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The Insider’s Guide To Buying The Perfect International Health Insurance Policy

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Page 1: BrokerFish.com: Insiders Guide To IHI

The Insider’s Guide To

Buying The Perfect International Health Insurance Policy

Page 2: BrokerFish.com: Insiders Guide To IHI

BrokerFish

The Insider’s Guide To Buying The Perfect International Health Insurance PolicyThis eBook provides an insider’s perspective on the knowledge of how to make a well-informed choice

when it comes to buying an expatriate international health insurance (IHI) policy.

Whether you are in the market to buy a policy, are considering a switch, or are generally just looking to

learn more, our goal is to provide you with the knowledge that is critical to ensuring that you have all the

necessary information to make sure you’re on the inside track.

Besides providing you with an overview of the positive aspects of IHI, we’ll explains some of the pitfalls

which can occur and which tend not to be highlighted by Insurers, empowering you to avoid them.

Worth reading? We think so.What our guide will not do is convince you of the merits of a particular insurance policy or insurance

company. Instead, we will educate you on how you can find the best policy for yourself.

By the end of this eBook you will be able to answer:

What is international health insurance all about anyway?What are the answers to some of my FAQs?How can I choose and buy a policy that works for me?How do I get the best value for money?How can I protect myself against unpleasant surprises?

Page 3: BrokerFish.com: Insiders Guide To IHI

BrokerFish

Table of ContentsWhy Pay For IHI?

IHI Basics

Choosing The Right Policy

So, Now You’re Covered!

What is it?Key featuresBenefit optionsInsurance jargonEligibilityBuying IHIGoing direct

5567889

Before You Take The Plunge

Step 1 – First things to considerStep 2 – Select a suitable level of coverStep 3 – Go fishing for policiesStep 4 – Submit an application

10111415

What’s included in my membership pack?What happens if I’m unconscious and I’m rushed to hospital? Making a claimWill my premiums go up?How to keep premiums downExclusions & limitations

161617181819

Annual limitsWaiting periodsPre-existing conditionsDeveloping chronic conditions while insured Differences between IHI, local and travel plans

2021222323

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Why Pay For International Health Insurance?

Many people don’t really understand the basic purpose of health insurance even after they have

purchased a policy. Here are some reasons why subscribing to an international health insurance policy

makes sense:

It’s all about certainty.

Reduce financial riskOut of pocket medical expenses resulting from serious injury or illness can be devastating. Having a good health insurance policy can literally save you from bankruptcy.

Receive World Class treatmentHaving a good international health insurance policy provides access to World Class provider networks ensuring that you are in the very best hands should you become ill.

Be healthierRegular health checks are a common feature of international health policies. Identifying health problems early can help prevent serious issues developing.

Worry lessIf the worst happens, you will have the peace of mind knowing that your future is not dependent upon state health systems or goodwill of family and friends.

“Isn’t it too

expensive to

buy coverage?”

“Not always. In fact, international

health insurance can be surprisingly

affordable. On average, BrokerFish

clients pay as little as $158 per month.”

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Let’s Get Started - IHI Basics

Irrespective of nationality, gender or income, more and more expats recognize the need for an

international health insurance policy.

In essence, international health insurance (IHI – also sometimes called private medical insurance – PMI)

is:”

What is it?

..insurance that is designed to cover the costs of private medical treatment for expatriates overseas.

A basic IHI policy, provides medical treatment and reimbursement of medical expenses in the event of

disease, illness or injury and which aims to return you to the state of health you were in immediately

before suffering from the incident.

What are some key features of a typical IHI policy?

Flexible OptionsFrom budget emergency cover to hazardous

sports cover, BrokerFish plans are highly

flexible and can be tailored to suit your lifestyle.

Mobile CoverBrokerFish health policies cover you wherever

you are in the world and are available to people

from over 200 different countries.

Cashless SettlementInsurers will arrange for direct billing with major

hospitals so that you don’t need to pay out and

then reclaim the cost of your treatment.

Provider NetworkInsurance companies have partnerships

with thousands of hospitals and hundreds of

thousands of doctors.

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What are the typical benefit options of IHI policies?

In-PatientThe most basic form of international health

cover, In-Patient refers to treatment received

in a hospital where an overnight stay is

necessary.

