Originally Posted by Just_Steve
So my question is, If US insurance companies are trying to squeeze the last penny out of a dollar, why won't most pay for less costly overseas treatment?
My guess is it's a reputational risk issue. If there's a bad outcome, which happens even to good doctors, or the patient develops an embolism on the flight home and dies, it's all because the Evil Insurance Company "outsourced" the poor person's care to lower-cost providers.
I've heard of employers whose health care is largely self-funded (with some Excess coverage for major claims) offering the foreign option, frequently with a cash bonus to the patient. You still have to tread carefully since lower-paid employees are more likely to accept that incentive. Then if things go wrong it's the Evil Employer exploiting the worker.