Margaret Butterworth
Active Member
- Time of past OR future Camino
- 2013 (Pamplona to Burgos)
2014 (Burgos to Villafranca del Bierzo)
2015 (Villafranca to Santiago)
2016 (Le Puy to Conques; SJPP To Pamplona)
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I've read posts in the past which suggested that pilgrims receive free medical treatment for Camino-related problems. A few anecdotes related their experiences in this regard. Others spoke about having to pay up front. Recently I visited new public clinic in Astorga for a consultation about my painful knee. The doctor didn't examine me and simply prescribed Ibuprofen 600, which is readily OTC in Spain. (I was really hoping for a cortisone injection, but was told there were no facilities for this in that clinic). Back home, I have just received a bill by registered post for €74 from the Council of Castile and Leon. I would have paid at the time, if they'd asked me, though on reflection this was expensive for the treatment received.
Can anyone please clarify what pilgrims can expect in the way of free treatment on the Camino?
From what I can tell, following threads here and reading up a bit, stories of free treatment because you are a (foreign) pilgrim are stories of the past; occasionally, an individual doctor may still waive fees because of the administrative hurdle to bill you; doctors and clinics are often not set up for immediate billing but increasingly so; medical staff may not even be aware of payment procedures (there was a recent thread where someone was told by medical staff that treatment at a university clinic was free and then she received an electronic bill the next day in her mailbox). Expect to pay unless you are from an EU/EEA country and have your EHIC card with you. Some clinics or doctors - this may depend on the region (Galicia, Navarra, etc) - have two tariffs, which may explain differences in what foreign pilgrims are charged as you may be charged as a privately insured patient and you will be charged a high fee.I've read posts in the past which suggested that pilgrims receive free medical treatment for Camino-related problems. A few anecdotes related their experiences in this regard. Others spoke about having to pay up front.
Here in the UK most health treatment is free at the point of use. Yes, we pay for it, but in general taxation, the same way we pay for education, defence, roads etc. A contribution is paid towards the cost of prescription medicine, but only by those, aged 18-60, in employment. My daughter has just given birth by caesarian section to a beautiful baby girl. A health problem meant that her pregnancy required regular monitoring. It cost her nothing, (and prescriptions are free if you're pregnant.)there is no such thing as free health care anywhere in the EU, not even in the UK. It has to be paid.
I wouldn’t call it pretty cheapMargaret, re the bill - pretty cheap. If you are UK then take it/send it to your local Health & Social Security office and they will refund you.
For those covered by the NHSHere in the UK most health treatment is free at the point of use
i don’t want to clog up this thread with discussions about health care systems but I think the following remark is relevant for what I think are changing times for pilgrims and other tourists in European countries: years ago, I once needed treatment in the UK and at another time in Ireland. In both cases, I didn’t have to pay. I didn’t even need to show an EHIC card or its predecessor, the E111 form. I even got a pair of crutches for free in Dublin. I am only vaguely aware of the changes in the UK and know nothing about Ireland but I have little doubt that these days are gone. As are the days of free treatment for pilgrims in Spain. You need to show proof that you are entitled to treatment without having to pay yourself and if not you are likely to receive a bill.I can tell the NHS is no exception and also as far as I can tell they all have been making increased efforts in recent years to get payments from those who don’t live in the country but are just on a visit. Spain is no exception.
This thread has now dispelled the myth about free medical treatment for pilgrims on the Camino! I must admit I had previously (naively and mistakenly) believed in the myth - not because I expected something for nothing, but because of the universal kindness shown to pilgrims by the Spanish. I thought that perhaps there really was an unofficial or even official policy to assist pilgrims arrive at their destination. I now understand categorically that this is not the case.
I personally spent several hours in a emergency room complete with anbulance ride. surgury on chin from a fall and multiple xrays.I would say that a pilgrim on Camino should expect no free treatment simply because one is a pilgrim.
I have read about gratis treatment for small issues at local clinics, and became acquainted with a pilgrim on Camino who had a blister treated and was told to 'never mind' when he offered payment. At the same time, I know of folks who have had to pay for the care they receive. Like you, they typically receive a billing statement in the mail.
