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Your step-by-step guide to getting the best expat health insurance plan

Health insurance policies are never one-size-fits-all and life circumstances have a habit of changing. The Local spoke to an expert from leading insurance broker ASN to help you get the best value bespoke insurance policy.

Your step-by-step guide to getting the best expat health insurance plan
Photo credit: Natasha Fedorova

Many factors affect whether your current health insurance plan is still right for you. Moving to a new country, for example, could mean that your policy is no longer compliant. Even things that seem insignificant, like joining a football team, may require you to renegotiate your coverage. 

We spoke to ASN’s Françoise Villoz to make sure you know the basics before taking out or renewing your health insurance policy.

Step 1: Take stock of yourself

Before negotiating your new policy, take note of any changes in your recent health status along with any other factors that might impact your insurance profile. These factors not only include illness or injuries but whether you’ve taken up a risky new hobby like bungee jumping or if you travel regularly to dangerous regions for work. Furthermore, if you have a medical condition for which you have been paying an extra fee as part of your insurance you might be able to get your health loading or medical exclusion dropped.

Click here to get a bespoke health insurance policy

“If you have recovered fully from a serious skiing accident that happened ten years ago and have not required any treatment since recovering, then your insurance company might be willing to take the loading out of your contract,” advises Françoise.

Photo: Deposit photos

It might go without saying, but before you get into the thick of the negotiation process, it is a useful exercise to ask yourself whether you are satisfied with your current provider. Delayed or partial (or too administratively complicated) reimbursement of claims, for example, might be reasons for you to consider looking for a new insurance provider partner. Similarly, if your premium has increased year on year, you may want to shop around.

Step 2: Research your options thoroughly

If you are satisfied with your current insurance provider (or don’t have time to trawl through all the other insurance providers out there), then the best way to renew your current plan is to call your current provider. If there’s been no change in your circumstances in the past year, then the renewal should be straightforward. However, if your current insurance provider doesn’t – or won’t – live up to your expectations, (or you simply want to find a better insurance provider for your specific situation), then you will need to do a little digging.

Click here to get a bespoke health insurance policy

Françoise points out that insurance companies usually have specialist areas and coverage expertise, and while your provider can usually not refuse you a renewal, it might not be able to update your insurance to cater to your new circumstances. For this reason, a rule of thumb in the research process is to first check whether a company offers comprehensive and favourable coverage for all of your needs in each area of your life. If not, then it’s time to jump ship.

“If you have taken up a sport such as football or tennis you need to make sure when you do your research that your chosen insurance provider covers not only sports in general but your sport in particular,” warns Françoise.

Lastly, even if you are a picture of health and your life circumstances have stayed roughly the same, if you have moved to a new country, you must acquaint yourself with the rules and regulations of your new home. If you don’t, you might find out the hard way that your insurance is not compliant, and that you need to get an additional local insurance.

Photo: Deposit photos

Step 3: Before you ring

Before you pick up the phone to start negotiating your new policy, there are a few things to be mindful of. No new provider will insure you if you’re pregnant (if you are, there is normally a ten- to twelve-month waiting period). Likewise, if you have cancer, you seldom have an option but to stay with your current insurance provider. Secondly, if you have a new medical condition, make sure to have all the details on the table in front of you, and be prepared to negotiate hard if you are looking to upgrade your policy. Before you begin browsing for a new insurance provider, be prepared that your options may be limited in certain countries – including the U.S. – and that, if you have relocated, your current provider might not have coverage in your new country of residence.

Click here to get a bespoke insurance policy

If your medical condition is severe – or if you have been refused an upgrade by both your current and prospective health insurance providers – you might want to consider consulting an insurance broker such as ASN International Insurance. Since brokers usually have strong partnerships with many of the major providers, in certain cases, this can mean the difference between getting a better bespoke policy or not.

“We have a big portfolio with many clients as well as strategic partnerships with many of the key insurance companies,” says Françoise. “Since it is in their best interest to maintain good relations with us, insurance companies are often more cooperative when clients with serious conditions are represented by one of ASN’s experts.”

Finally…

When you receive your insurance proposals, make sure to carefully read both the general conditions (do double-check the cancellation terms!) and the small print of your contract. No-one’s trying to pull the wool over your eyes but you always need to be cautious when changing providers.

“Even if you have found a new insurance provider and you are sure they will take you on, you should never cancel your current contract before you have received final confirmation that your new provider will cover you as per the agreement,” says Françoise.

If you’re short on time but want a bespoke health insurance policy at the best price, consider getting in touch with an insurance broker like Françoise at ASN International Insurance. ASN does all the heavy lifting for you and will send your custom-built top three policy offers within two weeks.

This article was produced by The Local Creative Studio and sponsored by ASN.

HEALTH

‘Possible link’ between AstraZeneca vaccine and rare blood clots, EMA concludes

The European Medicines Agency has come to the conclusion that the unusual blood clots suffered by numerous people around Europe should be considered as rare side effects of AstraZeneca's Covid-19 vaccine, but that overall the benefits of the jab outweigh the risk.

'Possible link' between AstraZeneca vaccine and rare blood clots, EMA concludes
Photo by Tiziana FABI / AFP

A statement published online read: “The EMA’s safety committee has concluded today that unusual blood clots with low blood platelets should be listed as very rare side effects of the COVID-19 AstraZeneca vaccine.”

The EMA added however that the benefits of the vaccine outweigh the risks.

While millions of doses of the vaccine developed with Oxford University have been administered, small numbers of people have developed deadly blood clots, which prompted countries including the European Union’s three largest nations – Germany, France and Italy – to temporarily suspend injections pending the EMA investigation.

In March the EMA said the vaccine was “safe and effective” in protecting people against Covid-19 but that it couldn’t rule out a link to blood clots, and that more investigations were needed.

On Wednesday the EMA said the AstraZeneca vaccine should continue to be used for all age groups but that people should be told of the possible rare side effects. The announcement came as the UK’s own drugs regulator said the AZ vaccine should now only be given to over 30s.

The EMA said it was “reminding healthcare professionals and people receiving the vaccine to remain aware of the possibility of very rare cases of blood clots combined with low levels of blood platelets occurring within two weeks of vaccination.”

One plausible explanation for the combination of blood clots and low blood platelets is an immune response, the EMA said but that it had not identified any clear risk factors for causing the clots including age or gender.

So far, most of the cases reported have occurred in women under 60 years of age within two weeks of vaccination. 

The EMA advised that people who have received the vaccine should seek medical assistance immediately if they develop symptoms of this combination of blood clots and low blood platelets.

Symptoms include shortness of breath, chest pain, swelling in legs, abdominal pain, severe headaches, blurred vision and tiny blood spots under the skin at the sight of the injection.

The EMA committee carried out an in-depth review of 62 cases of cerebral venous sinus thrombosis and 24 cases of splanchnic vein thrombosis reported in the EU drug safety database (EudraVigilance) as of 22 March 2021, 18 of which were fatal

The agency concluded: “COVID-19 is associated with a risk of hospitalisation and death. The reported combination of blood clots and low blood platelets is very rare, and the overall benefits of the vaccine in preventing COVID-19 outweigh the risks of side effects.”

Germany, France and Italy have all restarted AstraZeneca vaccines, but in the case of France and Germany with extra guidelines on the age of patients it should be used for. France is currently not administering the AstraZeneca vaccine to under 55s or over 75s.

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