What are my options if I am immobile or paralyzed?

Conventional travel has its challenges for those who are less mobile.

Has anyone discussed the medical issues you need to be aware of and how to prevent complications?
Has the destination hotel been enhanced to ensure that a wheelchair can into rooms? Are there accommodations for the bathroom? There are many other questions that need to be asked and answered before signing and sending money.

For those seeking healthcare abroad, the need to be sure about the process and have services in place to receive you are important. A good facilitator can ensure that the your needs are met and service the best possible.

Travel Safe, Be Well

Jim McCormick MD
Premiere Medical Travel Company
818.917.6189

Do I need to speak a foreign language overseas?

Fluency in more than one language is always helpful but it is not necessary.

Premiere will coordinate with facilities that have fluency in English or the ability to readily access translators. Suppose you knew English and Spanish, but chose a Thai facility. That second language would not be very helpful. But if you speak Tagolog and English, you may have a cultural affinity for the Philippines.

We, at Premiere, will have understand who are your best choices: medically, financially, culturally etc.

Travel Safe, Be Well.

Jim McCormick, M.D.
Premiere Medical Travel Company
818.917.6189

How has the exchange rate (us dollar) affected medical tourism?

Currencies valuations fluctuate against each other all the time. In fact, it is the largest trading market in the world. Trillions of currencies are exchanged daily.

There may be an advantage comparing countries for the most favorable exchange rate. The likelihood of a sudden shift that will affect your terms are low. Timing your medical needs will not help you in any measurable way.

The dollar seems to be strengthening recently. This may help your purchasing power over the long haul. For that matter, the destination facilities may charge a higher price to offset the difference. The net result may be that you have a better deal, but can you wait 18 months or two to three years for that currency exchange to change significantly.

Time your healthcare to your medical needs and compare two or three countries simultaneously.  Premiere Medical can help with these issues. That is what a quality outfit can accomplish.

Travel Safe, Be Well.

Jim McCormick, MD
Premiere Medical Travel Company
818.917.6189

Should I choose to arrange everything myself?

You can change the oil on a car, but can you switch out a transmission. Even changing the oil has become more complicated. Which oil is right for your car, there are many grades and choices? Where do you dispose of the oil and filter? You can buy the oil and filter, but where is the best deal available. Do you have the oil pan? Do you have a filter wrench? How about the lift or ramps to get the car high enough to crawl under? Do you have a way to slide under the car? Or can a company do this for $20 and be done in 20 minutes? It appears that changing the oil is simple, but it is more efficient, quicker and cheaper to have someone perform this task for you.

Medical travel is far more complicated than that. It may seem only a travel issue, but it is not. There are many areas where poor planning and misunderstood process issues can greatly increase your costs. You choose this for value and quality, not price. We can help to ensure you receive that: value and quality.

Travel Safe. Be Well,
Jim McCormick MD
Premiere Medical Travel Company
818.917.6189

How much does medical tourism typically cost?

This question which is frequently asked and is difficult to answer. Another approach is to know what you have, know what you need and then you can begin to search for a solution.

Premiere can create a package for a procedure in different locations throughout the world. The price will change dependent upon the destination, procedure, number of travelers, the duration of recovery care and several factors.

This is where a good facilitator can help by creating a needs list and define a price structure that is within your budget.

Travel Safe. Be Well,
Jim McCormick MD
Premiere Medical Travel Company
818.917.6189

Why won't insurance companies pay for this choice?

The question is probably better phrased "When will insurance companies pay for medical tourism?"

In my estimation they will, but there needs to be some significant developments in the industry before they fully enter the arena. These large businesses require structure to enter. The issues of lines of responsibilities and where transition points occur are very important. The clarity here must be crystal clear. There can not be an excess number of unanswered questions.

There is a very compelling reason for insurers to enter the space. My intuition says that the landscape must be formed and refined. Quite likely there are activities happening in the back ground that are creating the fog-shaping which leads to more certainty and clarity. The clarity leads to entry.

The First World Congress on Global Healthcare and Medical Tourism will be happening in San Francisco this September. The companies and entities attending will be meeting to help shape the environment. You will see them enter, but when the time and environment is well defined.

Be Well, Travel Safe

Jim McCormick MD
Premiere Medical Travel Company
818.917.6189

Do I need a visa to go to these countries?

