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Global Medical Insurance has 3 plan options available: Silver, Gold and Platinum
Gold Plan Summary
Global Medical Gold ® Insurance is long-term, annually-renewable, major medical insurance that provides worldwide health insurance coverage to people of all nationalities. Global Medical Gold ® Insurance is an ideal expatriate medical insurance plan for those who need a full range of medical benefits.
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Policy Maximum
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Global Medical Gold ® Insurance plan offers US$ 5,000,000 lifetime per individual.
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Deductible
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US$100, $250, $500, $1000, $2500, $5000 and $10,000 deductible per period of coverage.
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Co-insurance
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Within the U.S. and Canada:
80% of the next US$5,000 of eligible expenses after the deductible, then 100% to the overall maximum per period of coverage. |
Within PPO network and outside the U.S. and Canada:
The plan cover 100% up to the policy maximum. |
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Eligibility
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- Global Medical Silver Insurance is offered to the persons between the age of 14 days and 74 years old may apply for coverage. Person older than 74 years of age are not eligible. |
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Pre-Existing Condition Definition |
- The following illnesses which exist, manifest themselves or are treated or have treatment recommended prior to or during the first 180 days of coverage from the initial effective date are considered pre-existing conditions: asthma, allergies, tonsillectomy, back conditions, adenoidectomy, hemorrhoids or hemorrhoidectomy, disorders of the reproductive system, hysterectomy, hernia, gall stones or kidney stones, any condition of the breast, and any condition of the prostate.
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Pre-Existing Condition Coverage |
- Global Medical Silver plan options provide a US$50,000 lifetime benefit for eligible pre-existing conditions that existed at or prior to the effective date, subject to a maximum of US$5,000 per period of coverage. This benefit is payable whether or not you have received consultation or treatment for the condition(s) during the 24-month period. This plan options do not rider or charge additional premium for pre-existing conditions. |
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Coverage
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- Hospital Room and Board
- Hospital intensive care unit charges
- Physician visits, surgeon, Private duty nurse fee
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- Pre-admission tests
- Diagnostics: X-Rays
- Hospital emergency room
- Prescription Drugs
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Underwriter
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Underwritten by Sirius International Insurance Corporation(publ), Sirius International is a White Mountains Re company.
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Buy - Online
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Apply & purchase online Global Medical Gold ® Insurance
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Brochure
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Complete, mail/fax the Global Medical Gold ® Insurance Brochure along with payment
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Global Medical Gold ® Insurance Plan Description
Global Medical Gold ® Insurance is long-term, annually-renewable, major medical insurance that provides worldwide coverage to individuals and families of all nationalities. This is an ideal plan for those who need a full range of medical benefits.
As part of the eligibility requirements for Global Medical Gold ® Insurance, US citizens must reside abroad or plan to leave the US on their effective date and plan to reside abroad for at least six of the next 12 months. Non-US citizens may reside anywhere, including their country of citizenship, although certain eligibility restrictions may apply to non-US citizens residing in the US.
If you are interested in this plan, you may also want to review Global Basic Insurance. It offers somewhat reduced benefit levels which also reduces the cost of the coverage.
Global Term Life Insurance
- Global Term Life Insurance provides protection for your family at the time of a traumatic loss and is available with no additional underwriting. This coverage is available for a standard annual premium of $240 and includes an Accidental Death and Dismemberment benefit.
Global Daily Indemnity
- Global Daily Indemnity pays you US$100 for each covered overnight hospital stay other than those related to pregnancy.
Plan Benefits
Global Medical Gold ® Insurance covers the Usual, Reasonable and Customary (URC) charges for eligible expenses in the area where you receive treatment. Each insured person will only need to satisfy their deductible once per period of coverage (12 months), with a maximum of three deductibles per family.
