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Main Boards => The Dark Continent => Topic started by: Ray Hammond on April 16, 2008, 02:51:00 PM

Title: Medical Evacuation Insurance/Repatriation
Post by: Ray Hammond on April 16, 2008, 02:51:00 PM
How many of you that are going are thinking of purchasing this type coverage?

Not sure what it is? It varies. There is a basic coverage, where if you are sick or injured enough beyond say, a cut on your leg or arm, where you get to Johannesburg where you are met by a bigger plane with nurses, doctors on board and you are brought back to the states for treatment.

Then there's more comprehensive stuff, involving smaller planes that can reach out to the bush, and pluck you almost immediately and get you treated, stabilized, and to where the bigger planes can get you back to teh states.

Anyone thinking of getting this coverage?
Title: Re: Medical Evacuation Insurance/Repatriation
Post by: Marty on April 16, 2008, 09:12:00 PM
Wow Ray, which I woulda thought about that before I went! Sounds like piece of mind to me. I thought about what might happen out there and  assumed that the outfitters had it covered. This sounds better.

Any coverage for lost horns? Just got a call from the taxidermistt that my spingbok horns were not in the shipment from the tannery.
Title: Re: Medical Evacuation Insurance/Repatriation
Post by: just_a_hunter on April 16, 2008, 09:29:00 PM
I used    Global Rescue (http://www.globalrescue.com)    when I went over last September.

I would highly highly advise you use some kind of insurence like this.

I bought 14 day coverage for somewhere around $150.

Anything that requires hospitalazation, you will be taken care of.

Just think, Lord forbid that Adder get you, but if it does.............

It almost should be a law to get this insurence before hand.

It works 'globably'.

Good luck, and please get this insurence befor you go.

Todd
Title: Re: Medical Evacuation Insurance/Repatriation
Post by: BTH on April 18, 2008, 10:23:00 AM
I bought the Medic Alert coverage since my wife and I are already members. An extra $100 bought us medical flights home and some other coverage. I felt much more comfortable knowing I had the extra coverage. Better to have and not need than to need and not have.
Title: Re: Medical Evacuation Insurance/Repatriation
Post by: Joseph on April 20, 2008, 05:50:00 AM
The coverage is cheap and considering what the rest of the country looks like I wouldn't want to take any chances on anything other than emergency medical care.  Joseph
Title: Re: Medical Evacuation Insurance/Repatriation
Post by: Ray Hammond on April 20, 2008, 07:53:00 AM
the difficulty in this process is understanding exactly what you are buying.

I'm in commercial insurance...and I can tell you after reading these and other policies (some of them are NOT insurance, but memberships in a club essentially) you are NOT getting what they want you to THINK you are getting for the most part.

Joseph can tell you with a heart attack, stroke, and any number of other medical emergencies - the first 12/24 hours are the 'golden window'. Your circumstances after recovery will be shaped by what happens to you during those first critical hours.

Most of these policies fall short in that area in terms of what they can provide. Add to that the fact that your health insurance may in many instances NOT provide coverage in many places you travel to, or reduced coverage...and you have a potential nightmare on your hands.

I am in talking now with a company that has opened my eyes on this issue. As soon as I am satisfied I will get some material together and present it here...
Title: Re: Medical Evacuation Insurance/Repatriation
Post by: Dr. Ed Ashby on April 20, 2008, 01:35:00 PM
It's not exactly insurance, and is a bit costly ($450.00/year) but the thing that gives me the most comfort as I poke about the world is carrying the American Express Platinum Card.

They offer medical assistant virtually anywhere, give access to a sufficiently large amount of cash to get one out of most 'sticky situations', and a bunch of other benefits too; such as baggage insurance, and automatic insurance coverage when you rent a car (and I save the pricey card cost in what I don't have to pay the car rental companies for the 'optional insurance' they offer when I rent).

However, what I like most is that I HAVE been in a tight situation (not medically, but otherwise) and American Express came through.

