Category: Insurance

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Do Your International Students Have COVID-19 Coverage? | Vos étudiants étrangers sont-ils couverts contre la COVID-19?

This 2022/23 school year, StudyInsured™ will welcome new and returning international students, with full medical coverage from the day they arrive in Canada.

As with all StudyInsured™ health insurance plans, this includes illnesses and expenses related to COVID-19, during and after quarantine.

Be sure to check out our COVID-19 FAQ’S FOR INTERNATIONAL STUDENTS.

If you want to know more or have questions about your international student insurance coverage, contact us at helpline@studyinsured.com.

We are always here for you and your students.

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Cette année scolaire 2022-2023, StudyInsured™ accueillera les étudiants étrangers (nouveaux arrivants ou de retour au Canada) avec une couverture médicale complète dès le jour de leur arrivée au Canada.

Comme pour tous les régimes d’assurance maladie de StudyInsured™, cela inclut les maladies et les dépenses liées à la COVID-19, pendant et après la quarantaine.

N’oubliez pas de consulter notre FAQ COVID-19 POUR LES ÉTUDIANTS ÉTRANGERS.

Si vous voulez en savoir plus ou si vous avez des questions sur votre couverture d’assurance pour les étudiants étrangers, contactez-nous à l’adresse helpline@studyinsured.com.

Nous sommes toujours là pour vous et vos étudiants.

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What International Students Need to Ask about Studying in Canada (Part 2)

Let’s dispense with one myth that is propagated widely by those who think they know Canada’s health care system. It’s not “free”—and it’s not cheap. Next to the United States, which is in its own league of super-high costs, Canada’s health care system is among the top four or five most expensive in the world. Even a routine visit to a hospital emergency room may cost an international student $1,000 or more, so understand your health insurance plan options well before you leave home.

First, Canada does not have one universal health care system but 13, each administered by individual provinces or territories. And though they are required by federal law to provide unlimited, comprehensive care (no pre-existing conditions restrictions), they don’t cover everything—such as elective cosmetic surgery, routine eye and dental care, annual checkups, chiropractic visits, or physical therapy. Even prescription drug benefits are limited. Consequently, most Canadians find it necessary to buy supplemental health insurance or have it provided to them through employee or pension plans. 

Some, but not all provinces allow international students to join these public plans. But even then, there are gaps in coverage that need to be considered.

Provincial/territorial overview

British Columbia, which hosts 22 per cent of Canada’s international students, allows you to join the same provincial Medical Services Plan that is available to all permanent residents, but it charges monthly fees to international students ($75 as of January 2020) and there is a three-month post-application waiting period before benefits are available. Private insurance plans for students are available to cover the waiting period.

Alberta, Saskatchewan, New Brunswick, Newfoundland and Labrador, and the Northwest Territories all allow access to their public health care plans, but don’t count on arriving in a province and automatically becoming eligible for health care coverage. There are application processes, and you may have a waiting period. Normally, your school of choice will explain this to you, but you still need to be proactive and make sure you have coverage from the day you arrive—even if you need to buy short-term insurance, such as Visitors to Canada coverage, to tide you over. 

Colleges and universities in Ontario (which hosts 46 per cent of Canada’s international students), Manitoba, and Nova Scotia provide or require international students to enroll in health insurance plans designed for their purposes. Generally, these plans are similar to the comprehensive coverage available to permanent residents of the province. They also offer supplemental plans that provide benefits not available in the basic provincial services.

Prince Edward Island and Yukon require students to obtain their own health insurance from the private marketplace and all must be done before your arrival in the province or territory.

The Northwest Territories Aurora College (the only post-secondary institution in the territory) has very limited access for international students, but arrangements for health care coverage are best discussed directly with administration. Dress warmly.

Quebec requires most international students to obtain their own private insurance, except for residents of Belgium, Denmark, Finland, France, Norway, Romania, Greece, Luxembourg, Portugal, and Sweden, who are covered under the provincial health plan per reciprocal social security agreements with governments of those countries.   

Qs and some As

Because rules and requirements differ from province to province, we have drafted just a few key questions you should ask (and that insurance brokers should be able to answer) in selecting the most appropriate and cost-effective supplementary health insurance coverage for your stay in Canada.

The answers to most of these questions will depend on the type of plan you choose.

What will your enrollment in any health plan cost?
Some colleges prefer to wrap these costs in with tuition and fees. Unwrap them. You don’t want to be surprised by an extra $1,000 or $2,000 charge you weren’t expecting.
Will you be covered from the moment you leave home for any medical emergency, loss, or damage to your belongings while travelling or waiting for benefit eligibility?
Will there be any monetary limitations on your health care coverage? Will you have coverage for special prescription medications for chronic conditions?
Will you be covered for unexpected COVID-type situations, or harm resulting from emergencies like earthquakes, civil disturbances, or riots at concerts?
You want to learn how to ski? Will you be covered for skiing accidents… or mountain climbing, or scuba diving, or parasailing?
Will family members travelling with you be fully covered—from the moment you leave home?
Visitors to Canada plans used as temporary measures to provide coverage for designated waiting periods usually impose at least a 48-hour waiting period before benefits are effective if the policy is purchased after arrival in Canada. If purchased before travel begins, they provide coverage upon departure… much safer.
While in Canada, will you be covered for occasional weekend trips to the United States or some other country during vacation periods?
If you’re enrolled in a public provincial plan, you are not fully covered for any trips out of the country. Most Canadian residents routinely buy stand-alone travel insurance for any trip out of the country, no matter how short. Hospital costs in the US can run into thousands of dollars per day for routine hospital confinement, and even more for emergency care.
Will you be covered for travel to other parts of Canada? Mostly yes, but there may be gaps. Ask, ask, ask.

And that is just a starter. Proper health care coverage is a major issue for any international student in Canada. Do your homework early.

© Copyright 2021/2022 Milan Korcok. All rights reserved.

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International Students Favour Canada in Post-Pandemic World (Part 1)

After an uncharacteristic drop in international student applications during 2020, Canada now appears to be on the verge of becoming the second-most-valued provider of post-secondary education in the world, following only the United States.

According to IRCC (Immigration, Refugees and Citizenship Canada), more than 730,000 new student permit applications were received for processing through August 2021—an increase of approximately 27 per cent over the same period from pre-pandemic 2019.

Immediately prior to the onset of the pandemic (2018/2019), US colleges and universities hosted 1.09 million foreign students (undergraduate/graduate studies). Australia, a magnet for students from China and southeast Asia, was the academic home to 667,079 students, and Canada to 625,785 in 2019. The UK hosted 485,645 international (mostly European) post-secondary students in 2018/2019.

But that dynamic has changed drastically. Australia’s Mitchell Institute for Education and Health Policy at Victoria University reports international enrollments virtually collapsed during the pandemic due to the country’s severe isolation procedures and there were approximately 210,000 fewer international students in Australia this year than would otherwise be expected. Furthermore, modelling suggested that about 165,000 international students will remain inside Australia, a reduction of over 410,000 compared to October 2019.

By contrast, Canada’s strongly rebounding future trajectory for international students clearly outpaces that of the US, where tighter student/immigration rules and concerns about safety are cutting back prospective applicant numbers. In the meantime, Canada, which also saw a dip in 2020 student enrollments to 530,540, remains at the top of the favourable list for its highly rated quality of education, welcoming student/immigration rules, and inviting pathways to post-graduation permanent resident status. As former Minister of Immigration, Refugees and Citizenship Marco Mendicino stressed when announcing an expanded post-graduate work permit policy earlier this year, “We don’t just want you to study here, we want you to stay here.”

A Navitas Agent Perception research study completed in March 2021 (which reviews the opinions of nearly 900 travel advisors in 73 countries) showed only 30 per cent of agents viewed Australia and New Zealand to be “open and welcoming to international students” due to their continuing lockdown. Conversely, 79 per cent saw Canada as “open and welcoming,” compared to 51 per cent for the US and 74 per cent for the UK.

All students need health insurance

What this presages for private health insurers (all incoming foreign students to Canada are required to have health insurance) is a potentially buoyant marketplace. But for students, it can be a challenging puzzle as the health insurance ground rules are set by provinces. And contrary to what many international students think, health care in Canada is not free—in fact it’s among the most expensive in the world.

Furthermore, Canada does not have one universal system of health insurance coverage—but 13. And the differences can be quite significant. For example, though students in most Ontario colleges and universities are expected to enroll in school-sponsored programs that reflect benefit levels consistent with provincial residents’ services, most go on to add supplements that cover such necessities as prescribed medications, dental care, and vision services. Ontario is home to 48 per cent of Canada’s international student population, all of whom must navigate this system.

In British Columbia, which hosts about 23 per cent of Canada’s international students, there is a generous pathway to join the provincial Medical Services Plan which is virtually the same basic health plan available to all provincial residents. But there is a three-month waiting period before applicants can receive those benefits. And even then, most residents choose to supplement the basic services.

Fortunately, supplementary plans are easily available to cover those waiting periods, but students must take the initiative to apply.

In our next post, we’ll delve into some of the differences students face in choosing their insurance depending on where they study, and we pose the questions students should be asking about their health insurance needs—as well as what insurance advisors and brokers should be prepared to answer for their increasingly varied and sophisticated international student customers.   

© Copyright 2021/2022 Milan Korcok. All rights reserved.

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Get Ready for Snowbird Season with COVID COVERAGE!

As the weather cools off in the Great North, and snowbirds get ready to set off to warmer destinations, make sure they’re prepared for their travels… and you could win monthly prizes!

Sell snowbird insurance and you could WIN!

Contest ends December 31st, 2021

Until the end of the year, every Snowbird policy you sell is a ballot entry for a monthly draw to WIN a $100 Amazon gift card! Don’t miss out!

Easily reach out to a member of our Insurance Solutions Sales Team and find the plan that best fits your client’s travelling needs.

Email us for more information at msh.agent@americas.msh-intl.com or call +1 416 730 8488 (or toll-free at +1 800 360 3234).

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StudyInsured™ kicks off 2021 with newly streamlined, student-focused phone line, StudyInsured™ Assistance

PRESS RELEASE, TORONTO, February 1, 2021 – StudyInsured™ announced today the launch of StudyInsured™ Assistance, a single phone line providing all-encompassing medical assistance and mental health support for its students. The in-house line features centralized resources for students, via a single phone number, for all their assistance needs, including:

• A crisis line for mental health support via the Stay Healthy at School program

• Medical assistance and health care guidance

• Insurance coverage queries and claim support.

“It’s all about making sure the resources we provide to students are easily identifiable – the simpler, the better,” said Susanne Hendrickson, Director, Sales. With in-house assistance previously named Intrepid 24/7, the new branding of StudyInsured™ Assistance reflects the company’s commitment to simplifying and streamlining student products and support. Intrepid 24/7 will remain the company’s assistance line for white label services and various non-student clientele.

StudyInsured™ has provided student insurance services for over 70 years. The organization continues to raise the bar to provide products and services that evolve with the needs of the thousands of international students it serves across Canada and beyond.

About MSH

MSH International (Americas) comprises MSH International, StudyInsured™ and Intrepid 24/7. These are all subsidiaries of SIACI SAINT HONORE, a world leader in the design & management of international health care and life and disability insurance solutions for globally mobile individuals. Its services are designed for employees of multinationals, micro-businesses, small and medium-sized enterprises, workers in international organizations, individual expatriates and local high net worth individuals in need of international insurance coverage. Thanks to its decentralized structure, 4 regional head offices in Toronto, Paris, Dubai and Shanghai and 18 service offices worldwide, MSH International (Americas) provides round-the-clock assistance to 2,000 corporate clients and over 400,000 insured members in nearly 200 countries.

FOR FURTHER INFORMATION, PLEASE CONTACT:

Pamela Kwiatkowski, Senior VP Distribution and Client Experience

Direct +1.416.640.7868 email: Pamela.kwiatkowski@americas.msh-intl.com

Susanne Hendrickson Director of Sales

Direct: +1.604-561-0381 email: Shendrickson@americas.msh-intl.com.

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It’s Your Policy. Take Responsibility. Take Your Time

More than ever, travel insurance products are giving customers in less-than-perfect health opportunities to leave home, visit friends and relatives in distant countries, and even indulge themselves in leisure activities that would have been unthinkable a decade or two ago.

Even for the elderly, given their normal range of chronic conditions (e.g., high blood pressure, heart flutters, diabetes, artery or vein disorders), coverage may be available so long as their health has remained stable for specified periods (three months, perhaps six) and they have completed their medical questionnaires accurately and haven’t “shaded” the truth to gain a slight reduction in premiums.

