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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.
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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.

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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

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Stay in Place. Follow Official Guidance. This will End.

By now, all Canadians who have been abroad should either be at home or in the final process of getting there. The coronavirus COVID-19 has changed our lives, and perhaps, when we come out at the other end of this trial, we’ll all be better off for it. We’ll be better prepared to deal with any such disruption in future, more cognizant of how vulnerable we really are when we travel to environments not our own.

For now, travel is not in our immediate future. For Canadians, some of the most inveterate travellers on earth, that may seem like a forbidding challenge. But this too will pass and when it does we may view travel as more of a privilege than a human right and we’ll be more careful about our choices, our preparations, our own untidiness when it comes to making plans, our own consideration for the others we impact when we do travel: like when we recline our aircraft seat into somebody else’s knees, or carelessly sneeze into the space of five or six of our travelling neighbours.

New warnings, old advice

We have seen and heard in recent days that some travel insurers have warned that newly purchased trip cancellation plans can no longer cover you for coronavirus-related illness if you have travelled where your government has warned you not to travel. And if you have done so, our government has warned you to move out and try to get home. There’s nothing new about this. Trip cancellation policies have had such exclusions in place for a long time.

As we have explained in earlier blogs, once your government has raised its warning level to “Avoid non essential travel” or “Avoid All Travel”, the restrictions are in and your benefits are seriously limited.

There are also many questions being asked by travellers who had to cancel trips or interrupt them to get home. If you bought your policy before the warnings went up you are covered, but only until you can get out of harm’s way, and your insurer is available to help you. Don’t expect to stay on indefinitely.

And even if you bought trip insurance prior to such warnings, don’t expect limitless coverage. All policies have limits on what they will pay if you are stranded and delayed getting home. So don’t try to take advantage. And understand that trip cancelation insurance covers only non-reimbursable money you have already paid. It does not pay for the emotional loss of your trip of a lifetime dream.

We’ll continue to update and advise you about what types of insurance you should consider when planning trips into the future. This is important, because recent survey has shown us that though about 70 percent of Canadians (of age groups) buy medical emergency coverage for out of country travel, only one third think about covering trip cancellations and interruptions. Perhaps COVID-19 will change that equation.

But for now, we can only urge you to stay close to home. Follow the advice provided by your federal and local governments and health authorities, and be patient.

© Copyright 2020 Milan Korcok. All rights reserved.

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Cruise Lines Roll Out Deep Bargains During Virus Threats… Interested?

Cruise lines are now offering deals you wouldn’t have believed possible even a couple of weeks ago—obviously not to China or other western Pacific regions, but anywhere else—to the Caribbean (which normally attracts 32 percent of the world’s cruise traffic), to Mediterranean waters (forget Italy), Alaska and the rest of the world. They have suffered severe business losses since the COVID epidemic spread, and they intend to stay afloat during the current tempest.

It’s a buyers’ market, for either short or long term bookings. Should You buy? That’s your personal decision and your willingness to take on risk.

Dr. Anthony Fauci, head of the US National Institute of Allergy and Infections Diseases, and consultant to the White House COVID response team, has advised that anybody with a serious underlying condition, and especially persons over 60 with serious conditions “should not get near a cruise ship.”

Canada’s PHAC has gone one step further than the CDC in advising against all travel on cruise vessels.

Certainly that is the safest route, but shutting down an industry as massive as this one is bound to have enormous economic effect as well as an effect on million of jobs globally, and that too has to be a consideration for any government to make.

However the final decision to cruise or not is yours. Whatever your choice, if you do choose to book a cruise for future travel and you want to buy travel insurance from a Canadian vendor, talk to your travel advisor to make sure your policy will cover you. It may be the PHAC advisory may invalidate your coverage just as it would if you chose to travel to a country for which it has raised an “Avoid all travel” warning.

And it you’re young and in good health and can’t resist the temptation to cruise at bargain prices, here’s what you need to know.

Cash is not an option

In addition to rock bottom fares, cruise lines are offering waivers of cancellation penalties (those are the charges they levy if you cancel a cruise) or if you change your itinerary or the date of your trip. Sounds good, but understand that they’re not going to give you your money back. The most you get will be a cruise credit for a future trip.

