Medicare Blog

what happens regarding medicare on s cruise ship

by Dr. Arvel Kozey MD Published 2 years ago Updated 1 year ago
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Medicare recipients on a cruise may be covered for medically necessary services if the physician is permitted under specific laws to provide medical services on the ship. When the healthcare service is provided, the ship must be either docked in a U.S. port or no greater than six hours away from a U.S. port.

Original Medicare (Parts A & B) may cover medically necessary health care services on a cruise ship, if the ship you're on when you receive the care is in a U.S. port or no more than 6 hours away from one when you get the services.

Full Answer

Does Medicare cover you on a cruise ship?

Medicare recipients on a cruise may be covered for medically necessary services if the physician is permitted under specific laws to provide medical services on the ship. When the healthcare service is provided, the ship must be either docked in a U.S. port or no greater than six hours away from a U.S. port.

Can the Doctor take you to the hospital on a cruise?

The doctor is allowed under certain laws to provide medical services on the cruise ship. The ship is in a U.S. port or no more than 6 hours away from a U.S. port when you get the services, regardless of whether it’s an emergency. Areas within red are U.S. waters.

Can I rejoin my cruise if I’m sick overseas?

Or, in some instances, the ship may change course to reach port sooner. While the ship won’t wait for you, it’s possible you may be able to rejoin your cruise once you’ve been treated on shore. Be aware that if you don’t have travel insurance with emergency medical benefits, you may have to pay out of pocket for your care in a hospital overseas.

What are the medical facilities on a cruise ship?

Doctors and nurses also are required to be fluent in the predominant language of the ship. If you're injured or become ill, you might need to visit the cruise ship's medical facilities. The infirmary is usually located on a lower deck.

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Does your health insurance cover you on a cruise?

Your regular health insurance likely won't cover you. Additionally, in the case of serious injury or illness, you don't want to be caught in a scenario in which you need to be airlifted off the ship to a medical facility, and you're left to pay for this out of pocket.

Does Medicare cover you out of the country?

In most situations, Medicare won't pay for health care or supplies you get outside the U.S. The term “outside the U.S.” means anywhere other than the 50 states of the U.S., the District of Columbia, Puerto Rico, the U.S. Virgin Islands, Guam, American Samoa, and the Northern Mariana Islands.

Does Medicare cover travel expenses?

Does Medicare Cover Travel Expenses? Generally, Medicare doesn't cover any type of travel expenses, even if they're necessary to receive medical care. Gasoline, airfare, bus fare and other expenses are your responsibility, as are the costs of food and accommodations.

Does Medicare cover dialysis on cruise ships?

Unfortunately, Medicare and Medicaid have never covered dialysis for any cruises we offer, however there are many supplemental insurance companies that will reimburse a percentage.

Do I need travel insurance if I have Medicare?

Do I need travel insurance if I have Medicare? The short answer: Yes. According to Medicare.gov, health care you get while traveling outside the U.S. isn't covered.

Do any countries accept U.S. Medicare?

Here's what you need to know:Medicare doesn't normally cover healthcare costs outside the U.S. (The official definition of the U.S. includes the 50 states and the District of Columbia, Puerto Rico, Guam, the U.S. Virgin Islands, American Samoa, and the Northern Mariana Islands—you can use your Medicare benefits in ...

What is not covered under Medicare Part A?

Medicare Part A will not cover long-term care, non-skilled, daily living, or custodial activities. Certain hospitals and critical access hospitals have agreements with the Department of Health & Human Services that lets the hospital “swing” its beds into (and out of) SNF care as needed.

Why do doctors not like Medicare Advantage plans?

If they don't say under budget, they end up losing money. Meaning, you may not receive the full extent of care. Thus, many doctors will likely tell you they do not like Medicare Advantage plans because private insurance companies make it difficult for them to get paid for their services.

Which Medicare Advantage plans cover foreign travel?

Medicare Supplement plans include additional benefits providing foreign travel emergency coverage. Medicare Supplement Plan C, Plan D, Plan F, Plan G, Plan M, and Plan N provide emergency coverage in foreign countries.

What is the cost for dialysis at sea?

Dialysis at Sea provides hemodialysis treatments, which involve using an artificial kidney to remove waste, extra chemicals and fluid from the blood. They are given in a ship's infirmary, typically three times a week at $425 each. So for a seven-day cruise the cost of dialysis would be $1,275.

What happens if you get sick on a cruise ship?