I've read posts in the past which suggested that pilgrims receive free medical treatment for Camino-related problems. A few anecdotes related their experiences in this regard. Others spoke about having to pay up front. Recently I visited new public clinic in Astorga for a consultation about my painful knee. The doctor didn't examine me and simply prescribed Ibuprofen 600, which is readily OTC in Spain. (I was really hoping for a cortisone injection, but was told there were no facilities for this in that clinic). Back home, I have just received a bill by registered post for €74 from the Council of Castile and Leon. I would have paid at the time, if they'd asked me, though on reflection this was expensive for the treatment received.
Can anyone please clarify what pilgrims can expect in the way of free treatment on the Camino?
A bit similar here. I went to hospital in Leòn, suffering "shin splints". They did a preliminary "charge" of about 200€ to my credit card, phoned my Australian travel insurance provider, did the xrays and MRI etc while awaiting a reply, and eventually I paid nothing because the insurer gave them the go ahead.We went to the hospital in Leon and was charged upfront €120 - they told me this before treatment for blisters. They also asked about travel insurance which we have and they actually called the insurance company for me. The other clinic was on Carrion de los condes and that was €74. This was mid may this year
I presume that the real cost of treatment was higher. From what I read on a reliable Spanish website (although I couldn’t establish whether the information was up to date or outdated) it seems that state hospitals will or would wave most or all of the charges to the patient or insurer when it’s a real emergency requiring immediate treatment of a foreign visitor (anyone, not just pilgrims).I personally spent several hours in a emergency room complete with anbulance ride. surgury on chin from a fall and multiple xrays.
Total charge €126. wow.
I've read posts in the past which suggested that pilgrims receive free medical treatment for Camino-related problems. A few anecdotes related their experiences in this regard. Others spoke about having to pay up front. Recently I visited new public clinic in Astorga for a consultation about my painful knee. The doctor didn't examine me and simply prescribed Ibuprofen 600, which is readily OTC in Spain. (I was really hoping for a cortisone injection, but was told there were no facilities for this in that clinic). Back home, I have just received a bill by registered post for €74 from the Council of Castile and Leon. I would have paid at the time, if they'd asked me, though on reflection this was expensive for the treatment received.
Can anyone please clarify what pilgrims can expect in the way of free treatment on the Camino?
I think it is "normal" in most civilized places to give real emergency (i.e. life-saving) treatment to patients who need it, and then ask questions about their nationality or health insurance later.state hospitals will or would wave most or all of the charges to the patient or insurer when it’s a real emergency requiring immediate treatment of a foreign visitor (anyone, not just pilgrims).
As I understand it, from what I read, non-residents without automatic right to coverage under the public health system in Spain, such as non-EU tourists, may be exempt from costs of treatment in case of an emergency of the type of accident or serious (acute?) illness - and that means no invoice after emergency treatment is completed. I offered this bit of knowledge that I had gleaned as a possible explanation for the apparently low cost of treatment in a public hospital that someone cited in their case after a fall.I think it is "normal" in most civilized places to give real emergency (i.e. life-saving) treatment to patients who need it, and then ask questions about their nationality or health insurance later.
As I understand it, from what I read, non-residents without automatic right to coverage under the public health system in Spain, such as non-EU tourists, may be exempt from costs of treatment in case of an emergency of the type of accident or serious (acute?) illness - and that means no invoice after emergency treatment is completed. I offered this bit of knowledge that I had gleaned as a possible explanation for the apparently low cost of treatment in a public hospital that someone cited in their case after a fall.
In any case, the laws have changed in view of the huge increase of healthcare cost to the national and local governments during recent years, as well as abuse of the kind called health tourism, and what was free years ago is no longer free today.
Smiles, kisses and hugs can be free but health care isn't. Somebody paid for that treatment. In your case it was Spanish/EU tax-payers if your daughter didn't have EHIC or travel insurance.My daughter in 2002 had bad blisters and was treated in the hospital at Burgos - for free as she was a Pilgrim.
Can anyone please clarify what pilgrims can expect in the way of free treatment on the Camino?
