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Bali Health care


Bali Health care

Although the standards of healthcare and emergency facilities have improved greatly in recent years, they remain below what most visitors would be accustomed to in their home country. Whilst minor illness and injury can be adequately treated in the ubiquitous local clinics most overseas visitors would not be comfortable having serious problems dealt with in a local hospital, and insurance coverage for emergency medical evacuation is therefore a wise precaution. If a medical evacuation is required then patients are normally moved to Singapore or Perth in Australia. Jakarta, Indonesia's capital, does however have some high standard medical care facilities if seeking medical attention at a closer location. Be aware that the purchase of travel insurance still means that most clinics and hospitals may require payment in advance, or sometimes by incremental payment as various services are rendered. This may require access to a quite significant amount of cash in order to keep things moving. Any claim is then made to the insurance company upon your return home. This is almost always the case if the problem is one that can be dealt with on an outpatient basis. Make sure that your insurance company has an agreement with the provider or immediately establishes one, otherwise you will also be landed with a bill for an inpatient stay. Bali International Medical Centre (BIMC) has agreements with many insurance companies and is a well serviced hospital. This is however a relatively expensive option and even they ask for payment for outpatient treatments. The major travel insurance companies may be slow to respond with appropriate assistance and equally slow to refer a claimant to a suitable medical service. Delays may also be experienced if the insurer is slow or indecisive in authorising treatment. Difficulties may arise from an insurer not authorising a payment guarantee to the local medical services provider. Delays in rendering appropriate treatment are a common outcome. Try to gain an understanding of the policy terms and limitations of your travel insurance cover prior to departing your home country. Trying to gain an understanding of the limitations of cover whilst amidst a crisis is not recommended. Some insurance companies and their emergency response centres may not live up to your own expectations of regional knowledge, appropriate case management and speedy response. Your best insurance is always common-sense, some basic pre-departure research on your destination and the application of good situational awareness whilst travelling. Try to have your own plan in place to deal with any crisis you may encounter when travelling rather than relying solely upon a possibly inadequately skilled and under-qualified person sitting in a distant call centre who may have their own role complicated by problems with language, communication and access to the insurers decision makers. You may wish to consider carrying the names and contact numbers of one or two of the major local medical and evacuation providers in your wallet or purse so that you know how to quickly obtain medical assistance should an emergency arise. Always ensure that you contact your insurer as soon as possible should an emergency arise otherwise you may find they are later unwilling to accept liability for payment for any expenses that arise. Always keep a thorough record of all ependitures and communications with your insurer and obtain full and detailed invoices and receipts for all services provided and any incidental costs. If you do not understand the detail of anything that you are billed for ask for an explanation, if information is not forthcoming withhold payment or authorisation until such time as an acceptable explanation is given. International SOS Indonesia (AEA SOS Medika) was founded in Indonesia in 1984 and has grown into an international organisation handling a round 9 million cases per year. It has a professionally staffed and operated clinic in Bali. They offer clinic services, hospital referral and emergency medical evacuation services. They have agreements or associations in place with many of the major travel insurers and are a principal medical service supplier in the SE Asian region, including Indonesia. The midday sun in Bali will fry the unwary traveller to a crisp, so slap on plenty of high-factor sun-protection and drink lots of fluids. There is though no need to carry litres of water as you can buy a bottle virtually anywhere. The locals tend to stay away from the beaches until about two hours before sunset, when most of the ferocity has gone out of the sun. Travelling to Bali may expose you to some risks in contracting one of many tropical diseases that are present in the region. Bali is officially a malaria-free zone but dengue fever is a problem and all sensible precautions should be taken against being bitten by mosquitoes. Take care in restaurants and bars; although it is very rare nowadays, some may use untreated/unsafe tap water to make ice for drinks otherwise made with clean ingredients. Tap water in hotels should not be used for drinking or brushing teeth unless explicitly labelled as safe. Both drink adulteration with methyl alcohol (methanol) and drink spiking in bars and clubs is not uncommon in Bali. Sensible precautions should be taken when buying and consuming beverages. During 2009/2010 a number of Indonesians and visiting tourists in Java, Bali and Lombok/Gilli Islands were poisoned by consuming drinks containing methyl alcohol resulting in fatalities. Methyl alcohol (wood alcohol) and other contaminants are highly dangerous and have been found in some locally produced alcoholic drinks including locally made Arak. The initial symptoms of methyl alcohol/methanol intoxication include central nervous system depression, headache, dizziness, nausea, lack of co-ordination and confusion. If methyl alcohol poisoning is suspected seek medical assistance immediately. The HIV infection rate in Bali is increasing, mainly amongst sex workers of both genders and intravenous drug users. If you engage in any risky activity, always protect yourself.

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Bali Travel Guide from Wikitravel. Many thanks to all Wikitravel contributors. Text is available under Creative Commons Attribution-ShareAlike 3.0, images are available under various licenses, see each image for details.

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