All cruise lines offer their own in-house trip insurance–some covering only trip cancellation/interruption benefits, others a combination of TC/P and medical coverage—though the medical benefits they offer are very skimpy compared to the private travel insurance Canadians can buy from their own brokers, banks or TI insurers. But even those in-house polices will only cover up to 75 percent of any prepaid, non recoverable costs. So read that policy—every word. And understand that no standard travel insurance policy will cover virus outbreaks or trips you decide to cancel because you fear what might happen while travelling.

Fear Isn’t covered

Fear is not a coverable benefit under most policies except “Cancel For any Reason” policies or upgrades to existing policies. They’re also known as “Change of mind” policies or upgrades.

Even cruise companies now offer Cancel for Any Reason benefits, but you’ll pay 40 percent more for them, and they will usually allow you a reimbursement of up to 75 percent of the costs any prepaid non-

refundable costs you have already committed. And, you guessed it, they’ll pay only in future cruise credits, not cash.

Private third party insurers in the US also provide CFAR policies or enhancements and they are increasingly popular (at about 40 percent more than regular fees). But the advantage they have over cruise policies is that they will pay out in cash. Some Canadian insurers also provide CFAR upgrades, but their payout levels are usually lower than 75 percent.

The bottom line

If you have any serious underlying health conditions—no matter what your age, or especially if you’re over 60 and have serious underlying conditions—check with your doctor about the advisability of cruising. Only your doctor can be trusted to judge if the condition you have is of the type that should preclude you from cruising.

Read your policy—every bit of it. And if you’re thinking of taking advantage of those cruise bargains—caveat emptor.

© Copyright 2020 Milan Korcok. All rights reserved

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Spring Break Part Two: The Caribbean & South America

Spring_Break_Destinations_for_2020

Feel like wandering a little farther afield than your typical Spring Break jaunt? Try venturing to one of these destinations closer to the equator for a tropical getaway.

The Caribbean

Mexico, Cuba, the Dominican Republic, and Costa Rica are Caribbean hotspots this time of year. It’s worth planning any excursions and activities well in advance. When it comes to dining, made-to-order food stations guarantee fresher and better-quality options. Seafood is a wise, and likelier cheaper choice, given the proximity of these locales to the ocean. Staying at an all-inclusive resort? Check the activity calendar for fun things to do—just be sure to verify what’s included in your stay.

Brazil

The Carnival of Brazil is a feast for the senses. Considered to be one of the world’s biggest parties, the five-day festival features parades with elaborate floats and thousands of dancers and drummers in the streets. Samba with the locals at any of the free live concerts and blocos de rue (neighborhood block parties). These are all-day (and all-night) events so be sure to bring your phone charger but leave your valuables at home.

Colombia

Colombia may be synonymous with coffee, but it’s an ideal destination for nature lovers. Horseback riding tours are popular and available for every riding level. With trails winding through lush forests and pristine beaches, these tours offer a memorable way to experience the diverse scenery. From accommodation to local attractions, Colombia is an inexpensive destination. You’d be hard pressed to find tastier street food—think arepas, tamales, empanadas. For a truly authentic Colombian experience, visit the farmers’ markets for unique arts, crafts, fresh produce, and the best food trucks available.

Peru

Peru offers so much more than Machu Picchu. Its capital, Lima, known as the city of kings, boasts an exciting nightlife, colonial-style architecture, world-class food, and adrenaline-inducing activities such as surfing, paragliding, sandboarding, and ziplining. Numerous museums in the city, and throughout Peru, offer free admission on the first Sunday of every month. Popular attractions such as Plaza Mayor, Casa De La Literatura and Parque del Amor are also free. The Free Walking Tour Peru group, operated by licensed Indigenous guides, run highly-recommended tours in Lima, Cusco, Arequipa, Barranco and Miraflores—and yes, the tours really are free.

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COVID-19: STAY SAFE WITH THE FACTS

COVID-19

from the MSH Americas Medical Team

WHAT IS COVID-19?

