Summary of Benefits

 

Symphony Moderato

Medical Expenses
US$ 60,000 maximum limit.
Available up to 84 years old.
Medical Evacuation / Repatriation
US$ 250,000 in addition to Medical Expense Benefit.
Emergency Reunion
US$ 10,000.
Additional Hospital Indemnity
US$ 150 per night.
Maximum of 30 days.
Local Ambulance Expenses
US$ 5,000.
Return of Remains
US$ 10,000.
Return of Minor Child(ren)
US$ 10,000.
24-Hour AD&D
US$ 25,000.
Common Carrier AD&D
US$ 50,000.
Dental Emergency
US$ 500.
US$ 250 Relief of Sudden Dental Pain
Trip Interruption
US$ 4,000.
Return air only up to US$ 1,000 maximum per person.
Trip Delay / Missed Connection
US$ 500.
Including up to US$ 150 per day for reasonable accommodations and meals.
Lost Checked Baggage
US$ 500.
Baggage Delay
US$ 200.
Schengen Visa Compatibility
Yes.
Flight Accident Coverage
Optional upgrade: US$ 100,000.
Travel Assistance Services
Included.
Preexisting conditions
Waived for Medical Evacuation / Repatriation Benefit.
Refer to the Outline of Coverage for terms and conditions.
Deductible
US$ 50 per person per occurrence.
Coinsurance
No Coinsurance. Plan pays 100% of eligible expenses (Not available for USA or Canada destinations).
Coinsurance A. Plan pays 80% of first US$ 7,500, then 100% up to Medical Maximum.
Coinsurance B. Plan pays 90% of eligible expenses.
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