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Do most pensioners return home when ill.


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Posted

Hi. Questions for pensioners here. Do you intend to return to your motherland when extremely sick? If for example you have terminal cancer do you intend to return to farangland or stay here? Do you know anyone that croaked overnight and had no arrangements for it? I'm beginning to think about these things for I'm getting long in the tooth. Sorry. Thanks. Happy mongering

  • Like 2
Posted (edited)

 

1. Make sure that you have a friend that you speak to reguarly, that has the contact details of a family member back home, and will raise the alarm, if you don't answer their messages or calls. You don't want to have a sudden heart attack watching TV one night, and then to be found by your real esate agent ( becuase you haven't paid the rent) ,a month after it happened.

2. Whether you go back home or not after the diagnosis of a terminal illness, will depend on the severity of your illness. I know of more than one case where the person wanted to return home, but the doctor wouldn't give a fit to fly clearence,(in case they had a medical emergency in the air), and they then had no choice but to die in Thailand.

.

Edited by Farangkie

 

 

Posted

A lot of variables here, but generally:

- If I need advanced care, it will depend on whether I could get it at a reasonable standard in Thailand.

- For terminal illness, I'd probably stay in Thailand due to being married to a Thai national.  If that changed, I might reevaluate depending on what sort of end-of-life care I needed.

- All other things being equal, not quite sure why I'd want to die anywhere but paradise.

- I've known plenty of guys who died there.  Some should have gone home, and died due to circumstances they created by avoiding it.  Others simply had nothing in their home countries to go back to, so going back was irrelevant/futile/useless.  Others felt that Thailand was their home country, so it was where they wanted to die.

- Some guys go there specifically to die.  I know one guy (not well) whose plan is to get drunk every day until he turns 70, then off himself.  Apparently he's part of a group of guys who have, or had, the same plan.

That's all the time I have for this topic today!  😃

  • Thanks 2
Posted

3.  Retain a UK address for correspondence and registration with a GP.

  • Thanks 1
Posted
51 minutes ago, kansuwan said:

3.  Retain a UK address for correspondence and registration with a GP.

And of course not forgetting the Triple lock Pension benefits  and Winter Fuel payments :08:

  • Like 1
  • Haha 2
Posted

If life affords me the option of flying back home after getting diagnosed with anything terminal, yes I intend/will go back.

I dont wanna be here in an unhealthy state, passing the days until I die or even hoping I beat the illness.

If I have the luxury of time, Ill get an apartment close to a hospital back home and go out like that.

But Im not gonna live in America just because I want to be best prepared or situated for a terminal illness diagnosis. Nope.

It would suck to have a stroke or heart attack tonight or anytime and be left paralyzed or cant walk etc.. instantly. Kind of like what has happened with Mr. Sweeney.

Yes I intend to go back home to die. Theres how you think life will go and then there is the way it actually goes😳 

Hope life plays nice lol

 

  • Like 2
Posted
2 hours ago, chang beer said:

Hi. Questions for pensioners here. Do you intend to return to your motherland when extremely sick? If for example you have terminal cancer do you intend to return to farangland or stay here? Do you know anyone that croaked overnight and had no arrangements for it? I'm beginning to think about these things for I'm getting long in the tooth. Sorry. Thanks. Happy mongering

There is no one answer….It depends on the individual. I know of some who have gone back to their home country when they have gotten older. I know others for whom Thailand has become home, where they have lived out their years. 

I knew an American whose passport had expired for many years, who died in Thailand. 

Thailand has good medical facilities. As long as you are have the means / insurance you can be well cared for to the end of your days. 

  • Like 1
  • 2 weeks later...
Posted

Have a look at Steady Eddy youtube channel and see what happened to him. In precis moved at aged 61 to Pattaya in January this year with the statement I'm never coming back.. Multiple health issues this year which turned out to be cancer. Back in UK hospital with months to live

Maintain that GP registration (send online spurious request on occasion so they see you're still active) and a UK address at all costs

  • Like 1
Posted
On 14/07/2024 at 15:17, FROST MEDIC999 said:

And of course not forgetting the Triple lock Pension benefits  and Winter Fuel payments :08:

lol I'd forgotten about winter fuel payments !