I recently went to a Spanish hospital for emergency treatment and it was stated in big letters in reception that no-one would be admitted unless they had a European Health Insurance card.I’ve read this now repeatedly so it seems to be the case that emergency medical assistance may be free of charge in specific cases (for anyone, not pilgrim specific), even when you are not a beneficiary of Spanish social security or a mutually recognised social security system, for example that of another EU country and of a limited number of other countries such as Brazil or Morocco. I just mention this because the reports of whether pilgrims were billed or not in recent years seem confusing or contradictory at first sight. See for example:
Este artículo contempla la asistencia sanitaria:
• De urgencia por enfermedad grave o accidente, cualquiera que sea la causa, hasta la situación de alta médica. Esta asistencia será prestada en los servicios de urgencia (PAC, hospitales,,). No tienen derecho a recetas médicas oficiales.
• De asistencia al embarazo, parto y postparto. Conlleva la emisión de recetas médicas oficiales (40%).
• Extranjeros menores de 18 años. Conlleva la emisión de recetas médicas oficiales (40%).
En estos casos no se genera ningún tipo de facturación del importe de la asistencia sanitaria al usuario.
Si bien cualquier ciudadano podrá ser atendido en el Sistema Público Gallego de Salud, la atención sanitaria solo podrá ser gratuita en caso de personas aseguradas, beneficiarias o que se encuentren en las situaciones especiales antes citadas.
Thank you for researching this. It seems to me that similar principles apply elsewhere in Spain and around Europe.I’ve read this now repeatedly so it seems to be the case that emergency medical assistance may be free of charge in specific cases (for anyone, not pilgrim specific), even when you are not a beneficiary of Spanish social security or a mutually recognised social security system, for example that of another EU country and of a limited number of other countries such as Brazil or Morocco. I just mention this because the reports of whether pilgrims were billed or not in recent years seem confusing or contradictory at first sight.
Health care coverage in Canada is more complex than in many other countries, since it depends upon one's province of residence and a Canadian is generally covered for medical care to the dollar amount of what would be paid in his or her province of residence. In his last years, my father traveled back and forth from his original province of residence, Ontario, to stay for months at a time in Alberta. His Ontario coverage was not sufficient to pay his medical bills and had to be supplemented out of his own pocket. Nor could he have simply repeatedly transferred his coverage, since there is generally a three month delay. And of course, there are all sorts of complications associated with paying for medical coverage for travel. which I once attempted to do for him when on a cruise with my father. This is not to suggest that travelers should not purchase such coverage, just to say that it is complicated to do so and, in the end, the patient is subject to receiving back from the insurer whatever it chooses to pay.I can't imagine anyone travelling outside of the area of their own healthcare coverage without obtaining travel insurance or being prepared to pay the fees for whatever care they might require. I am constantly astonished at the idiots from my own country (I am Canadian) who do so and then expect someone else to pick up the cost when they have an accident.
Most certainly true! My husband was diagnosed with Atrial Fibrillation just a couple of months prior to our first Camino. I expected that we would have to pay a hefty premium when we walked into BCAA to obtain insurance. We were completely honest about the situation and were shocked when they said they wouldn't insure him at all. He was 51 at the time. We then went to the company that handles our home insurance, again being completely honest, and obtained insurance along with an email as proof that he would be covered. Surprisingly it wasn't even that expensive. However he was quite prepared to travel without it had it come to that. I said "If that's the case, I see three possible scenarios. Best case: nothing happens, second best case: you die, because the third case is that you have a stroke and if you think I am losing everything we have to drag you home because you insisted on travelling you can think again!" (Compassion is my middle name.Health care coverage in Canada is more complex than in many other countries, since it depends upon one's province of residence and a Canadian is generally covered for medical care to the dollar amount of what would be paid in his or her province of residence. In his last years, my father traveled back and forth from his original province of residence, Ontario, to stay for months at a time in Alberta. His Ontario coverage was not sufficient to pay his medical bills and had to be supplemented out of his own pocket. Nor could he have simply repeatedly transferred his coverage, since there is generally a three month delay. And of course, there are all sorts of complications associated with paying for medical coverage for travel. which I once attempted to do for him when on a cruise with my father. This is not to suggest that travelers should not purchase such coverage, just to say that it is complicated to do so and, in the end, the patient is subject to receiving back from the insurer whatever it chooses to pay.
