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Our Experience with Airport Disability Services, and What We Have Learned

Our Experiences

This post is a complicated one to write as we are in the midst of attempting to file claims and pursue legal action against those that may have been involved in the failures of disability services to protect Diana and get her to her gate on the leg of her trip from the US. It is important to note that her disability services experience at the Frankfurt layover was fantastic. They were helpful, polite, and had very accessible transportation. A completely distinct experience from what she had at the US airport.

In the US, Diana was abandoned at one of those airline clubs, not near her gate, and the disability agent never returned, she was then forced to rush herself to the gate without any assistance, in fact she had to endure misdirection as well. Among the reasons Diana requested assistance was mobility issues. We have attempted to obtain the video documentation, but have been thwarted by their complaints of security issues and lack of staff to review the footage. The reality is more likely that they also want to complicate a lawsuit, requiring us to speed up finding a lawyer willing to take the case. It seems only a lawyer can force their hand, before they erase the footage, which hopefully they haven’t already. As it is a challenge to sue airlines in the US, finding a lawyer has been difficult.

Continue reading “Our Experience with Airport Disability Services, and What We Have Learned”

What We Have learned About International Air Ambulance Services

Our Experience

Air Ambulances from abroad to the US can vary in cost wildly depending on many variables, most importantly the medical status of the patient flying, specifically related to their needs. There are 2 primary approaches, commercial or private flights, that will fundamentally define the exorbitant cost, between $50K to $180K. US based health insurance will only cover flights within the United States. That is to say that the cost of flying into the US will be out-of-pocket, unless you have purchased special travel insurance, see our travel insurance post for more on them. Some insurance companies may cover the remaining flights within the US except for the deductible.

Our experience has been focused on Portugal, but we are sharing our experiences to help others that may fall into a similar circumstance. The US Embassy in Lisbon, Portugal provided no assistance and information of little value. We have been told to call them so many times, but the only response they give is a list of not vetted air ambulance companies and an offer for a possible low interest government loan. With persistence we are hoping to reach the ambassador, or somebody that can be more helpful. We have heard in many cases constantly reaching out can improve your chances with a US Embassy. We believe the only way the loans make sense is if your insurance will reimburse you for international air ambulances, which seems rare, if at all, or if you believe you can raise the funds to pay the loan over a longer period of time.

Below is a list of companies we have been in contact with. We are by no means recommending any of them, as we have not raised enough money to actually make use of their services. In the next posts we will speak more specifically to the pitfalls that you may encounter regarding these air ambulance flights. It is important to be very careful with any contract you sign with an air ambulance company. There is no international regulation, and that in the states is fairly new, they have had to introduce laws to protect consumers from their predatory practices. Some stories reveal them putting a lien on peoples homes over balance billing, though this may no longer occur with flights within the US, it certainly is still a possibility with international flights. While in the last decade the amount of companies engaging in this industry have doubled, due to lack of oversight the costs to the consumer have more than doubled.

Continue reading “What We Have learned About International Air Ambulance Services”

Our Experience Without Travel Insurance, and What We Have Learned

When Diana first fell into a coma after her subdural hematoma one of our hindsight regrets was not having purchased travel insurance. In a study by AAA, only 38% of Americans plan to or have purchased travel insurance for international flights. Our family has had little experience with international travel. Diana’s ticket was purchased by a family friend to bring her out to Portugal for a visit. Often, it is during the process of booking a ticket where travel insurance is purchased, their coverage can be decent, but at times more expensive than purchasing it separately, and with fewer options than what can be acquired through a more tailored plan.

Since she fell into a coma we have researched deeply into travel insurance to see how it could have helped us, and to help others avoid the same situation. With the most expensive problem, international air medical repatriation, there seems to be only 2 specialized options that would have helped. However, We do want to highlight where general travel medical insurance would have been valuable to us. In this post, we will explore the different options for travel insurance, and where it would have had the most impact in our situation.