COVID-19 is a strain of coronavirus that has not been previously identified in humans.

CORONAVIRUSES are a family of viruses causing illness ranging from the common cold to more serious diseases such as Middle East Respiratory Synrdome (MERS-CoV), Severe Acute Respiratory Syndrome (SARS-CoV), and COVID-19 (2019-nCoV).

Coronaviruses are transmitted between animals and humans. SARS was first transmitted to humans from civet cats; MERS was transmitted to humans by dromedary camels.

WHAT ARE THE SYMPTOMS?

Common symptoms are:

  • Fever over 38°C
  • Cough
  • Shortness of breath / difficulty breathing

In more severe cases, infection can cause pneumonia, kidney failure, and even death.

HOW IS IT SPREAD?

COVID-19 is transmitted from person to person by respiratory droplets from coughing or sneezing. These droplets can be inhaled if you are in close contact with an infected person. Touching objects or surfaces with respiratory droplets on them and then touching your mouth, nose, or eyes can also spread the virus.

The time between exposure to the virus and the onset of symptoms is between 5 and 14 days, so the appropriate quarantine period for an individual exposed to COVID-19 is 14 days.

HOW IS IT TREATED?

There is currently no vaccine for COVID-19. Medical care is focused on managing symptoms, by getting lots of rest, drinking plenty of fluids, and treating the fever.

PREVENTION IS KEY

  • Wash your hands thoroughly with soap and warm water
  • Cover your mouth and nose when sneezing or coughing, and/or sneeze or cough into a tissue
  • Avoid touching your eyes, nose, and mouth
  • Avoid close contact with anyone showing symptoms of respiratory illness such as coughing or sneezing
  • Stay home if you are sick. Do not use public transportation or taxis. Do not go to work, school, or other public places.
  • If you have symptoms, avoid travel, particularly flying, and seek medical attention as soon as possible.

If you are travelling to an area known to have cases of COVID-19, avoid:

  • High-risk areas such as farms, live animal markets, and areas where animals may be slaughtered
  • Contact with animals (live or dead), including pigs, chickens, ducks, and wild birds
  • Surfaces with animal droppings or secretions on them

If you have or may have COVID-19, please refer to this link for more guidelines on preventing the spread of infection.

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Top US Spring Break Destinations for 2020

Whatever the reason for your getaway– tired of the cold, need some family time, or just plain burnt out– here are some tips to help you get the most out of your travels during this upcoming spring break. First up, some places to consider for both relaxation and excitement in the continental USA.

3 places to spend a week off in America:

MIAMI, FLORIDA

It’s called the Sunshine State for a reason, so be sure to wear lots of sunscreen and drink plenty of water. The Metromover train is a convenient (and free!) way to get around downtown Miami. If you can’t do without your dose of yoga while on vacay, free classes are offered across the city. View local graffiti and street art at Wynwood Walls or take in one of the live music shows at Bayside Marketplace. A trip to Miami isn’t complete without a visit to Miami Beach, but steer clear of hotel restaurants along Ocean Drive and their 2-for-1 drink offers—they typically include conditions, hidden gratuities, and extra charges, with an astronomically expensive bill as a result.

ORLANDO, FLORIDA

For many families, going to Disney World is a rite of passage but a costly one. Buying bottled water on Disney grounds will seriously hurt your wallet (not to mention the planet!) so do as the locals do and tout your own reusable (non-glass) water bottles. You’ll be able to refill them at water fountains and quick service restaurants around the park. Consider insulated, stainless steel bottles to ensure water stays cold for as long as possible. Bringing snacks for the kids can also be a big money saver, unless you don’t mind paying $7 (US) for a Mickey Mouse pretzel. Be sure to pack the daily essentials—sunscreen, sunglasses, hats, umbrella—as these items are outrageously overpriced. Ditto for the Mickey Mouse ears and other Disney souvenirs—they’re considerably cheaper at stores outside the park. The My Disney Experience app can help maximize family fun by bundling every aspect of your trip, from booking your hotel to researching wait times at attractions to looking for the nearest bathroom and other amenities.

