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Tailor Made Healthcare Spain - Established 15 years.

  • watersidesales
  • 3 days ago
  • 4 min read

Yes we have been selling Spanish Private Healthcare policies and providing our customers with ongoing help & support for fifteen years.

Read on to know problems that arise and how our experince helped resolve them.



The information and knowledge we have gained in those years is massive.

When it comes to customer help & support experience and knowledge is king, and in our time we have dealt with every possible scenario there is.


Our agency has heard it and done it all.

From investigating medical procedures to understanding Visa process and issues that arise at consulates. Week in, week out people phone us, email us, and tell us the issues or problems they are facing, and on a daily basis we strive to provide the solutions.


We go beyond explaining the finer detail of policy small print and explaining procedures for arranging medical treatment and care. We seek out and apply solutions to problems and provide feedback to insurers.

Tailor Made Healthcare have been key in developing the Spanish visa adapted versions of the medical policies we offer, and our expertise has gained us advisory level status within the Insurance Company in addressing the ever changing rigorous requirements of the Spanish immigration process with regard to Spanish healthcare.


Over the years resolving issues, unravelling misunderstandings and, tackling errors has been an ongoing service we provide.


Between Spanish none-speakers, medical centre admins and insurance company call centre staff there will always be issues that take a wring turn. Our customers are encouraged to pass these on to us and in doing so can avoid the stress.


What can seem a simple task of getting an approval for a high tech scan can go wrong at a time when a customer is worried and stressed about an unknown sickness.


Benefit from you Agents knowledge.


The doctor explains to the patient the type of scan that is urgently necessary, the hospital explain you need the Insurance Company to Authorise the treatment. Hospital Admin fill in the pre-approval request and use the fastrack system to submit it. The request is rejected by the insurance company. The customer is confused and upset but has the sense to call us at Tailor Made Healthcare.


In this scenario by scrutinising the medical report and the doctors treatment ticket we established a small silly mistake.

The hospital admin had indicated a CT scan was required for an abdominal issue. We had read the report and reviewed the customers policy, the report was of course in Spanish but even if it was in English would the customer have noticed the error.

The doctor a urologist had in the report referred to gall bladder and prostate.

We noted this was an abdominal area, however we responded to the hospital that this patient had a specific personal policy exclusion for colon treatment as it was a condition that the customer declared as pre-existing. We explained to the hospital that the Urologists investigation was more specifically a Renal issue and they must present the request for authorisation again.

Our involvement meant that the approval went through immediately it was amended and the customer had the scan and a fused ball of gall stones were identified and the customer was admitted for surgery and hospitalised for 3 days.


This is a very typical situation, but more often than not when customers are required to apply for their approval direct with the Insurer, and they are told to follow a process that we set out in an email we often see customer errors. Hence we offer our customers the option to copy us in on the authorisation request and by doing so we make sure that all is correct.

We tick off that the request includes:


  1. Full name of the person on the policy that needs treatment

  2. The policy number is privided.

  3. The attachments are attached.

  4. The attachments are a format that will open.

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

  6. Customer has used the email they have listed with the insurer.


Our experience shows that 7 out of 10 submissions copied in to us will have missed one of the six items above. By our review of the request we ensure the error is rapidly rectified.


We are an agency who love to sell our products, however setting the policy up for us is stage 1 of the relationship.

Our customers are asked to make Tailor Made Healthcare their first point of contact.

Before you are sold the policy, soon after the price and brochure are sent out, we will have provided several follow on emails written to give you a good understanding of how the policy works in practice.


Perhaps now is a good time to read how with our help your experience of using private medical insurance in Spain will ensure you have the knowledge and confidence to avoid the pitfalls we often read about from angry people resorting to bad reviews about their insurance experience.

Read our Article to avoid these pitfalls

"About TrustPilot and angry people"



 
 
 

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