I've read posts in the past which suggested that pilgrims receive free medical treatment for Camino-related problems. A few anecdotes related their experiences in this regard. Others spoke about having to pay up front. Recently I visited new public clinic in Astorga for a consultation about my painful knee. The doctor didn't examine me and simply prescribed Ibuprofen 600, which is readily OTC in Spain. (I was really hoping for a cortisone injection, but was told there were no facilities for this in that clinic). Back home, I have just received a bill by registered post for €74 from the Council of Castile and Leon. I would have paid at the time, if they'd asked me, though on reflection this was expensive for the treatment received.
Can anyone please clarify what pilgrims can expect in the way of free treatment on the Camino?
I've read posts in the past which suggested that pilgrims receive free medical treatment for Camino-related problems. A few anecdotes related their experiences in this regard. Others spoke about having to pay up front. Recently I visited new public clinic in Astorga for a consultation about my painful knee. The doctor didn't examine me and simply prescribed Ibuprofen 600, which is readily OTC in Spain. (I was really hoping for a cortisone injection, but was told there were no facilities for this in that clinic). Back home, I have just received a bill by registered post for €74 from the Council of Castile and Leon. I would have paid at the time, if they'd asked me, though on reflection this was expensive for the treatment received.
Can anyone please clarify what pilgrims can expect in the way of free treatment on the Camino?
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It really varies from place to place. In the past I travelled to Spain every year with students and there were occasions when I had to take a student to the doctor. I visited several clinics and hospitals over the years and we never were charged a penny and always received great care.
In 2013 I met a young lady along the Camino del Norte who ended up needing medical care in Laredo. I went with her to a clinic where they examined her, took x-rays of her leg and found she had a stress fracture on her tibia. She was told to rest and was given crutches for moving about. At the end of the consultation she didn't have to pay anything and she never received a bill either.
In 2016 on Camino Sanabrés my friend needed to see a doctor in Ourense because her knee was swollen. She had an x-ray taken and the doctor gave her a cortisone shot to help soothe the pain. There was no charge.
This year along Camino Portugués I ended up going to see a private doctor in Caldas das Reis. The doctor did a thorough examination and gave me a cortisone shot along with 2 prescriptions for my pes anserinus tendinitis. I paid 30€ for the consultation and the shot, and then went to the pharmacy and spent 4€ to fill out the prescriptions.
I think it depends on what type of medical facility you visit
Ultreïa!
That sounds exorbitant and out of the ordinary! In all of my experiences with medical facilities in different parts of Spain I have never had that happen to me, my students or my friends. Also, I never have purchased travel insurance or been asked if I have it when at the doctor there!I should add that in Leon we were told that without travel insurance, the doctor visit would be €129 and that it would be an additional €125 if an x-ray were required.
That was our experience last week. Sounds like you haven’t needed care in a big city. The purpose of this forum is to help pilgrims prepare for their trek. Interestingly, it was passport not credit card info that was documented. We were seen after giving travel insurance policy information.That sounds exorbitant and out of the ordinary! In all of my experiences with medical facilities in different parts of Spain I have never had that happen to me, my students or my friends. Also, I never have purchased travel insurance or been asked if I have it when at the doctor there!
That was our experience last week. Sounds like you haven’t needed care in a big city. The purpose of this forum is to help pilgrims prepare for their trek. Interestingly, it was passport not credit card info that was documented. We were seen after giving travel insurance policy information.
You are right when you say that passport information is requested. That, I have had to do every time whether for myself, students or friends. I've had medical emergencies in Madrid, Barcelona, Valencia and San Sebastián, so yes, some have been in bigger cities, always without a charge or a minimal one (30€) but a always a good experienceThat was our experience last week. Sounds like you haven’t needed care in a big city. The purpose of this forum is to help pilgrims prepare for their trek. Interestingly, it was passport not credit card info that was documented. We were seen after giving travel insurance policy information.
I personally carry a federal government provided insurance and it covers overseas medical expenses. In fact the government insurance has list of facilities that they are affiliated with/MOU etc. What about privately insured people?I've read posts in the past which suggested that pilgrims receive free medical treatment for Camino-related problems. A few anecdotes related their experiences in this regard. Others spoke about having to pay up front. Recently I visited new public clinic in Astorga for a consultation about my painful knee. The doctor didn't examine me and simply prescribed Ibuprofen 600, which is readily OTC in Spain. (I was really hoping for a cortisone injection, but was told there were no facilities for this in that clinic). Back home, I have just received a bill by registered post for €74 from the Council of Castile and Leon. I would have paid at the time, if they'd asked me, though on reflection this was expensive for the treatment received.