Most of the countries we will be helping you with do not require a formal pre-approved Visa to enter. A simple card is filled out on the flight describing why you are entering the country. There are some governments who are developing online registration options. In either case these are country by country specific issues.

We at Premiere can help you to be sure that you entry, stay and exit are as seamless as possible.


Be Well, Travel Safe

Jim McCormick MD
Premiere Medical Travel Company
818.917.6189

Can our company help with financing my trip?

This is a good question fro a few reasons.
We at Premiere are strongly considering a financing arm to assist people with this option. Our impression is that it would help clients meet their medical needs. Arranging for financing requires a significant process to be developed on our part. We aim to eventually provide this service to qualified clients. We do not have it available at present.

WHen looking to finance an investment it is an interesting proposition to consider financing your health care needs. Cars for example depreciate with time, while investing in your health would carry implications that your life got better and you are able to potentially earn more money.

We will surely include this option as the company grows.

Be Well, Travel Safe

Jim McCormick MD
Premiere Medical Travel Company
818.917.6189

Do they understand who I am and what my culture is?

The facilities that I have visited make great efforts to blend US culture AND the cultures of many of their visiting patients. It was not unusual to find special areas with special scents to remind people of their home. They catered to cultural and religious dietary needs.

If your religion prohibits a male doctor examining a female patient that would be respected and addressed.

Time was also permitted for prayer services with directions to point towards Mecca.

In the lobby of the Bumrungrad Hospital I sat and simply observed the cultural flow in and out of the lobby for a few hours. It was clear that the people entering and exiting, at least outwardly, were at ease. For my culture specifically: McDonalds had a small location, Starbucks had a small area with Neil Young and similar notable songs were playing.

Cultural awareness is essential to a quality experience. US culture was not the only emphasis The destination facilities are aware that in order to succeed, the culture of the people coming for care is very important. It is my expectation that this practice will grow and become more common in the future.


Be Safe, Travel Well.

Jim McCormick MD
Premiere Medical Travel Company
818.917.6189

What is a Wellness Center?

We at Premiere define medical wellness clinics as a destination for you, a traveling patient, to gain powerful new insight into your particular disease or illness and how to best manage it.

In our view, having a pile of paperwork handed to you in an office after a hasty visit is not an effective way for you to learn about your illnesses and their management. We are developing offerings where in addition to your procedure, you receive an intense several week set of sessions that incorporate daily lessons, time to reflect, time to learn and time to renew who you are and how to best approach your illnesses.

What would daily lessons, nutritional tips, exercise instructions, yoga, meditation give you? In our belief, the best chances at a holistic and healthy life. Will you leave the experience illness free? Not likely, but you will be more empowered, more fulfilled and more likely to make the most effective changes in your life for the better.

In our view, the wellness clinic is an avenue to a new life and a rebirth or redefinition of who you are. Better nutrition, better exercise habits and healthier mindsets can change your physiology and potentially reduce the number of medications you need to take. Reducing medications, can reduce costs and medications related complications. This alone is a leading cause of preventable deaths in hospitals. Pills are easier solutions to write out when time is compressed so much in the office setting. It would seem to us at Premiere Medical that the investment in your health will pay for itself very quickly from a financial, health and well being perspective.


Be Well, Travel Safe


Jim McCormick MD
Premiere Medical Travel Company
818.917.6189

Medical Tourism: The Economist Article 8-16-2008

The Economist a prestigious business and politics magazine has a brief article on Page 12 that discusses the impact of Medical Tourism from several points of view. See Article Here

The dialogue discusses the impact on destination hospital resources and infrastructure. The contention is that the inbound traveler is adversely affecting utilization and redirecting resources from the desperate needs of the local population. There is another impact, the elevation of local economies and the active attempt to retain skilled talents in these countries to serve the growing population.

For instance, the Philippines is considering an offering to retain nurses to work in a hub of medical tourism in Cebu. The country sees the potential for this growth industry and needs to build a workforce to meet the needs of the patients. The influx of outside money is almost always beneficial to a local economy.

The article also cites a number from other recent publications that represents the lost revenue as a result of the siphon effect from domestic US healthcare by medical travel. This is a compelling example of market forces affecting price and demand curves. The price in some minds is excessively high in the US. A new competitor is entering the territory and that beneficial competition will affect pricing. That effect's positive or negative effects are centered upon where you as a business are positioned. As a consumer, you may well see prices begin to move downwards, but not enough to offset the margins that medical travel have to offer.