Continue reading “Our Experience Without Travel Insurance, and What We Have Learned”

Issues Defining a Medical/Legal Decision-Maker when no Living Will or Medical Power of Attorney Exists

Our Situation

This topic is a challenge to discuss in so many ways. Many people are uncomfortable planning for their own death or long-term care. In addition, this topic requires us to strike a balance between our desire to share our experience so that others may find helpful information, and both personal and legal needs for privacy. In this post we will attempt to explain our situation and what we have looked into to remedy the issues involved.

Diana has a last will and testament in place, however that does not function as a living will. The distinction being that “while a last will directs the distribution of assets after a person’s death, a living will gives directions regarding the medical care of someone who is still alive although unable to communicate her wishes herself” (Legal Zoom). We had pursued a medical power of attorney, however Diana had not completed the process before her trip. “A medical power of attorney, also called a durable power of attorney for health care, is one type of the legal forms called advance directives. It lets you name the person you want to make treatment decisions for you if you can’t speak or decide for yourself. The person you choose is called your health care agent” (Kaiser Permanente). We absolutely recommend having a medical power of attorney and/or a living will in place, especially prior to a trip taken by any person with health issues. The legal framework for medical decision-makers does not cover the financial, and legal aspects of the issues you may run into otherwise.

Continue reading “Issues Defining a Medical/Legal Decision-Maker when no Living Will or Medical Power of Attorney Exists”

Emergency Evacuation/Repatriation Coverage

Original Link | Cover Trip

*Note: This deeply relevant article has been re-arranged to highlight the coverage elements that we feel are most important. Nothing has been changed or edited, beyond moving some info to the top. Please visit the original link for the unedited version.

This coverage provides for medically necessary evacuation to a medical facility, medically equipped flights to return home, or the repatriation of mortal remains to your primary residence. (A repatriation definition is provided below.)

Contents (click to jump down *on original site)
What does Emergency Evacuation/Repatriation cover?
Repatriation definition
What is NOT covered
Is there coverage for non U.S. citizens?
Important notes about this coverage
What type of policy covers this?
How much coverage does each company provide?
Summary

Summary

  • All medical evacuations and repatriations must be approved and coordinated with the travel insurance provider
  • Not all plans provide for the return of minor children or bedside visits
  • Emergency evacuation and repatriation coverage does not extend to visits to your home country

Important notes about this coverage

  • Emergency evacuation and repatriation coverage does not extend to your home country
  • All medical evacuations must be approved in advance and coordinated with the travel insurance plan agents
  • In a situation of repatriation, your representative must contact the travel insurance provider to make arrangements
  • Some plans provide reimbursement to bring a friend or family member to your bedside if you are hospitalized for at least 7 days
  • Some plans provide reimbursement to return dependent children home if you are hospitalized for at least 7 days
  • Benefits paid for evacuation and/or repatriation are less the cost of your unused return travel ticket
Continue reading “Emergency Evacuation/Repatriation Coverage”

Air ambulance insurance coverage for medical repatriation and evacuation

Original Link | Air Medical Service Worldwide

Reading Time: 5 minutes

Table of contents

  1. What is an air ambulance?
  2. How much does an air ambulance flight cost?
  3. Is air ambulance covered by insurance?
  4. What is air ambulance coverage?
  5. Is air ambulance covered by health or travel policies?
  6. Does your insurance always cover the air ambulance cost?
  7. Are there limitations and exclusions to air ambulance coverage?
  8. How to make sure your air ambulance costs are covered by insurance?
  9. Do you have any questions?
  10. Contact us

Medical Air Service is an internationally renowned air ambulance company that connects patients and health-care providers all over the world. In a critical medical condition, do you or a loved one require a timely and reliable transfer from one hospital to another across the globe?

Count on us for your medical flights! They are specially designed to relieve you of the stress of aeromedical repatriation and evacuation, and are coordinated by our teams of experienced medical personnel and flight attendants. However, does your health or travel insurance cover our services? While some policies do, gaps in coverage can leave you struggling to pay large bills. Here are a few of the most important highlights.

Is air ambulance covered by insurance?

