Newsletter Nachrichten aus dem Bereich Gesundheitstourismus Nr. 2 Dezember Crown Prince of Kuwait in Munich. Treatment of Libyan patients

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1 Europe Health GmbH Feringastr Munich Unterfoehring Tel. +49 (0) Fax. +49 (0) info@europehealth.com

2 2 Crown Prince of Kuwait in Munich Treatment of Libyan patients In the first six months of 2013, Europe Health supported hundreds of Libyan patients in several cities in Germany. Europe Health had therefore agreed with the Ministries of Libya, to accompany the patient in Germany and to take care of their needs and to organize the stay. These patients continue to suffer from the consequences of violations of the Revolution in 2011, especially gunshot wounds to the shoulder, leg, abdomen and upper arm, burns, brain and nerve injuries. The Crown Prince of Kuwait, H.E. Crown Prince Sheikh Nawaf Al-Ahmad Al-Jaber Al-Sabah, was successfully treated in Munich in May The sister organization of Europe Health, Seralux GmbH ( was responsible to organize the stay and the logistical needs of the Crown Prince and his entourage. We wish Sheikh Nawaf Al-Ahmad Al-Jaber Al-Sabah speedy recovery and thank him for his trust in our organizations. Seralux GmbH is one of the first addresses in Germany and specialized in providing limousines, drivers and hotel concierge service for highranking people from the Arab countries as well as Russia and the CIS countries who come for medical treatment in particular to Germany. Since 2005 we are supporting VIP s from the Gulf countries. Due to the intensive support by the staff of Europe Health and the outstanding medical care in German hospitals, all patients which where aged between years - could be treated well and are now back home. Picture: Mr. Atamna, CEO Europe Health (Middle) with employees of the Red Cross at Munich Airport Libyen ca Patienten, hiervon 80 % regierungsfinanziert, 20 % finanziert durch Versicherungen (z.b. Bupa) bzw. Selbstzahler. Aufteilung: ca. 80 % stationäre und 20 % ambulante Patienten. Oman Sophie James / Shutterstock.com Libyen

3 3 Europe Health Statistics: Number of patients In the first half of 2013 Europe Health again recorded an increase in the number of patients cared for. In over 20 hospitals in Germany patients from the Arabic-and Russian-speaking countries where supported and therefore we increased 20% compared to the previous year. The majority of additional supervised over 1,000 outpatient cases (patient per practitioner) in Germany come from the Arabic-speaking countries. These patients are average accompanied by three people which are also all around supported by Europe Health and Seralux. Qatar Approximately 2,000 patients, about 85% funded by sponsors and 15% self-payers. Patients from Arabic-speaking countries Germany in figures - researched by Europe Health United Arab Emirates Approximately 4,000 patients, many of them (about 80%) are funded by sponsors, such as the Abu Dhabi government, the Military, Sheikh offices and so on. Saudi-Arabia Approximately 800 patients, 70% funded by sponsors and 30% self-payers. Kuwait Approximately 2,000 patients, about 80% funded by sponsors such as Ministry of Health or Kuwait Oil Company (KOC), about 20% constitute the so-called self-payers.

4 4 Libya Approximately 1,500 patients, 80% financed by the government, 20% funded by insurances (e.g. BUPA) or so called self-payers. Other Arab Countries: Egypt, Jordan, Lebanon, Sudan, Yemen, Iraq, Syria, and partially the above mentioned states, where patients are not sent from an official site: Approximately 10,000 patients (estimate) which are to 95% self-payers. Many check-up examinations. Financing by companies (e.g. for top management), insurances (e.g. BUPA) and others. Oman Approximately 300 patients, 90% funded by sponsors and 10% self-payers. Rigorous selection procedure for treatment abroad. Therefore, 20,000 patients from Arabic speaking countries travel to Germany for medical treatment. The political situation in the Arab countries and their impact on medical tourism Germany is still in many Arab patients a popular destination when it comes to medical treatment. It can be noted that, particularly in complex diseases, such as neurological or oncological diseases, hospitals in Germany (mainly in Bavaria, Baden-Württemberg and North Rhine- Westphalia) are preferred. Bahrein Approximately 200 patients, 95% funded by sponsors, very strict selection process for treatment abroad. In essence, the patients come from the United Arab Emirates, Qatar, Kuwait, Saudi Arabia, Oman and Bahrain. Currently, there is the special situation that a large number of patients from Libya with not yet healed injuries from the revolutionary period come to Germany.