There is far more value available for those seeking medical travel abroad. Stay tuned!
As they say... May you live in interesting times.


Be Well, Travel Safe.

Jim McCormick MD
Premiere Medical Travel Company
818.917.6189

Can my family come with me? Is that part of the cost?

Of course. We at Premiere would encourage you to have at least one significant individual accompany you. The initial excitement about going abroad for healthcare has a double edge to it. Except for the most self-reliant people, we all need our social fabric. When you travel abroad for healthcare, that fabric is disrupted at a time when support is critical.

Premiere will have cutting edge valuable options to bridge that gap and ensure you are still woven into your social network while getting the best healthcare options can offer. None-the-less if your spouse, partner, friend etc. is physically present, the intervening gap is not as wide.

Having them present has its associated costs and affects that individual. But it is well worth the money.

We will be there available to you 24x7 but a family member or friend present at the site is an even more effective solution.

Be Well, Travel Safe


Jim McCormick MD
Premiere Medical Travel Company
818.917.6189

Does the Federal Government support medical tourism?

The federal government is an enormous organization. There has not been a position transmitted by the Administration to our knowledge. However there is an arm of an important healthcare agency that has at its core, a mission to ensure patient safety for those seeking healthcare abroad.

Previous posts have discussed this in more detail, but the Joint Commission, previously JCAHO, has an affiliate arm, The Joint Commission International. It is this second body's role to review facilities and organizations abroad.

The Joint Commission International is invited to facilities in order to review their safety procedures, quality procedures, licensing and providers credentialling processes and other key organizational issues. They will render a determination that the facility is on par with US requirements or deficient in certain areas. They do not certify that the care is better or worse. Only that the safety features in quality programs and patient care problem resolution are effective and have an equivalence to those found here.

This is an important distinction. Our healthcare system is certified periodically by the former organization, The Joint Commission. They do not state that the healthcare at one facility is better than another, rather they certify that the same features described before exist and are effectively used. Loss of this certification is a death blow to a facility.

Be Well, Travel Safe,

Jim McCormick, MD
Premiere Medical Travel Company
818.917.6189

Is the medical care equal to, or better than the US?

As my business professors would answer...that depends.

What metrics and outcomes are you comparing and how are you comparing them? If you are comparing the World Health Organization's statistics on healthcare monitors we, in the US are doing a terrible job. If you are asking for the ability to go to a cutting edge tertiary care hospital and receive the latest greatest and hopefully best options we have more than you can imagine. They are however very expensive and not cost effective solutions to large scale healthcare issues.

Now mentally go to a community hospital or an inner city hospital faced with significant budget issues and concerns. There are less choices and less cutting edge (read more expensive) options available. Some places must transfer out heart attack patients for cardiac catheterizations. Other hospitals must transfer patients out for brain surgery emergencies and others for trauma patients. So if you had one of these conditions and the facility you wound up at does not treat that condition than you are at an potentially inferior hospital for that specific condition.

Some hospitals only specialize in a specific disease class or age groups. Examples would include cancer specialty hospital, eye institutes, orthopedics facilities and geriatric or pediatric hospitals. So arguably if you are in one of these hospitals and develop a condition outside their scope of practice you may receive inferior care or need to be transferred to receive adequate care.

Now move to a nitty gritty facility with many poor people who are very ill consuming many precious resources. They should have access to their needed medical care. But can the facility or the government spend endlessly to provide the latest, greatest and most expensive care?

Given the scenarios, I think we can agree that in the US there are different levels of care available which create a significant impact on the care received by our citizens.

Now let us move outside the US and examine this question again. Is it possible that there are hospitals outside the US who exist in countries that provide the latest, greatest care for those who can afford it? The clear answer is Yes. Then move to areas similar in capability to the US and the same gradients of care options appear.

As a medical traveler, you want to be helped in identifying the best facilities and the best providers for your condition in these locations. Then you can comfortably say that the care is comparable. On a more granular level you can say that the care is better than or equal to the US. But the question at that point is more a matter of all the amenities that you can afford when you select medical travel. These options are not even considerations when in the US seeking medical care.

Be Well, Travel Safe

Jim McCormick MD
Premiere Medical Travel Company
818.917.6189

Is it safe to go outside the US for medical care and wellness?