Out-PatientOut-Patient refers to treatment provided in the

practice or surgery of a medical practitioner,

therapist or specialist and does not require the

patient to be admitted to hospital.

DentalRoutine dental includes an annual dental check-

up, simple fillings related to cavities or decay

and root canal treatment. Complex dental

includes gum disease treatment, orthodontics

and dental prostheses.

MaternityProvides cover for medical costs incurred

during pregnancy and childbirth, including

hospital charges, specialist fees, pre and post-

natal care, midwife fees as well as newborn

care.

Well beingEncourages good health through early

detection of serious illnesses. Includes things

like cancer screening, vital signs tests and

cardiovascular system testing.

VaccinationsRefers to immunisations and booster injections

in addition to the cost of consultation for

administering the vaccine.

OpticalIncludes things like laser eye surgery, eye

tests, spectacle lenses and contact lenses.

Long-term careCare for people that suffer from chronic

illness or disabilities and who cannot care for

themselves for long periods of time.

RepatriationRepatriation, allows you the added benefit of

returning to your home country to be treated in

familiar surroundings.

EvacuationEvacuation covers you for transport costs to

the nearest suitable medical centre, when the

treatment you need is not available nearby.

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Need-to-know insurance jargon

Lifetime MaximumThe “Lifetime Maximum” is a cap on how much the insurance company will pay for your claims over the total duration of your policy.

Deductible / ExcessThe amount of money that you must pay before the insurance company will start paying for medical expenses. They can be per incident, per insurance period or per year and applies separately to each person insured by the policy. Not all policies require a deductible, but choosing a policy with a higher deductible will lower your premium.

Moratorium CoverSometimes, pre-existing conditions are initially excluded, but can be covered after a set time (the moratorium cover period), provided you’ve not suffered any symptoms or needed any medical advice or treatment relating to the condition.

PremiumThe money you pay to the insurance company. Premiums are paid monthly, quarterly, semi-annually or annually.

Policy WordingThe policy wording is the legal description of the insurance policy and explains the full terms and conditions of the coverage provided, including all applicable exclusions, conditions and limitations of cover.

Co-InsuranceRefers to the shared amount of money that you are obligated to pay for covered medical services/treatment. In the table of benefits, you may see something like: “Dental - 20% Co-Insurance”. This means that you must share the cost of dental treatment costs with the Insurer where you will pay 20% of the bill and the Insurer will pay the remaining 80%.

“I have more

jargon questions.

Where can I find

more definitions?

“Refer to the BrokerFish.com

glossary for jargon-busting

definitions on over 150 IHI

terms. Click here”

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International health insurance policies are open to expatriates of all nationalities. Professionals, students,

teachers, diplomats, retired couples and businesses are typical buyers of international health insurance.

IHI is designed for those living and travelling away from home. Some Insurers do have age restrictions

depending on the particular policy in question of around 64 years old but there are providers that will

insure people as old as 120!

Who is eligible to buy international health insurance?

How Do I Buy International Health Insurance?

Via an InsurerIf you buy direct, you will

be advised on their range of

products only so you could easily

miss out on buying a far more

suitable plan. You will also not

receive any independent help

if you have any problems with

claims, service or any issues that

may arise.

Via an AgentAgents are usually able to provide

more options than by going direct

to only one Insurer, however,

agents are typically tied to a

small number of providers and

can therefore only advise across

a limited range of companies’

products.

Via a BrokerIn additional to offering unbiased

guidance and information on

a huge range of IHI options,

brokers can also serve as

advocates if you bump up against

the system and don’t know

where to turn.

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Insurance companies will take into account a variety of factors to try to work out the correct price for a

policy. Typically, age is the most important factor, but a whole host of variables will be considered.

How does an insurance company decide how much to charge?

PremiumPrice

AgeArea ofcover

Benefits

excess/

deductiblePre-existingconditions

Country ofresidence

Paymentfrequency

Gender

No. Insurers use brokers to market their products and will not discount their prices for customers that

go to them directly. In fact, if anything, going to a broker ensures you will get the best deal available.

Insurers know that a broker will advise their customers based upon a comparison with other plans in the

market and therefore try to ensure that their prices are extremely competitive. If they didn’t, they would

never get any business from brokers!

Can I save money if I buy direct from the insurance company?

