US Citizens and Non US Citizens who do require coverage in continental USA, Alaska, Hawaii, Puerto Rico and US Virgin Islands
Applicants aged 14 days and above are eligible
Unique Features
Client zone for convenient renewal, printing of visa letter, reissuing ID cards, updating address information, claims information, and more
Offers coverage up to $1 million for sudden and unexpected injury or sickness per policy period
Up to $500,000 for emergency medical evacuation
ONLY plan which covers complications of pregnancy in first 26 weeks of gestation
Coverage for popular vacation sports like skiing, snowboarding, snorkeling, water skiing at no additional price
Advantages
No Coinsurance, Plan will pay 100% of the eligible expenses
Covers acute onset of pre-existing conditions up to $100,000 lifetime maximum
$250 dental coverage for sudden pain
10,000 coverage for travelers age 80+ years
$50,000 coverage for travelers age 70-79 years
Can be renewed up to 1 year
Disadvantages
Pre-existing conditions are not covered after 70 years of age
Not available to applicants located in NY and MD at the time of purchase
Not available to Canadian citizens while in Canada, nor to Australian citizens with an Australian home address
$200 co payment for each use of emergency room without hospitalization
Hospital pre-certification penalty of 50% of medical expenses
Coverage Example:
Policy maximum of the plan: $100,000
Deductible: $100
Coverage region: USA, claims incurred inside the network hospital
First visit to the doctor due to sudden dental pain and the expense incurred is $100
Second incident is a motor accident and the injured is hospitalized and is undergoing surgery for which the expense is $55,000
The following table shows the amount paid by the plan and the customer:
Expense
Bill Amount
Customer pays
Plan Pays
First Visit to the Doctor due to Sudden Dental Pain
$100
$100 (Since the deductible is $100)
$0
Accidental hospitalization
Hospital Room and Board
$28,000
$1000
$4,000 (coinsurance: 80% of first $5,000) + $23,000
Other expense
$27,000
$0
$27,000
Total:
$55,100
$1,100
$54,000
The usage of deductible and coinsurance:
First time you visit the doctor with sudden dental pain the bill amounts to $100 for a filling
You will have to pay the full $100 as the chosen deductible is $100
A few months later, you meet with a motor accident and get hospitalized to undergo a surgery for $55,000
Now the plan will pay 80% of the first $5,000. ie. Company will pay $4,000 and you will pay $1000
The plan will then pay the remaining eligible expenses