I won't bother with all the details, but I was left stranded in an African county without a single cent, no credit cards left, and no passport or identification papers. The collect calls to Discover Card, Master Card and Visa only resulted in "we will cancel the card and issue you another one - mailed to your home address". It took over six weeks for me to actually get my hands on the first one of those replacement cards.

On the other hand, as soon as they verified my autheticity over the phone (against the information in their files), the call to AMEX resulted in: (1) cancellation of the missing card; a free hot meal; (2) a place to stay; (3) near immediate issuance of a replacement card PLACED RIGHT INTO MY HAND; (4) arrangements for me to get a generous amount of cash for my immediate needs (from a local bank) on that newly issued AMEX card (5) WITHOUT ANY IDENTIFICATION PAPERS; (6) an appointment with the nearest American Consulate to get a new temporary passport issues, (7) as well as directions on precisely how to get there and (8) who to speak with (a person they had already contacted and briefed on the situation); (9) a personal toll free contact number and identity code number to call them back, should I need any further assistance ... and (10) ALL of that they made happen ON A NATIONAL HOLIDAY WEEKEND in the country I was stranded in!

Like their adds say; I won't leave home without it!

Ed
TGMM Family of the Bow
Title: Re: Medical Evacuation Insurance/Repatriation
Post by: Don Thomas on April 21, 2008, 10:30:00 AM
I strongly recommend tis kind of insurance. I've had it ever since a friend working as the medical officer on a cruise ship had to listen to a man mortgage his house over the radio to get a helicopter evacuation service to pick up his critically ill wife. I use Travel Assistance International. I have never had to use it, but the coverage seems good in the policy. Hospitals in some foreign countries -- this has happened to friends -- literally won't let you leave the country until your bills are paid, so even if your insurance at home does cover you, you can still have a serious problem. If you travel enough abroad to justify buying insurance by the year, it's remarkably cheap... and not bad anyway. My experience with American Express has been just the opposite of Ed's. Visa, on the other hand, had us back up and running in hours after a credit card theft in Namibia. Get the insurance. Don
Title: Re: Medical Evacuation Insurance/Repatriation
Post by: hunt it on May 30, 2008, 05:01:00 PM
Check out Med Jet, these are guys SCI partners with and recomends to members. I have not read anything but good from people that needed the service anywhere in the world for $275.00 US per year you can't beat it. I'm told they have the most experienced medical team in Africa.
Title: Re: Medical Evacuation Insurance/Repatriation
Post by: Steve H. on September 10, 2008, 07:19:00 PM
Some guy needed the medjet from Mongolia before we went, maybe the fall before.  Sounded like it worked alright and they flew him out.  Don't know any more details.
Title: Re: Medical Evacuation Insurance/Repatriation
Post by: Dartwick on September 13, 2008, 05:57:00 PM
Adventure must not be what it used to be.
Title: Re: Medical Evacuation Insurance/Repatriation
Post by: Ray Hammond on September 13, 2008, 07:44:00 PM
You may be right, Dartwick. I know I'm not interested in it as much for myself as my WIFE is interested in it.

We generally accept our fate, as manly men, but there are usually folks back home who would rather the black mamba NOT get us and we return home safely should we have a close call.

MedJet offers a club membership for repatriation from airports that can handle jets. It IS NOT MEDICAL INSURANCE. It is also NOT bush pickup. They don't have those types of planes. It says right on the website if there is no air strip they aren't coming to get you.

If you have a stroke, a heart attack, or get crushed by a lorry rolling over on you - you are going to need IMMEDIATE triage PRIOR to being repatriated by MedJet out of Joburg. You will be unlikely to survive the 20 hours or so of flight without prior stabilization.

Your personal health insurance will not function well in southern african nations because your card is NO GOOD there. The 6 hour time difference added in, and you start to see the problem.

The hospitals there require a 100,000 dollar deposit into their account prior to beginning treatment on you and YOUR US health insurance is NOT going to do that.

