Presented: April 25, 2017 from 2pm to 3pm ET

Duration: 60-minutes 

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1. US Medical Costs continue to rise

a. Individuals without US medical insurance or worker’s comp face high costs

b. “Rack Rate”

c. Many ship agents prefer to not handle medical matters

- Agents hire medical “middleman”

- What is a middleman?

- No fee charged by middleman?

2. Are there alternatives to using the agent/middleman method?

a. What is a medical case manager and what do they do?

- How do they charge?

b. What is a review and audit service?

- How do they charge

c. What is a repatriation service?

3. Does the emergence of Telemedicine offer other options/alternatives?

a. What is Telemedicine?

b. Will the use of Telemedicine increase or decrease medical costs?

4. For discussion: Will non-US seafarer’s face additional obstacles receiving medical care in the US following the changes to US policy for those without a valid visa?

PRESENTER: John C. Scalia, ‎Special Consultant at Gard (North America) Inc.Mr. Scalia recently retired as Senior Claim Advisor to Gard North America, a position he held from 1998-July 2016. Prior to joining Gard, Mr. Scalia was AVP at Maritime Overseas; also the Manager at Insurance Claims and Loss Prevention at Farrell Lines’ and began his maritime Career as P&I Claim Manager at Apex.Mr. Scalia is a 1970 graduate of The College of Insurance, now St. John’s University School of Risk Management.Among his many maritime affiliations, Mr. Scalia is a Marine and Insurance Claims Association – better known as MICA Board member; he is Past Chair of the Maritime Torts Committee; and adjunct professor at St. John’s University School of Risk Management.

INTENDED AUDIENCE: Insurance company underwriters, trainees, claims personnel, surveyors, agents or brokers, shipowners, charterers and maritime attorneys.


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