Any guests who are unwell during a cruise will be treated by the onboard medical teams. Guests may be quarantined to their cabins if the illness is infectious and could be disembarked from the ship if the illness needs further medical care.

Does Medicare cover you in Mexico?

The simple answer is no. Medicare is only available to citizens and permanent residents of the USA who are residing in the USA. Some exceptions when Medicare may cover your expenses in a foreign country include; If you have a medical emergency and the foreign hospital is closer than the nearest US hospital.

How far away from a port does a ship have to be from a medical facility?

When the healthcare service is provided, the ship must be either docked in a U.S. port or no greater than six hours away from a U.S. port. This stands whether or not the care is of an emergency nature. People whose lifestyle includes travel may gravitate toward Medicare Supplement, or Medigap, policies.

How much does Medicare cover for foreign travel?

The 2019 deductible is currently $250. After the deductible is met, the plan pays 80% ...

What is a Medigap plan?

Medigap, the term for supplemental plans that enhance Original Medicare coverage, addresses the need for foreign travel care in six of the ten current supplement plans. Effective January 1, 2020, this will be pared down to four of eight plans. At that point, Plans C and F will phase out. The remaining plans that cover travel will be D, G, ...

Can you get sick on a cruise?

Illness on Cruises. Medical needs on cruises have been a focus of attention due to reports of illness on board that impact a massive number of passengers. Bacteria can spread quickly in this shared space. Along with checking your Medicare benefits, be prepared with ways to protect yourself from falling ill.

Do you wash your stair railings on a cruise?

But on a cruise, remember to wash even after touching stair railings. Some people do not wish to be driven to a policy based solely on travel coverage. There are companies that sell travel insurance that includes medical care and evacuation coverage.

Can you get Medicare benefits while traveling?

Though Medicare Advantage plans offer Medicare benefits beyond the traditional program, care while traveling out of the country is not typically part of the offering. There are a few exceptions to the U.S boundary rule. Medicare recipients on a cruise may be covered for medically necessary services if the physician is permitted under specific laws ...

What happens if you fall ill on a cruise?

If you fall ill — or worse — during your cruise, in most cases you are on the financial hook for all medical treatment. And make no mistake, medical treatment onboard a cruise is quite expensive. Take, for example, the recent article that our publisher Christopher Elliott wrote about Murray Cohen.

How far away is a ship from a port?

The ship is in a U.S. port or no more than 6 hours away from a U.S. port when you get the services, regardless of whether it’s an emergency. Medicare doesn’t cover health care services you get when the ship is more than 6 hours away from a U.S. port. Areas within red are U.S. waters.

Did the Nilands have travel insurance?

The Nilands had no travel insurance. And the couple had taken the cruise with Medicare as their primary medical insurance coverage. Assuming that Medicare would cover all the bills, she submitted a claim for reimbursement. That’s where Niland hit a giant roadblock.

Did Maureen Niland have medical insurance?

When Maureen Niland and her husband booked their recent Holland America cruise, their thoughts were on new adventures — not medical insurance. But tragedy struck just hours after the ship left the port in Ft. Lauderdale. John Niland suffered a sudden cardiac arrest and died. And the new widow learned an important lesson: Never take a cruise ...

Does Medicare cover cruises?

There are limited circumstances that will allow for Medicare coverage on a cruise. Medicare may cover medically necessary health care services you get on a cruise ship in these situations: The doctor is allowed under certain laws to provide medical services on the cruise ship.

Does Medicare cover foreign travel?

Covers foreign travel emergency care if it begins during the first 60 days of your trip, and if Medicare doesn't otherwise cover the care. Pays 80% of the billed charges for certain medically necessary emergency care outside the U.S. after you meet a $250 deductible for the year.

Is Medicare coverage adequate?

NEVER expect Medicare alone to be adequate coverage unless you're quite well prepared for a large bill . Had this man fallen and broken a hip, then had the heart attack and survived, to be airlifted to hospital, he could be facing$100,000. In bills. see more.

What is Medicare Supplement?

Medicare supplement policies are identified by letters (A,F, etc) which define their benefits. They are identical across all providers except in cost. SOME cover out of country medical benefits, but many do not. Be very careful!

What is the 6 hour rule for Medicare?

The "6 hour rule" is a mystery to many Medicare claims processors :). I went through this rule in another post so will not do it again. But interpretation of the 6 hour rule is tricky and seldom honored unless one can really document the situation (hard to do after a cruise). And then you might get a claims processor who will not accept the non-Medicare forms (and codes) given by the ship, the issue of a physician not licensed in the USA, etc. It is so darn complicated and our government does not normally make claims easy.

