Health insurance suspended!

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Chirimoya

Well-known member
Dec 9, 2002
17,850
982
113
We have private medical insurance plan through a local professional association. It has served us reasonably well over the years.

However, as of Wednesday our insurance cover was suspended even though we are up to date with our payments, apparently because some other affiliates in the plan have not paid and the association has not been able to pay the ARS.

Unless they manage to resolve it in a matter of days this has serious implications, because even if we were to take out a new health insurance plan right now (at 5 or 10 times the current cost) we would not be covered for the first couple of months or whatever is usual for the cover to "kick in" - or is this just the case for non-urgent procedures?

Does the association or the ARS have any obligation to people like us who have paid? What, if anything, can we do?

Whatever happens I think we should get ourselves another insurance plan immediately. Even if this problem is resolved, the fact that it could happen again is a risk that is not worth taking.
 
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Bob K

Silver
Aug 16, 2004
2,520
121
63
Can you tell us what association you have your insurance through so we might be able to tell if we are effected as well. Ours is through the International Residence club.

thanks

Bob K
 
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Bob K

Silver
Aug 16, 2004
2,520
121
63
I guess that is good for me and bad for you. Thanks for the information. I do hope it works out. I know from personal experience that dealing with insurance companies can be impossible.

Bob K
 
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Eddy

Silver
Jan 1, 2002
3,668
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Chirimoya said:
We have private medical insurance plan through a local professional association. It has served us reasonably well over the years.

However, as of Wednesday our insurance cover was suspended even though we are up to date with our payments, apparently because some other affiliates in the plan have not paid and the association has not been able to pay the ARS.

Unless they manage to resolve it in a matter of days this has serious implications, because even if we were to take out a new health insurance plan right now (at 5 or 10 times the current cost) we would not be covered for the first couple of months or whatever is usual for the cover to "kick in" - or is this just the case for non-urgent procedures?

Does the association or the ARS have any obligation to people like us who have paid? What, if anything, can we do?

Whatever happens I think we should get ourselves another insurance plan immediately. Even if this problem is resolved, the fact that it could happen again is a risk that is not worth taking.
Click to expand...

If the group you are with neglects to pay on time, the coverage is suspended without warning. It's happened to me twice over the past few years. Both times, I was at the clinic and had to pay cash. Forget any claim. Worst yet, a few years ago when I had my heart attack, the insurance company did not want to pay. The suggested that i pay and claim it back from them. Yea sure, I paid and they went bankrupt, so I got stuck with the bill.
 
C

Chirimoya

Well-known member
Dec 9, 2002
17,850
982
113
I was just commenting to Mr C that I was surprised that it hadn't made the news. So many journalists and so much passivity - until now.
 
C

Chirimoya

Well-known member
Dec 9, 2002
17,850
982
113
Interesting that the official line is that the reason for the debt is that the CDP/IPP is not getting the mandatory quota from the media outlets, when Mr C was told again and again that it was because about 20% of affiliates had not paid their heavily-subsidised annual health insurance quota.

In any case we're outta there. They can stick it up their ARS. :D
 
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