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Medical Dental Insurance Story, autumn 2013

billmclaughlin

Active Member
Time of past OR future Camino
SJPP/Burgos 2012; Le Puy/SJPP 2013; Aumont Aubrac/Aire sur l'Adour 2014; Burgos/Santiago 2016.
This is not a dramatic story, just a simple tale.

I am an American resident of Massachusetts. I have health insurance as required under Romneycare. I have no dental insurance. I purchased a Medical/Dental insurance policy from American Express. Based on the parameters I supplied -- a trip of 40 days visiting only France -- I paid US $32 for coverage that included: medical costs up to US $100,000, evacuation to the closest appropriate medical facility costs up to US $100,000, emergency dental services up to US $750. Also repatriation of my remains in case of death. Also transportation costs for one person to visit me if I am hospitalized for more than 5 days.

While hiking in France, I chomped down on a rather stale homemade sandwich and a dental veneer detached from one of my front teeth. I held it in my hand for a few moments and then reattached it, but I knew I would have to be very careful about eating and was nervous about sleeping with the veneer in place but not secured. I had another 2 weeks to hike, perhaps three weeks before I'd be able to visit my own dentist.

I hiked a few hours to Lectoure, a town of 1200 inhabitants. Following the instructions that accompanied the insurance policy, I called American Express and an agent promised to respond by email in an hour.

It was now about 18:00, so I wasn't expecting Amex to provide a solution that same day. My immediate concern was getting through the night. I spoke to my own dentist's office and was told that I probably would not find a solution outside a dentist's office but that perhaps a pharmacy could offer a short-term solution, some temporary epoxy, since European pharmacies often supply items over the counter that in the U.S. are harder to acquire. One pharmacy had no solution. When a second pharmacy had no solution, I turned the conversation to other issues, trying to anticipate the answer I would be receiving from Amex. "Are there any dentists in Lectoure?", I asked. "Yes, three," said the gentleman waiting on me. He then volunteered that one particularly nice dentist often worked late, called his office, and made an appointment for me at 19:30. I was his last appointment of the day and he secured the veneer in a matter of minutes with a permanent adhesive. His charges: 23 euros.

The email response from Amex was an appointment the next day at 17:30 at a dental clinic in Auch, a short bus ride away. Given my location and the time of day, I think that was a fairly good response. When I let them know I had resolved the problem on my own, the Amex agent congratulated me and sent me a set of claims forms.

I submitted the claim to Amex and in less than 3 weeks received US $31.

Incidentally, my gite, the two pharmacies, and the dentist's office were all on the same street. There are advantages to being in a small community.
 
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Often we see posts on the forums (from USA citizens especially) asking questions about obtaining many everyday items at pharmacies etc. While we have all had some concerns pre-caminos and sought reassurance, I cannot help but feel that some people don't realise that Europe is not a third world area. No offence intended, so I hope none taken. This post hopefully helps those (from everywhere) contemplating their trip to feel a little more confident that they will be looked after well in an emergency such as this.
 
The focus is on reducing the risk of failure through being well prepared. 2nd ed.
Gerard, your post brings to mind an incident I had a few years ago while holidaying in France in the Camper. I dislodged a front crown eating a piece of nice but very hard crusted bread and was left with a gap and a post in the front of my mouth. We were wild camping and so were not near any facilities. Having cleaned the crown and sterilised my mouth as best I could with Hydrogen Peroxide, I restuck the crown with superglue. I figured this would last the week or so we had left in France and I could then see my own dentist, well it lasted almost three months before if became loose again then my own dentist sorted it with some dental superglue for €75.00 :)
 
Yes, I recommend purchasing a travel medical policy for anyone traveling abroad. Trust me, you don't want to call your traditional US Insurance Company for help when you are in a foreign country. I'm glad you received the prompt help that you did and thank you for sharing your story. I hope American Express is a member.
 