Such attempts at “savings” can turn into financial catastrophes if the insurer is forced to deny a claim for emergency medical services because you failed to fully or accurately disclose that you had been “checked out” for a respiratory condition within the past three months, or that your medication for diabetes was recently changed, or that you were referred for a heart murmur that your cardiologist said was OK for now but should be rechecked when you returned from Florida.

Such “minor imperfections” may seem routine and unworthy of mention on a questionnaire, but they can be vital signs to medical underwriters that further information about your health is needed. Underwriters have no information available to them when gauging a patient’s health but what they see on the questionnaire. And they have no other way to determine the risk of offering coverage, or if you are ineligible for the plan level you are seeking but might be better placed in a different level.

Claim denials are rare, but take your application seriously

Though claim denials for Canadian travellers are extremely rare, when they do occur they can be devastating to a family’s finances. And non-disclosure of pertinent information on one’s medical questionnaire is one of the most frequent reasons for claim denials.

It’s one thing to say you answered the questions as best you knew how and “in good faith.” It’s quite another to say your answers were accurate. And though questionnaires tend to be loaded up with medical terminology, you should take the time to look up the definitions of terms used. If they’re not included with the questionnaire or in your policy—demand them. Example: the definition of “Internal condition” may include gallbladder disease, kidney disorders (including stones), liver or pancreatic disorders, prostate or urinary disease, and so on. If you’re being asked if you have been diagnosed or treated for an internal condition in the past 24 months, you need to know what the insurer considers an internal condition.

And if you’re completing an application with the assistance of an agent, perhaps over the phone, have the agent read the questions one by one as they are printed on the questionnaire, and have any pertinent definitions explained to you. Take your time… it’s your policy and it’s your money. And when you receive your Confirmation of Coverage (which explains the details of coverage, the price paid, the dates and conditions of coverage)—read it all, especially the completed questionnaire, to make sure your Yes or No answers are correctly recorded and consistent with your medical record.

If there’s any doubt in your mind about your medical record, or why you underwent certain tests a few months ago, or why you’re taking certain drugs, ask you physician for help—perhaps even to look over your application.

Remember: The agent is there only to assist. If there are any losses resulting from faulty information, they will be yours. Not the agent’s—“good faith” notwithstanding.

Insurers want your business. They don’t want to deny a claim any more than you want to see it denied. They are constantly looking for ways to design products for their varying markets in all age groups and with all health profiles. But it requires some effort from you.

Do not consider travel insurance a casual, routine purchase. And though you have seen many entreaties to “sign up… it just takes 30 seconds,” unless you are in perfect health and can leap tall buildings in a single bound, take your time. Don’t wait for the day before your departure. And if your application is medically underwritten, allow for any additional time it may take for your physician to review it.

It’s your application. It’s your time. And it’s your money.

© Copyright 2020, 2021 Milan Korcok. All rights reserved.

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COMPLAINT EXAMINATION AND DISPUTE RESOLUTION POLICY

This policy is in compliance with the provisions set out in the Act Respecting the Distribution of Financial Products and Services (Quebec) pertaining to complaint examination and dispute resolution.

1.           Purpose of the policy

1.1         The purpose of this policy is to set up a free and fair procedure for examining all complaints received by us (the “firm”). It is intended, in particular, to govern the receipt of complaints, the delivery of the acknowledgement of receipt to the complainant, the creation of the complaint file, the transfer of the file to the Autorité des marchés financiers (the “AMF”) and the compilation of complaints for the purpose of preparing and filing a semi-annual report with the AMF.

2.           Person in charge

2.1         The person in charge of the application of the policy for the Province of Quebec is Ghada Darwish.

2.2         As the person in charge of the application of the policy for Quebec, this person shall also act as the representative with respect to the AMF. She shall train the personnel and, in particular, provide the personnel with the necessary information for compliance with this policy.

2.3         As well, the person in charge shall have the following duties:

(a)         send an acknowledgement of receipt;

(b)         send the file to the AMF, at the complainant’s request;

(c)          keep a complaint register up to date;

(d)         file a semi-annual report with the AMF.

3.           Complaint

3.1         For the purposes of the policy, a complaint is the expression of at least one of the following three elements:

(a)         a reproach against the firm, one of its brokers or one of its employees;

(b)         the identification of real or potential harm to a consumer;

(c)          a request for remedial action.

3.2         Any first consumer communication or informal step aimed at correcting a particular problem is not a complaint, insofar as the problem is dealt with by one of the firm’s operational divisions.

4.           Receipt of the complaint

4.1         A consumer who wishes to file a complaint must do so in writing to the following email address resolution_canada@msh-intl-com.

4.2         A broker or an employee who receives a complaint shall immediately forward it to his immediate supervisor or to the person in charge of the application of this policy.

4.3         The person in charge shall acknowledge receipt of the complaint within 5 business days. The acknowledgement of receipt shall contain the following information:

(a)         a copy of this policy;

(b)         a description of the complaint;

(c)          the name and contact information of the person in charge of examining the complaint;

(d)         in the case of an incomplete complaint, a notice requesting additional information to which the complainant must respond within five business days, failing which the complaint will be considered to have been abandoned;

(e)         a notice informing the complainant of his right to request, upon the expiry of the period of 15 business days set for obtaining all necessary information, but no later than one year following the answer to the complaint, the transfer of his file to the AMF if he is dissatisfied with the outcome of the examination of his complaint or the examination itself. The notice shall also indicate that the AMF may offer mediation if the parties agree;

(f)          a notice reminding the complainant that mediation is an amicable settlement process in which a third party intercedes with the parties to assist them in reaching a satisfactory agreement.

5.           Creation of the complaint file

5.1         A separate file shall be created for each complaint.

5.2         The file shall contain the following:

(a)         the complainant’s written complaint, including one of three elements of a complaint (reproach against the firm, its broker or employee; real or potential harm; and remedial action request);

(b)         the outcome of the complaint examination process (analysis and supporting documents);

(c)          a copy of the firm’s final written answer, containing reasons for the answer, as sent to the complainant.

6.           Complaint examination

6.1         Upon receipt of a complaint, the person identified under paragraph 4.2, his superior and the person in charge of complaints shall conduct an investigation.

6.2         The complaint shall be examined within 15 business days following receipt of all required information.

6.3         After the investigation, the person in charge shall send the complainant a final answer in writing, containing reasons for the decision.

7.           Transfer of the file to the AMF

7.1         If the complainant is not satisfied with the result of the examination of his complaint or with the examination itself, he may ask the firm to transfer his file to the AMF.

7.2         The complainant may exercise this right only upon the expiry of the maximum time limit of 15 business days allowed for obtaining a final answer, but without exceeding a period of one year following this answer.

7.3         The file transferred to the AMF shall include all the documents regarding the complaint.

8.           Creating and updating a register

8.1         A complaint register shall be established by the firm for purposes of the application of the policy. The person in charge shall be responsible for keeping the register up to date.

8.2         Any complaint that falls within the definition found in section 3 shall be recorded in the register.

9.           Semi-annual report

No later than one month after December 31 and June 30 of each year, the person in charge shall file a report with the AMF indicating the number and nature of complaints received in the last six months, according to categories set forth in the register.

10.         Notice to brokers and other employees of the firm

The person in charge shall ensure that brokers and other employees of the firm are made aware and have a copy of this policy.

11.         Effective date

This policy is effective as of September 22, 2020.

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You’ve Covered “Medical” Insurance—Now What About “Cancellation”?

If there is anything positive to be said about how travellers have been impacted by COVID, it’s that trip cancellation insurance has become a “top of the mind” issue.

For Canadians that’s critical, because though more than 70 per cent of travellers normally buy emergency out-of-country medical coverage, fewer than a third have, up to now, considered trip cancellation/interruption insurance a necessity.

No longer. With millions of the world’s travellers now lining up for refunds or rebates for cancelled air travel, cruises, or tour packages due to COVID, the focus has shifted to gaining some assurance that family finances are also protected in case of unexpected disruption.

Fortunately, there is no shortage of trip cancellation/interruption products in the travel insurance marketplace, but understanding the conditions of coverage, the limitations and exclusions, and how and when one goes about getting a “refund” when travel plans go awry is part of the purchase process. It means reading the policy.

For example, virtually all cancellation plans offered in Canada (and there are many comprehensive plans that blend medical and cancellation coverage together) list the conditions or situations that are covered by the cancellation benefit (e.g., sudden illness of the traveller or traveller’s companion, death in the family, loss of job, call to jury duty, etc.). These are usually clearly stated in the policy. Not all cancellations qualify for a benefit. But if the cancellation is the result of some unspecified cause—such as a pandemic—then the travel supplier (airline, cruise ship, tour operator) who has already been paid a deposit or full fare is responsible for the rebate. The insurer still remains responsible for covering other listed benefits such as the costs of returning home if the passenger has already started their trip, trip delays, missed connections, or other associated incidentals like stay-over hotels or meals, but not fees already sitting in the providers’ accounts that are recoverable by either refunds or travel vouchers. The point is to avoid double dipping.

As one insurer explains in its trip cancellation policy: “The benefits payable, as described in this Certificate, are in excess of all other potential sources of recovery, including alternative or replacement travel options offered by airlines, tour operators, cruise lines and other travel suppliers and other insurance coverage (even where such other coverage is described as excess) and will only become available after all other sources are exhausted.”

So when is a refund not a refund?

COVID has put this issue into focus. Both airlines and cruise operators affected by COVID cancellations initially offered vouchers for future travel, which are generally considered payment in kind. Cruise lines upped the ante by offering hefty bonuses—some up to 150 per cent of the original ticket value—to keep their passengers locked in for cruise itineraries well into 2021 even 2022. But under pressure by the US and EU governments, most lines have relented and are now offering passengers their choice of cash rebates or enhanced travel voucher packages. Interestingly, many cruisers are opting for the voucher packages. Cruisers are a very committed lot.

US and EU governments have also ordered airlines to issue cash rebates to cancelled-out travellers, though there are widespread reports that some airlines—under intense cash flow pressures—are dragging their feet in processing the refunds. The Canadian government has not yet taken that step but Air Canada is offering refunds for trips cancelled because of COVID, but only for itineraries originating in the European Union, not for flights originating in Canada.

Trip cancellation/interruption insurance is becoming increasingly important as the costs of travel become more expensive and as travel itself becomes more integral to our lives. And as with any policy, it should be carefully read, understood, and preferably discussed with the agent selling the product—not filed away to be thought about another day.

© Copyright 2020 Milan Korcok. All rights reserved.

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MSH Americas and StudyInsured™ are proud to announce the launch of the International Student Wellness Hub

Our mission at MSH Americas will always be the same: to respond to the needs of today’s globally-mobile individuals and organizations with innovated products and industry leading duty of care solutions.

We have been protecting international students and supporting schools to improve the study aboard experience in Canada and around the world. Being able to anticipate the changing landscape of the international education industry and responding to the needs of students and schools is what sets StudyInsured™ apart from the competition.

To continue this legacy, we are proud to bring the International Student Wellness Hub to our students, schools, and partners here at home and around the world.

The Hub is the ultimate resources for international students and schools, to find useful and practical information during this uncertain time due to COVID-19. The Hub includes information on:

1. Mental Health Tip Sheets for students: Information and tips for your mental health, and learning From the Front Lines with our Medical Director, Dr. Michael Szabo

2. COVID-19 Useful Links for students: To guide our students regarding Government updates

3. Provincial Resources for students: International Student programs and COVID-19 information by province

4. Finance & Job Opportunities for students: How students can manage their finances, plus job searching tips

5. Information & Resources for Schools: Tips for educators and administrators to assist students with well-being

Visit The International Student Wellness Hub

We hope the Hub helps international students, schools and administrators through this difficult time! We would love to hear from you, feel free to share your feedback and suggestions to marketing@americas.msh-intl.com

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Earn FREE Continuing Education (CE) credits with: Pre-Ex 101: Insurance Rules for Pre-Existing Conditions

What you’ll learn:

  • How to identify what constitutes a pre-existing condition
  • Whether your client’s condition is insurable
  • The application process and its requirements
  • How to guide applicants through application process

Register today for one of the upcoming sessions!

