Yes and no—it's helpful to think of us as insurance-like in some ways, but critically different in others.
Like insurance: We negotiate pricing like the best insurers, require hospitals to give our members expedited and priority service, validate every bill (similar to claims processing), and maintain strict standards for measuring doctor quality, treatment necessity, and clinical efficacy. In these ways, we use our position in the healthcare value chain to benefit you just like a good insurer would.
Unlike insurance: We don't pay your medical bills. While we do pay hospitals and doctors directly (at our negotiated rates), we then charge your card monthly for those validated expenses plus your membership fee. From there, you're free to request reimbursement from your own insurance if you have it—though please note most insurers won't reimburse our service fees (yet).
Why this matters: Because healthcare in Bali is relatively inexpensive and we ensure better outcomes at fair prices, many of our members discover they can save thousands per year by self-paying with Padma Care's support and switching to a low-cost, high-deductible insurance plan for major accidents or illnesses only. This combination eliminates claims headaches, reduces premiums dramatically, and helps you make better healthcare decisions without insurance company restrictions.
Emergency rooms in Bali are challenged and, in our experience, too often deliver substandard outcomes compared to other countries. The reasons are complex, but our advice is to avoid ERs when possible. That said, if you have an accident requiring urgent care, you have to go. We recommend getting stabilized and then discharged to inpatient care as quickly as possible, where we can effectively intervene and advocate for you. We cannot effectively advocate within an ER setting. This is also why our service isn't staffed 24/7—we excel at preparation and planned responses to healthcare needs rather than emergencies. However, in an emergency we can absolutely guide you on where to go and even call an ambulance for you.
Absolutely. If you're happy with a doctor or specialist you've already seen, you should stay with them. Our approach at Padma Care is to select doctors based on quality first, regardless of where they work or whether we have negotiated rates at their hospital. Some hospitals don't or can't offer pricing agreements with us. But paying a bit more is never worth getting substandard care, in our opinion. That said, if budget becomes a concern and you tell us you need to find someone at one of our partner hospitals, we'll absolutely help you do that while maintaining quality standards.
Medical tourism companies and home-visit doctors both have business models that create problematic incentives—and we've deliberately built Padma Care to work differently.
Medical tourism services focus on bringing international patients to specific hospitals or clinics for procedures, typically earning referral fees or commissions. They're incentivized to drive volume to partner facilities regardless of whether it's the best fit for you. We charge a flat monthly fee with no commissions, so we're free to recommend the best doctor for your situation, negotiate on your behalf, and push back on unnecessary treatments.
Home-visit doctor services target tourists and tend to maximize the value of each "stop"—often aiming for around 4 million IDR per visit by overprescribing antibiotics, adding unnecessary saline IV drips, and taking advantage of scared patients dealing with Bali belly. That doesn't feel like good care to us, and it's not a market we compete in.
Our approach: We want to build lasting relationships with both patients and doctors. We work with you to identify and agree on the right healthcare goals for your situation, then do our best to deliver on those agreed-upon values. It's a partnership model, not a transaction-based one. We're here for your ongoing health, not just one-time procedures or emergency house calls.