thailand).

 

My premium increase is 37%, from $4,073  to $5,582 Age 71, Essential Plan, $500 deductible.  Broker (AOC) states this is due to zone reclassification.  

 
 

On your premium notice, does it state Zone of Cover 2? Mine, due this month, still says 3.

Or do you have other documentation from April that your renewal is indeed for 2?

 

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2 minutes ago, david_je said:

On your premium notice, does it state Zone of Cover 2? Mine, due this month, still says 3.

Or do you have other documentation from April that your renewal is indeed for 2?

 

Yes, it says Zone 2 on the premium notice and also in the 2024 General Conditions, Thailand now shows as Zone 2.

Screenshot2024-05-23at5_04_31PM.png.a9b60c152b1ad6733e5d6910e3668458.png

 

 

As an aside, my broker mentioned that the insurer has incurred significant losses on policies in Thailand and I suspect this is related to the fact that during COVID, April was one of the few insurers to fully cover all COVID hospitalizations even those that were not medically necessary (e.g. asymptomatic or just mild symptoms). At the start of the pandemic Thailand had policy of mandatory hospitalization for anyone testing positive even if completely asymptomatic, and these hospitalizations were in "special" single isolation rooms that were very costly, and never for less than 10 days as they would nto even re-test until then.

 

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On 5/22/2024 at 10:21 PM, Sheryl said:

Update which may be useful to others insured with April International:

 

My next premium has now been posted. There is indeed a change in coverage zone from  3 to 2 (due to reclassification of Thailand).

 

My premium increase is 37%, from $4,073  to $5,582 Age 71, Essential Plan, $500 deductible.  Broker (AOC) states this is due to zone reclassification.  I have an inquiry in to the broker to find out what premium savings would be if I either (1) switched to Basic plan or (2 increased my deductible or (3) both.  Whether I   do either one, will depend on what the numbers show.

 

 

Thank you Sheryl for your updated info much appreciated.

This is tough to take as my wife & I have been considering moving back to Thailand as we left in 2017

I am 67 & 68 this year. I know better than to be uninsured even though I am in good health/shape

 

But yes seeing these prices does make us pause. I of course prefer International policy given the track record of Thai insurers. Now seeing your prices I have given them a second look on https://checkdi.com/th/health/main?lg=en  

 

I wonder about AXA, Pacific Cross & LMG policies.  But again bad track records for Thai insurers when push comes to shove 🙄

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