LAS VEGAS, NEVADA

Check out the spectacular Fountains of Bellagio for a beautifully choreographed performance of music, water, and light. The free 15-minute show runs daily and draws huge crowds, so consider getting there early. Tour the hotels along the strip—with their various themes, they’re attractions in their own right, even if you’re not an actual guest. But there’s more to Vegas than just the strip. Sample some tasty brews (try the coffee beer!) at Banger Brewing, learn about some less-than-upstanding historical figures at the Mob Museum, marvel at the views and engineering of the Hoover Dam, or take a short day trip to one of the many nearby natural attractions like the Valley of Fire State Park, the Grand Canyon, or Red Rock Canyon.

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Coronavirus Impacts Travel Insurance Coverage: Stay Protected

With commercial airline traffic to and from China virtually shut down, and with little prospect that control of the coronavirus is imminent, travellers need to do a quick study of what travel insurance can or cannot do in protecting them from unexpected costs of emergency medical care, trip cancellations, disruptions, re-routings or possibly even temporary isolation far from home.

To help with that study, we have asked Matt Davies, Senior Product Specialist with MSH International to help us navigate through the finer points of travel insurance benefits and limitations as they are provided to Canadian travellers planning visits to countries impacted by the coronavirus epidemic.

One important point to emphasize is that these guidelines or limitations are largely dependent on government assessments of health or other risks in foreign countries and are not just arbitrary rulings set out by insurers.

The before or after rule

Generally, if you purchase insurance for travel to any nation for which the government of Canada has issued “avoid non-essential travel” or “avoid all travel” warnings, certain benefits normally provided may be limited or excluded.

In the case of China, where there is a Canadian government warning extant against non-essential travel to the country as a whole, and all travel to the specific province of Hubei (the immediate site of the coronavirus outbreak), any medical expenses you incur related to that disease would not be coverable if you bought your insurance after those warnings were raised. Once the warnings are lifted, coverage returns to normal.

But if you purchased travel insurance for a trip to China before the government issued its warnings, and you either cancelled your trip or decided to return home early due to concerns about the coronavirus, your trip cancellation and interruption benefits would remain intact.

What would those benefits be?

Again: for trip cancellation and interruption benefits to be applicable, you must have purchased your insurance before the government raised its travel warnings.

Any money you prepaid for your trip that is not recoverable from airlines or hotels or other tour services

may be covered by your travel insurance. But if your airline or tour operator offers refunds or vouchers for future travel, that will reduce your insurer’s obligations.  No double-dipping. And though we say your costs would be covered, we must add that all such costs are subject to certain daily specified in your policy. Know those when you sign your contract.

If you choose to interrupt your trip due to the travel warning raised by your government, your trip interruption benefit will pay the cost of your economy airfare home if your return ticket is not changeable or refundable by your airline.  And if you’re returned home by a government-arranged charter (as some have been during this recent coronavirus crisis) and the government charges you a fee,  your travel insurance may reimburse you up to the cost of an economy airfare.

Your trip interruption benefits may also cover any out- of- pocket costs of unexpected layovers that are beyond your control, such as for meals, hotels, taxis, telephone charges. But these expenses will be subject to daily limits and you need to check them out in your policy. Don’t expect free nights at the Ritz Carlton if your original tour had you booked in a Holiday Inn.

Remember that covered benefits for trip interruption are designed to keep you safe and comfortable and get you home as conveniently as possible. And again, that only works if your insurance was purchased before your government raised its warning to “avoid non-essential travel” or “avoid all travel.”

So know your policy. Know the reimbursement limits. And always stay tuned in to the government travel advisories that often change from day to day–https://travel.gc.ca/destinations/china

© Copyright 2020 Milan Korcok. All rights reserved.

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Let’s Talk about the Real Flu

I saw a post on Twitter the other day and it really made me laugh. It truly hits the mark on the reality of having a bad case of influenza (“the flu”).

The flu is nothing like a typical cold or mild upper respiratory infection. It is not a stuffy nose, sore throat, and some mild muscle aches.

You are sick. And I mean really sick.

