In an effort to provide more comprehensive levels of coverage and support to policyholders located in Africa and the Middle East, Aetna, a leading international health insurance company, today announced that it would be launching its Online Wellness Center to support plan members in the region.

Aetna Global Benefits, the international arm of the Aetna insurance company, created its Online Wellness Center to help combat some of the more serious health risks throughout the Middle East and Africa. With a higher preponderance to risk of coronary artery disease, cancer, and serious heart conditions, expatriates and local nationals throughout these regions may often be unaware of the serious health risks posed by everyday life. Aetna has designed their online tool with the aim of educating and informing their policyholders, as well as giving them the resources which they need to find adequate and comprehensive care in the event of a serious illness or untoward accident.

Mark Jardin, the Managing Director for Aetna Global Benefits in Africa and the Middle East stated that the company wants “to engage, educate and motivate members through the AGB Wellness Centre.” Mark was appointed MD of the company’s Africa and Middle East business in May 2009.

One of the primary reasons for the deployment of Aetna’s Online Wellness Center is the preponderance of Cancer throughout the region. Currently, cancer is the second leading cause of mortality worldwide, and responsible for a third of deaths in the United Arab Emirates. Aetna’s Online Wellness Center now gives policyholders in the Middle East and Africa the ability to actively manage their healthcare in light of worsening health trends; something which Aetna hopes will promote healthy lifestyles and living throughout the region.

Insurance Companies Mentioned

Aetna:
Aetna Corporate Logo

Founded in 1853, Aetna is one of the leading health insurance companies in the USA. Continually working on innovating and improving healthcare and services for their policyholders, Aetna is committed to providing comprehensive insurance coverage for American citizens.

Aetna Global Benefits:
Aetna Global BenefitsThe international health insurance arm of Aetna, AGB is able to cater to the needs of expatriates located around the globe. With innovative policies, and dedication to service, Aetna Global Benefits exemplifies the commitment to the customer shown by their parent company.

With news outlets broadcasting dire predictions about the financial downturn like a frothy-mouthed preacher on the apocalypse, we feel it’s time to take a look at how people think the recession will affect insurance. With this in mind, we’ll take a look at projections about how insurers may fare, how your premium could shape up, and other worries and notable points to keep in your head moving forward.

recession.jpgViews on how the insurance industry will deal with the financial climate are a decidedly mixed bag. Larger, more established insurance companies are expected to do well, such as more diversified health insurers. Their size, balance sheets, and diversity of both product and geography are believed to allow a degree of protection from the need to boost operating earnings during the down times. Considering that the international private medical insurance market posted growth rates of around 20% or more for 2008 it’s hard to imagine some of the larger companies needing to start penny-pinching policies which would drive away customers. Combining their growth rates with their long-running operational stability and ratings agencies’ inclination to keep decently performing insurance companies at a favorable rating, and we will hopefully see some benefits for policyholders, not just shareholders. After all, the acceptable balance sheets and relative operating stability mean that your insurer stays in business and keeps offering your plan, plus there’s always the hope that with less of a need to increase earnings and squeeze margins, there may be less pressure to increase your premiums. However, given that insurance premiums have gone up 119% in the last 9 years, don’t hold your breath.

There are also those who believe that the world’s financial nose dive will be a boon to insurers in the international health insurance markets, and their reason is that during recessions, people are more open to traveling to other countries in order to find job openings. With more and more businesses extending their operations into new geographic areas, not only are people more willing to travel to foreign countries for jobs, but companies embracing globalization are increasingly opening branch offices and sending out local staff to manage new operations. This is seen as a potential spike in demand for expatriate insurance products both for individuals and companies. If this is indeed the case, then there are a number of ways this could affect your current policy or your plan to get one. One worry is that the increased demand for international health insurance will lead to increased premiums due to a burgeoning number of clients and the need to cover the increase in claims. I find this assertion extremely dubious, but resisted the temptation to file it under wild conjecture and speculation.

mcmasterumedical.JPGMost international health insurance products are community-rated, which means that their premiums are based on your age and area of cover, and the factors calculated for your premium such as medical inflation, claims ratios from the previous year’s age group are not linked to the number of policyholders in the plan. Simply put, an increase in people paying premiums does not alter the cost of care, or your likelihood of making a claim, and therefore is a highly unlikely reason for an increase in your premiums, so you can rest easy on that count.

Another issue that was raised by some spectators, such as those at the web publication for expatriates, Shelter Offshore, also think that with increased demand for insurance products geared towards expatriates, insurers may become a little choosier about who they will accept for coverage. In contrast with the other claim, this may actually be possible, but then again with tighter budgets all around it would be hard to imagine insurers becoming overly-picky and denying coverage to reasonable applicants who can always look for another policy.

So if the insurance companies seem to at least be lurching by in these troubled days, what about the prospects for your ever increasing premiums? One piece of good news is that with the recession in full swing, it has effectively put a damper on the inflating cost of care. With costs for medical treatments, tests and drugs falling in line with the downward turn in the economy, it should mean that these items won’t be consuming an increasingly large chunk out of insurers’ margins, alleviating some of the need to push up the cost of premiums. Although one problem in at least some sectors has been that during the financial debacle some private insurers’ more risky investments have taken a hit in the market downturn, effectively reducing the amount of cash and assets they have on hand to help pay out claims.