Wednesday, August 5, 2020 12pm EDT,
(10 am MDT, 9 am PDT)
Wednesday, August 12, 2020 12pm EDT,
(10 am MDT, 9 am PDT)

Hosted by subject matter experts:

Gail Roberts, Sales Executive

Alannah Amantea, Sales Executive

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Canadian Travel Insurers Prepared to Offer COVID Coverage

Media announcements that major insurers are prepared to start covering COVID-related medical emergencies for Canadian out-of-country travelers will clearly put pressure on the federal government to ease its restrictions on international travel.

At present, Travel Canada maintains its “Avoid all non-essential “ warning for all foreign travel, even though European nations have opened up their borders to several countries—among them Canada—which they consider has adequately controlled the spread of COVID. The advisory warns that if travelers choose to defy the advisory “your insurance may not cover your travel or medical expenses.”

That of course, is a decision to be made by individual insurers not by government, and Manulife, Allianz and TUGO, Canada’s largest travel insurers have confirmed that as soon as the feds drop their advisory, they are prepared to offer COVID cover in most of their policies, under the existing limitations in their policies.

And Medipac International, the designated insurer for the Canadian Snowbird Association has gone one step further offering to provide COVID cover effective immediately, whether the government maintains its advisory or not. A spokesman for Medipac was quoted in the media as saying that snowbirds who own residences in the US are able to physically-distance just as effectively abroad as they can in Canada, and they are very “aware of the virus and the preventative measures that should be taken while travelling.”

The move by Canada’s insurers come several months after they announced that as COVID had become a widely-known event, they would not cover it in their medical policies and they gave Canadians out of the country at the time, several days to return to Canada before expiration of their benefits.

Since that time, insurance premium sales (estimated by the Conference Board of Canada as surpassing $990 million in 2018) have been stalled as the federal government maintained its blanket embargo on all out-of-country travel. It has also proven a serious impediment to Canadians making winter warm-weather travel plans as they are very committed to travel insurance. According to the CBoC, 76.6 percent of Canadians surveyed in 2018 had some form of travel insurance on their last trip out of the country.

The move by Canadian insurers follows similar steps by several of the larger American travel insurers to offer COVID cover for both medical and trip cancellation interruption cover for residents of the US.

© Copyright 2020 Milan Korcok. All rights reserved.

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Is Florida In Your Sights This Winter? A Ground Level Report.

As the Canadian/US border shutdown moves towards autumn, snowbirds and short- term winter vacationers are being left with little time to plan their next moves or commit to travel plans that many have considered their God-given right during inconsiderate winter weather.

Though many Caribbean countries and Mexico have sent a hearty welcome to their northern neighbours, (see our previous  article on this issue) there are some caveats that go with the invitation—masks, distancing, virus test verifications, stripped-down luxuries, even beach and surf patrols to ensure proper behaviour. Not great, but perhaps tolerable considering the alternative.

Florida at ground level.

Despite these offerings by other warm weather destinations, Florida remains Canada’s pre-eminent winter vacation destination, and given the recent reports of COVID surges throughout the state, many of them somewhat overblown, let’s take a ground level look everyday life in the Sunshine State today and what Canadians might expect to see and experience, should the border be freed of its current restraints.

Normalcy has not returned to Florida, but it has begun and is gaining momentum day by day.

Traffic is heavy and annoying. But that’s normal. Publix, Walmart and Costco are fully-stocked and doing big business—but masks and six-foot distancing are mandatory indoors. Most restaurants are open with spacing limitations. Open air venues are especially popular, and most are allowed to serve alcohol in its various formats.  Malls are humming, and barbers, nail salons, gyms are for the most part open and operating quite well with mask and distancing requirements.

Hotels and resorts are open and doing a fair business from local travelers, with all of the health precautions in place—masks and distancing required until further notice. Generally, the rules are set locally, more stringent application in high density areas.

Most public beaches are being regulated and patrolled. The sand and sea is where it used to be, although the scenes of rowdy, alcohol-lubricated 20 and 30 year-old “students” and hangers-on cavorting mask-less throughout the July 4th weekend  have precipitated tighter beach access—particularly in urban areas like Miami Beach.

As for the continuing presence of COVID, troublesome surges have generated unwelcome headlines for local businesses although Governor Ron DeSantis has vowed to keep the opening going and to have schools operational on schedule in mid-August.

COVID data as of July 21, 2020.

Florida’s Department of Health, which issues detailed daily reports from all counties and all testing sites

throughout the state has confirmed spiking of COVID transmissions,  primarily in metropolitan areas: Miami-Dade, Broward, and Palm Beach counties accounting for about 48 percent of Florida’s new cases—and Miami Dade for more than half of all cases in this three county area. These data refer to individuals newly testing “positive” with the COVID virus, as opposed to those testing “negative.”

Since last weekend ending July 19, when as many as 156 deaths were reported over the previous 24- hour period, the daily death count has dropped to 90. But I note that COVID daily death counts are not necessarily accurate indicators of the spread or severity of infections at any given time as deaths may occur long after the initial diagnosis or infection—weeks or even months.

With well over 100,000 tests being conducted per day throughout Florida it was expected the detection of positives would rise, and it was until July 19. Perhaps a moderation is now setting in.

Hospitalizations have consequently risen, particularly iin Miami Dade, but Florida health authorities claim that statewide, there is sufficient hospital capacity to deal with the current numbers of new cases.

How do these rates compare to Canada’s experience with COVID? According to the Johns Hopkins Coronavirus Resource Center,  Florida’s COVID- related death rate is 23 per 100,000 population, which compares very nearly to Canada’s COVID mortality rate of 24 deaths per 100,000 population. And despite the high media profile, Florida’s Covid -related death rate is at the mid-point of all other states, 24th out of 50.

We can all hope that deeper into the fall and certainly into the winter season, these data will be less intimidating and more normal travel conditions (with many fewer imposed restrictions) will prevail.

Regardless, you’ll have to be especially diligent in choosing your health insurance—both for cancellation as well as for medical benefits. Forget about the way you have buying insurance in the past. Looking for “cheap” insurance or waiting until the day before departure to make this important purchase is not healthy. Ask questions, read your policy thoroughly, consult with your doctor if you have the slightest questions about your health status, and demand clear and straightforward answers from your broker or travel advisor. Know what you’re buying.

© Copyright 2020 Milan Korcok.  All rights reserved.

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Battling COVID-19 Episode 8: Staying The Course by Dr. Michael Szabo

Summer is officially in full gear now.  Isn’t it great?  Warm weather is here! Backyard barbeques, long walks outside, swimming and picnics.  But we all know it isn’t completely like old times, there’s still a little something different, right?  COVID-19, the pesky little virus we’ve come to know all too well, is still around.

In Canada, we’ve done very well to minimize the spread of this virus. The majority of us have done an excellent job at following the public health guidelines to physically distance, wash our hands, avoid others if we are unwell and to wear a mask when appropriate. We look to our neighbours in the south and can see what occurs when the guidelines aren’t followed, and we don’t want that to happen to us. However, it’s tough to believe that we need to be vigilant when most of us don’t know people who are getting infected and we hear that only around 200 new cases a day are occurring across the entire country. 

One of the truths about human nature is that it’s very hard to believe something is real unless we see it. 

One of the truths about human nature is that it’s very hard to believe something is real unless we see it. I often think that what is even more powerful than seeing something bad happen, is to feel something bad happen, as experienced when a loved one or even, we, ourselves, endure a health-related crisis. We rarely can look at life in the same manner after that.  Emotions are powerful.

As health care workers, we never lose sight of this. We all see and feel the reality of this virus and what it can do. We look at the chest x-rays, review the blood work, monitor the oxygen levels and experience the anxiety and fear of a patient who cannot breathe due to this infection. We place people on life support when they require it.  We see the blood clots, strokes and heart attacks that COVID-19 causes. We see the kidney damage. We see the patients who have recovered from the virus but months later, are still unwell, struggling with debilitating fatigue, joint swelling and breathing problems. We also see that the vast majority of patients recover completely and are well again. This makes it easier to deal with because we know it’s certainly not all doom and gloom. But we know bad outcomes still can, and will, happen.

We need to remain vigilant about this highly infectious virus.  It hasn’t disappeared and is still very much among us.  We must accept some uncomfortable realities here. This virus doesn’t care about us – it just wants to spread.  It doesn’t care about our economy or our mental health.  As long as we give it the opportunity to jump from one of us to another, that is exactly what it will do. This isn’t “fair”, but whoever said the universe was always a fair place? At this time, it’s extremely important that we focus on what we CAN do to combat the spread of this virus, because we now know plenty on how to do that. And the good news is that much of it is pretty simple.

The simple things are the most powerful right now. Avoid close contact with others, especially indoors. This is one of the most important facts that has come to light recently. The virus seems to spread best indoors where people are in prolonged close contact. It also spreads outdoors where large numbers of people are close to one another, particularly when close talking, shouting or singing is involved, such as sports events or bar patios.  Avoid those situations ideally. If you can’t, then wear a face mask, as scientific evidence shows that it reduces the likelihood of spread in those environments. One of the most common situations for all of us is visiting a store. We should all wear a mask when we go inside any building open to the public. 

We need to wash our hands repeatedly and avoid touching our face and continue to develop that habit. Stay six feet away from others as much as possible and avoid being around anyone if you feel unwell, even if you just feel tired and have muscle aches, as these could be early or mild COVID-19 symptoms. We are still trying to understand it, but it does appear that the virus can be transmitted from asymptomatic people. At this time, it remains prudent to assume anyone you come into contact with could transmit the virus to you. 

Fortunately, the measures we can take to protect ourselves don’t mean we need to be socially isolated. We can get out into the world and interact with family, friends and loved ones. We just need to be cautious about it and do it under the correct conditions. The public health measures we take can actually help us open up society. It’s incorrect to say that these measures keep us locked down, they’re our toolkit for getting out into the world. We’re in a good position in Canada right now. Let’s stay the course. 

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EU Welcomes “Safe” Canadian Travellers. But Are You Ready?

Now that Canadians have earned a spot on the European Union’s safe travellers list, does that mean you are free and clear to book summer vacations or family visits wherever you like throughout the EU?

The short answer is Maybe, and there are many contingencies to consider before you set your sights on spending part of the summer in Britain, France, Germany, Finland, Italy or any of the other EU member countries.

The UK, for example has taken the biggest step forward in welcoming foreign visitors by dropping the 14-day quarantine requirement for those from “safe” countries (US is not included) as well for returning Brits.

Ironically, the biggest problem for Canadians planning overseas travel is not their destination country, but Ottawa, which requires (as of this date) that Canadians returning from abroad may still be subject to 14-day self-quarantines. Sort of “Welcome Home. But…”

Specifically, Travel Canada warns: “While some countries are partially opening their borders, we continue to advise against non-essential travel outside of Canada. We also continue to advise that you avoid all cruise ship travel until further notice.

“The governments of those destinations that have opened their borders to tourists could impose strict travel restrictions suddenly, should they experience an increase in cases of COVID-19. International transportation options could be reduced significantly, making it difficult for you to return to Canada. There are no plans to offer additional repatriation flights. Should you decide to travel despite our advisories, know that you might have to remain abroad longer than you expected.”

The government also notes that if you choose to travel despite these advisories: “your travel insurance may not cover your travel or medical expenses,” which is a huge risk factor in these uncertain times.

Travel policies vary: Know what you’re buying

At present, Canadian travel insurers do not have a unified policy re coverage of medical emergencies to countries affected by the pandemic. So if you’re contemplating foreign travel you need to do your due diligence (homework).

Some policies may cover non-COVID-related medical expenses in areas the government has warned against “non-essential” travel if you’re stricken with a sudden medical emergency such as, for example, appendicitis or gallbladder attack. Other policies may exclude coverage for any medical expenses (related or not to COVID) in “non-essential” travel zones. But none, at this point, will cover COVID-related medical services, as the coronavirus pandemic is a known event against which global travel warnings have been issued.

Clearly, you need to have a very clear understanding of what your policy covers or does not cover.

This is not a “fine print” issue. This is fundamental to your understanding of your own health coverage.

Your provincial health care will not bail you out on this point.

Canada’s exposure more modest than most.

What makes this situation so ironic is that Canada’s exposure to COVID-19, when measured by diagnosed positive cases and death rates, has been far more modest than many of the countries now opening up for tourism.

Example: as of July 5, 2020, Belgium has recorded 855 COVID-related deaths per/million inhabitants; UK 666; Spain 607; Italy 578; France 446 per million; while Canada has recorded a modest 236 COVID-related deaths per million inhabitants. Germany has shown the best record among European nations at 108 deaths per million, and the US has recorded 396 per million—considerably less than most European countries.

