Dear readers,

I wonder if it would be possible to set up mutual health insurance for Belgians and Dutch here in Thailand?

I don't know how many people are involved, but that can be found out. When I read that premiums of 300/350 euros per month are being asked, I think it should be possible to do something else, partly in view of the fact that the costs in Thailand are lower than in the Netherlands and Belgium.

I am also convinced that there are people who are knowledgeable enough to form a board and make agreements with good hospitals.

I hope everyone will join in thinking about these thoughts.

Sincerely,

Henk

28 responses to “Reader question: Can mutual health insurance be set up for Belgians and Dutch people in Thailand?”

  1. Khan Peter says up

    A sympathetic idea that has been suggested before, but absolutely unfeasible. This has to do with the risk profile of the insured: an average age that is too high. There are also practical objections. Such as the management of the premiums. You have to set up an insurer with a board, employees and a building. The premiums would then be sky-high, partly due to the overhead and the over-representation of older policyholders.

  2. khao noi says up

    Indeed, insurance is a matter of numbers, averages and (aggravated) risks. The group we are talking about here is (much too) small, the average age is (much too high). And why so many can't find good affordable insurance? Because the regular insurers do not want them with their existing conditions………

    Simple calculation example: suppose we have 1000 insured persons, who each pay 2400 euros (200 euros per month). So premium income is 480.000 euros per year. From the overhead, say 20% (if it works out for that with such a small insurer), rent of premises, employees, board, lawyers, printing, etc., so 96.000 euros. This leaves 384.000 euros to cover the medical costs of 1000 members in any one year. Member number 384 falls into a coma as a result of an accident and dies after two months of artificial respiration in the intensive care unit …… bill 75.000 euros, 309.000 remains for the rest………

    Even if we double the premium to 400 euros per month, there will still be no solvency. Not to mention excruciating management discussions such as: are we going to give that gentleman with his knee complaints a new knee or first let him live on painkillers for another five years (as is now the case in the Netherlands)?

    In short, a charming idea indeed, but completely unfeasible.

    • Jean-Paul says up

      Dear Khao Noi,

      Feasible or not I will leave it in the middle, but if it does come to that then a position as treasurer is not an option for you. Because 1000 insured persons at 2400 Euros per year easily yield 2,400,000 Euros per year. It must be possible to pay the costs of paragraph 384 of this.

  3. ruud says up

    The costs in Thailand are not lower, because everyone goes to a private hospital if they have something.
    That is very much more expensive than going to the doctor in the Netherlands.
    That is why the foreign policies of health insurers in the Netherlands are so expensive.

  4. Renee Martin says up

    I also think that mutual health insurance is almost impossible, but if you can get a large group together, there might be a possibility to get discounts from existing insurance companies. Especially if you also open the group to all ages. Maybe that's an idea.

    • Khan Peter says up

      Insurance companies are only interested in insured persons under the age of 40 when it comes to health care costs. They look at the average age of the group, if it is above 40 then forget it.

  5. piet says up

    Everything to the kltn within 1 year or what you want why? Well, simple enough, are the needy who still want to insure themselves out of poverty.
    As a result, these guys suddenly all go to the hospital for the ailments they have had for years.

    Unfortunately Thailand is not the Netherlands / Belgium that everyone helps in an emergency!!

  6. jv guest house says up

    khao noi says:premium income 480.000 euros per year.
    but in my opinion it is 1000x 2400 euros is 2.400.000 euros.
    then the calculation will be slightly different.

    • khao noi says up

      Perfectly correct correction. Calculation error with indeed a different result. Unfortunately, the conclusion does not change. After paragraph 384, 1.500.000 will then remain to cover the health costs of the 999 other (only older) insured persons that year. Still way too little…………

  7. to print says up

    A nice idea, but as others have mentioned, unfeasible.

    But could an existing insurer give a discount on the premium if, for example, members of the Dutch, Belgian and other similar associations join that insurer. Because I assume that not only Dutch and Belgian pensioners are faced with the problem of high health insurance premiums.

    If a few thousand people registered with such an insurance company through an association or foundation, you would think that some kind of discount could apply to them.

    Or am I chasing a dream image?

  8. nico says up

    The Netherlands has treaties with some countries.

    Why can a treaty be concluded with Cap Verde and not with Thailand? Only because no one takes the initiative, still in the Netherlands, still in Thailand and does not know the way in The Hague, etc.

    If the treaty will only contain the government hospitals, this is a gold mine for the Dutch state. In the Netherlands, “personal” agreements are also made with hospitals, so that is also possible here in Thailand.

    Perhaps it is possible to bring together a group of people who are knowledgeable about politics in The Hague.