5 5 The political upheaval in several Arab countries for about two years has raised questions about the extent to which these policy changes have an impact on the medical tourism. In our estimation, this particular upheaval in the countries mentioned above will lead to more patients in the coming years to Europe and especially to Germany. Arabic and Russian tourists in Munich, Berlin, Germany In ,000 (2011: 102,000) tourists from the Arab Gulf States and 170,000 (2011: 135,000) tourists from Russia visited Munich. Since 2004, the number of tourists increased to triple or even to quadruple (see chart). Unfortunately we cannot make a statement, which part of the numbers show patients and which tourists. Here we can only rely on our experience, which we had described in our last newsletter. In comparison, Berlin had tourists from the Arab countries and 163,000 tourists from Russia during the year. In 2011, Germany welcomed tourists from Russia and 343,000 from the Arab Gulf States. Hang Dinh / Shutterstock.com This makes 30% of Arab tourists and 18% of Russian tourists who visited the Bavarian capital Munich, during their visit to Germany. In the past, many patients went for medical treatment to Arabic-speaking countries such as Tunisia, Egypt, Jordan, Lebanon and Syria. Due to the uncertain political situation in these countries, these patients now prefer Europe and there mainly Germany. We expect that this situation will continue for many years, and therefore we can expect a 20% increase in patients in Germany. Source: Landeshauptstadt, Referat für Arbeit und Wirtschaft, Tourismusamt Dona_Bozzi / Shutterstock.com

6 6 Nachrichten aus dem Bereich Gesundheitstourismus Nr. 2 November 2013 Reports in the media about "rip-off of medical tourists" Lately there have been some reports on the critical issue of Medical Tourism in different media. It was for example also reported, «father sold his house to enable treatment for his son and was ripped off» or «hospitals bill double for foreign patients «, «patient tractor», and so on. Form our site we would like to state the following: As in almost every industry there are unreliable service providers in medical tourism who were referred to in the press as «cheaters and scammers.» Also, from our experience, there are partially increased bills from hospitals and doctors and so-called patient agents, which bill a large sum of money for their so-called services to the patients. But due to the view which we have because of our activities at many locations in Germany like Berlin, Munich, Dusseldorf, Heidelberg, Nuremberg, Stuttgart, etc., we can confirm that the majority of hospitals and doctors, as well as most of the service providers, and in particular the supporting persons work very seriously and properly. In our experience the reporting where about exemptions; but of course, this exemptions need to be addressed and remedied. There is also a further discussion of the manner of reckoning the extra expense. Here, different approaches have been established. In addition, there are also different views on the right billing methods and the fees of the external services. This discussion has nothing to do with the question of seriousness. Our overall conclusion is that medical treatment in Germany is highly appreciated by patients from abroad and the official authorities of foreign countries (health consulates, embassies, ministries). In particular, the representatives of the Arab countries specify the accounting terms with the German hospitals. euros sales per year in Germany. Therefore, it is of course important that unreliable behavior is turned off, but it is very important to not give the impression that unreliable behavior is the norm in this industry. Reports and photos of Riyadh Travel Fair, MID, ATM and preview Arab Health, Dubai from January 2014 About our participation we reported in past newsletters. Of course, we again will take part with numerous exhibitors at the upcoming Arab Health in Dubai. We will give you a detailed report in the next newsletter. MITT, Moscow, from March 2013 An increasing number of tourists from Russia is interested in Germany. Each year over 170,000 tourists from Russia visit Munich. Of course, many visitors of the exhibition in Moscow are interested in medical services in Germany. Since some time, there is a separate exhibition hall with the explicit focus on medical tourism. On the other hand, we also recognize an increasing interest in the topic of medical tourism in German hospitals, hotels, retail industry, etc. This type of tourism turns about 500 million

7 7 Riyadh Travel Fair from April 2013 Europe Health had its own stand at the Riyadh Travel Fair at the Four Seasons Hotel at the Kingdom Tower. The travel fair is a comparatively small fair, but met with great interest of the population in Riyadh. There was a high interest in the service offers of Europe Health in medical tourism during the exhibition days. Europe Health will therefore take part at this fair in 2014 again. Preview Also in 2014 we will again participate in selected trade fairs. As mentioned above, we start in January 2014 with the ARAB HEALTH in Dubai, where we present ourselves and our partners on more than 40 square meters. ATM in Dubai von Mai 2013 As every year, Europe Health represented itself with some partners at the large Tourism Fair. The primary touristy exhibition is particularly interesting for hospitals, since the international tourism industry has integrated the subject health tourism into their portfolio.

8 8 Anniversary Celebration Europe Health October 10th, 2013 in Munich In October 2003, the company Europe Health was founded in Munich. Over time, offices and strategic partnerships with hospitals were established at key locations in Germany. We hereby would like to thank all of our partners, employees, friends and all others for their support and trust. We look forward to the next ten years of successful corporate working. Europe Health is now represented in several locations in Bavaria, Baden-Württemberg, Hesse, North Rhine-Westphalia, Hamburg and Berlin. In addition, other successful companies were founded for different topics: the company Seralux for the tourist area, the company Europe Health East for specialized Eastern Europe and the company Healthcare Management International for international projects in healthcare. Together with 260 guests, we were celebrating ten years of success of Europe Health on October 10th, 2013 in Munich. Your Salah Atamna Master of Business Administration (University) CEO EUROPE HEALTH GMBH

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