Lakeside Medical Group - Use Your Existing Health Insurance in Mexico

Lakeside Medical Group (LMG), provides coverage for your medical needs while travelling or living in Mexico. With our medical group of primary care physicians and extensive network of Hospitals, Board Certified Specialists, Primary Care Physicians (PCP), lab and diagnostic centers and pharmacies we offer comprehensive managed medical care using your current and existing policy benefits from your United States medical insurance policy. Our network of physicians and hospitals adhere to the stringent AMA (American Medical Association) guidelines and protocols. 

We handle all the billing between providers and insurance agencies directly, with a $100 peso copayment the only cost to you. There are no membership fees or additional insurance premium payments.

We own and operate our own facilities in Mexico, as well as provide our team of independent specialists, hospitals, laboratories, diagnostic centers, out-patient facilities and pharmacies in Ajijic-Chapala-Guadalajara, Puerto Vallarta, Bucerias, Sayulita, Mazatlan, Cabo San Lucas, San Jose del Cabo, Merida, Tulum, Chetumal and Yucatan areas for our patient use.

The followiing are a few of the many American insurances we accept: Aetna, AARP Medicare Complete and Supplement Plans, Anthem, Best Doctors, Blue Cross/Blue Shield, CAA Travel Insurance , Care First/Care Plus Plans, ChampVA, ChoiceCare, CIGNA, CMN Global, Compass Rose Health Plan, Coventry, Delta Health System, Florida Blue, Foreign Medical Program, Foreign Service Benefit Plan, GEHA, GHI-EMPIRE, Harvard Pilgrim Health Net, Health, Humana Plans, Kaiser Permanente, Kelsey Care Advantage, Medicare Advantage Plans, Medicare Supplement Plans, Medipac, Molina Plans Multiplan, Mutual of Omaha, Optimum Health Plans, Pacific Blue Cross, Pacific Source, Peoples Health, Pilgrim Health, Premera Blue Cross, Providence Health Plan, Regence Blue Shield, Rocky Mountain Health Plan, Santa Clara Family Health, Scan Health Plan, Select Health, Senior Care Plus, Smart Benefit Solution, Sun Life Financial Horizon, IMG, Mail Handlers, VA, TRICARE, United Health Care, USAA Life/Health Insurance, Vantage, Veterans Administration Health (VA), Village Health Health Plans, Washington State Premera Blue Cross, WellCare, WellMark, WellPoint, WPS, WSR and many others.

Frequently Asked Questions

How much does this cost?

There are NO costs to join Lakeside Medical Group. Registration and Membership are FREE. There are NO hidden costs. No monthly fees. No fine print charges. 

As a member you would have access to our entire hospital and doctor network in Mexico including your area. Patient members of our medical group are not responsible for deductibles or co-insurance.

We accept over 350 different American and Canadian insurances. Some insurers in the USA offer the same international benefits for their insured members. And some insurers offer different coverage outside of the USA. For example many Medicare Advantage plans offer urgent and emergency only coverage outside of the USA. Please check with us for any specific information regarding your policy.

What are the benefits of joining?

As a patient member of Lakeside Medical Group you will enjoy NO DEDUCTIBLES and NO CO-INSURANCE when using your existing US or Canadian insurance in our network of hospitals and medical providers.

Most hospitals, doctors, labs, diagnostic centers and pharmacies in Mexico do not accept American insurance plans and those ones that do often require you to pay up front or pay a large deposit. They may also charge you the deductible and Co-Insurance.

As a member you would have access to our entire hospital and doctor network in Mexico including your area. Patient members of our medical group are not responsible for deductibles or co-insurance.

Our patient members do NOT pay deductibles or co-insurance.

We charge a nominal co-pay of $100 peso copay for regular office visits, labs and diagnostics. Hospital stays may incur a slightly larger co-pay but the fees are capped at a very low amount. 

Additionally our Managed Care model allows you to receive coordinated and continuity of care with Board Certified physicians all covered by your existing insurance. 

Am I responsible for Deductibles and CO-Insurance?

No, you are not responsible for deductibles and co-insurance. Patients join some medical groups in order to enjoy many things like managed care, highly subsidized deductibles and highly subsidized co-insurance.  

How do we work?