Again. The Canadian government is not forbidding you to travel abroad—or even to your second home in Florida or Arizona. But know the conditions, and when it comes to travel insurance, don’t rely on your long history of cross-border experiences. The world has changed and you need to discuss your travel insurance options with travel advisors you can trust to be up-to-date and knowledgeable.

© Copyright 2020 Milan Korcok. All rights reserved. Mkorcok@aol.com

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Enable a successful return to work for employees…

…while taking mental health into account

As companies around the world organize their employees’ “physical” return to work, questions about the psychological challenges employees experienced during the lockdown should be addressed. Taking into account the mental health impacts of COVID-19 will fortify a safe and successful return to work. This webinar will help to better understand these impacts by reviewing concrete examples and recommending practical measures to implement.

O U R   E X P E R T S   W I L L   D I S C U S S :

  • Psychological occurrences and effects during lockdown
  • Steps management should take to adapt to the diversity of employees’ psychological needs
  • A global overview of best practices, based on real-life cases
  • Q&A (20 min)

The session takes place at 8:00AM – 9:00AM (EDT) on Thursday, June 25, 2020. It is especially relevant for anyone in a leadership or Human Resources role.

Register for the webinar

OUR SPEAKERS:

Dr. Annie PEYTAVIN
Chief Medical Officer, MSH International

Based in Paris, Dr. Peytavin is Chief Medical Officer of MSH International. She coordinates the activities of all MSH medical teams (including doctors and nurses) across regional head offices in Toronto, Paris, Tunis, Dubai and Shanghai.

Barbara MATTISON
Senior trainer, Psychotherapist, Eutelmed

For over 20 years, Barbara has worked with individuals and teams to develop their strengths in international situations. Born in the United States, and having resided in the US, Canada, the UK and Algeria, she is a psychotherapist and senior trainer based in Paris. Her interventions within organizations generally encompass management and team solutions, intercultural communication or international mobility.

Albane GIACON
Clinical Psychologist, Project Manager, Eutelmed

Albane Giacon is a psychologist, psychosocial risk consultant and project manager at Eutelmed. She has resided and worked in the US, China, India and France. Her expertise includes work changes, stress and conflict management.

Please note that participation in this webinar is limited to the first 1,000 registrants. Full details on how to join will be sent upon registration. A recorded version will be made available after the session for those unable to participate.

The latest versions of Google Chrome, Mozilla Firefox, Microsoft Edge or Opera are the best advisable options for webinar access.

Best regards,

The MSH International and Eutelmed teams

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Canada Accommodates International Students: Even Through the Pandemic

As America prepares to pare down its recruitment of international students—citing tighter immigration controls, job protection for homegrown graduates, concerns about China’s infiltration of intellectual properties, and the lingering consequences of COVID —Canada’s colleges and universities are polishing the welcome mat, beefing up online alternatives, extending post-graduate work guarantees, and ultimately strengthening Canada’s position as the world’s third most favoured destination for international students.

According to Immigration, Refugees and Citizenship Canada (IRCC), international students to Canada have more than trebled their numbers since 2009, peaking at 642,000 in 2019—behind only the US and Australia. Of these, 48 percent have chosen to study in Ontario, 23 percent in British Columbia, 14 percent in Quebec and the remainder have spread across all of Canada’s other provinces.

Clearly, the onset of COVID will impact those numbers going into 2020/2021. But in May, IRCC announced accommodations to shield international students from major disruptions by expanding their options for distance learning, allowing them to complete up to 50 percent of their programs abroad while waiting for clearances and documentation to fly to Canada, easing other entry requirements for those who have already been approved for study permits, and also allowing them to retain their eligibility for the highly-sought Post-Graduation Work Permit Program (PGWP) even if they were absent from Canada for some of their allotted time.

The PGWP program allows eligible international graduates to work in Canada after their studies for a period of up to three years as part of the government’s efforts to retain them as skilled workers, and ultimately tax-paying citizens.

The following links provide detailed updates from the Canadian government and the Canadian Bureau for International Education for international students already enrolled, as well as those interested in applying to post-secondary educational institutions.

Different provinces, different rules

Navigating the Canadian post-secondary educational landscape can be challenging as the individual provinces have their own rules, admissions requirements, fee structures, and not to be overlooked–health insurance options that can’t be ignored. Though the quality of Canada’s health care is regarded highly, it’s not a single unitary system, but a consortium of individual provincially-administered plans—only some of which are available to foreign students.

In the western provinces–British Columbia, Alberta and Saskatchewan and Yukon territory, as well as Prince Edward island and Newfoundland and Labrador on the east coast, international students may be eligible for or buy into the publicly-funded provincial health insurance available to Canadian residents. These plans provide comprehensive medical and hospital coverage and doctors’ services. But even in some of these provinces, students might need private insurance to cover initial residency requirements—perhaps 90 days—before the provincial coverage kick in. Again, it differs from province to province.

In Quebec, international students are not eligible for publicly-funded provincial insurance unless they normally reside in one of 10 countries* that have reciprocal social security agreements with Quebec. If they do, their health coverage is free. *Belgium, France, Norway, Sweden, Denmark, Greece, Portugal, Finland Luxembourg, Romania. If they don’t, they will have to enroll in the private group health plans offered by their chosen schools.

In the remaining provinces, including Ontario, international students must sign up for private group plans available through their schools of choice and pay the designated fees.

Out of country travel coverage is a priority.

Though the publicly–funded provincial plans are quite comprehensive, many Canadians buy supplementary plans to cover dental, vision, drugs and ancillary services not covered by their basic provincial coverage. The great majority of Canadians in all age groups also buy private travel health insurance for out-of-country trips as provincial plans cover less than five percent of hospital or medical bills generated in other countries, including the United States, where bills of five to ten thousand dollars per day or more are routine. The province of Ontario, in fact, pays zero dollars for any foreign medical bill, so even a short half-day shopping trip across the border needs to be covered.

Fortunately, private travel insurance is widely available from brokers, banks, credit unions, travel agencies, even organizations catering to students—foreign or domestic.

International students have a broad range of choice in selecting health insurance to fit their educational and social needs in Canada. But it takes planning at the earliest stages and possibly with the assistance of Canada’s health insurance vendors to make sure they get it right. The securing of health insurance should not be considered a last-minute item or add-on.

© Copyright 2020. Milan Korcok.  All rights reserved.

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Travel Insurance is Not “Optional” in Navigating the Pandemic

If ever there was ever a time for Canadians to consider travel insurance mandatory—this is it.

With much of the western world inching toward re-opening leisure (non-essential) travel, the prospects for mandatory temperature checks, health status certificates, quarantine requirements, and unexpected cancellations are expected to last for the remainder of 2020 and perhaps into 2021.

And if an illness, or even a high temperature reading, can force you into a 14-day quarantine (imposed either by your host country or your own government) consider the cost.

To date, most governments (Canada’s included) have strongly urged travellers leaving their country to get the best medical and trip cancellation/interruption insurance possible. Their travel advisory websites have gone to great lengths describing the types of insurance available and the situations that can trigger the need for cover. The need for this was clearly illustrated when the Canadian government sent chartered airliners across the Pacific to rescue hundreds of its citizens “stranded” on COVID–infected cruise ships.

Do the math yourself—three or four days in a foreign hospital at several thousand dollars per day, then add the possibility of an air ambulance repatriation at say $25,000 from Florida; $35,000 from deep into the Caribbean, or $70,000 from central Europe. And supplement this with the prospect of a mandatory quarantine at your host destination while air ambulance operators work to get government-required health clearances to allow you to leave your island destination and another round of clearances to allow you back into Canada. Sound like drummed up horror stories?

Here’s a real scenario for one of the Caribbean’s most highly favoured locations, St. Lucia, which expects to open for tourism this summer or fall, but with the following conditions:  

  • Visitors will be required to present certified proof of a negative COVID-19 test within 48 hours of boarding their flight. 
  • Upon arrival in Saint Lucia, all travelers must continue the use of face masks and physical distancing.
  • Travelers will be subject to screening and temperature checks by port health authorities. (MK) Let’s remember that high temps can be caused by conditions other than COVID. So even your emergency hospitalization is caused by something other than COVID, you can still be restrained by regulations designed for it.
  • Protocols are being established for taxis to provide safety precautions and separate the driver from guests as an added security measure.
  • Hotels must meet a dozen or more specific criteria for sanitization, social distancing and other COVID-19 protocols before they will be permitted to open to guests.

This is just a sample. Many other Caribbean governments are using similar tactics to protect their citizens. Go to http://www.caribbeanhotelandtourism.com/ and click on Travel Advisories for individual Caribbean locations as they are updated.

Europe too is proceeding with caution.

Many countries in the European Union (still including the UK) are opening up to tourism from other EU partners, but on a selective basis. US President Trump has also signalled a willingness to begin allowing travellers from certain EU countries (starting with the lower risk nations) to enter the US subject to the restrictions imposed by the states and counties they are visiting.

This easing would apply to Canadian travellers as well, pending changes to the current lockdown of the Canadian/US border for non-essential travel. Certainly many of Canada’s snowbirds would challenge the “non-essential” characterization of their winter sojourn in a more equitable climate. But then, snowbirds don’t have to be sold on the “mandatory” nature of their travel insurance. They don’t need a ruling from Ottawa telling them how essential their coverage is: younger groups—not so much.

Canadian travel insurers are  working to update policies to account for the new restrictions, so when purchasing your travel insurance, make sure you are thoroughly updated about any changes, new health disclosure requirements, and understand the limitations of trip cancellation clauses. Trip cancellation coverage has not been as high a priority as medical coverage in the Canadian travel insurance marketplace. That must change and you need to become much more conversant about what cancellation policies cover, to what extent, and what they don’t cover. Read your policy. Every page.

© Copyright 2020 Milan Korcok. All rights reserved.

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Battling COVID-19 Episode 7: Being Patient in a Challenging Time by Dr. Michael Szabo

Remember back in early to mid-March when the reality of COVID-19 was sinking in?  Before that point, we knew it was an issue of concern, but we didn’t think it was much to stress over.  However, we slowly began to realize that the virus was spreading in the community in North America.  We heard horror stories from hospitals in Italy, where health care staff were overwhelmed.  We began to see the same thing happening in New York City.  All of a sudden, it changed, and our lives were altered dramatically.

We immediately went into lockdown. We didn’t leave the house unless absolutely necessary.  March Break vacations were cancelled.  Restaurants and stores were shut down.  Schools were closed.  We started working from home. We carefully wiped down our groceries and washed our hands obsessively.

I listened to a podcast recently where one of the speakers likened it to what happens when someone drops a glass on the floor of a crowded house party. I really like that analogy. The glass shatters everywhere, all among everyone’s feet on the floor. The first instinct in these situations is for someone to shout, “Nobody move!”  We say this because everyone knows that the shards of glass can go everywhere in these situations, in places you would least predict; places so far away that you are dumbfounded at how they got there. It’s also amazing how so many tiny pieces of glass are produced from such a smash, some so small you can barely even see them.  But those small ones can often prove to be the most damaging as they can become embedded in the bottom of your feet and be almost impossible to get out later. With everyone standing still, someone then gets a dustbin and a brush and tries like the dickens to clean up all the pieces of glass, looking in all possible places they think they may be hiding.  Then, people slowly and carefully start moving around again, realizing that surprises can still happen, and they may end up standing on a piece of glass.  So, we take our time.  Eventually, people start moving around normally with more confidence.  But we all know what can happen: a few hours, days or even weeks later, another small piece of glass is discovered in the strangest of places. We can never be truly confident that we are out of the woods for quite some time. However, at the same time, we cannot be paralyzed forever.  Life and the party must go on.

We are coming out of that initial phase right now. We are much more aware of what is happening. We have a better grasp of where the virus is in the community and how it spreads. We know how to prevent ourselves from being exposed, with face masks and hand washing now a part of everyday life. Staying six feet away from others is common practice whenever we walk down a sidewalk or take a trip to the grocery store.

The challenge right now is deciding how confident we feel in resuming our regular lives. Should we start having friends over who we feel are “safe”? Should we allow our kids to play with the neighborhood kids in small groups? Should we send our kids to day camps this summer? Can we visit our elderly parents? These are some of the questions many of us have.