  • Generally, standard medical insurance does not cover air ambulances
  • For your medical flight to be covered by insurance, you must have air ambulance coverage
  • Air ambulance coverage is, sometimes, included in travel insurance plans
  • Read your insurance policy carefully or ask your insurer about air ambulance coverage
  • Medical Air Service can organize your air ambulance flight, even if you do not have air ambulance coverage.
Continue reading “Air ambulance insurance coverage for medical repatriation and evacuation”

Information Sessions for Lay Guardians

Original LInk | Washington Courts

Join a Zoom information session about guardianship and alternatives! No advance registration required. Open to anyone interested in learning about guardianship law in Washington. These sessions include an informal question and answer portion, and are offered every month.

**NEW – Introduction to Guardianship/Conservatorship, Alternatives to Guardianship/ Conservatorship and Overview of the Petitioning Process – RECORDED VERSION with text is available. Please scroll down the page to click on the module.
*Please note rescheduled date for session below

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Pre-existing Medical Condition Coverage

Original Link | Cover Trip

This coverage addresses the needs of travelers who have pre-existing medical conditions. The coverage is actually in the form of an exclusion waiver because travel insurance plans automatically exclude coverage for pre-existing medical conditions.

Summary

  • No travel plan covers pre-existing conditions, but you can purchase a package plan that offers an exclusion waiver
  • You must purchase your plan within a certain number of days of the initial trip deposit (typically 14-21 days) or final payment (in some cases), and you must insure the full cost and length of the trip
  • You must be medically stable when you purchase the travel plan and if a claim is made, the travel insurance provider will examine your health records over the look-back period
Contents (click to jump down)
What does the Pre-existing Condition Waiver cover?
What is the ‘Look-back Period’ and ‘Medically Stable’?
Pre-existing condition examples
Important notes about this coverage
How much coverage does each company provide?
Summary
Continue reading “Pre-existing Medical Condition Coverage”

Is Flight Insurance Worth It? What Does It Cover?

Original Link | Forbes

Editorial Note: We earn a commission from partner links on Forbes Advisor. Commissions do not affect our editors’ opinions or evaluations.

Trips aren’t just a chance to unwind and see the world. They are also an investment, but there’s a way to protect that investment called flight insurance.

Is flight insurance worth it? Here are a few things worth considering before you add any flight insurance to a booking.

What is Flight Insurance?

Flight insurance protects only the cost of your flight. It doesn’t cover all of your prepaid and nonrefundable trip expenses. Generally, if a problem covered by your flight insurance policy derails your travel plans, you can get reimbursement for only nonrefundable flight costs. Policies can range from offering simple refunds to covering lost or damaged baggage.

Some common problems that are typically covered by flight insurance include:

  • Flight cancellations caused by bad weather conditions, like storms and blizzards.
  • Unexpected flight delays that cause you to miss a connection, like equipment failure.
  • A mid-flight diversion that forces you to arrive at a different airport.
  • An unexpected injury or illness before your departure.
  • A terrorist event within proximity to the city you are traveling to.

While airline insurance policies can vary by plan type and insurer, there are a few common benefits that may be included in flight insurance plans:

  • Flight delay coverage: You’ll receive a payment up to a certain amount if your flight is delayed by the amount of time specified by the policy. For example, we reviewed a Berkshire Hathaway Travel Protection policy that pays a $50 “inconvenience fee” if your flight is delayed for at least 120 consecutive minutes.
  • Trip interruption or cancellation coverage: If you need to cancel the flight or return home early because of a problem covered by the policy, this coverage reimburses you for prepaid and nonrefundable flight expenses.
  • Lost or delayed baggage coverage: This coverage reimburses you for lost or delayed baggage, up to your policy limit. For example, a Flight Insure Plus plan from Travelex Insurance Services offers up to $1,000 in coverage for baggage and personal belongings.
  • Travel assistance: This benefits offers you assistance in rebooking your flight itinerary or making other travel arrangements.

What’s Not Covered by Flight Insurance?

