Summary of Benefits

 

Travel Medical Standard

Medical Expenses
US$ 12,500 per occurrence; unlimited occurrences.
Medical Evacuation / Repatriation
US$ 50,000 in addition to Medical Expense Benefit.
Home Country Coverage
US$ 50,000. Incidental Trips to The Home Country.
US$ 5,000 Home Country Extension of Benefits.
Emergency Reunion
US$ 10,000.
Additional Hospital Indemnity
US$ 100 per night (up to a maximun of 30 days).
Except United States.
Local Ambulance Expenses
US$ 2,500.
Return of Remains
US$ 20,000.
Return of Minor Child(ren)
US$ 5,000.
24-Hour AD&D
US$ 10,000 Principal Sum for Insured or Insured Spouse.
US$ 5,000 for Dependent Child.
Aggregate limit of US$ 250,000 per family.
Dental Emergency
US$ 500 Accident (Available to plans for 1 month or more).
US$ 250 Sudden Relief of Pain
Trip Interruption
US$ 5,000.
Lost Checked Baggage
US$ 250.
Schengen Visa Compatibility
No.
Travel Assistance Services
Included.
Unexpected Recurrence of a Pre-existing Condition
US$ 15,000 (Age 65+ US$ 2,500).
Applicable to U.S. and Canadian citizens traveling outside the United States. Maximum benefit amount will not exceed the Medical Maximum.
Deductible
US$ 50 per person per occurrence.
Coinsurance
No Coinsurance.
After Deductible, the plan pays 100% to the selected Medical Maximum.
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