I'm working on something with an African health insurance provider I think might fill the gap..and I will give more details as they come through.
Title: Re: Medical Evacuation Insurance/Repatriation
Post by: Shawn Leonard on September 15, 2008, 06:49:00 PM
Dartwick that was classic!!   :biglaugh:   I will say if you are worried buy it, if not take your chances, that may be part of your adventure! Shawn
Title: Re: Medical Evacuation Insurance/Repatriation
Post by: Ray Hammond on September 15, 2008, 08:56:00 PM
Shawn,
He's probably 26 and single....when you're married with others depending on you, it has a habit of changing one's perspective dramatically!
Title: Re: Medical Evacuation Insurance/Repatriation
Post by: Russ Clagett on June 09, 2009, 01:43:00 PM
Ray,

Please post whatever you end up finding out, I am putting an Africa trip together in the next couple years when I retire from the Army, and will need this info.

I have had several "adventures" (global war on terror) and at this point I would really enjoy a nice quiet bowhunt in Africa.

Thanks for your interest in this sir, and please keep us posted.
Title: Re: Medical Evacuation Insurance/Repatriation
Post by: Ray Hammond on June 09, 2009, 06:20:00 PM
In the end the best possible way to handle this is to have a credit card limit increased temporarily to 100,000 dollars while you are on your trip.

Your insurance will respond when you are on a hunting trip, but the time difference and phone connections are what can create a real problem because when you are active over there, its sleepy time here, and vice versa.

Repatriation is worth something, but let's face it- if you are hurt badly enough to need evacuation you are still going to have to be stabilized there, before you come back. If you didn't you'd likely die on the tarmac waiting for the plane, or on the plane itself.

So have the limit on your card increased enough to get you through a day or three in the hospital there, and get a medjet policy to get you back to the states when you are well enough to travel. The repatration will also cover your spouse traveling over there to be with you, if you are stuck in place for long.
Title: Re: Medical Evacuation Insurance/Repatriation
Post by: hunt it on June 09, 2009, 08:55:00 PM
Ray,

Medjet goes to landing strips. In most areas of Africa you'll find a landing strip not to far off. A buddy of mine had all his eye tore up real bad in CAR - Cenral Africa Republic a few years back and Medjet looked after him real fine and he was in the boonies. Prior to buying anything i would talk to your outfitter. Many of them have memberships/programs in place with flying Dr. or bush Dr. services. If this is in place you may be covered in camp and Medjet would cover rest. Myself, I always buy the deluxe travel insurance as well as any local programs on top of my company and credit card health coverage. For us Canucks - America is much scarier than Africa anyday. What they ding you guys for an emergency is down right scary  :scared:    :help:    :help:  
Safari club International is a good place to check on this type of coverage and feedback from members.
Title: Re: Medical Evacuation Insurance/Repatriation
Post by: tradtusker on June 09, 2009, 10:19:00 PM
iv never taken insurance traveling Africa, or the top end of australia for that matter always taken my chances but then i know a lot of people that can help me out that are local, that is not a luxury most have. I must admit if i came over for a trip and had a family etc i think it is prob worth the cost, there are some places ( hospitals ) in Africa where your prob more likely to come out worse of then you went in.

they work different out there! especially the out of the way places, it happens in Africa time which is -10mp/h

i remember being out with the family on lake Kariba (Zim)  and my cousin and i where spearfishing anyway long story short i almost cut my finger off, fainted etc.. one days ride boat trip to the hospital on the lake. when we got there there was one receptionist on duty and she said that all the doctors where on lunch and they would be 2 hours   :rolleyes:    :biglaugh:    if i was in serious trouble i would be dead.
of coarse my dad went and dragged one of them out of the canteen to come and sew my hand back up.

iv heard good things about Medjet like Dave said
Title: Re: Medical Evacuation Insurance/Repatriation
Post by: hunt it on June 11, 2009, 01:48:00 PM
Ray,