You can feel like you were hit by a train, or the other analogy I hear all the time is feeling like you were hit by a transport truck. You have a bad cough. Your muscles hurt so much you can barely walk. You just want to lie in bed all day and you begin to feel like you will never be “normal” again! I have even heard people tell me they think they are dying.

Misconceptions about the flu

A big problem is the public’s use of the word “flu.” People say all the time that they have the flu, when in fact they don’t. They have a minor other type of respiratory virus that is not the actual influenza A or B virus. As a result, there becomes confusion over what a true case of flu is. People don’t think there is anything to worry about when in fact there should be some concern, particularly when you are at risk of complications.

The actual flu is predominantly a respiratory or lung infection. A dry cough is a very prominent symptom. You often become sick rather quickly with a high fever, severe muscle aches, headache, and feeling generally unwell, that “hit by a train” feeling. Most of the time, you feel terrible with influenza but get better after 7–10 days. It’s not fun and people often miss a lot of work or end up having to forego a vacation they were looking forward to.

Others are not so lucky. The main complication of influenza is pneumonia. Sometimes this is a viral pneumonia: inflammation to the lung tissue caused by the influenza virus itself. Other times, pneumonia, caused by bacteria, can set up shop in your lungs when they’re raw and inflamed. In that state, they become an easy target for any other infection that normally wouldn’t affect you.

I have seen plenty of previously healthy young people develop these complications and end up in respiratory failure in the intensive care unit. No one can believe that “the flu” could do this because they thought “the flu” was nothing to worry about, it’s just the sniffles and some aches. This kind of thinking needs to be addressed with better public health education and perspective.

People at risk

Luckily, most people with true influenza get better. Those at extremes of age, the young and the old, are at higher risk; and so are pregnant women, even if they are otherwise healthy. Anyone with a compromised immune system, such as a cancer or organ transplant patient, is particularly vulnerable.

It needs to be emphasized, though, that many healthy individuals can and do die from influenza. It’s rare but it does happen; I have seen it and it’s devastating.

What you can do

The best defense is to avoid exposure to others who are sick. Wash your hands a lot when in public spaces. Eat and sleep well to keep your immune system strong. Get the influenza vaccine to protect yourself and those around you who are at higher risk. The flu shot is not always effective for every flu season, but studies show that even if it doesn’t stop you from getting the flu, it may reduce the severity of your illness.

Are you an international student? Let us help you feel at home while you study abroad. We cover all your health insurance needs, give you easily accessible resources for navigating the healthcare systems, provide physical and mental wellness support through the Stay Healthy at School program, 24/7 claim services should you need assistance, and much more.

For individual student travellers, get a quote here
https://www.studyinsured.com/studyinsured/en/category/international-students/compare .

For more information or for a group quote for schools, call us at 1-855-649-4182 or email us at studentteam@studyinsured.com.

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A Health Insurance Primer for International Students Applying to Canadian Schools

In 2018, more than 572,000 students from 168 countries were enrolled in Canadian schools ranging from secondary to postgraduate levels—16 per cent more than the previous year and 154 per cent more than in 2010. And there are more to come.

The reason for such phenomenal increases: Canada’s highly regarded, quality educational system; its reputation as a tolerant and non-discriminatory society; and the lure of Canada as a permanent home after graduation.

In fact, 60 per cent of international students surveyed by the Canadian Bureau of International Education (CBIE) plan to pursue permanent residency in Canada upon graduation. And there is every reason to welcome them, as in 2018 Canada’s GDP benefited by an estimated $21.6 billion from international student tuitions and fees, living costs, family visits, entertainment, and so on. (Aside from survey data collected by CBIE, all other figures cited are from official Canadian government sources).

But if you’re one of those aspiring students, you need to realize that Canada is a huge and diverse country. It does not have a universal or monolithic educational system as schools are largely subsidized by their provincial governments, and the rules, admission requirements, and fees differ from one province to another. 

The one constant factor is that regardless which province you choose for your education, you will first need a study permit and a student visa from the federal government to make any application to any school. I recommend, as a first step, you check out the basic ground rules at on the Canadian government’s website.

