Covering against calamities

Insurance companies say more international travelers have been inquiring about health insurance coverage since the catastrophic Indian Ocean tsunami.

"We have seen inquiries and volumes increase," said Jonathan Ansell, chief executive officer of World Access, one of the nation's largest travel insurance companies. " Southeast Asia has certainly raised the awareness of people of the calamities that can happen when they need health care."

International relief agencies report that as many as 10,000 foreign tourists were killed or still are missing from the Dec. 26 earthquake and tsunami. Many are from Scandinavian countries. At least 37 of the confirmed or presumed dead are American.

World Access has identified about 50 of its insured Americans at hospitals in Southeast Asia, mostly Thailand.

"But the number is changing daily," Mr. Ansell said.

The Richmond-based insurer has sent 15 doctors to the area to assist in the relief effort.

People in the affected areas run the risk of cholera, dysentery and malaria from poor sanitation, according to the World Health Organization.

International health insurance often covers items not included in traditional policies, Mr. Ansell said, such as evacuations from places with primitive health care. The evacuations could be by any transport mode necessary, such as special airplanes outfitted with medical equipment and personnel.

Some international health care policies provide telephone medical assistance service. The 24-hour multilingual hot lines can arrange overseas medical care, including bill payment, and care of children or other family members.

Another health care plan pays any medical bills not paid by a traveler's domestic policies.

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