Jose Quesada
Medical Director
Bupa International Private Medical Insurance
Jonathan Edelheit
CEO Medical Tourism Associati...
•
•
•
•
•
•


Plan
Premier Plan is our flagship product offering extensive benefits worldwide through our network of over 9,600 listed h...
Plan
Our Enhanced Gold Plan offers health insurance coverage across 4,500 listed providers
worldwide excluding USA and Can...
Plan
Enhanced Bronze Plan offers you health insurance coverage for all health services within UAE. With a network of over ...
•
•
•
USA
Top Global and Regional Destinations
UK
Singapore
Hong Kong
UAE
Brazil
Mexico
France
Germany
Qatar
-
20.0
40.0
60.0
80.0
100.0
120.0
140.0
160.0
Argentina Chile Netherlands UK Spain Switzerland France New
Zealand
South Af...
•
•
•
•
•
•
•
•
•
•
•
•
•
•
Quality +
+
-
Efficiency
Top Providers
•
•
•
•
Bupa
HQP
Remote
self
assessment
Targeted
Customer
Feedback
Compliments
& complaints
Onsite
inspection
•
•
•
•
• Bundle Payments
• Continuum of Care Protocols for International Patients
• Transformational Performance Improvement of H...
















•
•
•
•
•
•
•
•
•
•
Centers of Healthcare Excellence and Global Health Insurance – The Future of Mobility in Healthcare
Centers of Healthcare Excellence and Global Health Insurance – The Future of Mobility in Healthcare
Centers of Healthcare Excellence and Global Health Insurance – The Future of Mobility in Healthcare
Centers of Healthcare Excellence and Global Health Insurance – The Future of Mobility in Healthcare
Centers of Healthcare Excellence and Global Health Insurance – The Future of Mobility in Healthcare
Upcoming SlideShare
Loading in...5
×

Centers of Healthcare Excellence and Global Health Insurance – The Future of Mobility in Healthcare

6,692

Published on

Bupa International and the Medical Tourism Association recently teamed up for a successfully co-sponsored webcast on “Centers of Healthcare Excellence & Global Health Insurance - The Future of Mobility in Healthcare”

Jose Quesada, Medical Director, Bupa InternationalOne of the challenges multinational employers and insurers have experienced as they expand across borders is identifying centers of excellence and building a quality hospital network for their employees or insured. Jose Quesada, Medical Director of Bupa International and Jonathan Edelheit, CEO of the Medical Tourism Association explored solutions that allow multinational employers to reduce their expenses by eliminating the need to develop their own medical network through the use of global centers of excellence. View the replay below.

The webcast covered the following topics:

Centers of healthcare excellence and global insurance policies; what is their trend in growth as well as costs?
Difference between individuals purchasing insurance policies versus employers.
Where are individuals traveling to?
What are the future trends with regards to growth of these policies?

0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
6,692
On Slideshare
0
From Embeds
0
Number of Embeds
8
Actions
Shares
0
Downloads
0
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Centers of Healthcare Excellence and Global Health Insurance – The Future of Mobility in Healthcare