    Greetings Nico

    • Renee Martin says up

      Submit your proposal to the embassy, ​​maybe they can do something for us.

  9. Harry says up

    Those mutual health insurances originated over 100 years ago, when total costs were still manageable. Now only a few people can empty the entire pot in a short time.

    What IS a possibility, and what current "mutual" insurance policies in NL do: REINSURING the risk of the affiliated members: with 1000 people you have a stronger fist than one person alone.

    I can even imagine that a certain deductible is borne by the members themselves, a next step by "the Mutuals" and everything above ??? goes to the reinsurer.

    And even.. with 10,000 expats in Pattaya (from Australians to Swiss) I can imagine that at a zhs in Pattaya prices are more negotiable than if you come for treatment on your own.

    That remains, see Piet: everyone runs to that Mutual Insurance to have all the ailments of the past 20 years treated, because it costs nothing anymore.

  10. Jan says up

    I wonder whether it cannot be contested, whether it is fair (or discriminatory for others who want to live in another non-European country) that in 2 certain countries OUTSIDE the EU (Morocco and Turkey) the Moroccans and Turks are entitled to BELGIAN social security if they return to live in their country of origin.

    “Belgium pays medical expenses for Moroccans and Turks who have returned

    https://www.thailandblog.nl/lezersvraag/onderlinge-ziektekostenverzekering-worden-opgericht-belgen-nederlanders-thailand/ "

    • nico says up

      Here are the countries with which the Netherlands has concluded a treaty on healthcare costs;

      Treaty countries outside the EU/EEA

      Bosnia and Herzegovina
      Cape Verde
      Macedonia
      Morocco
      Montenegro
      Serbia
      Tunisia
      Turkey

      Here you can see that Cape Verde (Cap Verde) has succeeded

  11. Ton says up

    Whether we think it's fair or not, the Dutch Government doesn't care about that, just remember what the Dutch Government did with regard to the privately insured retired Dutch people who lived abroad when the health care law was introduced. Proceedings brought by various associations of Dutch pensioners (in European countries) against the Dutch government, up to the European Court, were all won by the Dutch government, with clever lawyers, manipulation and demagoguery.
    Forget it, the Dutch government is absolutely not interested in a group of elderly people who, in their eyes, lead a fantastic life in Thailand. The government would rather lose them than get rich.
    And despite the aforementioned “calculation error” in the numerical example, there is no room at all for an “own” health insurance policy.
    The idea of ​​“reinsuring” the “top” of the risk also seems to me to run into the same problem, the elderly (in the sense of a health-vulnerable and therefore expensive group), the small size of the group and the misery of “handling out ” of many exclusions.

    • Maarten Binder says up

      That's not quite right. The last trial was won, but the verdict was disregarded by the government, through a judge, who, although against the state, spoke of administrative naivete.
      Collective insurance will certainly be possible, but that requires some solidarity, which I have not really found among the ex-pats so far. The more medical history, the higher the premium. You can't escape that.
      Another possibility is to talk to the Thai government and see if a group insurance can be obtained through state hospitals, whereby the expat will of course pay a much higher premium than the Thai.
      If it comes to that, then I stand in solidarity and participate.

  12. ThailandJohn says up

    I have already had contact with a Dutch health insurance company about this in the past and proposed to conclude a contract with hospitals and thereby keep the premium affordable.

    But the risks are too great for that and the number of insured persons is too small and most people are already insured
    quite old and therefore have too many ailments. The best thing is to set up a party together and then adjust the law through politics. And make it possible that people can simply remain insured in the Netherlands against the applicable Dutch prices. And they can then see whether agreements can be made with relevant Hostpitals abroad. But unfortunately there is no consensus among people for this. When I deregistered and took out an expat health insurance policy, many thought I was crazy. Too expensive and according to many it was better to avoid this problem and not to write you out of v. I'm still very happy that I took this option, despite the fact that the premium has risen considerably. And so we're just going to pay for the laughter.
    JUST LOOK that even in the Netherlands quite a few already have problems paying the premium and have already made an arrangement to try to get rid of that. And then you have the people who simply do not want to pay. It is also the case that many institutions have benefited heavily from the laxity of governments for many years and declared nice amounts while the treatments were never carried out. That also raises the costs make it rise heavily. But it would be nice for everyone if they organized themselves because unity makes strength.

    But unfortunately this dream will never come true because we can never reach the required block for it, because there is no consensus for that. Complaining and grumbling about everything but not wanting to do anything.