Is 50k better than cruises?

The 50K is sure better then the cruise line policies although we prefer policies with at least $100k med. The Trip Evacuation issue has become a real con...that is used by darn near all the companies. The reality is that its almost impossible for a company to spend over $50K on any med evac (even a chartered private medical evac jet costs less). So most companies are now marketing real high numbers (ours has $500k), but not providing the very high medical limits.

How much does it cost to evacuate by helicopter?

Medical evacuation by helicopter typically costs tens of thousands of dollars, and can rise to six figures in some parts of the world. Once you’re stabilized and you’re ready to return home, the cost of a medical escort or stretcher flight, if required, may cost another $25,000 to $30,000, on average. 4. When you have travel insurance ...

Is quarantine mandatory on a cruise ship?

On a cruise ship, quarantine is very serious — and it’s not optional. You’ll be instructed to stay in your cabin for a specified time, and your keycard may be deactivated (so that if you leave, you won’t be able to get back inside). Ship staff will bring you food, beverages, medicine and anything else you need. 2.

Can you quarantine on a cruise ship?

If your medical condition can be treated on board, the doctor will administer treatment and/or medication. You may return to your cabin or be kept under observation. If your condition is contagious but not life-threatening, you may be quarantined so you don’t infect others. On a cruise ship, quarantine is very serious — and it’s not optional.

Can you rejoin a cruise ship if you don't have travel insurance?

While the ship won’t wait for you, it’s possible you may be able to rejoin your cruise once you’ve been treated on shore. Be aware that if you don’t have travel insurance with emergency medical benefits, you may have to pay out of pocket for your care in a hospital overseas.

Do cruise ships accept medical insurance?

Sometimes, cruise passengers hesitate to visit the shipboard doctor because of the cost. Don’t expect the medical center to accept your U.S. health insurance; typically, the cost of any services and/or medication you receive will be billed to your room.

Can you file a claim for a cruise?

One last thing: Once you’ve returned home safely from your cruise, remember to file a claim. You may be able to file a claim to be reimbursed for covered emergency medical expenses, as well as the costs for the unused part of your cruise, if you had to cut it short because of a covered medical emergency.

Can you get reimbursed for a cruise if you are quarantined?

Fortunately, travel insurance may be able to help! If you or your traveling companion is quarantined, that can be a covered reason for trip cancellation/interruption, so you can be reimbursed for your unused, nonrefundable trip costs.

What are the standards for medical facilities on a cruise ship?

Cruise ship medical facilities must adhere to the standards set by the American College of Emergency Physicians. The ACEP guidelines dictate that the infirmary must contain the proper equipment to handle a range of treatments and diagnostics.

Where is the medical infirmary on a cruise ship?

If you're injured or become ill, you might need to visit the cruise ship's medical facilities. The infirmary is usually located on a lower deck. While it generally will have regular hours, shown in the ship's daily program, staff are on call 24 hours for emergencies.

How many doctors are on a cruise ship?

Cruise Ship Doctors. Ships from the main cruise lines all will have at least one doctor and two nurses onboard. Many larger ships sail with two doctors and three or four nurses. According to American College of Emergency Physician guidelines, ships must have medical staff on call 24 hours. Medical personnel (both physicians and registered nurses) ...

What are ship doctors and nurses most likely to deal with?

Ship doctors and nurses are most likely to deal with passengers suffering from respiratory (influenza) or gastrointestinal (norovirus) illnesses, motion sickness or injuries , the World Health Organization says, adding that it is important to view the ship's medical facility as an infirmary and not as a hospital.

Why is evacuation by air reserved for only the most critical cases?

Evacuation by air is typically reserved for only the most critical cases because the procedure can put the patient under added physical and emotional stress. The medevac units are staffed by medics who are expertly trained in emergency treatment. Related: Travel Insurance Primer for Cruise Travelers.

How much does travel insurance cover?

Travel insurance, which usually costs between 5 and 8 percent of the total cost of the trip, would cover the rest.

How long do you have to quarantine on a cruise?

When under quarantine, you typically will be required to remain in your room and take all your meals there until you are symptom free for 72 hours. Crew will bring you meals, drinks and anti-nausea medication, but you are not to leave, even if you're feeling better. Related: If You Get Sick on a Cruise: What to Expect.

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