Yes it is safe.
No more and no less safe than walking around a major US city. Our media has a tendency to hype events overseas in order to grab your attention. None-the-less attention and due caution are reasonable actions. When in Rome act more Roman than American. Blending in can be worthwhile.

There are also safety bulletins issued by the US State Department. The CIA provides up-to-date information guides about specific countries. Ask us for them when you call or email. We will gladly facilitate your getting timely and accurate information to make decisions.

No one can guarantee your complete safety outside the US. Perhaps the better question to ask would be: is it more unsafe abroad than when you are inside the US? We have significant violent crime issues in most of our major cities and suburbs. So asking a more precise question may help to clarify this question in your mind.

Be Well, Travel Safe

Jim McCormick MD
Premiere Medical Travel Company
818.917.6189

Does the American Medical Association support medical travel?

The American Medical Association (AMA) acknowledges that the industry exists. Recently, they published a set of guidelines that can be found at their site and are general principles.

The AMA will need to speak for itself as an entity regarding active support, passive support, acknowledgement and resistance postures and statements. Speaking for myself, it is good to see the guidelines. It is a new level of dialogue. Nearly all dialogue is beneficial and productive. I can envision that the AMA will see the value and quality available. However, as an organization representing US physicians, their mission and goals are potentially geared in a different direction.

Time will tell how this new mode of healthcare delivery works its way into the public mindset.

Be Well, Travel Safe

Jim McCormick, MD
Premiere Medical Travel Company
818.917.6189

What about my rights to privacy, can they be enforced?

The US laws overseeing the release of medical record information and patient confidentiality laws is called HIPAA. While in the US as a patient these regulations oversee your privacy. That does not guarantee your privacy. It ensures that every step is taken to protect your concerns and if a breech occurs you are told about it and the individuals who were unauthorized to view your records are held accountable. This can mean criminal prosecution with financial penalties and jail time. You as a patient may have civil recourse as well. For that you would seek legal counsel.

Protecting your privacy overseas has its challenges. Consistently the facilities I have visited express a desire to ensure your privacy was a priority. However the legal remedies and accountability are inconsistent. Having said that, any destination facility that wants to continue working in this space will need to move closer to the customers (your) needs and make these issues more defined and favorable for our clients privacy needs. It is my belief that they are doing that and actively work to ensure your best interests are served.

We need to be careful in assuming that everything needs to be enforced in a legally binding manner as in the US. It may be that culturally violating a confidence is unacceptable and perhaps carries more impact than our system. Issues like privacy can be different and better outside our borders than the methods we choose to address them locally. It is worth asking your medical travel company how the destination(s) you are choosing are working to ensure your privacy.

Be Well, Travel Safe

Jim McCormick MD
Premiere Medical Travel Company
818.917.6189

What is Medical Travel and Tourism?

There are several running definitions.

We, at Premiere, consider the emphasis of the trip to be the important determinant. For those who travel specifically to receive medical care then we feel that medical travel is more appropriate. This does not make other definitions wrong, it is how we choose to characterize the process.

There are those who travel for business reasons and become ill or injured. They are not medical tourists or travelers.
Similarly those who travel for tourism and become ill or injured are not medical tourists or travelers.

Those whose emphasis for the trip is to seek medical care as a by-product of a tourism related trip would be characterized as a medical tourist. The medical care is an incidental to a vacation trip.

Jim McCormick MD
President and Founder
Premiere Medical Travel Company
818.917.6189

Why is a pre-trip assessment and prearranged aftercare potentially beneficial?

Comprehensive end to end services. Simple words, complex solutions.

That is the basis for what we believe will be a successful company going forward. Those companies that provide simple elements without having the necessary options available for clients to purchase are making potential mistakes for their company and the industry. Clients who seek medical care abroad may not realize the complexity of the undertaking. We should be there to help them understand what is needed and what is required. Simple price points do not address issues such as who will care for wounds when you return home.

Medical Travel companies should consider these problems solved long before you book your first client. Having solutions already built into your business plan will save time, money and reputation when a problem surfaces. Your company should know who will manage the care and how it will be paid for. This complex issue happens occasionally when clients return with a problem and no one was willing to assist them.

There are expectations for continuity of care from the patient through the insurer/payer to regulatory agencies. As a participant in arranging a trip for the clients, our companies may appear to be their contact for services going forward. Simply letting them dangle to find their own aftercare does not help anyone in the arena.