I think what is required from us is patience. Patience with an imperfect process that must take time and be dictated by science, data and expert opinion. We need to trust our expert decision makers, who are tasked with the impossible job of devising a plan to optimally protect us. The process cannot be rushed because we are in the midst of a complex and new situation. As we all have noticed, experts haven’t always gotten it right.  First, they said no face masks, then they reversed their opinion. First, they said not to worry about asymptomatic spread, then they said to be concerned about it. First, they said not to worry about children because they are only rarely adversely affected. Now we are discovering that may not be true. These things happened because we learned more. The virus has affected more and more people, so with that increase in the number of infections comes more and more understanding. We are so early in the process of comprehending every nuance about this new virus. In three months, we have come a long way, but at the end of the day, it is still just three months. Our ability to be confident in making big decisions like allowing all children to go to overnight camp for the summer has to be tempered with the humility of what we actually know to be true right now.  We may overcall some things in this process but understand that we may undercall some things and live to regret them dearly. It’s a tough position to be in. When do we walk around freely after a glass has been shattered on the ground? When do we risk getting pierced by a wayward tiny shard of glass? No one has all the answers. Let’s not be paralyzed by fear, but let’s not be overconfident. A tough line to walk, but here we are. Let’s be patient, trust the process and we will overcome this.

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Are Snowbirds Ready to Plan for Life After Covid?

Any other year, Canadian snowbirds would be anticipating the release of early-bird travel insurance deals for the coming winter season in the US sunbelt or other warm subtropical location. June, July, August—that’s when insurers normally begin rolling out their products for the coming season.

But this is not just any other year. The attack of Covid-19 coronavirus has seen to that.

As we know, many of you got back north of the border by the skin of your teeth in late March and April before the border shut down. A few others didn’t quite make it and had to pay the price of quarantine.

And now the quandary: what to do about winter 20/21? A lot of questions to deal with.

When will the US/Canada border restrictions end? Will you feel safe travelling to your winter home?  Will you have to wear a face mask all winter? How do you know who to believe? Is it time to look beyond the fear?

Let’s start with some facts–as provided by John Hopkins University Coronavirus Resource Centre, official data monitor for coronavirus Infections and deaths worldwide.

The US, which is the winter home to most of Canada’s snowbirds, has attracted much attention for its  COVID-related death toll—now exceeding 80,000. That amounts to 242 deaths per one million inhabitants. (The US has a population of 330 million). Actually, that’s quite modest when compared to other major developed nations: 757 deaths per million inhabitants of Belgium; 569 per million for Spain, 505 for Italy; 479 for UK, and 393 for France. As for Canada, Covid-related deaths stand at 134 per million population, and for Germany, only 92 per million. These figures are current for May 11.

But in looking more closely at the US figures, we note that the states of New York and adjacent New Jersey account for almost one half of US COVID-related deaths while there remain huge swaths of America where the infection and death rates vary dramatically. Of special interest to snowbirds,

their home-away-from home states generally record considerably lower COVID death rates than many less populated ones. California, Texas and Florida are the top three most populous of US states, in that order. Arizona has a far smaller population but is second only to Florida in hosting Canadian snowbirds.

Florida, with a population of about 22 million, has recorded 1771 COVID-related deaths as of May 11. That’s slightly better than Ontario, which with a population of just over 15 million has recorded 1669 deaths. (The population figures are rounded to 2020 estimates). 

California, with a population of close to 40 million has recorded 2717 COVID-related deaths; Texas, with a population of about 29 million has recorded 1088 COVID-related deaths, and Arizona, with a population of about 7 million has recorded 536 such deaths.

A personal note from MK. Recording numbers of deaths is a grim business. No death from COVID or any other such plague is acceptable. But if we are to deal with our fears, we must take a step beyond, and deal with the facts that underlie those fears.

The re-opening—so far, gradual and measured.

All of these states are now gradually reopening small businesses such as restaurants, small retail outlets,  and generally inhabitants are adhering to physical distancing and face mask rules. Florida has opened up most of its beaches to small groups, properly spaced. The spring break outbursts that made headlines around the world in March and April were quickly quashed by Florida’s governor. The exception to Florida’s beach re-opening so far are the highly-populated southeast counties of Palm Beach, Broward and Miami-Dade. But central Florida, the Gulf coast, northeastern Florida and the panhandle are well into re-opening. 

In Arizona too, the lights are being turned back on. To quote a report from the Washington Examiner:

“At OSO Brewery in Gilbert, customers lined up at the bar Monday afternoon (May 11) and sat in every other dining room table. In North Scottsdale, Cien Agaves had new clear plastic dividers between booths as mask-clad staff offered digital menus to customers.”

In Texas, restaurants and retail stores have been allowed to re-open (with 25 percent occupancy), so have some malls and golf courses (one person per cart and a four-player maximum groups).  In the Rio Grande Valley, ground zero for Canadian snowbirds, barbershops and nail salons have also opened up—six feet minimum between stations and all other social distancing rules in effect.

In California, the “stay at home order” was lifted for most of the state on May 8, and hardly a week later was reinstated for Los Angeles county for a projected three months.  Nonetheless, businesses in less- populated areas were allowed to move into phase two of four phase statewide re-opening.

It’s a beginning. How long will it take? Will it be successful or turn out to be a mistake? It’s only May. But Canadian snowbirds like to do their planning well ahead of time. To be a successful snowbird, planning is the rule.

We’ll be following up on the re-opening efforts, not only in areas of interest to snowbirds, but for other leisure travellers as well.  Stay with us.

© Copyright 2020 Milan Korcok. All rights reserved.

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Time to Think About Travel Strategies—After Covid-19

That Air Canada expects the pandemic hangover to last at least three years, exposing the airline industry  to endure its “darkest period ever,” portends deep instability for all aspiring travellers for the foreseeable future.

Canadians and Americans have a lot of places to go and activities to enjoy within a day’s drive—anticipating that the border shutdown between our countries doesn’t last indefinitely.

But without the sustenance of air travellers, the tourism infrastructure—hotels, entertainment venues, theme parks, all-inclusive resorts, and mom and pop roadside operations, can’t operate at full capacity and with complete menus for long. A winnowing of destination choices and services becomes inevitable.

As Air Canada Chief Executive Calin Rovinescu said in a statement dated May 4,  “We expect that both the overall industry and our airlines will be considerably smaller for some time, which will unfortunately result in significant reductions in  both fleet and employee levels.”

What you can extrapolate from that prediction is that other smaller airlines will suffer the same fate, perhaps even more acutely. And what this represents for your summer, fall and perhaps even winter 2021 travel plans, is that you prioritize your choices, get the most you can for your dollar, perhaps stay with what you know, scrutinize those “too good to be true” deals carefully and above all make sure you are protected should your plans change through no fault of your own.

Hold on to your money

Don’t commit to large deposits unless you have an assurance you can get all or most of your money back if you cancel. In these days of uncertainty there are plenty of hotels or resorts that are willing to cancel at the last minute (or at least within 48 hours of your scheduled arrival). But make sure you have those terms in writing and you can get your deposit or full prepayment back in cash. A refund in the form of a voucher or credit for future travel is no good to you unless you’re prepared to be an interest-free lender to your venue of choice for an unspecified amount of time.

This is particularly true if your choice of vacation is a cruise, as cruise lines don’t normally offer cash refunds—except when really pressed—as they are now that their ships are empty and idle. Today it is possible to get some guarantees of cash-back refunds from some lines, but that won’t last once the worldwide embargoes on cruise travel are lifted. And even if you have private travel insurance from an independent broker, unless you have a Cancel for any reason upgrade, don’t expect the insurer to provide a cash refund if your cruise line offers you a voucher or credit for future travel. That’s seen as payment in kind, and your insurer looks askance at double dipping.

The same is true for many airlines that continue to refuse cash refunds –even despite federal government orders that they do so. Both Canadian and US airlines are still resisting paying cash refunds for trips canceled due to Covid—despite government orders and class action court suits. In Europe, the governments of 12 countries are challenging the European Union to revoke a law requiring air carriers to offer cancelled-out passenger cash refunds instead of credits.

You don’t want to be stuck in the middle of these disputes. Read your travel documents carefully—every word. Don’t get locked into a situation where your money is tied up indefinitely even if the deal you’re offered  “is too good to be true.”

And if you’re using a travel advisor—travel agent or travel insurance broker– make sure you understand the deal you’re making. And as a bottom line-put out as little cash as possible, and only at at the last possible minute.

© Copyright 2020 Milan Korcok. All rights reserved.

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Battling COVID-19 Episode 6: Wearing masks properly by Dr. Michael Szabo

The decision by public health authorities on whether or not to recommend the use of face masks was a difficult one.  One of the biggest reasons was that educating the public on how to safely wear a face mask is challenging, because of the many details involved.

During my recent forays into the public, here are the top 5 issues I have seen with people wearing masks:

  1.  Pulling the face mask down over your chin.  This is probably the number one mistake.  After wearing a mask while outside for a walk or going to the grocery store, you may need to talk to someone more clearly, eat or just “want a break” from it – so you pull it down over your chin. By doing this, you effectively contaminate yourself with any virus particles that were on your mask prior to that. The rule is once you put your mask on, don’t pull it down.  It’s either on or it’s off and there is no in between.  Minor adjustments to its position can be made but only if done safely (see below).
  2. Not covering your nose.  We breathe through our mouths and our noses.  Many people cover only their mouth with their face mask, which means they can easily breathe in the virus through their nose. They can also transmit the virus to others through their nose.  Always cover both your nose and your mouth.
  3. Touching the mask.  Never touch the mask once it’s on your face. You can transmit the virus that was on your hands onto your mask that way. Before putting on your mask, wash or sanitize your hands.  After putting the mask on, you will need to wash or sanitize your hands again.  Do not touch the mask again, unless you just need to make a minor adjustment to its position.  If an adjustment is needed, wash or sanitize your hands, adjust your mask slightly, and then wash or sanitize your hands once more. 
  4. Wearing the mask upside down.  If you are wearing a medical grade mask, the metal piece on the mask is to be worn around the bridge of your nose and adjusted to fit. The folded edge of the pleats on the mask itself should be on the bottom. 
  5. Wearing a moist mask. Once a mask is worn for a period of time, it can become moist.  A moist mask no longer acts as a protective barrier and is dangerous to wear. While running the other day, I observed a lady doing heavy gardening and lawn work with a face mask on, which had obviously become sweaty and moist. For the same reason, jogging with a mask can be problematic. It would be best to practice physical distancing measures when participating in such activities rather than wear an essentially ineffective mask. 

Wearing a face mask is a public health measure that is likely to be helpful at this time of the pandemic.  However, doing so requires a careful understanding of how to wear one properly.  Remember, once you arrive home, wash or sanitize your hands, then remove your face mask. Immediately place it in the wash or dispose of it, and wash or sanitize your hands again right after.  Please stay safe, everyone!

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“Every Kid Needs a Champion”: Five Must-Watch Videos for Teacher Appreciation Week During Covid-19

Being a teacher isn’t easy, especially in a COVID-19 world with virtual classrooms and technological challenges. This Teacher Appreciation Week, we pay tribute to all teachers by sharing five heartfelt videos to show our solidarity with their efforts and appreciation for all they do:

1. Every Kid Needs A Champion | Rita Pierson

Source: Ted Talks Education

2. A Teacher Appreciation Week for the Ages

Source: Edutopia

3. Barack Obama Surprises Teachers for National Teacher Appreciation Week

Source: NowThis

4. ‘This Will Be A Teacher Appreciation Week to Remember’: WCPSS Superintendent Cathy Moore

Source: TheNews&Observer

5. Student Parade for Teachers

Source: Wane.com

To all teachers and school administrators, thank you for going above and beyond in your efforts to instruct, inspire and challenge students to believe in themselves🍎  

– The StudyInsured Team

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[Battling COVID-19 Episode 5] A Vaccine for Coronavirus: Are We There Yet? By Dr. Michael Szabo

The current COVID-19 pandemic has led to an unprecedented effort by scientists around the world to develop a vaccine. Vaccines are important to protect us where the risks of natural infection are significant.

COVID-19 is a more deadly and dangerous virus than the flu. While we still do not have definitive data on the true risks of infection with COVID-19, one can safely say that places like New York City or Italy have never seen a flu season similar to what they are currently going through. Since mid-March, more than 60,000 people have lost their lives in the United States due to COVID-19.

It is important to note that this has happened despite the institution of public health measures like physical distancing, quarantines and self-isolation. If not for these, thousands more would have died. 

Is Allowing Natural Infection a Good Option?