Often we see posts on the forums (from USA citizens especially) asking questions about obtaining many everyday items at pharmacies etc. While we have all had some concerns pre-caminos and sought reassurance, I cannot help but feel that some people don't realise that Europe is not a third world area. No offence intended, so I hope none taken. This post hopefully helps those (from everywhere) contemplating their trip to feel a little more confident that they will be looked after well in an emergency such as this.
I just found this thread, and it is reassuring to be reminded of how things work in Europe, or at least in France. I don't believe, however, that it is fear of not getting service that drives so many questions from Americans. Rather there are two other main reasons for concern: 1) being afraid of communication problems since most Americans never bother learning a second language, or the more likely 2) being afraid of having an enormous medical expense overseas that won't be covered by insurance. A simple doctor visit, while only about 20-25€ in France, would be well over $100 in the US without a valid insurance card. Imagine how much we're afraid of something more serious costing. It's a nice reminder that healthcare doesn't work the same in Europe, thankfully.
 
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Just informed today that American Express is no longer providing Med/Dental coverage . Can anyone recommend a carrier to contact prior to hiking the Camino Frances?
 
This is on topic, so I thought I would toss it in here. Before I travel overseas (I live in Virginia - USA), I usually treat myself as I would my automobile before a long journey. As the old saw states: "an ounce of prevention is worth a pound of cure."

During my professional career, I traveled globally for over 30 years. Using this methodology for advance planning, when possible, avoided medical exigencies in foreign countries, all over the world.

Falling ill, or requiring urgent care along the Camino for an accident is one thing...life happens. But, failing to take pre-trip steps to help ensure a worry free adventure is - well - less than bright at least in my humble opinion.

Knowing I am leaving for my next Camino in three months (late April 2014) , I am presently making the rounds according to the time-criticality of each medical appointment.

Last week - a little over three months out from my departure for my next Camino I visited my podiatrist (foot doctor) to review the disaster while I was on Camino last year and consult about how to prevent same this year. I neglected to do this last year for my first Camino and seriously regretted it. If you take care of your feet, they will take care of you...oops! Well, I neglected this last year and they let me down...but it was my bad. Anyway, the podiatrist fitted me and my size 13/47 Keen boots for a custom orthotic insole to provide improved support (even so the boots are fabulous), and prevent heel calluses (this is what almost ended my Camino). My orthotic insoles should be in within the next two weeks. This way, I can train with them, pre-departure. (UPDATE: As of 07 February, I am still waiting on the orthotic insoles to arrive).

This week - three months pre-departure, I had my annual eye-exam and age related tests. I ordered a new pair of progressive bifocal eyeglasses with Transitions (auto darkening) lenses. One must always have a spare pair... This is an annual event with me that I customarily do in January or February anyway. But, I ensure that it gets finished well before I leave for a Camino. (UPDATE: As of 07 February, I am waiting for the new eyeglasses to arrive.)

In February - two months pre-departure, I will see the general physician and have the annual blood and EKG tests done. I will also see my specialist for my chronic conditions and have those semi-annual tests done. This gets done anyway once or twice every year. However, knowing I will be overseas for perhaps two months prompts me to adjust the timing. (UPDATE: Blood labs to be drawn in two days, follow-up appointment sorted.)

During March, a month or so before departure, I will visit my dentist for a semi-annual cleaning and checkup. Anything marginal, or which may fail in the near future will be accomplished before I depart. I hate going to the dentist. I always have. But, I think that nipping a dental problem in the proverbial bud with my personal dentist is preferable to emergency dental care anywhere else. (UPDATE: Pending appointment - I HATE going to the dentist.)

These four preventative measures: feet, eyes, teeth, and overall health, will help me to have a improved, positive experience this year. I also carry medical insurance that is valid in Europe and globally. In place of emergency evacuation, I have a list of friends who live in Europe who agreed to back me up if someone is needed on site.

This said, if you do not have a support network and/or cannot or choose not to do the pre-trip preventative measures as I explain that I do, then I strongly suggest you invest in travel insurance to cover medical, and dental care while in Europe, as well as medical evacuation to your home country in the event of an extreme emergency or serious medical issue.

I hope this helps someone.
 
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