A (excellent) by AM Best and A+ (strong) by Standard & Poors
Individuals and their families travelling outside home country
Seven Corners
Unique Features
Coverage is renewable up to 3 years
$50,000 coverage for political evacuation
Pre-existing conditions is covered up to chosen plan maximum for US citizens traveling outside US and Canada enrolled in Primary Health Plan
Covers Heart Attack/Stroke Inpatient hospitalization expenses for $200 per day up to $3,000 for Non US Citizens in USA
Emergency Dental coverage is offered only if the plan is bought for at least a month
Maximum of 3 plan life deductibles per family
Advantages
No Coinsurance outside US
Available for US and Non US Citizens
Offers coverage for coma up to $50,000
Felonious assault benefit up to $10,000
Offers optional coverage for hazardous sports
Dependent child is covered at a cheaper rate if one of the parent is covered
Disadvantages
$20,000 coverage for travelers aged 80+ years
For travelers aged 65+ years, plan is renewal up to 1 year only
Coverage Example:
Policy maximum of the plan: $125,000
Deductible: $500
Coverage region: USA, claims incurred in the network hospital
First visit to the doctor due to sudden dental pain and the expense incurred is $500
Second incident is a eye surgery for which the expense is $40,000
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
$500
$500 (Since the deductible is $500)
0
Eye Surgery
Hospital Room and Board
$20,000
$1000
$4,000 (coinsurance: 80% of first $5,000) + $15,000
Other expense
$20,000
$0
$20,000
Total:
$40,500
$1500
$39,000
The usage of deductible and coinsurance:
First time you visit the doctor with sudden dental pain the bill amounts to $500 for a filling
You will have to pay the full $500 as the chosen deductible is $500
A few months later, you have to undergo a eye surgery for $40,000
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