Tailor Made Healthcare Spain - Established 15 years.

Yes, we have been selling Spanish Private Healthcare policies and providing our customers with ongoing help and support for fifteen years. Read on to discover the problems that arise and how our experience has helped resolve them.

Our Extensive Experience

The information and knowledge we have gained over the years is immense. When it comes to customer help and support, experience and knowledge are essential. Throughout our time in this industry, we have encountered every possible scenario.

Our agency has heard it and done it all. From investigating medical procedures to navigating the visa process and addressing issues at consulates, we are here to help. Week in and week out, people contact us via phone and email, sharing the challenges they face. Daily, we strive to provide effective solutions.

Going Beyond the Basics

We go beyond merely explaining the finer details of policy small print. We also clarify procedures for arranging medical treatment and care. Our goal is to seek out and apply solutions to problems while providing valuable feedback to insurers. Tailor Made Healthcare has played a crucial role in developing Spanish visa-adapted versions of the medical policies we offer. Our expertise has earned us advisory-level status within the insurance company, allowing us to address the ever-changing, rigorous requirements of the Spanish immigration process regarding healthcare.

Over the years, resolving issues, unraveling misunderstandings, and tackling errors has been an ongoing service we provide. Between Spanish non-speakers, medical center administrators, and insurance company call center staff, issues can arise. We encourage our customers to share these problems with us, helping them avoid unnecessary stress.

The Importance of Communication

What may seem like a simple task, such as obtaining approval for a high-tech scan, can go awry at a time when a customer is already worried and stressed about an unknown illness.

Consider this scenario: The doctor explains to the patient that a specific scan is urgently necessary. The hospital informs the patient that they need the insurance company to authorize the treatment. The hospital admin fills out the pre-approval request and submits it through the fast-track system. However, the request is rejected by the insurance company. The customer is understandably confused and upset but wisely contacts us at Tailor Made Healthcare.

By scrutinizing the medical report and the doctor's treatment ticket, we identified a minor yet significant mistake. The hospital admin had indicated that a CT scan was required for an abdominal issue. We reviewed the report and the customer's policy. Although the report was in Spanish, even if it had been in English, would the customer have noticed the error?

The doctor, a urologist, had referred to both the gall bladder and prostate in the report. While we noted this was an abdominal area, we also recognized that the patient had a specific personal policy exclusion for colon treatment, as it was a pre-existing condition. We explained to the hospital that the urologist's investigation was more specifically a renal issue, and they needed to resubmit the request for authorization.

Our involvement ensured that the approval went through immediately once the request was amended. The customer underwent the scan, which revealed a fused ball of gallstones. This led to the customer being admitted for surgery and hospitalized for three days.

Common Errors in Authorization Requests

This scenario is quite typical. More often than not, when customers are required to apply for their approval directly with the insurer, they are told to follow a process outlined in an email. Unfortunately, we often see customer errors. To mitigate this, we offer our customers the option to copy us in on the authorization request. By doing so, we ensure that everything is correct.

We check that the request includes:

1. The full name of the person on the policy needing treatment.

2. The policy number is provided.

3. All necessary attachments are included.

4. The attachments are in a format that will open.

5. The request confirms the location and date where the customer wants to receive treatment.

6. The customer has used the email they have listed with the insurer.

   
   

Our experience shows that seven out of ten submissions copied to us miss one of the six items listed above. By reviewing the request, we can quickly rectify any errors.

Building a Lasting Relationship

We are an agency that loves to sell our products. However, setting up the policy is just the first stage of our relationship. We encourage our customers to make Tailor Made Healthcare their first point of contact. Before you purchase a policy, we will send several follow-up emails to help you understand how the policy works in practice.

Navigating the Healthcare System

Perhaps now is a good time to read about how, with our help, your experience of using private medical insurance in Spain can be smooth and stress-free. We aim to ensure you have the knowledge and confidence to avoid the pitfalls that often lead to frustration and negative reviews about insurance experiences.

Read our article to avoid these pitfalls: About TrustPilot and angry people.

Conclusion

In conclusion, our fifteen years of experience in the Spanish private healthcare sector have equipped us with the knowledge and skills to assist our customers effectively. We understand the challenges that arise and are committed to providing ongoing support. By choosing Tailor Made Healthcare, you can rest assured that you have a reliable partner in navigating the complexities of healthcare and insurance in Spain.