Can anyone please clarify what pilgrims can expect in the way of free treatment on the Camino?
I've read posts in the past which suggested that pilgrims receive free medical treatment for Camino-related problems. A few anecdotes related their experiences in this regard. Others spoke about having to pay up front. Recently I visited new public clinic in Astorga for a consultation about my painful knee. The doctor didn't examine me and simply prescribed Ibuprofen 600, which is readily OTC in Spain. (I was really hoping for a cortisone injection, but was told there were no facilities for this in that clinic). Back home, I have just received a bill by registered post for €74 from the Council of Castile and Leon. I would have paid at the time, if they'd asked me, though on reflection this was expensive for the treatment received.
Can anyone please clarify what pilgrims can expect in the way of free treatment on the Camino?
Rosemary,I would like to hear from anyone from Alberta Canada that bought AMA travel medical insurance and had to use it in Spain. Did you find it a good experience? Did they pay for treatment directly? I always bought their insurance because others here have told me good things but none used it in Spain.
Why would anyone expect free medical treatment?I've read posts in the past which suggested that pilgrims receive free medical treatment for Camino-related problems. A few anecdotes related their experiences in this regard. Others spoke about having to pay up front. Recently I visited new public clinic in Astorga for a consultation about my painful knee. The doctor didn't examine me and simply prescribed Ibuprofen 600, which is readily OTC in Spain. (I was really hoping for a cortisone injection, but was told there were no facilities for this in that clinic). Back home, I have just received a bill by registered post for €74 from the Council of Castile and Leon. I would have paid at the time, if they'd asked me, though on reflection this was expensive for the treatment received.
Can anyone please clarify what pilgrims can expect in the way of free treatment on the Camino?
Because, as Margaret wrote right at the start of the thread,Why would anyone expect free medical treatment?
I've read posts in the past which suggested that pilgrims receive free medical treatment for Camino-related problems.
Because, as Margaret wrote right at the start of the thread,
Good luck with "expecting" free medical treatment. Like "expecting" free food or lodging just because one is walking. Good luck.Because, as Margaret wrote right at the start of the thread,
I suppose it depends on what free means and where you're from. I have always had all medical treatments todate paid for by my provincial health care (Canada) and I buy medical travel insurance for what may not be covered by my provincial plan when I travel. I don't want any person etc, in Spain to absorb costs on my behalf but I do have an expectation to be covered without incurring costs myself. I don't pay a fee for my provincial plan, except for a prescription fulfillment free which is very little. So it could be described as free medical care. I don't have any expectation that I will have to pay and if I do I have the expectation that I will be reimbursed. That's why I add additional coverage. That's not free but that's what free means to me.Why would anyone expect free medical treatment?
CaminoMatt73 your recent hospital bill may well still be en route to you in the post!
And make sure that EHIC is up to date. A UK citizen I know had a fall in the Pyrenees (don't know which side) And broke his shoulder. When taken to the hospital it was discovered his card had expired. He needed emergency surgery, but chose to discharge himself from the hospital and fly home for the surgery.I recently went to a Spanish hospital for emergency treatment and it was stated in big letters in reception that no-one would be admitted unless they had a European Health Insurance card.
Fortunately, when I submitted a claim to my health insurance (not my travel insuranc) last year they didn't require a translated copy.Another thing: insurers insist you provide an authorised translation of documents, costing about $80 or more;
Fortunately, when I submitted a claim to my health insurance (not my travel insuranc) last year they didn't require a translated copy.
Hmmm. Went to A & E in Astorga and a clinic in Pamplona. After much photocopying and taking of details I was not charged in either place. Won't expect that after Brexit though.CW86
If you presented your EHIC then the hospital would in due course have claimed the costs back from the country that issued your EHIC card. That happened to me at a French hospital, I still had a bill later for €200 which I was able to reclaim. It's complicated but that's how it works for now. After Brexit this agreement may no longer exist.