One way to protect the population is to allow the infection to spread so that most of us successfully fight it off and become immune. Once that happens in a significant percentage, the virus has a reduced ability to spread and we can better contain it. Scientists currently estimate that around 60% of the population needs to be immune to COVID-19 in order to considerably reduce its ability to spread. We call this herd immunity.

The problem is that if we allow COVID-19 to infect that many of us, the loss of life and the impact on the health of many individuals would be too great, even if we allow only “low risk” individuals to become infected.

Experts have estimated that the COVID-19 infection fatality rate (the ratio of deaths divided by the number of actual infections) is approximately 0.5%. That’s lower than the case fatality rate (the ratio of the number of deaths divided by the number of confirmed cases) of 5 to 8%. Why is this? Because it considers all infections, including those that are asymptomatic or with minimal symptoms where individuals did not see a doctor to get tested. 

If we allow 60% of the population to get infected, the estimated deaths could run as high as 1 million in the United States and 111,000 in Canada.

That’s unacceptable. We must find another way.

The Safest Route

Vaccination is a way for most of us to become immune, while not placing our lives and health at risk.

But developing a vaccine is not easy. We must be able to prove that we can create a significant immune response with it. That immune response then needs to be shown to be protective when exposed to the virus.

We must also demonstrate that the immune response lasts for a considerable length of time; it wouldn’t be useful to have a response that only lasts for a few months. It should last for at least a year, and longer, to be helpful. More importantly, it must also be shown to be safe. 

Patience is the Key

Vaccine development requires following a very careful and sound scientific process that takes time. It is estimated that it will be at least 12 to 18 months before we can develop a vaccine that is acceptable for use in the mass population.

The World Health Organization (WHO) currently reports that there are five candidate vaccines being studied in 71 preclinical studies. From here, there will be clinical studies where they will be tested in small groups and then larger groups of patients.

We must be patient with this process. The last thing we need is for it to be rushed. A good example is what happened in 1976 when a vaccine for swine flu was fast-tracked for development. When rolled out to the mass population, it was found to cause a significant number of cases of a serious neurological outcome called Guillain-Barré syndrome. 

What to Do While We Wait

In the meantime, public health measures like physical distancing can lessen the spread of infection. Many clinical trials are also looking at the use of different medications to improve outcomes in those who have been infected. It goes without saying that optimizing our health with good diet, exercise and sleep as well as reducing stress likely helps the ability of our own immune system to fight off an infection.

All these interventions act as a bridge until we are able to develop a safe and effective vaccine that will hopefully protect all of us and allow us to return to a more normal life.

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Five Self-Isolating Tips From A Nuclear Submarine Captain

The evolution of the brain is the most obvious example of how we evolve to adapt.

Rick Potts, Director of the Human Origins program at the Smithsonian Institution National Museum of Natural History

We’re all living in a new world, and the self-isolation that comes with it. As social beings, we’re used to living our lives by connecting and empathizing with others. Read on for some survival tips on how to cope with our new reality, as told by a nuclear submarine captain about his experience on a U-boat.

1.           Ask questions: “How are you feeling today?” has become our new greeting – and that’s fine. We need to reach out to friends and family and check in every day. It instills empathy and reminds us to feel that we’re not alone.

2.           Think first, act later: When living through stressful situations, we tend to act on instinct. Let’s slow down the decision-making process and implement a ‘think, then do’ action plan.

3.           Focus on one thing: As with days, it’s important to take one task at a time. Multi-tasking during this time may compromise the quality of what you’re trying to do.

4.           Discipline: Create a ‘downtime routine’ in a quiet space. By this point, you know what routine works best for you, so stick with it, at your own pace.

5.           Maintain a clean environment: Your external world reflects your inner world. Keeping everything in order helps to maintain levels of calm and boost your creativity

The most important thing is to focus on what you can control, one day at a time. No matter how challenging our new world may be, we have the capacity to think creatively to get us through it.

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Cruise Bargains Sound Tempting. Can You Afford to Bite?

Despite the lingering images of cruise ships stranded at sea with passengers begging to be freed, the world’s cruise lines continue to drum up business for 2021 and even 2022. And bookings are said to be brisk–thanks to deep price-cuts and on-board cash value incentives.

When US Centers for Disease Control and Prevention (CDC) lifts its “No Sail” order depends on when it considers the COVID-19 plague under control. And though cruising is a worldwide industry extending far beyond US ports, the world’s three biggest lines*are headquartered in Florida, and their vessels at some time or other sail in US-controlled waters patrolled by the US Coast Guard. Thus, CDC jurisdiction is quite clear. (*Carnival Cruises, Royal Caribbean, and Norwegian Cruise Holdings account for 60 percent of all cruise traffic).

However, none of these lines, and very few others, are flagged in the US, thus they have not been included in US congressional economic stimulus programs and while sitting idle and empty they’re generating no revenue. Fortunately, according to cruise ship analysts, all of the big three have sufficient liquid and credit reserves to take them into 2021 and so cruise fanatics have a bountiful choice of bargains to choose, even though they may have to wait six, twelve, even 18 months to get the goods.

Is cruising in your future?  Here are some things to consider.

Cruise patrons whose trips scheduled into early summer 2020 have already been cancelled are being offered some generous future cruise credits (FCCs)—some exceeding the initial cruise value (i.e, 125 percent). A few are even offering cash rebates of fees already paid to those whose enthusiasm for cruising may have waned. Cash rebates are a rarity in the cruise industry. But for future cruises, the cash rebates may well disappear, leaving FCCs the only means of recouping your travel investment should you wish to cancel.

All cruise lines offer trip cancellation policies and promote them heavily, but cancellations must be based on specified circumstances such as job loss, illness, family death, call too jury duty, etc. You can’t just change your mind, although virtually all lines now also offer Cancel for any Reason (CFAR) policies which cost about 40 percent more than basic plans and which expand the range of cancellation options. However, even these are not without restrictions and need to be thoroughly examined before purchase.

Most decrease the cancellation payout the closer you are to departure.

And even the CFAR cancellation plans offered by cruise lines, for the most part provide only for future cruise credits, not cashbacks to you or your credit card.

For Canadian cruise enthusiasts, out-of-country emergency medical plans (most of which provide some limited cancellation/interruption benefits), or stand-alone trip cancellation plans allow cancellation for specified situations already explained. But they too will pay cash rebates only for non-refundable costs, so if a cruise line offers vouchers for future travel, that obviates your chances of getting your money back (or some portion of it).

And most important, if there should be a resurgence of COVID later on, that will disqualify any  claims for cancellation rebates as it is a known event and you will have been warned about its possible consequences and also warned that its effects would not be covered by travel insurance.

What does this boil down to? Trip cancellation/interruption coverage has a lot of contingencies attached. You need to discuss it well with your travel advisor and you need to read the policy—all of it.

If planning and pre-paying a cruise six months or more in advance sounds attractive because of the 25 percent reduction in fare, weigh all of the possibilities. The belief that “We can always cancel” is not necessarily so. Know your policy.

© Copyright 2020 Milan Korcok. All rights reserved.

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Battling COVID-19 Episode 4: Why we need to keep physical distancing By Dr Michael Szabo

In Canada, our efforts to flatten the curve are going well. Thankfully, we haven’t seen the same surge of cases that hit New York City, Italy and Spain.  Don’t get me wrong, those of us on the front lines here have seen a lot of cases, but so far, our health care system hasn’t been overwhelmed. While our good fortune has much to do with our heeding of public health guidelines, collective uptake of physical distancing rules and staying home as much as possible, I’m still a little worried. There is something about our human nature that concerns me.

At times, public health strategies can become the victims of their own success. Vaccines are a great example. The incidence of diseases that were once part and parcel of everyday life has been greatly reduced, and in some cases, eradicated completely with the advent of vaccination. As we don’t see these diseases much anymore, we don’t learn to fully appreciate their potential severity. With time, we begin to think that the diseases are nothing to worry about. Some may begin to think that it would be acceptable, and perhaps even beneficial, to get these diseases naturally in order to build “natural immunity”, which can sometimes be more robust and lifelong. With time, some people begin to fear vaccinations themselves, focusing on the associated tiny risks, rather than the risks of contracting the diseases they prevent. This loss of perspective plays a large part of the anti-vaccine movement.

We must stay the course right now.  Physical distancing has reduced the impact of the infection we are seeing in Canada, but this does not mean that we can breathe a sigh of relief and head back to a normal life anytime soon.  Our success with public health measures should only harden our resolve to keep it up even more.  We need to look at hugely impacted areas of the world for a harsh reminder of the truth as to what this virus can do – a good place to start is hearing stories from front line emergency doctors and nurses in New York City. 

There is a good reason why doctors and nurses who treat critical illnesses on the front lines believe whole-heartedly in public health measures like vaccines and physical distancing. It’s because we are immersed in the reality of what can happen in life and we never lose that perspective.

Committing ourselves to continue physical distancing is even more important than ever. We have seen success and that should spur us all on to continue. Our success should not lead us to think that it was unnecessary to institute preventive measures in the first place, or that we don’t need to follow them anymore.  The outcome we have seen is a result of the actions we have taken thus far – let’s not forget that. If a house were on fire, and the fire department was called to extinguish it, would we then argue that the fire department wasn’t needed after the fire was put out?  Or similarly, if someone with a serious blood infection were admitted to intensive care and put on intravenous antibiotics, would we look back and declare that the antibiotics weren’t needed because the patient recovered?

Physical distancing is working.  We should all be proud of our collective efforts that have saved thousands of lives and eased the burden on our health care system.  Success should breed more of the same, and not be used to deny the seriousness of the situation.  With time and a better understanding of this virus, we will be able to slowly and safely return to a more normal life.  One thing is for sure:  we will get through this together!

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[CE Credit Webinar] Managing Expats: Know the Landscape, Seize the Opportunity

Attention agents and brokers in Alberta, British Columbia, and Ontario!

Are you looking for free Continuing Education (CE) credits?

Do you know the difference between a travel insurance solution and iPMI (International Private Medical Insurance)? Do you want to learn how to successfully overcome global mobility challenges? Get the right global mobility strategy to embrace these changing times in a free CE Credit Webinar on Wednesday, April 29 or Wednesday, May 6, sponsored by MSH International (Americas).

Join this session to learn:

  • How to define an expatriate vs. a global citizen
  • Solutions for an improved travel and health care experience for globally mobile clients
  • Best practices on how to provide value amid changing global circumstances

Register today for one of the upcoming sessions:

Hosted by Sales Executives, Alannah Amantea and Addie Ziprick

Sponsored by MSH International (Americas)

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Is Coming Back to Normal, Good Enough?

It may be too early to think about getting back to “normal” once the threat, and the carnage, of COVID recedes. It could be that what was once normal just isn’t realistic anymore. 

In Europe, border-free travel between neighbouring states is no longer a given. We have seen how quickly self-preservation can overrule an ideological imperative. 

In North America, the unthinkable action of shutting down the “world’s longest undefended border” has actually happened—even though commerce continued and most “trapped” travellers eventually found their way home. But just the fact that it could be shut down came as a stunning shock of millions on either side of the so called 49th parallel who had come think that “crossing over” for a few days or half a year was a basic human “right.” 

It isn’t. It never has been. It’s a privilege. And it can be withdrawn if push comes to shove…quickly. Reality can be stark.  

How are these new “realities” going to colour our perspectives as we go about rebuilding our travel plans, our instinctive sense of freedom to move about and to enjoy the riches of globalization (while enduring its hazards).  

As we will see in a Conference Board of Canada report soon to be released, the Canadian consumer confidence index (the level of confidence consumers have about making major purchases of goods and services—such as travel) fell to its lowest level “ever” in March. In effect, respondents were extremely negative about their household finances, future job prospects and plans to make any big purchases. As the CBoC report concludes, given that Canada is in the midst of major job losses and is facing a Q2 economic contraction of 25 percent, this recession will be very bad. 

For the travel industry, air carriers, tour promoters, travel agents, cruise lines, and travel insurers this is not good news—although travel insurers might regain a little bounce given the public’s growing recognition that major travel purchases can be insured against sudden, unexpected trip or tour cancellations or interruptions. Canadians have been so focused on covering medical emergencies abroad that they have largely neglected to possibility of non-medical contingencies ruining their travel hopes and financial investments.  Maybe COVID has shaken Canadians out of that inertia. 

So far, the 21st century has visited SARS, MERS, the SWINE FLU and now COVID on us all. We didn’t seem to have learned too much from the first three of these plagues.  But maybe the last of these, affecting   virtually every country on earth, has awakened us to the need to be prepared for anything and everything. 

