Health & Fitness

Fear of Zika doesn’t mean you will get refund if you cancel trip

Dr. Megumi Itoh, left, an epidemic intelligence officer with the U.S. Centers for Disease Control and Prevention (CDC), measures the head of 5-month-old Adrielly Rufino, as she is held by her mother, Maria Girdielly, 17, as part of the CDC and Brazil's Ministry of Health case-control study investigating the association between women having the Zika virus when they are pregnant, and the effects they are seeing of microcephaly in babies.
Dr. Megumi Itoh, left, an epidemic intelligence officer with the U.S. Centers for Disease Control and Prevention (CDC), measures the head of 5-month-old Adrielly Rufino, as she is held by her mother, Maria Girdielly, 17, as part of the CDC and Brazil's Ministry of Health case-control study investigating the association between women having the Zika virus when they are pregnant, and the effects they are seeing of microcephaly in babies. Los Angeles Times/TNS

As the summer unfolds, readers are asking about student health plans, mental-health coverage and travel insurance while the Zika virus threatens.

Q. My wife and I have a trip planned to South America, but we're increasingly worried about the Zika virus. We bought travel insurance when we booked the trip. If we cancel, will we be able to get our money back?

A. It depends. A typical travel insurance policy won't reimburse you if you cancel because you're afraid of traveling to a country where there have been reports of an outbreak of a disease such as the Zika virus. But if you purchased a “cancel-for-any-reason” policy, your claim is more likely to be approved, said Megan Freedman, executive director of the U.S. Travel Insurance Association, a trade group. These policies also allow you to cancel for any reason, including pregnancy, a particular concern with the Zika virus. They typically cost a bit more than a standard policy. If you cancel, you'll generally be reimbursed for about 75 percent of your prepaid expenses.

The Zika virus causes only mild flulike symptoms in most people, but if women contract it during pregnancy, it can cause a devastating birth defect called microcephaly in their baby. Researchers estimate that babies born to between 1 and 13 percent of pregnant women who are infected during their first trimester will have that condition. The virus is generally passed along through the bite of an infected mosquito.

Even if your travel insurance policy won't approve your claim, it's worth contacting your airline or hotel to ask about refunds, Freedman said.

“Ask what, if any, concessions your hotel or airline is extending,’’ she said.

Q. I'm leaving my job to go to graduate school this summer. The college offers a student health plan, but would I be better off buying an individual plan on the marketplace? Since I worked half of the year, I suspect I won't get much in subsidies.

A. The best choice for you will depend on a couple of factors, including how good the student plan is at your school and your coverage priorities: Do you want a plan with generous coverage, or would you prefer something that, for example, may have a higher deductible but probably a lower price tag?

Student health plans vary widely, said Stephen Beckley, a higher education health-care consultant in Fort Collins, Colorado. At many schools, coverage is equivalent to a platinum-level plan on the state marketplace, meaning it pays 90 percent of the cost of medical services. A survey of student health plans at 38 public and private schools conducted by Hodgkins Beckley Consulting found average premiums were $184 at public universities and $217 at private colleges.

A platinum-level plan on the federal marketplace would probably run more than that, especially if you don't qualify for a federal tax credit to help pay the premium. On the state marketplaces, more than three-quarters of people who buy plans get premium tax credits, which are available to people with annual incomes up to 400 percent of the federal poverty level (about $47,000 for an individual). This year, after factoring in an average premium tax credit of $290, consumers paid on average $106 per month for coverage in the 38 states where the federal government operates the marketplace. Most people buy silver plans on the state exchanges, which pay for 70 percent of medical services, leaving them to pick up more of the cost of care than a platinum plan does.

Q. My employer does not offer mental-health benefits. What can I do?

A. You're in a tough spot. The federal mental-health parity law doesn't require companies to offer mental-health benefits. Rather, it says that if they do, the benefits have to be at least as generous as their medical/surgical benefits.

You have several options, but none of them is a slam dunk. Some therapists charge on a sliding scale for a small proportion of their caseload, said Lynn Bufka, a psychologist who is the associate executive director for practice research and policy at the American Psychological Association.

Depending on where you live, you may be able to find a local mental-health clinic or federally qualified health center that offers services for less than you'd pay a private therapist, Bufka said. You could also check out universities near you that have training programs for mental-health professionals. You might be able to work with a student who's under close supervision by a trained professional.

Once you find someone, ask if there are things you can do to help accelerate the work using self-help books or guided exercises between sessions.

"It's important for people to understand that psychotherapy does not need to be a forever thing," Bufka said. "It could be a 10-to-12-week intervention."

This column is produced through a collaboration between The Post and Kaiser Health News. To submit a question, go to kaiserhealthnews.org/contact-insuring-your-health.

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