Airlines that offer basic flight insurance plans typically lack certain coverage types that you might get with a comprehensive travel insurance policy. Comprehensive travel insurance policies have more robust coverage options which can include:

  • Emergency medical and dental coverage: This coverage reimburses medical or dental costs for injuries and illnesses covered by the policy while traveling.
  • Emergency medical transportation coverage: Reimburses and arranges necessary medical transportation following an accident or illness covered by the policy.
  • Missed connection coverage: Reimburses you for costs incurred from missing a flight, cruise, or other transportation connection due to an unexpected event covered by the policy.

When your travel plans go awry, some of these benefits may come in handy. For example, let’s say you’re in Bogata, Columbia, and get food poisoning that needs medical attention. If you purchased a comprehensive travel insurance plan, your emergency medical coverage may help pay for some of the costs your health insurance provider won’t cover abroad (up to the limits of the plan).

Continue reading “Is Flight Insurance Worth It? What Does It Cover?”

The 3 Best Travel Medical Insurance Plans: Updated April 2023

Original Link | Cover Trip

If you want to enjoy peace of mind while traveling outside your home country, you need the best travel medical insurance beforehand. This will protect you in case of emergency for you and any companion travelers. And in this article, we’re going to share the 3 best policies with you.

These plans provide emergency medical coverage for travelers who are leaving their home country. They cover medical emergencies and emergency evacuations. Your health insurance from home might not cover you abroad – which is why this is such an important consideration. You need to have travel medical coverage when going abroad.

Not only are we going to unveil the 3 best travel medical insurance plans currently available. But, we’re also going to cover everything you need to know about this type of plan in general, including:

  • Why it is essential
  • What the benefits are
  • What exactly is covered
  • How it works
  • What it costs
  • How to get your plan set up

But, let’s start with the main topic at hand – what are the best travel medical insurance plans available for travelers right now?

The Three Best Travel Medical Insurance Plans

We have three plans we’re going to discuss – but the ideal pick for you will depend on a number of factors, including your trip destination, desired coverage, age, and more. With that said, I recommend Seven Corners for your travel medical insurance plan. They have specialized in this coverage since 1993, insuring thousands of international travelers every year. Here is why they’re so great:

Continue reading “The 3 Best Travel Medical Insurance Plans: Updated April 2023”

What is Flight Insurance?

Original Link | Insure My Trip

Airline Ticket Protection Explained

Flight insurance is a coverage option that is most often available as an add-on when booking an airline ticket, either from an airline directly or through a third-party site, like Expedia or Priceline. Flight insurance is a “light” type of coverage due to the lower plan limits compared to other options. Every insurance plan, including flight insurance, has a certificate that outlines what may be covered regarding unexpected events and the maximum value of the coverage. Collectively, this certificate describes the plan limits.

what is flight protection

What Does Flight Insurance Cover?

For most flight insurance plans, the coverage is limited to unexpected events related to your air travel. In general, this type of policy covers flight delay, trip cancellation or trip interruption, and lost, damaged, or stolen luggage up to the plan limit. It also covers you if you’re not able to fly due to a documented medical reason on the date of your trip. Keep in mind that since the limits are low, it may leave some gaps in coverage.

Continue reading “What is Flight Insurance?”

Travel Insurance Coverage: The Complete Guide

Original Link | Cover Trip

*Note: This article has been reorganized to highlight medical issues first, please visit the original link.

Travelers of all types buy travel insurance coverage: singles, families, honeymooners, seniors, volunteer vacationers, even business travelers. Every traveler and every trip is different, but understanding the benefits and exclusions is important to choosing the right policy or package plan.

Note: In each example, a range of coverage represents the high and low. Actual benefits will depend on the plan you choose.

Continue reading “Travel Insurance Coverage: The Complete Guide”

Pet Care Coverage

Original Link | Cover Trip

*We are a family of dog lovers. So while this may not be an issue for us at the moment, it is one close to our hearts.

When you travel with your fur baby, you may be surprised to know that a travel insurance plan can protect them as well as you. Read on to learn about pet care coverage with travel insurance.