Maybe now we won’t think of getting on a plane for a week on Italy, Cuba, or Fiji; or a cruise to Cambodia; or a weekend in Las Vegas of New York as just another right of passage—requiring nothing more than a credit card and a jar of suntan oil. 

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Introducing MSH HealthExtend

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Is your client…

In need of a benefit plan?

We can help them take care of their health and wellness.

We partner with the world’s best providers of health benefit plans to bring your clients uninterrupted health coverage, tailored to their needs.

Our expert advisors are with you every step of the way to help you choose the right product and streamline the enrollment process.

Contact our Health & Insurance Solutions Team
Call toll-free: 1 800 292 9460
Email: msh.agent@americas.msh-intl.com

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Time for Canadians to Take up Trip Cancellation Coverage

It may be some time before tourism gets back to normal, but one thing the COVID pandemic should have taught Canadians is that they should be paying just as much attention to trip cancellation/interruption insurance as they do to out-of-country medical emergency coverage. 

The recent example of cruise ships being forced to cancel or divert trips for which their passengers have already prepaid several thousand dollars emphasizes that travelers could be at significant financial risk very quickly through no fault of their own. And though cruise companies have responded with pledges of refunds for interrupted or aborted voyages, those refunds usually take the form of credits for future cruises—not cash. Such credits don’t always confirm vacationers’ schedules or their changing attitudes about the cruise experience. 

A 2019 survey by travel insurance vendor Kanetix revealed that 65 percent of prospective Canadian travelers do not buy travel insurance or even know if they have cancellation or interruption benefits in their policies—which in Canada are heavily skewed to medical emergency coverage.  By contrast, over 80 percent of American travel insurance policies are purchased primarily for trip cancellation/ interruption coverage, and fewer than 10 percent for major medical benefits.

The survey also indicated that 36 percent of Canadian travelers who choose not to buy trip cancellation policies believe them to be too expensive, while 28 percent assume they are covered by their credit cards.  That’s a risky assumption as credit card coverage is primarily designed for short-term travel and is not as inclusive as a stand-alone policy designed for an individual traveler’s specific medical needs. 

Generally, Canadians have come to see travel insurance as a medical necessity largely because provincial health plans pay so little (Ontario nothing) of the hospital and medical costs charged by out-of-country providers. It has become tangential to medicare so much so that over 70 percent of Canadians wouldn’t think of leaving the country without it.  

But that same concern has not extended to protection of the substantial investment Canadian travelers make in planning their annual vacations, which some surveys show cost more than $6000 per couple on average. Perhaps the current pre-occupation with global travel shut-downs may change some of that thinking. 

As we have explained in previous articles, trip cancellation/interruption insurance is designed to protect money that has been prepaid and is non-refundable. If you haven’t paid for it, you’re not covered for it.  

And because what you’re buying in trip cancellation insurance is protection of your investment over time—that means any reimbursement you are due from your insurer diminishes as you get closer to the date of your departure.  

Understand too that the reason for which you can cancel matters. Unless you have a Cancel for Any Reason policy (which costs more) you can only cancel and expect recompense for specified reasons, such as a new illness, death in the family, call to jury duty, interruption of employment, house fire, etc. etc. But those qualifying conditions must be listed in your policy.  Read and understand them. 

And as we have explained before, when you buy your policy matters. For example, if you bought trip cancellation coverage before there was any warning issued about the coronavirus threat, you would have been eligible for benefits if your cruise ship or land tour to China had been cancelled, or your government had warned you not to travel to that location. But your policy also would have warned you to leave the restricted area if possible, and as soon as possible, in order to keep your benefits intact. That’s not a new wrinkle. It’s been part of travel policies for a long time. 

Trip cancellation policies need to be read thoroughly and preferably discussed with the agents selling them. You need to understand your own responsibilities in adhering to the terms of coverage. And that may not be easy as travel insurers still have a way to go in writing policies that are user friendly and more easily comprehensible than they are right now. 

But until then, it’s up to you to take all steps to protect your travel investment. Your broker, or the agent selling you your policy can help, but you can’t avoid your own responsibility in insisting on learning the details of your coverage and paying attention to them. It’s your money. 

© Copyright 2020 Milan Korcok. All rights reserved. 

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[Battling COVID-19 Episode 3] Face Masks in a COVID-19 World: To Wear or Not to Wear? By Dr. Michael Szabo

Should we wear a face mask when out in public right now? It’s a question many people have since the Centers for Disease Control and Prevention (CDC) issued its new recommendation that people wear face masks when leaving their homes. Canada’s chief public health officer has echoed the recommendation.

There is confusion because the CDC and the Public Health Agency of Canada had initially suggested that face masks not be worn in public. The flip-flop in recommendations has triggered many questions.

It’s important to understand that, in a complex and evolving situation as this, it can be quite difficult to set a firm policy. As the situation changes, the risks and benefits of recommendations are constantly re-evaluated. In a way, it’s reassuring that agencies aren’t being rigid and are revising their guidelines based on the best available information, with the goal of keeping us all safe.

However, the reason behind much of the change in face mask recommendations is the increase in community spread of the virus. We now believe that there is indeed some community transmission from people with no symptoms (asymptomatic), or minimal symptoms (pre-symptomatic), before they realize that they are sick. This occurs when these individuals are breathing, sneezing or coughing in close proximity to others (within 6 feet). At first, transmission of the virus in these circumstances was thought to be unlikely but we’re now reconsidering that possibility. The CDC wants to err on the side of keeping people safe, particularly in areas of the world that have seen high levels of community transmission and where physical distancing measures can’t always be optimally practiced.

While wearing a face mask does have some risks – it must be worn properly or it can increase the risk of infection, for example – experts believe that the benefits likely outweigh the risks at the present time.

We should consider wearing a face mask when venturing out into the community where it may be difficult to maintain social distancing measures. In other words, if you’re likely to get within 6 feet of others despite your best efforts, wear one. This includes visits to a grocery store or pharmacy where groupings of people are common. However, individual interactions such as going for a jog or a walk don’t necessarily require one.

In addition, you don’t need a medical grade face mask (surgical or N95, for example). In fact, you can make your own cloth mask at home. The CDC provides useful information on how to do just that: https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/diy-cloth-face-coverings.html

Wearing a face mask safely is of the utmost importance. The cardinal rule is to treat it as if it’s covered with the virus. Remember to wash your hands before putting the mask on, making sure it covers your mouth and nose. Never touch the mask itself while wearing it. Be very careful to not let the mask touch your face when removing it. Wash your hands immediately upon removing it. It should not be reworn until it has been fully cleaned in hot water in a washing machine.

Lastly and perhaps most importantly, don’t fall victim to the false sense of security that a mask can provide. No mask can provide 100% protection. Continue to practice physical distancing while wearing it.

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Battling COVID-19 Episode 2: From the Front Lines with Dr. Michael Szabo

With the increasing number of COVID patients presenting themselves to hospital emergency departments across Toronto, it’s a regular occurrence for me to come across several suspected cases while I’m working. Most are well enough to go home, but some are so sick that they need to be admitted. I find myself checking in on the test results of patients I have sent home, breathing a sigh of relief with each negative and feeling a knot in my stomach with each positive. The challenge with being an emergency doctor is that we see a lot of the bad outcomes. They are our reality. During a pandemic, it begins to feel to us like “everyone is dying” – but not everyone is. In fact, the majority of people recover from the virus. The increase in positive results will not only usher in a new reality but hopefully will reduce my own anxiety about a positive test result and its implications. A positive result is not a reason to panic and most of the patients I discharge won’t ever come back to the emergency department. I will likely stop checking their results after a while.

One of the things that is true about life is our ability to adapt. Once the new ‘normal’ takes hold, we adjust. Life just keeps moving. We’re living amid a pandemic and simply put, we can’t will it away. To accept this harsh reality, or modern-day Twilight Zone, is a process we’re all going through, in our own time and in our own way.

Some of us may need a bit more help and time to acclimate to this new ‘normal’. Getting help is not a sign of personal weakness but rather an expression of our own humanity. Reaching out shows self-awareness and strength of character. Sometimes we need help to talk through our concerns. Sharing our deepest fears with others is powerful, particularly with those trained to help navigate the complexities of human emotion. Using technology, it’s now easier than ever to

connect with a mental health provider, or family doctor, to discuss our emotions and secure advice to get the help we need.

This is a difficult time that poses a tremendous challenge for all of us. Let’s remember to do the little things to boost our mental health as much as possible. This means eating well, getting fresh air, exercising, connecting virtually with others and getting a good night’s sleep. Over time, we will adjust to our new circumstances. And if you need a little help along that journey, then please reach out for mental health support and at the same time, pat yourself on the back for having the strength to do so at such an arduous time.

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Battling COVID-19 Episode 1: From the Front Lines with Dr. Michael Szabo

Recently, I’ve been working quite a bit in the emergency room of the hospital where I’ve served as a staff physician for the past 20 years in downtown Toronto. There are many positive things happening at the hospital: Everyone is working together to prepare for all the challenges that lie ahead. We’re all connecting with co-workers in ways that are meaningful and inspirational. The strength of the human spirit is alive and well. And we know that we will get through this difficult time and be better for it.

We’re starting to see a number of cases of very sick patients with COVID-19 at the hospital. Yes, most of them are older folks over 70, often with chronic health problems. But I’m going to be real with you. We’re seeing some young and otherwise healthy people becoming very sick – sometimes, critically. It’s important to realize that these cases are rare when compared to all the people likely infected – much less than 1%, but we are still figuring that out. The overwhelming likelihood for those of us who get this virus, and are under 60 with no chronic health problems, is that we will be able to fight it off and recover. But one thing that we’ve always known about infectious disease is that a very small number of otherwise healthy people can become quite sick. While it’s true for the flu, this is much worse. We don’t fully understand why and we’re unable to predict to whom it could happen. A nerve-wracking tidbit of information, I know.

This won’t be easy. It’s okay to say it aloud because it’s good to be honest. Being honest can diffuse the tension we may feel inside by getting our feelings out into the open. The most important thing is to remember what we CAN do to help get us through this time. We have the power to lessen the impact of this virus and reduce the chances of becoming infected. We’re not powerless here.

For example, we’re all doing an EXCELLENT job with physical distancing.  So, let’s keep that up.  Remember to stay home as much as possible. Avoid any close contact with anyone other than immediate family. By all means, go out for walks, breathe some fresh air and get some exercise  – but stay at least 6 feet away from others. That’s about the size of a pair of skis! 

We must remember to wash our hands and not touch our faces. If we’re sick with any kind of cough, runny nose or sore throat, self-isolate at home and avoid close contact with anyone.

These are all simple things but sometimes the most powerful things are the simplest. We’ve got this. If we all do the right thing, we can greatly lessen the impact of this virus. The power is in our hands.

Dr. Michael Szabo

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10 Tips to Help International Students Survive Self-Isolation

For the 642,000 international students currently in Canada, COVID-19 presents a challenging situation, leaving them isolated and financially vulnerable with few options available. Studies have shown that loneliness can damage mental and physical health, leading to depression. Some students may face problems processing information, and have difficulties with memory retention, recall and decision-making.  

Our minds can serve as our best friend or worst enemy during such times. As guardians for and carers of international students, we want to share these 10 tips to help them survive the COVID-19 crisis: 

  1. Kill isolation with daylight: Our circadian rhythm can change in only 24 hours without daylight, impacting our sleep cycle and making isolation feel worse. An increase in daylight exposure reduces levels of melatonin, helping students to feel more alert and awake.
  2. Encourage moderation of online activities: Find activities that don’t require a screen. Students are accustomed to stimulation from mobile devices so disconnecting is important for them to reconnect with themselves. This may be accomplished by simple tasks such as preparing a meal or house cleaning.
  3. Teach them to be their own best friend: The truth is students only have themselves right now so the need to find inner strength and peace is crucial.  There are multiple exercises that can help such as meditation, self-affirmation and writing a journal.
  4. Practise xenophobia-awareness: International students, especially those of Asian origin, have dealt with micro-aggressions stemming from xenophobia (prejudice and the fear of foreigners) with the spread of COVID-19.
  5. Start a community WhatsApp or Facebook group: Reaching out to isolated students can be meaningful and helpful stay connected with students and keep them in the loop.
  6. Find cross-cultural counsellors: Reach out (virtually) to cross-cultural counsellors with experience with international students. Take this as an opportunity to find volunteers who want to help. 
  7. Re-adjust rule structures: Create a list of at-home activities and rules to avoid boredom for students. Have a game plan to keep them busy and entertained.
  8. Give yourself space: In these moments, stress levels and short fuses can increase for everyone. Decide upon and recognize a signal that means “enough”, then take a moment to collect yourself in a different room. Remember to stay positive and learn how to find peace when someone strains your patience.
  9. Encourage them to exercise: By Increasing our heart rate, more oxygen is pumped to our brain. This results in a plethora of hormones to better our brain function.
  10. Help them create a new plan: Students need to understand that these challenging times will not last forever. Help them to see the light at the end of the tunnel so that they can think about the next step and what they plan on doing after this has passed. This will teach them a great life lesson to reapply in future difficult situations.
Posted on

COVID-19 Expatriates FAQ’s

Effective Date: March 26, 2020
Please note: This FAQ document replaces any and all previous versions.
Currently Available in English Only.