You will get the commission on the first client, but that will not propagate into recurrent trips or referrals for friends and family. Good service and a comprehensive approach is one of the best methods of advertising. One satisfied customer can generate many new leads, while one unhappy client can lead to dozens of negative reports that amplify themselves and suppress potential leads. Is it worth the short term profit to create a self destructive cycle of negative advertisements?

How about screening people before they leave? Is there a value added service in providing this to your client? At first pass who would want to say no to a client. We all want to say yes to a sale. But look a bit deeper and there is a compelling reason to screen and say: ' No our services are not for you. Thank you for your inquiry.'

If you compete in a market on cost than you will need to accept nearly everyone to make up for small margins. The dilemma begins when a client purchases a package from your website and company and something was not screened well or reported by the client. Perhaps they were inaccurate about a condition or they had inappropriate expectations. They traveled with your company name and spent a good portion of their money on the roundtrip flight and some hotel expenses.

Then they arrive at the hospital. They are not candidates for the procedure. What happens next? Who refunds what to whom? Policies can help, but this will be a mess and quickly mushroom.

The patient almost always has the upper hand initially. It can be a very difficult situation to defuse. It is a battle of words. Regardless of the true findings later on, the initial PR stain can hurt your brand. Document can help but it is a reactive approach to the entire set of events and interactions.

You could develop a process and value added package that allows for both parties to meet, assess decide together whether this is the right person, right facility and right service(s) prior to engaging in a more expensive transaction.

Food for thought. Proactive preemption will nearly always beat reactive post hoc solutions.

Be Well, Travel Safe,

Jim McCormick MD
President and Founder
Premiere Medical Travel Services Company
818.917.6189

Medical Travel Speaking Engagements!

A conference is coming up you do not want to miss! Itwill be a terrific opportunity to meet and speak with so many of the individuals who are active in Medical Travel and Tourism. From September 9th through the 12th The Medical Tourism Association is conducting the First World Congress on Medical Tourism and Global Health. Many leaders and contacts will be available for you to get important insights and networking.

I am going to be a panel speaker on developing a business in this space along with three other companies in different phases of development. A second speaking engagement will have me moderating a key aspect of medical travel and tourism: Aftercare and Continuity of Care. For those interested in understanding how to generate a successful business in medical travel, join the conference: www.medicaltourismcongress.com.

We, at Premiere Medical Travel Company, look forward to helping you become successful. We are available to consult and provide expert advice on how to approach and build a successful company. There is far more to this than a quick website.

Enjoy!!

Travel Safe, Be Well.
Jim McCormick, MD
Premiere Medical Travel Company, LLC

What do the AMA guidelines for Medical Tourism mean?

They are a set of principles that are a balance between the acknowledgment that this industry exists, is here to stay and a need to meet their member's concerns. Medical Travel and tourism are future competitors with general US medical practice. The industry is not large enough to be a business concern, but it is predicted to grow to that point.

The guidelines are available at the AMA website. It is worthwhile to discuss them. The first one: Medical Tourism must be voluntary. Yes I agree voluntary, but who or what company would force this option upon an unwilling client? Forced care overseas is a recipe for a medical and public relations disaster. So I agree voluntary, but the Medical Tourism industry has ethical participants.

In the second, third and fourth, there are important issues that are discussed. It is very important for many reasons to have Joint Commission International or International Society for Quality in Health Care certification. These two bodies ensure that facilities are using the right process and procedural mechanisms to ensure patient safety. The countries and facilities have the same quality assurance that we do or a different, but equivalent, process for assurance. This is important to the longevity of the industry. They are benchmarks that help us interpret important safeguards across cultural, political and language barriers.

The next two are intimately tied together. Follow-up care must be financed and coordinated prior to departure. A less well defined one: coverage for travel outside the US for medical care must include the costs of necessary follow-up care upon returning to the U.S. I am a strong proponent of aftercare. It is essential that this is available to the patient. Who should pay for the cost of after care is a more difficult question. Should the insurance company who receives the financial benefit of success care rendered abroad? Should the patient who is uninsured seeking the care overseas at a steep discount to the price a U.S. physician and hospital would charge? Should the destination facility be responsible for this fee? Should the facilitators? The premise is medically correct, aftercare should be available upon return. The business aspects of who pays for are open for discussion.

Physician outcome data and HIPAA Compliance issues are reasonable requests as goals. We do not have full transparency on specific physician outcomes and do not fully enforce HIPAA in the U.S. that is our goal, to move the country in that direction. It is the right goal for everyone. Our colleagues abroad may feel it is unreasonable to ask for a perform better than we do on our own metrics. But the goal is valid.

