Health Insurance Exclusion: Parapharmaceuticals

More than ever, doctors are prescribing patients with parapharmaceuticals.  While these vitamin and mineral infused pills claim to have dramatic health benefits, parapharmaceuticals aren’t what you think.  In fact, to the average patient, they can be deceiving.  Like any prescription, most patients presume they will be covered by insurance.  However, parapharmaceuticals are rarely covered. So when a patient discovers the cost of their prescription won’t be reimbursed, he or she may be rather confused.  

Parapharmaceuticals Health nsurance Exclusion

What is a parapharmaceutical?

Parapharmaceuticals are food supplements. They are typically derived from plants and come in the medicine-like bottles of vitamins and minerals you see lining pharmacy shelves. Popular supplements include vitamin C, fish oil, ginkgo biloba and multivitamins.  While parapharmaceuticals have a nutritional and physiological effect on the body, they generally do not require a prescription.  You can visit any pharmacy and purchase them over the counter.

 

For many patients, this is where the confusion comes in.  Unless specific medical condition is present such as severe stomach illness that requires regular vitamin B12 intake for example, most parapharmaceuticals are not “medication”; they are supplements. The difference?

 

Medications and supplements go through two very different approval channels before they get to market.  Before medications can be prescribed by doctors, they are rigorously tested on animals and humans for 5 to 10 years and must pass a stringent approval process by the FDA. Parapharmaceuticals, however, can go from an idea by a board of supplement manufacturers, to market in just a few months. Unlike medications, they are not heavily regulated. The approval process is quite easy, and as long as the brand has a good manufacturing process, the supplement is usually approved. 

 

Why are parapharmaceuticals typically not covered by insurance plans?

Most health insurance policies will list parapharmaceuticals as one of the general health insurance exclusions.  Unlike medications, parapharmaceuticals are not required by the FDA to prove their health benefits.  While a medication must gain FDA approval for every health claim it advertises, parapharmaceutical companies are not held accountable for their claims and can tout any health benefit they choose.  To make matters worse, many supplements are marketed to appear as medications (which they are not), making their purpose even more confusing to patients. 

 

Why are parapharmaceuticals prescribed?

Doctors want their patients to recover quickly.  However, if you visit a doctor with a simple head cold, for example, you may not require medication.  In this case, a doctor may believe you could use an extra boost of vitamins or minerals. This is where parapharmaceuticals come in.  A doctor may prescribe you these supplements to speed up your recovery.

Are parapharmaceuticals necessary? To answer this question, we consulted Luma’s resident health advisor and medical expert Dr. Lalande.  According to Dr. Lalande, most parapharmaceuticals are unneeded for healthy individuals. You’ll receive more health benefits by ingesting vitamins and minerals from whole, natural foods rather than chemically manufactured parapharmaceuticals.  However, there is one exception.

Dr. Lalande recommends calcium combined with vitamin D for those with a high risk of osteoporosis.  This supplement is proven to push calcium into the bone and can be a savior for patients with a low bone density.

If you’d rather not pay for parapharmaceuticals prescribed by your doctor, is there anything you can do?  We recommend asking your doctor if a parapharmaceutical is really necessary for your recovery.  If you’re unsure whether or not you’re being prescribed a parapharmaceutical, simply ask the doctor about your prescription.

Have questions about Luma health insurance?  Curious to learn about our coverage benefits?  Luma Health Insurance offers some of the most comprehensive  health insurance coverage in South East Asia.  Contact us today to discover how you can achieve radiant health with LUMA.  

Health Insurance Lifetime Renewal

When it comes to health insurance, a lifetime renewal guarantee is exactly what it sounds like. It is a guarantee that your health insurance will be renewed, no matter your age or health conditions. That means if you happen to be diagnosed with a serious illness or chronic medical condition, your health insurance company cannot reject the renewal of your insurance, or leave you with no coverage. A lifetime renewal guarantee provides you guaranteed coverage under the same health insurance provider—no matter what. You have complete freedom to continue your coverage for as long as you wish.

health insurance lifetime renewal

How a lifetime renewal guarantee protects your life and financial future

Now that you understand what a lifetime renewal guarantee is, you can probably see its obvious benefits. Without this guarantee, you could lose your medical coverage when you need it most. For example, if you are diagnosed with diabetes three months before your health insurance renews, your provider could choose to reject your renewal. If this happens, it will likely be difficult to insure the disease as many health insurance providers may not cover preexisting conditions. As it’s not uncommon for the costs of diabetes treatment to hit $100,000 USD, a lifetime renewal guarantee ensures you get the life-saving drugs and care to protect your health and finances.

Without treatment, diabetes can lead to heart and kidney disease, nerve damage, vision loss, amputation and a potential early death. In other words, a lifetime renewal guarantee can save your financial future and potentially your life. What’s more, you’ll also avoid the stress and worry that comes with questioning whether your health insurance provider will renew your policy. Instead, you can sleep soundly knowing your policy will be renewed, and you’ll be covered for as long as you wish.

 

At LUMA, we are proud to offer you lifetime renewal guarantees with many policies we offer. While the premiums of all our members’ policies increase every year because of medical inflation, they will never increase due to a member being diagnosed with a chronic medical condition. In other words, all our members’ premiums increase at the same rate depending on their age group.

To learn how else LUMA puts your health coverage and peace of mind first, get in touch with our advisors today at [email protected].  A healthier life is waiting.