Pet Care Coverage

What type of policy covers this?

Not many plans offer this type of coverage and the ones that do are typically package plans.

Summary

  • Travel insurance benefits for pets is extremely limited and only a couple of plans offer any real protection for pets
  • When making a travel delay claim for pet-related fees, you’ll need appropriate documentation from the kennel
  • Your pet must be healthy and have updated shot records for pet benefits to be payable
  • Your pet must be checked in with a licensed commercial boarding kennel for pet benefits to be payable
Continue reading “Pet Care Coverage”

What Does Travel Insurance Cover?

Original Link | Cover Tip

This simple guide will show you exactly how travel insurance protects you and your money

So, what does travel insurance cover? That’s exactly what we’re here to discuss today. Here’s the very short answer:

Travel insurance covers lost money from canceled trips, emergency medical expenses, evacuation costs, baggage & delays, and 24/7 assistance.

This is a simple overview of the coverage you get with comprehensive travel insurance. The long answer is that your specific travel plan will dictate the coverage you get. For a more in-depth explanation you can read our complete guide to travel insurance coverage. Meanwhile, we’re going to explain the 5 things most travel insurance plans cover. Towards the end, we’ll recommend your next steps in securing the best possible travel insurance coverage.

So, What Does Travel Insurance Cover? 5 Common Coverages

We’re going to start by explaining what travel insurance covers. From canceled trips to medical emergencies, evacuations to delays – most of your concerns are covered by the insurance company you get your plan through. However, the degree of coverage you have is dictated by your specific plan – so read carefully when comparing travel insurance plans. Oh – and after we finish up this section, we’ll answer an equally important question: what does travel insurance not cover? First things first – let’s talk about trip cancellation coverage.

Continue reading “What Does Travel Insurance Cover?”

How Does Insurance on Airplane Tickets Work?

Original Link | Allgetaways.com

Protecting yourself against trip cancellations, airline changes, and lost or damaged baggage makes financial sense. When traveling, people want to be able to get away from the stresses of their life, not add more. People don’t consider or feel the need to buy travel insurance during their getaways. Due to the Covid-19 pandemic, many are still feeling weary to go on vacation and are investing in travel insurance plans. It’s helpful to have insurance in place if your ticket is non-refundable because if you need to make a last-minute change, you are protected. There are many travel insurance companies and insurance providers you can go to that cater to your needs. You have the option to buy coverage for things such as medical and dental expenses while away from home.

What Airline Insurance Covers

Airline ticket insurance can be used for trip cancellations, trip interruptions, trip delays, medical expenses, spending beyond your credit card, and baggage loss. When you buy a ticket and then need to cancel it, you will not get your money back unless your airline ticket insurance and your reason for cancellation is a covered reason. Reasons include the death of a family member or traveling companion, illness, injury, medical evacuation, and more. In return, the travel insurance can reimburse you only if a prepaid, non-refundable ticket. Rental cars, the cost of your flight, and other travel assistance are offered through those reimbursements. When your trip is interrupted, has a flight delay, or needs to fly home immediately instead of taking the return flight you originally booked, your insurance will cover any trip costs you might have to pay. Your insurance policy will also reimburse you for costs associated with lost, stolen, or damaged luggage while you travel. If you miss a connecting flight and forfeit a hotel reservation, your insurance will cover any charges or deposits you can’t get back from the hotel. When you buy a policy that includes medical coverage, your airline ticket insurance also pays for expenses not covered by your own health plan.

Continue reading “How Does Insurance on Airplane Tickets Work?”