“So if it doesn’t

cost me anything,

then how do you

make money...”

“Brokers receive a commission

from the insurance company

for any policy they put in

place for you.”

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How do I choose and buy the right policy?If you’re confused when it comes to health insurance, believe us when we say that you are not alone!

There are dozens of different insurance companies, hundreds of different policies and literally thousands

of different policy options, all wrapped up in cryptic insurance language which can be time-consuming

and confusing to figure out.

It’s no surprise that many people tend to put sorting out their health insurance on the back burner,

even though they know it is hugely important. In this section we’ll try to make your life a little easier by

coaching you on how to select a policy that’s right for you. Let’s get started!

Step 1 - First Things To ConsiderThe best place to start is with yourself. What we first want to figure out is exactly what you need from

an international health insurance policy. This will tell us a lot about what kind of cover you require. How?

Make a list of your prioritiesWhat should your policy cover? What kinds of

things are absolutely necessary and what are

luxuries? Maybe you want to ensure you’re covered

for hazardous sports. Perhaps maternity cover is

a priority. Or you may want a policy that is geared

towards emergency cover rather than day to day

coverage.

Money mattersWhat is your budget? Would you prefer to pay

monthly or save money by paying annually? Would

you want to lower your premium by choosing a policy

with a high deductible? Or one with a high level of

coinsurance?

Who’s applying?Who do you want to cover? Will everyone be living in

the same country? Will anyone on the policy require

coverage in the US or Canada?

Health & lifestyleAre you healthy? How often did you visit the doctor

last year? How much did you spend on health care

last year? Does your family have a trend of medical

illness? What is your medical history? Do you have

pre-existing or chronic conditions?

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Step 2 - Select a Suitable Level of CoverTraditionally, insurance companies offered various levels of cover with names such as Standard,

Intermediate and Comprehensive. Although this format is still common, nowadays some insurers will

also allow a level of customisation across their policies which enables you to tailor something more

closely to your needs.

To keep things simple, let’s look at the traditional levels of cover and what they typically provide.

Standard insurance policies typically provide cover for In-Patient costs only. This means cover for

staying overnight in a hospital when it is deemed a medical necessity. In-Patient normally includes things

like emergency care, diagnosis and nursing costs. Standard cover is ideal for people on a budget or who

want to provide cover for catastrophic situations rather than for day to day issues.

Some standard policies will also include cover for day-patient treatment. This is when you receive

treatment which requires a supervised recovery period, but does not require an overnight stay.

Hospital costs vary widely depending on where you are based in the world. Even a few nights stay can

incur large costs, so making sure your basic policy provides good In-Patient coverage is vital. Also, check

that the ‘Annual Plan Limit’ (which is the maximum the insurance company will pay out during a year of

coverage) is sufficiently high. On entry-level plans this can often be quite low and may not be enough for

your country of residence.

Standard Cover

“If I buy a standard

policy now, can I

change my level of

cover later?”

“If after some time you find

that you need more or less

cover, you can change when

you renew your policy.”

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As well as In-Patient cover, Intermediate plans will add Out-Patient Cover. This is treatment which

does not require an overnight stay or a supervised recovery period. A common example would be a

consultation with a doctor. Intermediate plans will also offer increased plan limits over Standard plans.

There is a lot of variety between plans in terms of what is / is not covered. Your list of priorities will help

you to work out which plans are likely to be the most suitable.

Intermediate Cover

These top of the range policies provide the greatest levels of cover and the highest plan limits. In addition

to In-Patient and Out-Patient cover, they will often include things such as maternity, complex dental and

optical cover.

Comprehensive Cover

For your convenience, some insurers allow you to choose to add certain modules to enable you to

tailor your level of coverage. Examples will include modules for travel insurance or for personal accident

expenses.

Extra Modules

These are variables that you can control in order to further sharpen the match between your

requirements and the policy. Typical choices here include things like:

Policy Options

How much excess / deductible you want to pay;

If you would like to co-pay for benefits and on what terms;

Hospital accommodation;

The hospital-network you have access to.

“Yes, correctly configuring your

policy options to match your

requirements can have a huge

impact on the cost of your policy”

“Are policy

options really

important?”