In addition, there are non-academic concerns that need to be addressed early on in your financial planning and school selection process, chief among them being the need for appropriate health insurance that fits your specific needs in the particular province you have chosen to pursue your studies. This can be confusing if you try to navigate it on your own. Best to connect with Canadian-based insurers who specialize in private health insurance tailored for students’ needs and who know the territory. 

Health insurance is mandatory—but not simple

Health care in Canada is very expensive, and though all Canadian residents have access to high-quality, comprehensive, government-administered insurance, foreign students are not always eligible for these health benefits. And except for a few narrowly defined situations, you may have to endure a mandatory three-month waiting period before any benefits are active—during which private insurance is necessary. That’s where connecting to Canadian-based insurers is so important.

First, understand that Canada does not have a single unified health system that covers all of its residents universally. Instead, health insurance is a provincial responsibility and the rules of coverage, fees, and residency requirements differ from province to province—although the coverage provided in all plans is quite comprehensive and covers virtually all medically necessary services, preventive as well as emergent.

How do international students fit into Canada’s health insurance matrix?

Most provinces will allow international students to join their public plans, but the conditions vary. In British Columbia, the province with the second-largest cohort of international students, the monthly fee for enrollment in BCMS as of January 2020 will be $75, but only after a three-month residency waiting period.

In Saskatchewan, international students are eligible to apply for a health insurance card (free) so long as they have the appropriate study permit and visa. But there may still be a waiting period of up to six weeks or more for processing—during which private insurance will be required.

In Alberta, New Brunswick, Newfoundland and Labrador, and Nova Scotia, similar access to public provincial plans is available, in some cases for a monthly buy-in fee, in others no fee. But here too, a three-month waiting period or an application processing delay will require private insurance.

In Ontario, the province that hosts almost half of Canada’s international students, the public Ontario Health Insurance Plan is unavailable to them. Public universities require their international students to enroll in a UHIP (University Health Insurance Plan) while private universities and colleges provide private insurance for their students. The UHIPs require an annual fee and provide coverage that is somewhat similar to the public OHIP. But many conditions apply, so it’s wise to work with brokers who know the student’s territory.

Quebec, which is home to the world-renowned McGill University, has fashioned bilateral social services agreements with several European countries allowing their students to enjoy the benefits of the public Quebec insurance (Régie de l’assurance maladie du Québec). For those outside of these treaty arrangements, private insurance is available. 

And in Prince Edward Island, international students are not eligible for the public insurance plan but private insurance is available to them, as it’s ultimately available to any student, traveller, or short- or long-term visitor.

The Canadian education landscape is a great mosaic, as young people from virtually every country in the world are realizing. But like everything great, it’s not always simple. Get help when and where you can.

Are you an international student? Let us help you feel at home while you study abroad. We cover all your health insurance needs, give you easily accessible resources for navigating the healthcare systems, provide physical and mental wellness support through the Stay Healthy at School program, 24/7 claim services should you need assistance, and much more. For individual student travellers, get a quote here
https://www.studyinsured.com/studyinsured/en/category/international-students/compare . For more information or for a group quote, call us at 1-855-649-4182 or email us at studentteam@studyinsured.com.

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10 Things I have Learned About Human Trafficking Since Launching Our Task Force

In the run up to 30 July – World Day against Trafficked Persons, which is calling for governments to take more stringent action to fight Human Trafficking, I took the opportunity to reflect on what I have learned about the issue since WTTC launched its Human Trafficking Task Force at the 2019 Global Summit in Seville, April this year. 

  1. Human Trafficking is a big money ‘business’.

According to the International Labour Organization, Human Trafficking is an illicit industry worth more than $150 billion annually, which is equivalent to the entire tourism economy of Brazil ($152.5 billion).

2. Human Trafficking affects everyone, everywhere.

Victims of Human Trafficking are men, women and children, and they can be found in every country in the world. An estimated 24.9 million people are trapped in forced labour:

  • 16 million of which are exploited in the private sector,
  • 4.8 million in forced sexual exploitation, and
  • 4 million in forced labour imposed by state authorities.