Lakeside Medical Group operates in a Managed Care environment system very similar to how an HMO works in the USA: your primary care physician works directly with you, the specialists and providers as needed to manage your medical care. And we do this through your existing insurance company. You do not have to purchase a new policy or pay a membership to be part of the Lakeside Medical Group. This way we can extend coverage to the patients that join our network so you do not have to pay out of pocket.

How do we work with American and Canadian insurances companies?

Lakeside Medical Group is a Managed Care Medical Group. As such we maintain contracts and agreements with over 350 different American and Canadian insurance companies. We simplify the maze of the the healthcare system and offer you a seamless experience and make our services accessible to you. We accept most major insurance plans and bill for services through your insurance — just like a typical doctors office or hospital in the USA.

 

Where are you located?

Our main office is located at Hidalgo 244 in Chapala, Jalisco, Mexico.We can be reached 24-7 by phone. Please see our phone numbers at the top of our home page. 

Do you have offices in other areas?

All of our administration and management takes place in our main office in Chapala, Mexico. We do not maintain offices in other locations. Our contracted doctors and hospitals around Mexico help facilitate the occasional administrative issues. 

Is my policy different outside of the USA?

Insurance Coverage often differs between policies. Some insurers in the USA offer the same international benefits for their insured members. And some insurers are different, like Medicare Advantage plans. Please check with us for any specific information regarding your policy. Your coverage with Lakeside Medical Group may be the same as in the USA or it may be different. Coverage is policy specific.

What types of coverage are available with my USA insurance plan?

Outside of the USA your insurance plan may offer you the following  benefits:

  • Emergency/Urgent Care and NON-emergency
  • Emergency/Urgent Care only
  • Certain VA (Veterans Administration) programs offer specific coverage.

Please contact us for more information about your policy

What happens if I have Emergency Only coverage but I need routine labs and visits?

In general you would need to work directly with the lab and doctor and pay them cash. We do not get involved in cash transactions. The doctor or lab that you wish to use would discuss the costs directly with you.

Do you accept Medicare?

Standard Medicare A and B can not be used outside of the USA. If you only have Standard A and B there is absolutely no applicable coverage for you in any way in Mexico. We do not accept Standard Medicare A and B.

We accept Medicare Advantage and Supplement Plans

If you have a Medicare Advantage Plan (also called a C Plan or Replacement Plan) then we likely can accept your plan and offer coverage. We accept most every Medicare Advantage Plan. Some examples are AARP-United Health Care, Aetna Advantage, Cigna, Blue Cross Medicare Advantage, Humana, Senior Care Plus and many others. We accept almost every one. You can see a more complete list on our site.

If you have a Medicare Supplement Plan with the letters  F, G, L, M or N we accept those for coverage as well. These plans offer the Medicare Foreign Travel Benefits. We accept these plans.

Coverage with us does not replace or change any of your current benefits

What happens if I goto a provider not participating in our network?

The participating providers in our network including the hospitals have made an agreement to work with Lakeside Medical Group and provide care for you. In general if you choose to go out of our network you would be fully responsible for payment to the provider or hospital.

Can I visit Lakeside Medical Providers in other cities in Mexico?

Yes, you’re welcome to see any Lakeside Medical provider including doctors and hospitals in Mexico. We use a cutting-edge electronic health record system, so your health data can be accessed anywhere you go. The coverage depends on your benefits with us. Please contact us for scheduling and info

How can I add my doctor to your network?

Please send us your doctors contact info and we will invite your physician to join our network. Each physician is carefully screened to make sure he/she meets our standards of excellence as well as the required physician licensing and registration.

What is the difference between a CO-Pay and CO-Insurance?

A co-pay is a set fee per event. Like $100 pesos per visit. CO-Insurance is a percentage of billed charges, usually around 20%. Our patient members are NOT responsible for CO-Insurance

Can co-pays be waived? 

Co-pays can only be waived for a financial hardship that you or your family may experience. If you feel that you qualify for a co-pay waiver please let us know and we can send you the form to fill out. 

What happens if I need to goto the hospital that is not in our network?

If you experience a medical emergency goto the closest emergency facility to your location. As soon as you are stable please call us. If you are medically stable we will make our best efforts to transport you to one of our network hospitals. In the case that we are not able to transfer you for any reason our staff will assist you with the paperwork for an insurance reimbursement from your insurer. If the hospital is in our network please let them know to immediately call us.

 

Do we sell insurance?

No. Lakeside does not sell or offer any insurance plans whatsoever