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Brian loves underwater diving. He’s a fit lad and rarely gets sick. Looking back over

the previous year, he finds that he only went to the doctor once to cure a bad ‘flu. He

wonders what kind of policy and deductible would be sensible to keep his premiums

low while still being covered for serious injury due to a catastrophic diving accident.

Selecting a deductible

Upon investigation, Brian chooses a Standard plan and then has the option to significantly

increase the deductible. Looking at the table of benefits and premium rate table PDFs he

finds the following information:

Brian now has to decide whether to accept the high deductible in return for a much lower premium. By

choosing the high deductible he would save nearly 50% of the premium, but if he does suffer a severe

medical emergency, he would have to fund the first $1,500 of any claim himself.

Maximum Sum Insured $2.7M

In-Patient Treatment “Full Cover”

Monthly Premium ($0 deductible) $162.69

Monthly Premium ($1,500 deductible) $88.74

An excess / deductible is the amount of money that you must pay before the insurance company will start paying for medical expenses. They can be per incident, per insurance period or per year and apply to each insured member of the policy separately. Choosing a policy with a higher deductible will lower your premium.

Excess / Deductible

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Now that you have a good idea of your needs, it’s time to go out and find what is most suitable. And this

is where the services of a good broker or agent really come in.

A specialist’s knowledge of a wide range of IHI policies will really cut down

the time that you spend finding potential policies and they may find policies

from insurance companies that you missed altogether. They can also review

your requirements and circumstances to ensure you’ve not missed anything

and point out any shortcomings in the plans that you may be considering.

Using a specialist like BrokerFish will provide you with a selection of the most suitable plans, laid out in a

way that makes them easy to compare.

Step 3 - Go Fishing for Policies

Example of a quote comparison from BrokerFish

Take a deeper look:Get personalised quotes sent to your inbox now by visiting our quotation page

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Step 4 - Submit an ApplicationFrom here, we can submit an application form to the insurance company. Sometimes this can be

done online, but more often than not, it will mean completing a paper application form. Submitting an

application does not necessarily mean that your application will be automatically approved. Instead it

will go through an “underwriting” process where the insurance company will look at your case and

determine if, according to their risk policy, you are insurable. If required, a broker such as BrokerFish

can help you to complete the application at no extra charge. After a few days to a few weeks, you will

receive one of the following responses:

“You’re approved!”Most of the people who apply through BrokerFish

are approved. Once approved, your health insurance

coverage will begin on the “effective date” as

confirmed by the insurance company.

“Your application is denied.”Although rare, applications are sometimes denied.

If this happens, there may be a reason to appeal

the decision. If not, we can help you to apply to a

different insurance company or we may be able to

recommend alternative health care solutions.

“You’re approved, with conditions.”The insurance company may offer you coverage but

limit benefits for specific conditions based on your

medical history. Or, the insurer may offer to include

certain medical conditions by charging a higher

premium.

“More information is required.”Sometimes, the insurance company will ask for more

information regarding your application, and

may request medical records from your doctor before

coming to their final decision.

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So, now you’re covered!What’s included in my membership pack?

Your Membership Card;

Your Insurance Certificate;

A Table Of Benefits detailing what kind of benefits that you are entitled to and their limitations;

Medical provider network documentation;

A Membership Guide;

A Treatment Guarantee Form;

A Claim Form.

What happens if I’m unconscious and I’m rushed to hospital – will I always be treated / covered?If you are insured there should be no problem. It’s very important to carry your insurance membership

card with you at all times. Keeping it in your wallet or purse will make it easier to find if medical

personnel need to locate your personal details so they can liaise with your Insurer in an emergency

situation.

Paper or digital, and either posted or downloaded, the insurance company will provide you with:

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What if I need to make a claim?Always make sure you understand what is, and is not, covered;

If the treatment is on an In-Patient basis give the Insurer sufficient notice so they can approve

and put in place a treatment guarantee (direct payment arrangement) with the hospital/clinic;

Always carry your IHI card on your person. If a patient is admitted in a critical condition and

cannot communicate, they will be searched for identification. In some countries and hospitals,

having your insurance card in your wallet can also help to ensure that you receive the best

treatment;

Make sure that you are not excluded from cover on the basis of a pre-existing condition or you

are still subject to a ‘waiting period’;

Make sure that you have not exceeded your benefit limit;

Be honest and disclose fully when applying for your Insurance. If you try to conceal a previous

or existing condition and the Insurer finds out, they may not only reject the claim you are making

but can also void your policy. This means they could ask you to repay any previous amounts paid

under the policy, or take steps to recover from you any such payments.”