Check out Globalrescue.com this may be more what you are looking for. They have good yearly packages but check out the trip rates for individual trips it's very reasonable.
Title: Re: Medical Evacuation Insurance/Repatriation
Post by: amar911 on June 12, 2009, 10:36:00 AM
I have MedJet. I bought it last year for an August hunt in Africa. It was still in effect when I went to Italy in February, and is also in effect for my hunt this month in Africa. If you travel overseas it is a good thing to have, especially if you go multiple times a year. Just a single medical event can save a lifetime of insurance premiums, and the cost is not that high compared to the cost of the hunt.

Allan
Title: Re: Medical Evacuation Insurance/Repatriation
Post by: Weatherby on June 12, 2009, 07:59:00 PM
Hello all,

Good info in most all posts. I use Tripprotector Preferred. These are the only ones I have found that will extract me to MY.....MY.....hospital of choice. GR, Medjet, etc...will extract you but only to the nearest capable facility. If my back is broken in Zimbabwae, being moved to NetCare Pretoria East in Moreleta Park SA does little to help what me or my family will need. They will cover all medical expense and extraction to your front door if needed. They will fly a spouse to you then both of you back from the brink of hell.


As for "adventure"......experience some first then comment.
Title: Re: Medical Evacuation Insurance/Repatriation
Post by: Ray Hammond on June 13, 2009, 11:01:00 AM
Weatherby is right..however, Medjet is NOT medical insurance. It's a club, for repatriation.

Your friend in CAR might have just gotten lucky...because I know they have no small planes to get in and out of the bush with, but use contractors.

I would trust more to the outfitter to get you out of the bush, and to a local hospital, then MedJet.

Again, the important thing about Medjet is they are NOT going to fly you home, but to the nearest hospital that can take care of you.

And, if you are hurt badly enough to need that service, I wouldn't want to fly to the states anyway to start getting treatment.

Huntit, in the US we have medical insurance (most of us) that utilizes a card system...you go to hospital, they take your card, and rush you into emergency and begin taking care of you if your life is threatened.

But on the other side of the world, they don't TAKE our cards...they want funds deposited in teh bank account of the hospital as a "reserve" before they begin handling a patient.

When people are active in Africa and most often getting injured, our medical insurance folks are typically at home, enjoying their evenings.

Having a credit card limit increased until the next day when they can get in touch with your carrier is a little work, but definitely worth it.

As to being here, or in Africa, I'd have to say millions of Canadians would disagree with you- the hospitals in our northern tier of states are filled with Canadians getting treatment they cannot get in Canada or can't get in a timely manner.  I don't see them flying off to Southern Africa for treatment!    :bigsmyl:    

Safari Club, unfortunately, is only in it for the money. I can tell  you this from firsthand experience in dealing with them on this issue.
They use who offers them the largest fees from the transaction, bottom line. I make a living reading policies and contracts and I've read through Medjet and a half dozen others...you are not getting what you're made to "think" you're getting from most of the repatriation clubs.

It's important to have, once you're stabilized, but getting triaged in country if you've had a stroke, heart attack, or other life threatening event is critical to the success of any future care you would be given stateside.
Title: Re: Medical Evacuation Insurance/Repatriation
Post by: Don Thomas on June 13, 2009, 11:22:00 PM
With all due respect Dartwick, I think your post is naive. I imagine I have spent as much time in dangerous situations in the Bush as anyone here, and if I fall off a cliff and die, so be it. But I do not plan to die unnecessarily of peritonitis from a ruptured appendix, and I'm sure not going to stand by and watch it happen to Lori. Don
Title: Re: Medical Evacuation Insurance/Repatriation
Post by: Ray Hammond on June 15, 2009, 03:01:00 PM
I'm with you, Don.
Title: Re: Medical Evacuation Insurance/Repatriation
Post by: Weatherby on June 15, 2009, 08:00:00 PM
Quote
Originally posted by Ray Hammond:
In the end the best possible way to handle this is to have a credit card limit increased temporarily to 100,000 dollars while you are on your trip.
Hey Ray,   Just noticed this quote of yours. I have a friend who is about 300,000.00us into a bowel obstruction while in Pakistan. A hundred G's ain't what they use to be.
Title: Re: Medical Evacuation Insurance/Repatriation
Post by: Ray Hammond on June 15, 2009, 09:30:00 PM
You are right...but the 100K will get you started until your insurance can be contacted.