I carried private insurance on two caminos. The easiest insurance recognized was Europassistance. Even with private insurance covering « everything » I still had $400 out of pocket because receipts are difficult to get in Spain. Don’t travel without health and evacuation insurance.I've read posts in the past which suggested that pilgrims receive free medical treatment for Camino-related problems. A few anecdotes related their experiences in this regard. Others spoke about having to pay up front. Recently I visited new public clinic in Astorga for a consultation about my painful knee. The doctor didn't examine me and simply prescribed Ibuprofen 600, which is readily OTC in Spain. (I was really hoping for a cortisone injection, but was told there were no facilities for this in that clinic). Back home, I have just received a bill by registered post for €74 from the Council of Castile and Leon. I would have paid at the time, if they'd asked me, though on reflection this was expensive for the treatment received.
Can anyone please clarify what pilgrims can expect in the way of free treatment on the Camino?
What happens when you have to go to the Hospital de la Reina outside of the Pilgrim's Hour? And does this cover all ailments or only podology? As @Lirsy mentions in an earlier post in this thread, their free treatment offered to pilgrims is the exception and not the rule, and I see on their website that they are a "hospital privado".I had to attend the Pilgrim's hour in Ponferrada's Hospital de la Reina in Jula 2019 for a treatment of a small blister.
It was free at all, they didn't want to see my european insurance card.
As long as I am informed, that is true for 2021.
As far as I understand the rules in that specific hospital your are bound to the pilgrim's hour (noon-1pm) for a free treatment as a pilgrim. And there is no limitation in treatment, the other pilgrim that used this service broke one of his fingers as he stumbled and fell on his hands. That was treated equally for free.What happens when you have to go to the Hospital de la Reina outside of the Pilgrim's Hour? And does this cover all ailments or only podology? As @Lirsy says above their free treatment offered to pilgrims is the exception and not the rule, and I see on their website that they are a "hospital privado".
I also went to the free Pilgrim clinic at Ponferrada's Hospital de la Reina in June 2019. I arrived at 9am and they refused to see me until 3pm.I had to attend the Pilgrim's hour in Ponferrada's Hospital de la Reina in Jula 2019 for a treatment of a small blister.
It was free at all, they didn't want to see my european insurance card.
As long as I am informed, that is true for 2021.
BC
Roland
Surely the insurers would just exclude any knee related claims but cover you for most other things?The assumption seems to be universal above that if you want travel medical insurance, are healthy, and are willing and able to pay for it you will be able to get it. I have been discovering, by submitting tentative applications to a couple of medical insurance providers, one of which I used for all four of my previous caminos, that I currently do not qualify. Insurers are unwilling to insure me because I had knee surgery last October. By their policies, they will not consider me for at least a year. Four months ago, my surgeon examined my knee and announced that I can do whatever I want. Three months from now, I shall be about to leave for a very long walk in Spain (the Levante), with or withouut insurance. Like most of you, I missed walking last year. Like many of you, those who are retired and can take time for a long walk, I have few years ahead of me when I am likely to be able to do so. Extreme caution is probably not the primary characteristic of solitary long-distance walkers. If I meet any of you on the trail, you are welcome to walk with me for a while, if you can keep up. (This last is a joke. I am a tortoise, rather than a hare. I take very few bar breaks and I get where I am going by the end of the day. I hope to see some of you in Santiago around the 20th of November).
Sad to hear. About 10 years ago I returned to Exeter, England, where I had done post grad work, and lost the hearing in my right ear. On the High Street, they had started a free clinic, staffed by Nurse Practitioners. I was seen there and referred to a hospital ENT. Wasn't charged for any of it.From what I can tell, following threads here and reading up a bit, stories of free treatment because you are a (foreign) pilgrim are stories of the past; occasionally, an individual doctor may still waive fees because of the administrative hurdle to bill you; doctors and clinics are often not set up for immediate billing but increasingly so; medical staff may not even be aware of payment procedures (there was a recent thread where someone was told by medical staff that treatment at a university clinic was free and then she received an electronic bill the next day in her mailbox). Expect to pay unless you are from an EU/EEA country and have your EHIC card with you. Some clinics or doctors - this may depend on the region (Galicia, Navarra, etc) - have two tariffs, which may explain differences in what foreign pilgrims are charged as you may be charged as a privately insured patient and you will be charged a high fee.
BTW, there is no such thing as free health care anywhere in the EU, not even in the UK. It has to be paid. The health care system is just not set up everywhere in a way where those who are covered see, or are directly involved, in the money flow.
Surely the insurers would just exclude any knee related claims but cover you for most other things?
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