  1. 1. Jose Quesada Medical Director Bupa International Private Medical Insurance Jonathan Edelheit CEO Medical Tourism Association Director of Global Benefits Association
  2. 2. • • •
  3. 3. • • • • •
  4. 4. •  
  5. 5. Plan Premier Plan is our flagship product offering extensive benefits worldwide through our network of over 9,600 listed health services providers. The plan allows direct billing facility within ******network of health service providers. At the same time, you also have the choice to go to a doctor or hospital of your choice outside our network, and get a reimbursement for services covered in your policy. Annual Limit AED 5,000,000 Per Person - $ US 1,361,247 Emerge ncy Treatm ent Covered worldwide Inpatient Benefits Hospital Fees (including room charges, meals, nursing, drugs, Operation Theatre charges) Diagnostic tests during your hospital stay Specialist‟s or Physician‟s Fees, and Visiting Doctor‟s Fees Childbirth or any pregnancy related complications New born care and accommodation Benefit for parent and companion accommodation in specific conditions Home Nursing - On doctor‟s recommendation, plan covers for health services required at home Cash compensation in case of free inpatient treatment Emergency cases leading to inpatient treatment Exclusive Benefits Dental Cover including consultations, extractions, root canal, dentures, tooth bleaching, gum treatments and more Optical Cover including vision tests, spectacles, contact lenses and Lasik surgeries A preventive medical check-up every policy year Annual screening for breast, prostate and colon cancer above the specified age as mentioned in your policy Alternative medicine including Homeopathy, Osteopathy, Acupuncture, Chiropractic treatments and more Psychiatric treatment for diseases or disorders related to mental health Consultation with Dietician on nutritional adequacy Vaccination Dialysis Vitamins as prescribed by your doctor Contraceptives and birth control treatments, as prescribed by your doctor Hepatitis treatment including hepatitis B and C Infertility treatment Groups with more than 50 members have the flexibility to choose from additional coverage modules, including Dental Cover, Optical Cover, Alternative Medicine and Chiropractic, Home Nursing, and Annual Health Check Ups. Specialized Services A global emergency assistance program through our partner „****** Access to top-class medical experts globally for second opinion services through our partner „******‟ An in-house Health Support team to support members with chronic diseases on treatment facilities, procedures and medications Access to 24/7 call center staffed with bi-lingual representatives Easy and safe access to our online portal “My ******” to submit and track claims, search for providers, and more Access to “**********Customer Club”, an online *************member community, offering exclusive offers from our trusted partners, health and wellness tips Territori al Limit Worldwide (WW)
  6. 6. Plan Our Enhanced Gold Plan offers health insurance coverage across 4,500 listed providers worldwide excluding USA and Canada. What‟s more, you even have the choice to go to a doctor, hospital or pharmacy of your choice and get a reimbursement for services covered under this plan Annua l Limit AED 2,500,000 Per Person US $68000 Emergenc y Treatment Covered worldwide; For maternity in Non-Network – 80% on Reimbursement worldwide Inpatient Benefits Hospital Fees (including room charges, meals, nursing, drugs, Operation Theatre charges) Diagnostic tests during your hospital stay Specialist‟s or Physician‟s Fees Childbirth or any pregnancy related complications Benefit for parent and companion accommodation in specific conditions Emergency cases leading to inpatient treatment Specialize d Services Annual screening for breast, prostate and colon cancer above certain age A global emergency assistance program through our partner „******************* Access to top-class medical experts globally for second opinion services through our partner „************** An in-house Health Support team to support members with chronic diseases on treatment facilities, procedures and medications Access to 24/7 call center staffed with bi-lingual representatives – Arabic and English Easy and safe access to our online portal “My ******************” to submit and track claims, search for providers, and more Access to “**************Customer Club”, an online ******member community, offering exclusive offers from our trusted partners, health and wellness tips Territorial Limit Worldwide excluding USA and Canada (WW exc. US CAN) Network Network within UAE: Exclusive 1 (Direct billing available in American Hospital for In-patient treatment only) Network outside UAE: WW exc. US CAN Reimburs ement at Non- Network Provider 80% for Non-Network providers In case of Emergencies: a) 100% covered worldwide b) 80% covered in Non-Network for Maternity
  7. 7. Plan Enhanced Bronze Plan offers you health insurance coverage for all health services within UAE. With a network of over 1,400 health service providers, you may be rest assured that the plan offers complete coverage for inpatient, outpatient, and emergency benefits. You can also get a second opinion from medical experts globally, should the need arise to consult them. Annual Limit AED 500,000 Per Person (AED 250,000 for individuals and small groups*) Emergency Treatment Covered outside UAE, in select list of countries For maternity in Non-Network – 80% on Reimbursement in select list of countries Inpatient Benefits Hospital Fees (including room charges, meals, nursing, drugs, Operation Theatre charges) Diagnostic tests during your hospital stay Specialist‟s or Physician‟s Fees Childbirth or any pregnancy related complications Benefit for parent and companion accommodation in specific conditions Emergency cases leading to inpatient treatment Specialized Services Annual screening for breast, prostate and colon cancer above certain age Access to top-class medical experts globally for second opinion services through our partner „***********************‟ An in-house Health Support team to support members with chronic diseases on treatment facilities, procedures and medications Access to 24/7 call center staffed with bi-lingual representatives Easy and safe access to our online portal “My ***************” to submit and track claims, search for providers, and more Access to “*********************Customer Club”, an online ***************member community, offering exclusive offers from our trusted partners, health and wellness tips Territorial Limit UAE Network Network within UAE: Comprehensive 3 Network outside UAE: NA Reimbursement No Reimbursement in Non-Network Providers In case of Emergencies: a) 100% covered in select list of countries b) 80% covered in Non-Network for Maternity
  8. 8. • • •
  9. 9. USA Top Global and Regional Destinations UK Singapore Hong Kong UAE Brazil Mexico France Germany Qatar
  10. 10. - 20.0 40.0 60.0 80.0 100.0 120.0 140.0 160.0 Argentina Chile Netherlands UK Spain Switzerland France New Zealand South Africa Australia USA US$(‘000) Normal Delivery Knee Replacement Bypass Surgery Source: International Federation of Health Plans, 2012 Comparative Price Report. Variation in Medical and Hospital Prices by Country
  11. 11. • • • •
  12. 12. • • • • • • •
  13. 13. • • •
  14. 14. Quality + + - Efficiency Top Providers
  15. 15. • • • • Bupa HQP Remote self assessment Targeted Customer Feedback Compliments & complaints Onsite inspection
  16. 16. • • • •
  17. 17. • Bundle Payments • Continuum of Care Protocols for International Patients • Transformational Performance Improvement of Hospitals • Hospital Quality Program & Bupa Preferred Providers • Collaboration between Payors and Providers
  18. 18.                
  19. 19. • • • • • • • • • •

×