Can I receive COVID-19 testing even if I have no symptoms?

Since medical benefits are largely limited to expenses related to unforeseen emergencies requiring immediate attention, elective testing for COVID-19 is unfortunately not covered. If you are in Canada, please check with your province’s Ministry of Health for COVID-19 testing details. For example, in Ontario, COVID-19 testing is covered at no charge, regardless of your eligibility under the Ontario Health Insurance Plan.

Where do I go for COVID-19 testing?

If you are in Canada, please visit the website for your province’s Ministry of Health to view a list of assessment centres in your area.

Are over-the-counter COVID-19 screening kits (such as those available in pharmacies) covered?

Unfortunately, over-the-counter medications, including screening kits, are not covered.

Does my policy cover medical expenses related to COVID-19? 

All policies with effective dates before the Government of Canada’s global travel advisory issued on March 13, 2020 will cover emergency COVID-19 treatment not covered by government insurance, provided the trip destination was not under a travel advisory at the time of departure. It must be noted, however, that governments normally cover pandemic-related treatment costs.

Will my policy provide repatriation coverage if I get COVID-19 and need to be returned to my home country?

Unfortunately, our Assistance service excludes coverage for repatriation that requires transportation in a biohazard isolation unit.

Am I covered by trip cancellation or trip interruption insurance?

Canadian travel insurers determine this on an individual policy basis. Policies purchased after the Government of Canada’s global advisory against non-essential travel issued on March 13, 2020 may not provide coverage for trip cancellations related to COVID-19.

What do I do if I get sick while I am travelling?

If you begin to feel symptoms related to COVID-19, contact Assistance at 1-866-883-9787, toll-free from Canada or the United States, or at 1-416-640-7865 from anywhere in the world.

Assistance will help to assess your symptoms and direct you, as needed, to a hospital or clinic for the appropriate care. Depending on your specific situation, Assistance is also available to:

  • Provide interpretation services to help you better communicate with health care personnel
  • Advance funds to a service provider if you’re required to pay up-front for medical care
  • Monitor your case through to recovery

When consulting with a doctor, be sure to disclose if you visited any high-risk areas or have been in contact with anyone who has shown COVID-19 symptoms.

Will I be covered for self-isolation or quarantine—for example, if I need a hotel room?

Precautionary quarantines imposed on travellers due to government restrictions, including upon arrival at a destination or upon return to their home country, are not covered under our Discover Canada policy. However, if your return to your home country is delayed due to a precautionary quarantine, your coverage can be extended provided you remain eligible. Coverage is automatically extended for up to five days under certain circumstances (ex: delayed return due to flight disruption or hospitalization).

Provided their policy took effect before March 13, 2020, insured individuals hospitalized due to COVID-19 infections will be covered the same as with any illness. However, this does not include self-isolation outside of a hospital, as our policies do not cover additional living expenses.

Will my policy limit or end coverage if an official advisory is issued by the Government of Canada?

Most policies exclude expenses incurred in locations for which an advisory was issued before departure. As the Government of Canada advisory against all non-essential travel was issued on March 13, 2020, policies for trips taken after this date would not cover COVID-19 related expenses.

Policies with an effective date up to March 13, 2020 will continue to provide coverage for unforeseen emergency expenses related to COVID-19, as per policy terms. New Canadian government advisories will not affect COVID-19
coverage in these policies. However, expenses related to COVID-19 will not be covered for any travel to, from, or through a country for which the Government of Canada had issued a travel advisory prior to the effective policy date.

Can I still mail information, such as original documents regarding claims, to MSH International?

While our offices are still open and mail continues to be delivered, we kindly ask that claims and supporting information be submitted online or via email.

What if I get sick returning to Canada from abroad?

If you have travelled, or have been in contact with someone who has travelled:

  • Stay home and avoid contact with others for 14 days
  • Contact your local public health authority within 24 hours of your arrival in Canada
  • Follow up with your health care professional

Closely monitor your health. If you develop fever, cough, or difficulty breathing over the 14 days after your return:

  • Call your health care provider or your local public health authority
  • Disclose your symptoms, travel to the outbreak area/area under travel advisory, and/or any contact with individuals with symptoms

If you are sick and need medical attention in Canada:
– Notify the medical clinic or hospital in advance. Disclose your symptoms and/or your travel abroad. DO NOT take public transit, an Uber, or a taxi!
– Wear a mask while waiting for or receiving treatment to prevent spreading the illness

If you feel sick before your departure for Canada:
– Do not use any form of public transportation
– Seek medical attention immediately

If you feel sick during travel to or upon your arrival in Canada:
– Inform the flight attendant, cruise staff, or a border services agent. They will decide whether medical assessment by a quarantine officer is needed

My expatriate plan covers 100% of my medical costs. Does this include care related to COVID-19? Are there reimbursement limits?

All existing MSH International expatriate policies will cover COVID-19 the same as any other illness, based on each policy’s terms and conditions. Any specific exclusions would be listed in the policy exclusions.

My doctor postponed my medical appointment because of COVID-19 and my insurance has since expired. As the postponement wasn’t my fault, will this appointment still be covered?

Unfortunately, since the policy has expired, the appointment will not be covered.

Are there specific hospitals where I can be treated for COVID-19?

Most hospitals are equipped to handle patients with COVID-19 illness. The MSH Provider Tool can provide you with more details on nearby hospitals in our network. If you are seeking COVID-19 treatment, it’s crucial that you call ahead and notify the hospital of your symptoms before visiting.

Who do I contact if I am showing COVID-19 symptoms?

Contact your primary care physician or your province/state’s local public health department for medical guidance and protocols. It’s important to maintain a distance of 2 metres (6 feet) from others at all times.

I’ve called the health department in my area but can’t reach anyone. What do I do?

If your COVID-19 symptoms are minor to moderate, isolate yourself at home. If you live with others, stay in a separate room, or keep a 2 metre (6 foot) distance away. Continue trying to reach your local health department or primary care physician. If your symptoms worsen (for example, difficulty breathing), call 911, the emergency room of your local hospital, or your urgent care centre. It is crucial to notify them of your condition before you arrive so that the medical team can take the proper precautions.

Contact your account manager if you have any questions about your coverage.

Posted on

COVID-19 Visitors to Canada FAQ’s

Effective Date: March 26, 2020
Please note: This FAQ document replaces any and all previous versions.
Currently Available in English Only.

Can I receive COVID-19 testing even if I have no symptoms?

Since medical benefits are largely limited to expenses related to unforeseen emergencies requiring immediate attention, elective testing for COVID-19 is unfortunately not covered. If you are in Canada, please check with your province’s Ministry of Health for COVID-19 testing details. For example, in Ontario, COVID-19 testing is covered at no charge, regardless of your eligibility under the Ontario Health Insurance Plan.

Where do I go for COVID-19 testing?

If you are in Canada, please visit the website for your province’s Ministry of Health to view a list of assessment centres in your area.

Are over-the-counter COVID-19 screening kits (such as those available in pharmacies) covered?

Unfortunately, over-the-counter medications, including screening kits, are not covered.

Does my policy cover medical expenses related to COVID-19? 

Visitors to Canada medical insurance policies can cover emergency COVID-19 treatment in Canada, but policy exclusions may apply, such as exclusions related to pre-existing medical conditions. Governments may also cover pandemic-related treatment costs. Expenses related to COVID-19 that occur on side trips outside of Canada would not be covered if the trip destination is under a Canadian travel advisory at the time of departure.

Will my policy provide repatriation coverage if I get COVID-19 and need to be returned to my home country?

Unfortunately, our Assistance service excludes coverage for repatriation that requires transportation in a biohazard isolation unit.

Am I covered by trip cancellation or trip interruption insurance?

Canadian travel insurers determine this on an individual policy basis. Policies purchased after the Government of Canada’s global advisory against non-essential travel issued on March 13, 2020 may not provide coverage for trip cancellations related to COVID-19.

What do I do if I get sick while I am travelling?

If you begin to feel symptoms related to COVID-19, contact Assistance at 1-866-883-9787, toll-free from Canada or the United States, or at 1-416-640-7865 from anywhere in the world.

Assistance will help to assess your symptoms and direct you, as needed, to a hospital or clinic for the appropriate care. Depending on your specific situation, Assistance is also available to:

  • Provide interpretation services to help you better communicate with health care personnel
  • Advance funds to a service provider if you’re required to pay up-front for medical care
  • Monitor your case through to recovery

When consulting with a doctor, be sure to disclose if you visited any high-risk areas or have been in contact with anyone who has shown COVID-19 symptoms.

Will I be covered for self-isolation or quarantine—for example, if I need a hotel room?

Precautionary quarantines imposed on travellers due to government restrictions, including upon arrival at a destination or upon return to their home country, are not covered under our Discover Canada policy. However, if your return to your home country is delayed due to a precautionary quarantine, your coverage can be extended provided you remain eligible. Coverage is automatically extended for up to five days under certain circumstances (ex: delayed return due to flight disruption or hospitalization).

Provided their policy took effect before March 13, 2020, insured individuals hospitalized due to COVID-19 infections will be covered the same as with any illness. However, this does not include self-isolation outside of a hospital, as our policies do not cover additional living expenses.

Can I still mail information, such as original documents regarding claims, to MSH International?

While our offices are still open and mail continues to be delivered, we kindly ask that claims and supporting information be submitted online or via email.

What if I get sick returning to Canada from abroad?

If you have travelled, or have been in contact with someone who has travelled:

  • Stay home and avoid contact with others for 14 days
  • Contact your local public health authority within 24 hours of your arrival in Canada
  • Follow up with your health care professional

Closely monitor your health. If you develop fever, cough, or difficulty breathing over the 14 days after your return:

  • Call your health care provider or your local public health authority
  • Disclose your symptoms, travel to the outbreak area/area under travel advisory, and/or any contact with individuals with symptoms

If you are sick and need medical attention in Canada:
– Notify the medical clinic or hospital in advance. Disclose your symptoms and/or your travel abroad. DO NOT take public transit, an Uber, or a taxi!
– Wear a mask while waiting for or receiving treatment to prevent spreading the illness

If you feel sick before your departure for Canada:
– Do not use any form of public transportation
– Seek medical attention immediately

If you feel sick during travel to or upon your arrival in Canada:
– Inform the flight attendant, cruise staff, or a border services agent. They will decide whether medical assessment by a quarantine officer is needed

Am I covered for emergency medical treatment in Canada for COVID-19?

Policies for travel purchased will continue to cover new and unforeseen medical expenses related to COVID-19 infection; however, it’s best to consult your policy wording for specific details. Alternatively, you may contact us for help in determining the impact of COVID-19 on your coverage.

Am I covered if I am from a country with a known outbreak of COVID-19?

Coverage for COVID-19 treatment in this instance will be determined on an individual case basis, taking into account traveller health for the stability period before the policy start date.

Will I be covered if I contract COVID-19 during travel outside of Canada, or on a visit to my home country?

The Discover Canada policy allows for side trips outside of Canada, provided that certain criteria are met (see your policy wording for details). Side trips outside of Canada that took place before the Government of Canada’s global travel advisory issued on March 13, 2020 are covered for emergency COVID-19 related expenses, provided the trip was not made to a country for which an advisory was issued at the time of departure. Side trips after March 13, 2020 are not covered for COVID-19 related expenses.

The Discover Canada policy does not cover expenses incurred during trips to your home country.

You can also call us at 416-730-8488 (or toll-free at 1-800-360-3234) to speak with a customer service representative or email us at helpline@americas.msh-intl.com