For out-patient treatment, check whether your insurer has a direct billing arrangement in place

with the hospital or clinic;

Always keep your original receipts and ensure that, if you need to complete a claim form, all

sections are completed, the treating Doctor has signed where necessary and the form has been

correctly stamped and dated.

1.2.

3.

4.

5.6.

7.

8.

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Will my premiums go up?

As people get older they typically need and receive more medical treatment and, as such, premiums for

IHI tend to increase with age. In addition to this, premiums are likely to increase due to:

The steady year-on-year trend of more and more people making claims;

The increasing sophistication and cost of treatments;

Increasing wage growth in the healthcare sector;

Increasing losses suffered by insurers due to fraudulent claims being recovered by increased

premiums across the board;

Are there ways to keep my premium costs down?”

Don’t claim!Some Insurers now offer a no-claims discount

policy. Investigate this with your insurance

company to see if you are eligible.

Can you enrol in a group scheme?Joining or creating a new group scheme can

often significantly reduce the cost of insurance

for each member of the group.

Policy optionsIncreasing your excess / deductible or increasing

your co-pay options can save you up to as much

as 60%.

Go back to basicsAre you paying too much for benefits that you

don’t really need?

Consider switching insurerA lot can change in a year. On renewal, take

some time to investigate if switching to another

insurance company or policy is wise.

Pay annuallyInsurers offer significant discounts for yearly

payments.

There are several things that you can do that can help to keep down the cost of your insurance.

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All IHI policies come with a list of things that will not be covered (exclusions) and a list of restrictions on

the benefits. Common to many IHI policies are the following exclusions:

What your IHI policy will not pay for

Treatment outside the geographical area of cover.

1.

Over the counter drugs such as vitamins, minerals or dietary supplements.

2.

Medication that can be purchased without a doctor’s prescription.

Plastic or similar surgical procedures carried out for wholly cosmetic reasons.

Injury, accident or illness resulting from natural disaster, war or terrorism.

Treatment for sexually transmitted diseases.

Self-inflicted injuries which can also

include alcohol or substance related abuse.

Experimental medications and

experimental treatments.

Investigations into, or treatment of, sleep disorders, including apnea and insomnia.

Medically unnecessary treatment.

3.

4.

5.

7.

8.

9.

6.

10.

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The medical expenses in Bali, the evacuation costs and resulting treatment in Singapore exceeds the

$50,000 annual cover limit meaning that she needs to pay for costs in excess of her $50,000 annual

limit.

Buy a policy with a reasonable annual limit to help avoid such scenarios.

Anne has a basic policy with a $50,000 annual limit. On holiday in Bali she gets bitten

by a dangerous spider! The nearest quality medical facility that can provide the vital

treatment is in Singapore and as such she needs urgent medical evacuation.

Bitten by a dangerous spider in Bali!

Anne pays: $5,000

Medical support in Bali: $10,000

Air ambulance $25,000

Medical treatment in Singapore $20,000

Annual Limit - $50,000

All IHI policies will have a total policy payment limit. Once you reach this limit, no further reimbursements

will be available. If you haven’t got a sufficiently high annual policy limit, you could be caught out:

Annual Limit

Before you take the plunge..When considering IHI policies, there are a number of things to bear in mind.

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Typical examples of waiting periods for IHI plans are:

Maternity 10-12 months

Dental 6-9 months

Well being 12 months

Pre-existing conditions 24 months

As you can see, in order to receive full maternity cover you would need to put the policy in place before

becoming pregnant.

Angela and Denis are uninsured and are planning to start a family in the near future.

Should they take out a policy today to cover pregnancy or should they wait until Angela

becomes pregnant?

Meet Angela & Denis

What are “Waiting Periods”?Some policies apply a “waiting period” for specific benefits. This simply means that after you buy a

policy, cover for certain benefits will only be available after the waiting period has expired.