The last one we fully embrace at Premiere Medical Travel. First and foremost is the healthcare. We have taken a particular stance in calling ourselves medical travel and not medical tourism. We believe tourism highlights the tourism component too much. For simple procedure or health check ups, this is feasible, but to recover from major surgery while on safari is unreasonable. Health first, experience next and everything should follow properly.

In general the AMA has it right in our view. There are some gaps in expectation and performance domestically on the aftercare, payment, outcome measures and HIPAA issues that warrant further examination. We can only expect others to perform at the level we set, embrace and enforce for ourselves.

Travel Safe, Be Well.

Jim McCormick, MD
Premiere Medical Travel Company, LLC
818.917.6189

Healthcare Travel or Tourism?

Can we be both to you, our customer and patient?

Frankly, I am a bit skeptical. There are conditions that suit themselves to a combination trip. But can that brush be applied so broadly? Can you have heart bypass surgery and spend time traveling around a country with relatively fresh wounds that are still healing? Will your hip or knee replacement allow you to walk with enough ease to cover a significant amount of touring 1 week post operatively?

There are companies in this industry that are marketing themselves to be all things, to all customers, for all occasions and at all times. This is an impossible goal to achieve. It can lure many people in and then disappoint many as well. The providers, the facilitators, the customers need clarity.

Who wants to provide, or receive, what service(s) to, or for which patients?

Clarity:
The first issue and choice is the Quality of the Healthcare.
The second issue and choice is the Quality of the Value proposition.
The third issue and choice is the additional components built around the first two core questions if it is possible.

Does it make sense to you as a customer of healthcare providers to simply book a procedure on-line, book the travel on-line and jet off to a destination around the world and not fundamentally understand the first two core concepts?

Some companies break this down into a simple process map. Components of that process can be mapped and defined. It is a process that can be broken down into enough granular detail so any given set of details appear to make sense. But when you pull back up to the macro level, does it all still fit together in a manner that makes sense?

Yes; you can get a bypass for a great value. Yes; you can travel around an exotic country. Yes; you can fly to and from that location. Is it realistic to expect that the wounds will be healed sufficiently at 1 or 2 weeks post operative to have you truly enjoy the tourism? A critical question for you the consumer and purchaser: Are you expectations for the trip in line with the proposition offered and reality? If not, are you are setting yourself up for disappointment.

The investment, even at a huge discount to domestic care, still requires thought, planning and guidance. That is where a skilled professional services company can provide valuable guidance and assistance. The booking is the easy part.

Jim McCormick, MD
Premiere Medical Travel Company, LLC
818.917.6189

Bangkok Hospital Medical Center Offers Valve Replacement

The facility is terrific, the staff excellent and the offer appears to be a great value.

The BHMC released a statement offering heart valve replacement with an inclusive package that seems quite attractive. The ~$17,000 fee covers the hospital charges (labs, imaging, OR time, CCU time) and the service fees for the physicians. Having visited the facility earlier this year, I would feel very comfortable receiving my care here.

The charges a US citizen would incur for this procedure domestically would be more than 10 times the price above. Even adding in the airfare, lodging for a companion and a short stay trip for yourself post-op and the charges between the two countries are very far apart.

Government data for the year 2006, the latest available, shows US hospital charges were around $120,000 for valve replacement surgeries. This is the hospital inpatient charges which, in many cases, will not cover: cardiothoracic surgeon, anesthesiologist, cardiologist, CCU attending (Intensivist), pulmonologist, hospitalist or internist, radiologist, pathologist and other assorted professional service fees.

Each physician charges for the professional services that they provide to you the patient. These fees can be a few hundred to several thousand dollars each. It adds up quickly. Commonly patients see a hospital bill and assume that this is the total. Often it is not. Additional bills can arrive after you are discharged.

This package offered by BHMC has an attractive value offering to US clients in need of valve replacement. It is unclear from the new release whether a complication is covered. Air fare lodging and other costs do need to be factored in. But there is still no comparison if you have no insurance or are significantly underinsured.

A high quality medical travel or medical tourism company can help guide you with choices and options for you and a companion. We can help.

Be Well, Travel Safe

Jim McCormick, MD
Premiere Medical Travel Company, LLC
818 917-6189