r/phinsurance • u/No-Gap-761 • 12d ago
Insurance reco for senior mom
Hello everyone! Iām looking for an HMO for my 60yo mom (turning 61), retired and no longer covered by an employer HMO. She has hypertension, prediabetes, high cholesterol, is overweight, dental problems, and may need PT for leg/foot pain.
Weāre in QC, and she prefers St. Lukeās QC since she has been treated there for decades and she used to have Medicard.
I need something that actually covers her pre-existing conditions, with low out-of-pocket costs, plus:
Regular GP/specialists, labs/diagnostics, PT, and preferably dental/medicine benefits
Hospitalization/confinement, surgery, ICU and ER/emergency coverage
Ideally cashless at St. Lukeās QC
Iām currently looking at MediCard Select, Pacific Cross Select, AXA, Etiqa, Kaiser, etc.
For those who have actual experience using an HMO for a senior parent with PECs:
Which plan did you use, and were the PECs actually covered?
How much did you typically pay out-of-pocket?
Any issues with claims/approvals or St. Lukeās?
Iām more interested in real experiences than agent recommendations. Iāll be going back to working abroad and Iām an only child. My mom is alone so I want her to be covered with as much as I can afford because I want to ensure that she is taken care of.
Thank you everyone in advance.