Sat on the beach and a bundle lands in your account lol

  • 3 weeks later...
Posted
On 28/07/2024 at 11:52, KyleReading said:

lol I'd forgotten about winter fuel payments !

Sat on the beach and a bundle lands in your account lol

Not any more, it has been cancelled! 

  • Like 2

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Posted

 If you have serious or terminal illness for Aussies, Canadians, UK and much of Europe, head straight back. No idea about US. 

Don’t worry if you are out of the country for long periods, no longer have a home in your country and do no qualify which are part of regulations for some countries.

Land in your country and head straight to the hospital. Before departure, make sure you have an address in your country handy. Do not worry if it is not yours but that of friend, relative or former colleagues or random address in your former hometown or your former address. Hospital admin require to fill physical address in the system or there is mental block. You will not be turned away. All these countries have universal healthcare. 

Once you are inside the system, all the support services kick in such as care home after initial hospital treatment. 

 

 

  • Like 1
  • Confused 1
Posted
On 28/07/2024 at 12:03, Greg_B said:

The USA Embassy has a registration program (online) to help the process

https://step.state.gov/

The US does not have universal health care. For older Americans there is Medicare, but Medicare coverage does not extend outside of the US and it's territories. The closest territory to Thailand is Guam.

My Medicare Advantage insurance does cover ER and ER related in-patient outside the US. This is an extension to Medicare that is available from some major US insurance companies. I use Humana.

At a personal level I have things pretty well in place at a communication and will level. Medical services in Thailand are very good. Also, ongoing care is much cheaper than in the US. I will likely remain self-insured in Thailand. In the event that I needed major expensive care, I would likely have to return to the US.

Also of note is that one should plan for a situation where they are incapacitated to the extent that they can not access their Thai Bank money. I am married to a Thai national and she could not access my bank account until I gave her specific signature authority. 

Posted
34 minutes ago, ChiFlyer said:

The US does not have universal health care. For older Americans there is Medicare, but Medicare coverage does not extend outside of the US and it's territories. The closest territory to Thailand is Guam.

My Medicare Advantage insurance does cover ER and ER related in-patient outside the US. This is an extension to Medicare that is available from some major US insurance companies. I use Humana.

At a personal level I have things pretty well in place at a communication and will level. Medical services in Thailand are very good. Also, ongoing care is much cheaper than in the US. I will likely remain self-insured in Thailand. In the event that I needed major expensive care, I would likely have to return to the US.

Also of note is that one should plan for a situation where they are incapacitated to the extent that they can not access their Thai Bank money. I am married to a Thai national and she could not access my bank account until I gave her specific signature authority. 

For Americans, I think this is the best way to go, I know some that have decided that since they are planning on never returning to the US that they are not paying into Medicare Part B, but if you do pay Part B, you can then get a supplement plan to help pay for those unexpected high cost things that happen when you are over 60.

For retired military people that is a no brainer, because as long as we pay our Part B we get TFL, and there a few hospitals in Thailand that will direct bill TFL if you are admitted as an inpatient for care, if out patient you have to pay upfront and put in a claim and you should get all but 25% of the bill back.

  • 2 weeks later...
Posted (edited)

Yes 

Even if it is a temporary measure

Edited by Wiley Coyote
Posted
On 16/08/2024 at 15:56, Joeleg said:

Land in your country and head straight to the hospital. Before departure, make sure you have an address in your country handy. Do not worry if it is not yours but that of friend, relative or former colleagues or random address in your former hometown or your former address

Amazed to read (public) hospital in some countries has capacity,  and will accept, a random patient showing up without  prior referral from his GP.  Certainly not any of the 2 EU countries I've been living in.

Posted
9 hours ago, Kandinski said:

Amazed to read (public) hospital in some countries has capacity,  and will accept, a random patient showing up without  prior referral from his GP.  Certainly not any of the 2 EU countries I've been living in.

Australia you can do this. just go to emergency get triaged and then you are dealt with, but on the free list you take what ever doctor that you're given so could be lottery.

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