Once they do and get everything set up you are then fine as wine...as your health coverage will be paying for everything well before you get to 100,001 dollars.

It's just that first step that's the toughie when overseas.
Title: Re: Medical Evacuation Insurance/Repatriation
Post by: Weatherby on June 17, 2009, 06:26:00 PM
No insurance.
Title: Re: Medical Evacuation Insurance/Repatriation
Post by: Don Thomas on July 03, 2009, 12:34:00 AM
Just back from the Bush in AK, where I spent some time thinking about my last post (in response to a post that seems to have disappeared) and realized I didn't really explain myself very well. Think about it. If you fall off a cliff and get a compound fracture of your femur, are your friends going to walk off and let you die? Of course not. They are going to hike out, fly out, or otherwise do what has to be done to get you the help you need. At that point, an evacuation will begin; it will possibly be dangerous and almost certainly expensive. Expect a BIG bill, for an amount that whoever got you out of there and provided you with definitive care deserve. Then, you can stiff them, or you can come up with the money, possibly be mortgaging your house and jeopardizing you family's finances. If you are in a foreign country, you may not be allowed to leave until you've done this (I have seen that happen). So, the argument isn't about decreasing the "adventure". It's about taking responsibility for what you are doing. Do everyone a favor and get the insurance. Don
Title: Re: Medical Evacuation Insurance/Repatriation
Post by: tmccall on July 08, 2009, 12:51:00 PM
Quote
Originally posted by Dr. Ed Ashby:
I won't bother with all the details, but I was left stranded in an African county without a single cent, no credit cards left, and no passport or identification papers. The collect calls to Discover Card, Master Card and Visa only resulted in "we will cancel the card and issue you another one - mailed to your home address". It took over six weeks for me to actually get my hands on the first one of those replacement cards.

On the other hand, as soon as they verified my autheticity over the phone (against the information in their files), the call to AMEX resulted in: (1) cancellation of the missing card; a free hot meal; (2) a place to stay; (3) near immediate issuance of a replacement card PLACED RIGHT INTO MY HAND; (4) arrangements for me to get a generous amount of cash for my immediate needs (from a local bank) on that newly issued AMEX card (5) WITHOUT ANY IDENTIFICATION PAPERS; (6) an appointment with the nearest American Consulate to get a new temporary passport issues, (7) as well as directions on precisely how to get there and (8) who to speak with (a person they had already contacted and briefed on the situation); (9) a personal toll free contact number and identity code number to call them back, should I need any further assistance ... and (10) ALL of that they made happen ON A NATIONAL HOLIDAY WEEKEND in the country I was stranded in!

Like their adds say; I won't leave home without it!

Ed
TGMM Family of the Bow
Wow!  Great story.  

Having been stranded overnight in Southeast Asia, I have a pretty good idea of the level of comfort this provided for you.  I'm convinced that, on my next trip overseas, I'll be carrying an AmEx card.
Title: Re: Medical Evacuation Insurance/Repatriation
Post by: Don Thomas on July 09, 2009, 06:39:00 PM
Unfortunately, I had exactly the opposite experience with Amex about 20 years ago. The story is too long to go into here, but they tried to hold me responsible for what was clearly a fraudulent claim, even though I handled the situation exactly as they told me to on site. The service from the company was absolutely terrible. Today, I wouldn't use an American Express card to break into my own car. Don