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svmidnightsun 04-15-2013 12:07 AM

Medical Insurance
 
Hi
Is it compulsory to have medical insurance to arrive in the USA?
we got our 5 year multi entry Visa for the states no questions about
medical insurance but I have just been asked for a copy of our medical insurance for our arrival in Raivavae where else is compulsory medical insurance required
thanks Paul

SchockT 04-15-2013 02:20 AM

Re: Medical Insurance
 
You would have to be crazy to go to the USA without medical insurance!

killarney_sailor 04-15-2013 07:47 AM

Re: Medical Insurance
 
Only a few places seem to require medical insurance. Chagos comes to mind. The requirement really is for evacuation insurance. I think Ascension has something similar but you can buy it locally by the day. I agree about having insurance for the US. Medical costs there are beyond belief.

tommays 04-15-2013 08:09 AM

Re: Medical Insurance
 
Basically in the USA IF you have nothing and go to the emergency room you will get treated

BUT if you have money someplace the will be looking to find it and the bill will be fairly astounding

Minnewaska 04-15-2013 08:14 AM

Re: Medical Insurance
 
Quote:

Originally Posted by SchockT (Post 1016577)
You would have to be crazy to go to the USA without medical insurance!

Agreed, assuming you're the type of person that pays their bills.

hellosailor 04-15-2013 08:56 PM

Re: Medical Insurance
 
midnight, since there is no "national medical system" in the US, the US government doesn't care what your insurance status is.

And since the States don't issue visas, they have no say in the matter.

In an emergency, most hospitals will take you in their ER (most, not all) and work out the details later, but if you are uninsured you can expect to get a bill. And private physicians will expect payment up front, cash or credit card, if you have no insurance.

Since there's no national medical plan and no coverage for visitors...it is up to you to decide if you gamble on not having your own medical coverage when you come here.

Unless you get arrested, in which case the medical care is free.

SchockT 04-15-2013 10:51 PM

Re: Medical Insurance
 
Quote:

Originally Posted by hellosailor (Post 1016980)
midnight, since there is no "national medical system" in the US, the US government doesn't care what your insurance status is.

And since the States don't issue visas, they have no say in the matter.

In an emergency, most hospitals will take you in their ER (most, not all) and work out the details later, but if you are uninsured you can expect to get a bill. And private physicians will expect payment up front, cash or credit card, if you have no insurance.

Since there's no national medical plan and no coverage for visitors...it is up to you to decide if you gamble on not having your own medical coverage when you come here.

Unless you get arrested, in which case the medical care is free.

So if you get injured, don't go to the hospital, just walk up to the nearest cop and punch him in the face, then it's all free? Good deal!

MedSailor 04-16-2013 11:55 PM

Re: Medical Insurance
 
Quote:

Originally Posted by svmidnightsun (Post 1016561)
Hi
Is it compulsory to have medical insurance to arrive in the USA?
we got our 5 year multi entry Visa for the states no questions about
medical insurance but I have just been asked for a copy of our medical insurance for our arrival in Raivavae where else is compulsory medical insurance required
thanks Paul

16% of Americans don't have health insurance. So, no, you don't have to. Just remember it IS ABSOLUTELY NOT AFFORDABLE to get any kind of care (with rare exceptions like the clinic I work at) without insurance.

Want to see a doctor for 7 minutes for something simple like a bladder infection? $250. Antibiotic prescription, $50.
Go to the ER for a sprained wrist, get an X-ray and go home: $2000.
Have a heart attack and get it treated: $65,000.

On the other hand, we have laws that require the Emergency Rooms treat you and bill you later. If you're not from around here, they probably can't easily bill you, so you might be able to get away with it.

MedSailor

hellosailor 04-17-2013 02:35 AM

Re: Medical Insurance
 
Not to disagree with you entirely, Med, but those same antibiotics (including Cipro for bladder problems) can be gotten for $4 at WalMart or for free at Publix (Florida supermarket chain with pharmacies) as can about 100-200 popular meds. And that same hospital that will try to charge you $2000 uninsured, will charge you $20 if they are required to accomodate uninsured unemployed according to income level, as many are if they participate in certain programs. But if you don't ASK, they won't offer, and you have to do the paperwork to qualify. I don't know if non-residents even can.

Which is part of the problem with the US medical system, some pay 100x more than others, and a 10x difference in costs is actually normal even for the same procedure as billed to insured patients. Trying to call around for a price for non-emergency care is greeted with the same astonishment as calling around to ask how or if one grooms one's pubic hair.

For a foreigner with no anticipation or clue about all this...well, even the medical insurance can be baffling. $600/head/month will buy you coverage with limits and gaps and a deductible (often $2000-5000) and for an individual not having a corporate or group rate, a fast thousand dollars a month isn't unusual for "good" coverage from a provider with a large network. And if you have less than perfect health to start with, you won't get those rates. Policies from the smaller cheaper providers will also sometimes mean a two week wait to be seen by one of their few approved doctors or clinics, a foreigner would also need to know what "in or out of network coverage" is all about.

And then of course, the threat of ObamaCare is making everyone change their terms and prices even as we speak.

What a mess.

Minnewaska 04-17-2013 05:52 AM

Re: Medical Insurance
 
Quote:

Originally Posted by MedSailor (Post 1017473)
....If you're not from around here, they probably can't easily bill you, so you might be able to get away with it.

MedSailor

Although, the rest of us will ultimately pay it for them. That's not good cruiser etiquette. It would be like us traveling to their country and stocking up on whatever provisions we need, then sailing away without paying. Provisions would end up costing them more to makeup for it and we wouldn't be welcome back.


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