|
Benefits |
Description
and Limits |
| Medical expenses
|
- Up to $50,000
- Medical care and treatment provided
by a physician as a result of a sickness
or accident
- Semi-private hospital room and board
- All necessary medical and surgical
services and supplies while confined in
a hospital
- Outpatient medical care and treatment
provided by a hospital or clinic
- Professional local ambulance service
- Dental expenses resulting from an accident
up to $1,000
- A surgical procedure and anesthesia
when performed or administered by a physician
- Laboratory and x-ray tests and treatments
- Supplies and prescriptions while confined
in a hospital or upon release
- $2,000 per pregnancy benefit for emergency
medical services
|
| Deductible (per
occurrence) |
|
| Pre-existing Conditions
|
- Up to $2,500
- Defined as any condition that a covered
person has incurred charges, received
medical treatment or taken prescribed
drugs or medicine for an injury or sickness
during the 90 day period immediately preceding
the date of travel.
|
| Exclusions included,
but not limited to |
- Routine physical examinations
- Eyeglasses
- Hearing aids
- Routine dental care
- Cosmetic treatment or surgery
- Confinement or institutional care
- Maternity and routine nursery care
- Expenses incurred during holiday travel
- Injury or sickness caused by war, riot,
civil commotion or police action
- Participation in a criminal act
- Intentionally self-inflicted injuries
|
| Medical evacuation |
- Up to $50,000
- Emergency evacuation to an adequate
medical facility
|
| Medical repatriation |
- Up to $50,000
- Medically necessary repatriation and
return of mortal remains
|
| Accidental death and dismemberment
|
|
| Executive Assistance
services |
- 24hours a day/365 days a year
- Inside the USA or Canada 1-800-336-0627
- Outside USA or Canada collect 1-302-476-6194
- Medical-referral to medical specialist
or medical monitoring while hospitalized
- Travel-emergency travel arrangements,
return of traveling companion/dependant
and return of vehicle
- Personal-pre-trip medical referral,
emergency medication, embassy and consular
information, lost document service, emergency
message transmission, emergency cash advance,
translator/interpreter access
- Legal-referral to lawyer
- Security-Pinkerton Travel Security
Services includes Eye on Travel security
- information and security briefings
by phone.
|
| Cost of coverage
|
- $9.25 per week
- $34.00 per month
- $136.00 per semester
|