Human Trafficking disproportionately affects females who make up 99% of commercial sexual exploitation cases and 58% in other sectors.

3. You don’t have to be physically moved to be ‘trafficked’.

A common misconception when it comes to Human Trafficking is the idea that a person is ‘trafficked’ from one country to another. In reality, a person need not be physically transported from one location to another in order to be considered a victim of Human Trafficking. In fact, UNODC estimates that the number of people being trafficked within their own country has doubled in recent years to 58% of all detected victims. Human Trafficking is therefore about coercion; forcing someone to do something against their will, and exploiting them.

4. Travel & Tourism is often an unwitting facilitator of Human Trafficking.

Travel & Tourism is responsible for the movement, accommodation and employment of millions of people around the world. These systems and platforms are often used by traffickers to exploit vulnerable people and children.

5. Trying to understand where Human Trafficking is taking place is really complicated.

Human Trafficking is a criminal activity that is hidden in plain sight. The biggest global Travel & Tourism brands have multifaceted organisational structures and operate in numerous and diverse destinations around the world where laws, customs and practices may vary. Value chains can be complex, including contractors, suppliers and other business partners – which could potentially heighten the risk of trafficked persons being hidden within their operations. 

6. Travel & Tourism has a big role to play in the fight against Human Trafficking. 

With 1.4 billion international tourist arrivals and 4 billion air passengers in 2018 alone, the Travel & Tourism sector interacts with billions of customers at all stages of the travel process. This provides an enormous opportunity for companies to raise awareness of the severity and prevalence of Human Trafficking, to encourage responsible tourist behaviour, and to inform travellers how to spot and report suspected cases.

7. Travel & Tourism employees are the eyes and ears on the ground (and in the air).

Travel & Tourism supports 1 in 10 jobs around the world – a total of 313 million people. Aware that their employees interact with millions of different people daily, many Travel & Tourism companies provide training to customer facing employees so that they know how to spot signs of Human Trafficking, how to report suspected cases, and have policies in place to protect whistle-blowers. 

8. There is a role to play in supporting survivors, too.

As one of the largest employers in the world, and in addition to providing advocacy and awareness raising and employee training programmes, some Travel & Tourism companies, namely within the hotel industry are providing much-needed support to survivors including training and employment opportunities.   

9. Global Action is required to tackle a problem of this magnitude.

WTTC launched its Human Trafficking Task Force at the 2019 Global Summit in Seville. Bringing together nearly 20 of the largest global Travel & Tourism brands, the Task Force facilitates information exchange and coordinates efforts across the private sector, while strengthening cooperation with the public sector and civil society.

10. Governments need to wake up and step up – it’s time for action!

While prevention and protection are crucial pillars in the fight against Human Trafficking, we need government support and leadership to take us beyond awareness-raising. Specifically, governments should strengthen the integration with local authorities to ensure perpetrators are duly processed and punished. The weakness in this ‘system’ is the lack of coordination for how to ensure reduction of the crime through the justice system.

Is your Government doing enough to fight Human Trafficking in your country?

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New Product Launch: LivExpat. Customizable Benefits That Will Save Your Clients Money.

MSH AMERICAS announces the launch of LivExpat – A flexible, affordable international health insurance plan for 1 – 150 lives.

LivExpat is the beginning of a new generation of flexible, cost efficient and innovative international health insurance plans. Designed to meet the needs of the ever-changing global traveler and SME’s.

LivExpat fully insured plans give you choice; Emergency medical only coverage or Comprehensive medical coverage with optional Disability, Life and AD&D. These plans provide insurance protection with several duration options and mix and match benefits to best suit you and or your employees.

  • Medical including hospitalization, routine and vision care, and prescription drugs, and optional dental care;
  • Evacuation including transportation, hospitalization and repatriation;
  • Employee Assistance Program
  • Life & Disability, including Life, Long-Term Disability, Temporary & Permanent Total Disability, and Accidental Death & Dismemberment benefits.

LiveExpat includes access to MSH‘s exclusive Provider Network of more than a million healthcare professionals around the world and MSH’s “in – house” 24/7 assistance and case management.