  13. Henk Storteboom says up

    Dear people,
    I know more healthy elderly than sick elderly. And there are also young people living in Thailand who also like to pay less premium for their health insurance. The example of the man with the shooting accident and then a coma is not an illness but an accident, there are accidents insurance for such insurance is cheap to take out. I was hoping for some more creative reactions. My father taught me that never shooting is always wrong. It is a pity that there are no people who say okay, we will investigate and know but thank you for the response, best regards henk.

    • Khan Peter says up

      Henk, again your intentions are good, but there is a lack of knowledge here. Believe me, it will never work. You are making wrong assumptions. Accident insurance provides a one-off payment in the event of permanent disability or death, but that can take a long time. Meanwhile, the hospital asks if you want to pay.
      It is better to take out a good health insurance policy http://www.verzekereninthailand.nl they will find out for you what is the best option for you.

      • Henk Storteboom says up

        Dear Peter,
        It is true that I do not have the knowledge in-house when it comes to insurance. I have had a contracting company in the Netherlands for 30 years, sometimes with more than 100 employees, I know what origizing is, and looking ahead is not strange to me. I'm disappointed that I sometimes meet people who can't go to a hospital because they can't pay the costs of the insurance (only state pension)
        with wife and children. Young people also often have problems (English teacher 30000 baht per month) I am sure that the premiums can be reduced if we are united. The mutual health insurer Menzis has more than 6 billion euros in cash despite 60000 defaulters and very fat salaries for the top with big bonuses for dessert. I am also sure that there are expert people among us who can do this job for a normal fee.
        Kind regards Hank

  14. hubrights DR says up

    dear fellow human beings, we are getting old, what is getting old, and living where people are complaining about health care costs, look, I've been living here for years now, I don't go to much myself and the doctor wants to say protect yourself by doing well after life of your body, protect yourself, go to sleep on time, don't drink much, eat well, why would you take insurance when your time is there, go anyway, I myself have had a few months and beroeten for two days in the hospital, good care, many pills and so on, I am now 72 years old, drink 2 to 3 beers a day, then I go home, eat something and at 20,00 this boy is in his bed, and what still comes to me sexs is very good with her, every two days we are nice to roll, etc ... THAT KEEPS YOU FIT. I hope that many old years may smile at me, maybe wl 100 years who knows.
    in short, don't complain and enjoy, even if there is pain, if only your heart is strong. my classification of food is like this :
    in the morning 4 sandwiches with toppings from meat to fish, and sometimes syrup, I make hot food by noon, I also do that myself, potatoes, with minced meat, you can buy leeks at Makro, in the evening warm spahetty with milk, that is the, what i take vam pills is as follows 1 anapril 5mg 1 pill asperin 75 mg,every day in the morning,sometimes i take parrasetalmol, and that's it,every year i get cholesterol checked price 750 bath,test me self for sugar that is also good so enjoy, look we no longer walk like someone of 20 years old, life is in your own hands, that was it, I tell myself I can see what will happen, I always say The Lord will be my shepherd.Amen

  15. grain says up

    For +/- € 3.000, you are excellently insured with matthieu in Hua Hin via Axa for hospital. Pay the rest yourself and then you're good. In some cases better than in the Netherlands if you add up all contributions.

  16. chris says up

    A good friend of mine is the general manager of a private hospital in Bangkok. I presented him with the situation with the health insurance of expats. I also suggested to him whether it is possible that expats could receive medical treatment free of charge or at greatly reduced prices in return for the purchase of shares in this hospital; as a service to the shareholder. Particularly because the return on the shares of this hospital is more than 100% per year.
    He has his marketing department (yes, they have one here in a private hospital) take a look at it.

  17. Ruud NK says up

    It is a good idea in itself, provided that the whole can be reinsured cheaply elsewhere with a large company.
    I'm 68 and wouldn't switch to something new like this. Suppose things don't go well somewhere in the future, then I can't insure myself anywhere after I turn 70. I wouldn't take that risk for anything.

    • henkstorteboom says up

      Dear Ruud,
      You are right if you are well insured now, certainly do not change. But what I mean is to give people who do not have that, because they cannot afford the high premium at a really affordable premium, the same safe feeling that you have now, and that is possible if we all want to work a bit together, I am convinced that the knowledge among us Belgians and Dutch people is still there. Kind regards Henk Storteboom

  18. ruud says up

    What's actually wrong with government hospitals?
    There is not much available for the poor Thai, but if you can add some money yourself it is probably not so bad.
    There they also have private rooms (for a fee).
    The bill will probably be a lot lower than that in the private hospitals.

  19. theos says up

    Pattaya City Expats Club has collective insurance for its members. Every expat can become a member and use this insurance. They are all quite a bit older members, some are well old. Just take a look at their website.


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