Samitivej Hospital

Among Bangkok’s many hospitals, one group has continued to grow and establish its reputation among the Thai and international community in the region.

 

Samitivej Hospital was founded in 1979 by former Kasikornbank chairman Bancha Lamsam and M. R. Bajarisan Jumbala, M.D. The original hospital stands on its current site on Sukhumvit Soi 49 and was given its name by former Prime Minister of Thailand, M.R. Kukrit Pramoj. Samitivej means “assembly of doctors”, and the founders were inspired to bring together the finest medical practitioners available, to provide the best healthcare, not only physically but their doctors also have a very clear focus on empathy.

Sukhumvit Hospital logo

Among Bangkok’s many hospitals, one group has continued to grow and establish its reputation among the Thai and international community in the region.

 

Samitivej Hospital was founded in 1979 by former Kasikornbank chairman Bancha Lamsam and M. R. Bajarisan Jumbala, M.D. The original hospital stands on its current site on Sukhumvit Soi 49 and was given its name by former Prime Minister of Thailand, M.R. Kukrit Pramoj. Samitivej means “assembly of doctors”, and the founders were inspired to bring together the finest medical practitioners available, to provide the best healthcare, not only physically but their doctors also have a very clear focus on empathy.

 

Samitivej was built on a philosophy of holistic and preventative care. Today, their ethos is that the less they see their patients, the better job they are doing.

 

With its dedication to healthcare, Samitivej is the recipient of a number of awards, including recognition by the WHO and Unicef as a Mother and Baby-Friendly Hospital in 1999. In 2018, the hospital received Thailand Corporate Excellence Award from HRH Princess Maha Chakri Sirindhorn, as well as accreditation by the Joint Commission International (JCI). Moreover, in order to further enhance their medical excellence they have partnered with overseas hospitals who are leaders in their own fields.

 

For instance, Samitivej’s gastroenterologists receive training from their counterparts at Sano Hospital for Liver and GI, a world leader in diseases of the GI tract and the classification of the epithelial tissue. The partnership has helped refine their team’s knowledge and treatment to become one of the best GI teams in Thailand. Consequently Samitivej now has a high Adenoma Detection Rate (ADR) for colon cancer. Over the past 5 years the group has made continuous improvement and now exceed the international benchmark (25%) with a 90% detection rate, making it the highest in Thailand.

Samitivej Hospital Birth

For cases in the field of neonatology and premature birth, Samitivej partner with Takatsuki General Hospital, also in Japan, who delivered and kept alive a baby born at a mere 286g. With a specialised program in High Risk Pregnancies, Samitivej experience a high number of premature deliveries and since collaborating with Takatsuki have managed to save a baby born at 500g. Furthermore, they are the first hospital in Thailand to provide Neonatal and Paediatric Critical Care Transportation.

Since 1979, Samitivej has grown to a group of seven hospitals around Thailand

Samitivej Sukhumvit Hospital

Sukhumvit Hospital

 

The 275-bed flagship hospital is located on Sukhumvit Soi 49. With 400 specialists and cutting-edge technology, it’s recognised as one of the finest private tertiary hospitals in Bangkok. Besides the multilingual care offered to locals and visitors to Thailand, the hospital houses the Japanese Medical Center, offering dedicated services for Japanese patients.

Children Samitivej Sukhumvit Hospital

Samitivej Children’s Hospital

 

With a branch in both Samitivej Sukhumvit and Samitivej Srinakarin, the Children’s Hospital provides top pediatric care for Bangkok. Both branches are fully equipped with Neonatal and Pediatric Intensive Care units and the surgical department specialises in procedures for the brain, urinary tract and heart.

Samitvej Chinatown Hospital

Chinatown Hospital

 

This 31-bed hospital is located near Bangkok’s busy Yaowarat Road, popular among tourists and locals. With a leading accident and emergency department, the hospital is also a leader in the fields of eye care and physical therapy.

Thonburi Hospital samitavej

Thonburi Hospital

 

With 150 beds, this hospital is located in western Bangkok and provides specialised care in its Breast, Allergy and Orthopedic Centers, as well as at its onsite Eye and Lasik Center.

samitivej Sriracha Hospital

Sriracha Hospital

 

Located conveniently near to popular holiday destination Pattaya, Samitivej Sriracha provides leading care for tourists and locals in the Laem Chabang area on the eastern Gulf coast. The 184-bed hospital also offers a dedicated Japanese section.

Samitivej Chonburi Hospital

Chonburi Hospital

 

With an inpatient department of 79 beds as well as an intensive care unit, accident and emergency department and separate outpatient clinic, this hospital serves the community in the popular Chonburi area, also on the eastern gulf coast.

Samitivej is a member of Bangkok Dusit Medical Services (BDMS), a network of healthcare providers committed to cutting-edge, world-class care. Within that network, BDMS designates “Centers of Excellence”, recognised for global standards across four criteria: patient care, academic research and publication and affiliation. Samitivej Hospitals’ Centers of Excellence  include their Liver & GI and Trauma departments at Samitivej Sukhumvit and in Trauma and Pediatrics at Samitivej Srinakarin.

 

To find out more about Samitivej Hospitals and their superlative care, visit www.samitivejhospitals.com.

 

To explore your options for healthcare insurance in Thailand, get in touch with one of the experts at Luma. Luma Members can enjoy direct billing at all Samitivej Hospitals.

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