LivExpat premiums include three geographical zones; high, medium and low risk locations, so that you pay for what you need, ensuring affordability for all members.

Pamela Kwiatkowski, Senior Vice President, Distribution & Client Experience at MSH Americas, says: “SMEs and individuals are changing and their travel and expatriate lifestyles are becoming more diverse and unique in their needs and expectations. It is our mission to make sure they are supported with programs that are flexible and cost appropriate. LivExpat will continue to evolve and deliver a variety of coverage and pricing options for the globally mobile traveler. Individuals and businesses are looking for cost-efficiency without sacrificing essential benefits. At MSH we listened and responded to our partners and will continue to work with them to deliver relevant plans and exceptional service.

LivExpat is further enhanced with our NEW MSH Navigator, a duty of care mobile application including geo tracking, security warnings, travel and city guides, 2-way communication and single touch access to emergency assistance and provider networks.

 

MSH AMERICAS annonce le lancement de LivExpat : un régime d’assurance-maladie international flexible et abordable couvrant de 1 à 150 vies.

LivExpat marque le début d’une nouvelle génération de régimes d’assurance-maladie internationaux flexibles, rentables et novateurs. Ces derniers sont conçus pour répondre aux besoins des voyageurs internationaux et des PME en constante évolution.

Les régimes LivExpat entièrement assurés vous donnent le choix entre une couverture de frais médicaux d’urgence seulement ou une couverture de frais médicaux complète avec les options d’assurance invalidité, d’assurance-vie et d’assurance décès et mutilation par accident. Ces régimes offrent une protection d’assurance avec plusieurs options de durée et associent les avantages qui conviennent à vous et vos employés :

  • les frais médicaux, y compris l’hospitalisation, les soins de routine et les soins de la vue, les médicaments sur ordonnance et les soins dentaires facultatifs;
  • l’évacuation, y compris les frais de transport, d’hospitalisation et de rapatriement;
  • un programme d’aide aux employés;
  • l’assurance-vie et l’assurance invalidité, y compris les prestations d’assurance-vie, d’invalidité de longue durée, d’invalidité totale temporaire et permanente et de décès et mutilation par accident.

Le régime LivExpat comprend un accès au réseau exclusif de fournisseurs de MSH qui compte plus d’un million de professionnels de la santé à travers le monde, ainsi qu’une assistance et une gestion de cas « à l’interne », 24 heures sur 24, sept jours sur sept.

Les primes LivExpat sont établies selon trois zones géographiques : des lieux à risque élevé, à moyen risque et à faible risque, afin que vous payiez pour ce dont vous avez besoin, tout en garantissant des prix abordables pour tous nos membres.

Pamela Kwiatkowski, vice-présidente senior de la distribution et de l’expérience client chez MSH Americas, a déclaré : « Les PME et les personnes évoluent et leurs modes de vie de voyage et d’expatriés sont de plus en plus diversifiés et uniques dans leurs besoins et leurs attentes. Notre mission est de nous assurer qu’ils bénéficient de programmes flexibles et abordables. LivExpat continuera à évoluer et à proposer diverses options de couverture et de tarification au voyageur mobile dans le monde entier. Les particuliers tout comme les entreprises recherchent la rentabilité sans sacrifier les avantages essentiels. Chez MSH, nous avons écouté et répondu à nos partenaires et nous continuerons à travailler avec eux afin de proposer des régimes pertinents et un service exceptionnel. »

LivExpat s’enrichit encore plus grâce à notre NOUVEAU MSH Navigator, une application mobile de devoir de diligence munie de géolocalisation, des alertes de sécurité, des guides de voyage et de ville, un système de communication bidirectionnelle et un accès d’une seule touche aux réseaux d’assistance et de secours d’urgence.

For more information on LivExpat, contact a Sales Executive/Pour plus de renseignements sur LivExpat, veuillez communiquer avec un directeur des ventes:

Alannah Amantea

alannah.amantea@americas.msh-intl.com

Addie Ziprick

addie.ziprick@americas.msh-intl.com

Tel: +1 (403) 705 0174