Buy now and become

pregnant 10-12 months later

Buy later when Angela is 6

months into her pregnancy

Angela is covered for the entire

duration of her pregnancy

Angela will not be covered for the

entire duration of her pregnancy

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The BrokerFish definition as it relates to IHI is as follows:

What is considered a pre-existing condition?

Medical conditions or any related medical conditions for which one or more symptoms have surfaced prior to commencement of cover.

In the past international health Insurers have excluded cover for pre-existing conditions. However, there

are now some Insurers that will look at medical history on a case by case basis and will try to cover pre-

existing conditions. Expats with pre-existing conditions can consider the following options:

Can I get cover for pre-existing conditions?

Having pre-existing conditions does not necessarily mean that your insurance rates will be higher. But,

if the pre-existing conditions fits into a company’s definition for such, it may mean that those conditions

will not be covered by your insurance or in return the Insurer will typically increase your premium cost

(“premium-loading”) to cover their costs.

If the condition is to be excluded from coverage then this means that you will not be able to claim for

treatment of that condition or any related condition.

Excluding the condition from coverage;

Moratorium underwriting (waiting period until the condition subsides);

Premium loading; or

Medical history disregard.

“What happens if I

don’t tell the Insurer

about my pre-existing

conditions?”

“If not declared it may be that not

only your pre-existing condition is

not covered, but the insurer refuses

to pay for other issues due to the

dishonesty of the application!”

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What happens if I develop a chronic condition while insured – will they refuse to cover this condition in future years as it is by then a ‘pre-existing condition’?

This table compares IHI, local and travel policies. Please note that due to the range of plans available, the

table gives an overview of the typical cover that each type of plan will provide:

What are the major differences between IHI, local and travel policies?

Designed for

Level of cover

Maximum benefit limits

Premium costs

Area of cover

Benefit options

Hospital accommodation

Full In-Patient Treatment

International Policies Travel PoliciesLocal Policies

Premium cost on renewal

Hospital network

Exclusions

Pre-existing conditions

Language support

Renewability

Expats

High

High

High

Worldwide

Many

Private

Yes

Standard

Worldwide

Some

Some

Multilingual

Life

Locals

Medium

Medium

Medium

Limited

Few

Public / Private

Limited

Standard

Country Specific

Many

Excluded

Local

Per Year

Holiday Makers

Low

Low

Low

Trip Specific

Few

Semi-Private

Yes

Standard

Worldwide

Many

Some

Multilingual

Per Trip

Some Insurers will provide full cover for chronic conditions as long as you remain insured with them,

whereas others will have restrictions and limits. Chronic conditions can become very expensive and as

the level of cover varies greatly by insurer, always make sure you understand what cover is provided.

If this is an important consideration for you then speak to a broker before you take out a policy so they

can short-list suitable plans.

Page 24: BrokerFish.com: Insiders Guide To IHI

Before You Take The P

lungeS

o, Now

You’re Covered!

Choosing The R

ight Policy

IHI B

asicsW

hy Pay For IH

I?BrokerFish

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other product information. In no event will BrokerFish be liable for any damages,

including without limitation special and/or punitive damages and / or consequential

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losses or expenses.

About usBrokerFish is a brand of Direct Health, a division of the Tenbridge Group Limited, a

licensed International insurance broker regulated by the Labuan Financial Services

Authority, registered in Labuan at Brighton Place, No U0215, Jalan Bahasa, P.O. Box

80431, 87014 Labuan, Federal Territory of Malaysia, Registered No. BS200863.

Tenbridge Group Limited is also a member of the Labuan International Life Insurance

Association, Registered No. 200804-142.

The correspondence address for BrokerFish is 19A-LGF-1, Lower Ground Floor, UOA

Centre, 19 Jalan Pinang, Kuala Lumpur 50450.

BrokerFish – we’re here for youContact BrokerFish for any assistance that you need. Whether you want impartial advice and assistance in finding the right policy,

need help in cutting through the jargon or even need assistance in resolving a dispute with an insurer, we’re here to help.

Our focus on providing cost-free, impartial advice, coupled with our outstanding customer service, is why our clients love

BrokerFish and why we continue to succeed.

Contact usBrokerFish

19A-LGF-1, UOA Centre

19 Jalan Pinang

50450 Kuala Lumpur

Malaysia

[email protected]

www.brokerfish.com

Helpline:

Call us: +60 3 2162 4077

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