Air Travel and the Air Carrier Access Act

Original Link | Metropolitan Airport News

Julia Lauria-Blum | BY JULIA LAURIA-BLUM | NOVEMBER 14, 2022 | 14 MINS READ

Accessible Services at New York Airports

This October, the Air Carrier Access Act of 1986 (ACAA) celebrated its 36th anniversary. The ACAA (Public Law 99–435) prohibits discrimination against persons with disabilities in commercial air transportation. Airlines are required to provide passengers with disabilities with many types of assistance, including wheelchair or other guided assistance to board, deplane, or connect to another flight, and seating accommodation assistance that meets passenger’s disability-related needs, as well as assistance with the loading and stowing of assistive devices. After a lengthy rulemaking process that included regulatory negotiations involving representatives of the disability community and the airline industry, the U.S. Department of Transportation (USDOT) issued a final ACAA rule in March 1990, which has been amended 15 times by the USDOT to further improve access to transportation facilities and services.

The Centers for Disease Control estimates that 61 million adults in the U.S. live with a disability, which includes impairment in mobility, cognition, hearing, vision, independent living, and self-care. 

Air travel for people with disabilities can be exceptionally challenging if airport facilities are not accessible and reasonable accommodations are not made, as in the most recent amendment to the Air Carrier Access Amendments Act (ACAA) of 2021. This bill expands provisions prohibiting discrimination against disabled individuals by an air carrier. Specifically, it lists certain actions that an air carrier must take or may not take concerning a disabled individual. Despite these amendments, people with disabilities, including veterans, continue to experience significant barriers with traveling in air transportation, such as damaged assistive devices; inaccessible aircraft, lavatories, communication media, delayed assistance; the treatment of service animals, inadequate disability cultural competency, and a lack of suitable seating accommodations.

Continue reading “Air Travel and the Air Carrier Access Act”

MEDICAL EVACUATION – State Department Guidelines for Embassies

Original Link | U.S Department of State | Foreign Affairs Manual

*FAM (Foreign Affairs Manual), This document lays out the expectations and boundaries placed on US Embassies in relation to Air Ambulance flights for Medical Evacuation for US Citizens stuck abroad.

7 FAM 361  SUMMARY

7 FAM 361.1  Patient Stabilization

(CT:CON-120;   12-06-2005)

When a U.S. citizen/non-citizen national is ill or injured abroad, the patient or the family may desire to have the patient return home immediately.  The U.S. embassy or consulate cannot make medical decisions about a patient.  Local law determines who is entitled to make decisions about the patient.  The attending physician in the host country also generally must make a determination that the patient is stable enough to travel.  Airlines and air ambulance services usually will not transport a patient if the attending physician concludes the patient’s condition would be further harmed by the flight.  Air carriers and air ambulance services may consult their own physicians to review documentation from the attending physician in the host country before undertaking to carry the patient.  7 FAM 390 provides guidance about disembarking, reception and resettlement in the United States.

Continue reading “MEDICAL EVACUATION – State Department Guidelines for Embassies”

Airline Passengers with Disabilities Bill of Rights

Original Link | USDOT

This Bill of Rights describes the fundamental rights of air travelers with disabilities under the Air Carrier Access Act and its implementing regulation, 14 Code of Federal Regulations (CFR) Part 382. 

Please click this link to download the latest version of the Bill of Rights.

The Bill of Rights consists of:

  1. The Right to Be Treated with Dignity and Respect.
  2. The Right to Receive Information About Services and Aircraft Capabilities and Limitations.
  3.  The Right to Receive Information in an Accessible Format.
  4. The Right to Accessible Airport Facilities.
  5. The Right to Assistance at Airports.
  6. The Right to Assistance on the Aircraft.
  7. The Right to Travel with an Assistive Device or Service Animal.
  8. The Right to Receive Seating Accommodations.
  9. The Right to Accessible Aircraft Features.
  10. The Right to Resolution of a Disability-Related Issue.
Continue reading “Airline Passengers with Disabilities Bill of Rights”

All forms Related to Guardianships, Conservatorships, or Other Protective Protective Arrangements (excluding Minor Guardianship)

Original Link | Courts.Wa.Gov
Title 11(RCW

All the necessary documents to file a guardianship or conservatorship are available for download here, follow the Original Link for the download links.

Continue reading “All forms Related to Guardianships, Conservatorships, or Other Protective Protective Arrangements (excluding Minor Guardianship)”