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Insurance option over age 65

Last activity 04 September 2024 by planner

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planner

I indicated in another  thread I would post details here.   These are subject to change, its valid as of today. Its Senasa plan Ambar.


Its not great coverage at all but may be better than nothing. First thing to know is that you need to go to  doctors,  clinics and  labs that accept Senasa.  There is NO  reimbursement.


They have a schedule of what they pay per doctor type or specialty and  you pay the difference.   Unlimited.

Psychologist or psychiatrist  - 3,000 RD  a year.


In hospital -  3,000RD per day  for room, 3,000RD per day for meds, 5,000RD per day intensive care.

Limit per  case is  RD 250,000


Catastrophic illness is  limit of  RD 500,000

There is some dental but  limited.

There is RD 4,000 for   medication out of hospital.


Premiums:

Every 3 months RD 5,241

Every  6 months RD 10,482

Annual  RD 20,964


At age 70 it doubles.


From age  55 a doctors medical and tests are required and you have to pay for them!   If they  do not accept you they do not pay this back.


To apply you can contact me privately.


IF  under  65 you have far far better options with Humano and or Universal.  Those are the  2 I am most familiar with,

DRVisitor

Do you have to be on a plan for a certain amount of time before 65 and do these plans keep stable rates after 65 (ie Humano and or Universal.)?

planner

You can enroll two weeks before 65 if you want.  However you always risk developing pre existing conditions which would be excluded.


Currently Humano premiums go up at age 70.  With groups premiums are adjusted annually based on group experience.  Individual plans will go up based on your individual usage.


We were advised a couple years ago that insurance premiums will soon be age banded. So right now a 60 year old woman pays the same as a 20 year old woman or a 20 year old male.


At some point it could be banded under age 40, 40 to 50, 50 to 60 etc for example.  That would follow more the North American model. Maybe it's European too but I don't actually know.


Next would follow male and female rates and then smoker / non smoker! At least that's what I would expect.

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