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MGEN Advanced Care moving the goal posts

jazchapp

I wonder if anybody has had this issue.

After a lot of stress and toing and fro-ing my cataract surgery got pre authorisation but had taken so long the hospital bumped me off the surgeon’s list. Next approval granted as minor surgery, €250 co payment per eye. Great new date, 15th July. Except a new email arrived saying it was major surgery and the co-payment is now €500. How can this be? No general anaesthesia, no body cavity invasion, no overnight stay.

has anybody had similar issues with #MGEN or #AdvancedCare

jaz

See also

The healthcare system in PortugalHealthcare for the elderly in PortugalAccidents and emergencies in PortugalPregnancy in PortugalPrivate health care
TGCampo

I feel with you. After all, what did you gt the health insurance  for.


I think far too few insured are calculating the value of their health insurance, especially when living in a country with a NHS. Many people are paying 1000s of EUR every year, but - after co-payments - don't receive much. I believe that the value of a health insurance should be evaluated very carefully. For some people it may not make much sense to have on at all.

Perpetual_traveler

@TGCampo


I have said this in a few posts. People don't realize that they might not have much (or anything at all) with these private policies.


I would not even consider getting another one now after having cancelled my "required" policy after the first year (with an excruciating cancellation process.


My policy was a basic coverage policy but the first thing you will find with these policies is that the deductible or excess is often at least a thousand Euro's or more.

TGCampo

@Perpetual_traveler

The problem is with not life threatening but very painful conditions that could be treated quickly, but will take years to be treated in the national health service. And the treatment might be costly. If somebody has money readily available and can spend 20 or 30k without too much worry then the NHS might be optimal. Overall I think it is all a balancing act. Why pay insurance for 40 years if you are run over and killed by a car after an otherwise healthy life. After all, insurance is a risk management tool.