For example, Australia’s private medical insurers have put in a request to the government to allow them to raise their premiums on private health policies. Some of the investments made by the private health funds took a large hit, and the funds now say they will need to find $600 million Australian dollars to make up for the losses, and the plan is to do it through premiums. One firm, HBF is said to have lost approximately $56 million Australian dollars, while another company, MBF, lost about half of that. While this just highlights one geographic sector’s issues, it is seen to be fairly widespread given that at least some private insurers from every walk of life around the globe have taken a hit on their investments with AIG probably being hit the hardest. All in all it’s hard to say for sure whether or not the recession will have a direct and immediate effect on premium rates. While investments were hit, it’s difficult to see how much the decreased rate of medical inflation will contribute to staying the rise of premiums. Add into the equation the fact that many countries are deciding to invest large amounts of money in their public health systems and infrastructure could have interesting effects on premium rates as well.

One thing that has been made clear from reading recent news and stories is that healthcare systems and rules around the world are in a state of change. Highlighting the cases of Bahrain and the UAE, there is a growing trend in some countries to consider enacting rules that make health insurance for expatriates compulsory, meaning that if you are traveling into the country, you must have health insurance. If you do not, you must buy an insurance policy on the spot or possibly be refused entrance into the country, and standing in an airport is not the optimal place to shop for insurance. Additionally, in some countries like Germany, if you do not have health insurance, you may not be able to receive treatment. With this in mind, it is important that even in the tough times it is, at best, inadvisable to neglect paying your health insurance premiums. While the payments may be hard to part with if money is tight, should your cover lapse and there is an accident or an illness, depending on where you are, the best case scenario may end up being financial bankruptcy from medical bills. As for the worst case, it really is no fun having your health disintegrate and possibly die because your lack of insurance precluded you from receiving treatment.

Should you be looking for insurance, I cannot possibly stress the importance of shopping around for the best comparison in quotes. With the shifting sands of business and finance, there are subtle changes in the major insurers which will affect how they will be pricing their insurance products, so it is in your best interests to either canvas the major insurers to find competitive quotes and coverage details or contact a broker who deals with a wide variety of insurers’ products.


It seems that in the current climate of medical inflation many countries around the world are growing increasingly concerned with the ability of visitors to use, and perhaps even abuse, the medical facilities and hospitals in their destination. One of the first places in the world to institute restrictions on visitors receiving medical treatment was Hong Kong when the government created a policy requiring pregnant mainland Chinese women to have a hospital booking before being allowed into the city. Its evolved into such an issue that now the HKSAR government has stated that they are banning Pregnant Mainland women from even booking hospital beds from September through December of this year. Hong Kong is not the only city to impose restrictions on visitors for medical grounds, the City of Dubai in the United Arab Emirates is also instituting visitor reforms; however in this case, Dubai is more concerned about insurance.

Any visitor wishing to enter Dubai must have a visa, even if the length of their stay is less than 24 hours and under current Dubai immigration practices there are 16 categories of visa, ranging from visitor, to resident. However, with new legislation announced on Tuesday August 12th, any individual who obtains a Dubai visa must also obtain health insurance, which will need to provide an ‘adequate’ length of coverage for the entire stay. The Government of Dubai consulted with a number of insurance organizations within the emirate and picked to companies to offer their services through the immigration counters at the airport.

These mandatory plans for visitors will include coverage at medical facilities within the insurer’s network, accidents and emergencies, and the repatriation of mortal remains in the event of death. These policies will not cover, however, any medical treatment occurring outside of the hospital network except in the event of a life threatening situation, maternity related treatment, chronic conditions or illnesses, or any eye or dental treatment.

Essentially this reform could be viewed as an attempt by Dubai to exploit a captive market (any and all visitors to the country) into purchasing a product and stimulating the economy as soon as they arrive in the country. However, looking at the fine print this is not the case at all. Individuals traveling to Dubai who are in possession of an International Health Insurance policy are exempt from the requirement to purchase a local health insurance plan when they arrive in the emirate.  

The obvious question here is why? Its quite simple really. The government of Dubai is very obviously concerned about foreigners entering the country, having an accident, and then – either due to the type of insurance that they possess in their home nation, or the fact that they simply don’t have insurance coverage – not being able to pay for their treatment. Recognizing that International Health Insurance plans offer some of the best medical coverage in the world, and that they allow a policyholder to use the hospital or doctor of their choice, meant that the only foreigners with whom the government didn’t have to worry were those who were in possession of this type of policy.

In an age where medical inflation is becoming a global issue, where hospital overcrowding is not just a ‘poor nation’ problem, and where an inability to afford medical is the number one cause for personal bankruptcy in the USA, we may see this type of ‘automatic’ protection legislation being passed in other nations. Even at a time when places like Thailand, Singapore, and India are relaxing entry requirements on medical tourists other nations are imposing higher restrictions; and quite honestly it may be time to start worrying.

That is, unless you have an international health insurance policy….