| MEDICAL INSURANCE |
BENEFITSubject to deductible and coinsurance |
Coverage Area
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Worldwide
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| Policy Maximum Per Individual |
US$5,000,000 lifetime |
Hospitalization Semi-private room and board
Nursing services
Prescription medication
Physician charges
Diagnostic and laboratory testing
X-rays
Chemotherapy and radiation
Durable medical equipment
Treatment, services and supplies routinely provided
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URC |
| Intensive Care Unit |
URC |
Surgery Surgical care
Second surgical opinion
Anesthetics
Physician charges for surgery
Treatment, services and supplies routinely provided
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URC |
Transplants Limited to certain transplants and covered only within designated transplant facilities that are members of IMG's independently-contracted PPO network
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US$1,000,000 lifetime |
Outpatient Emergency treatment of illness or injury
Surgery
Rehabilitative treatment
Treatment, services or supplies routinely provided
Prescription medication
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URC |
Emergency Surgery or dental treatment following an accident Emergency room following an accident |
URC |
Emergency Transportation by Ground Ambulance |
URC |
Emergency Medical Evacuation Included with Emergency Medical Evacuation is an Emergency Reunion benefit of US$10,000 lifetime |
Up to policy maximum |
| Repatriation |
US$25,000 |
Supplemental Accident The first $300 will be covered for each accidental injury |
US$300 per occurrence (not subject to the deductible or coinsurance) |
Maternity Available after 12 months of continuous coverage
Pre and Post-natal care
Normal delivery or C-section
Well baby care and treatment of newborn for first 31 days
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US$50,000 lifetime maximum of US$5,000 for normal delivery for each pregnancy; maximum of US$7,500 for C-Section delivery for each pregnancy |
Newborns Eligible newborn children may be added without evidence of insurability under certain circumstances
An application form must be submitted within 31 days of child's birth
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URC |
Child Wellness Available for eligible children from 14 days to 18 years of age after 12 months of continuous coverage |
US$50 maximum per visit; US$150 per policy period(not subject to deductible or coinsurance) |
Pre-existing Conditions After 24 months of continuous coverage |
US$50,000 lifetime(maximum of US$5,000 per period of coverage) |
Mental/Nervous Care Available after 12 months of continuous coverage Inpatient and outpatient care by a licensed psychiatrist |
US$10,000 per period of coverage, US$25,000 lifetime |
Wellness Females age 35 and over, after 12 months of continuous coverage Routine physicals Mammogram, ob/gyn visit, etc. (exams must be separated by 12 months)
Males age 35 and over, after 12 months of continuous coverage Routine physicals (exams must be separated by 12 months)
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US$250 per policy period (not subject to deductible or coinsurance)
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| Complementary Medicine |
(Each per policy period) |
| Acupuncture |
US$150 |
| Aroma Therapy |
US$50 |
| Herbal Therapy |
US$50 |
| Magnetic Therapy |
US$75 |
| Massage Therapy |
US$150 |
| Vitamin Therapy |
US$100 |
Other Chiropractor when referred by a physician
Radiation treatment
Home nursing care
Hospice care
Physical therapy (maximum US$50 per visit)
Prosthetic devices
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URC
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The foregoing list is only a summary of available benefits and coverages, and is subject to the specific terms and conditions of the plan concerning eligible benefits, limitations, eligibility and exclusions. Please refer to the certificate wording for a complete description, which is available upon request.
Policy Exclusions
After coverage has been in effect for 24 continuous months, Global Medical Gold ® Insurance provides a US$50,000 lifetime benefit for eligible pre-existing conditions that existed at or prior to the effective date, subject to a maximum of US$5,000 per period of coverage. This benefit is payable whether or not you have received consultation or treatment for the condition(s) during the 24-month period. This is important since few pre-existing conditions remain free from ongoing consultation or treatment, and often do not qualify for coverage in standard plans. Global Medical Gold ® Insurance does not "rider" or charge additional premium for pre-existing conditions. If you properly disclose a pre-existing condition at the time of application, and are accepted into the plan, you will be covered for eligible medical expenses after 24 months of continuous coverage, subject to the foregoing limits and the other terms of the plan.*
The following illnesses which exist, manifest themselves or are treated or havetreatment recommended prior to or during the first 180 days of coverage from the initial effective date are considered pre-existing conditions under the plan, and are subject to the waiting period and other limitations of coverage described above: asthma, allergies, tonsillectomy, back conditions, adenoidectomy, hemorrhoids or hemorrhoidectomy, disorders of the reproductive system, hysterectomy, hernia, gall stones or kidney stones, any condition of the breast, and any condition of the prostate.
OTHER EXCLUSIONS & LIMITATIONS*
- Maternity and newborn care (unless the maternity rider is purchased - see details under the Benefits section)
- Inpatient mental and nervous
- Routine physical exams
- Dental treatment unless accident related
- Organized amateur or professional sports
- Treatment not ordered or received by a physician
- Treatment or supplies not medically necessary
- Investigational, experimental or research procedures
- Custodial care
- Weight modification
- Elective cosmetic or plastic surgery
- Treatment of impotency
- Contraceptive medication or treatment
- Drug and alcohol abuse treatment
- Organ transplants not specifically listed
- Devices to correct sight or hearing
- Routine foot care
- Treatment by a relative or family member
- Treatment as a result of war or riot
- Treatment resulting from illegal activities
- Speech therapy
- Persons HIV+ at effective date
- Services and treatment eligible for payment by any government or other insurance
* See certificate wording for a definition of pre-existing conditions and a complete list of exclusions and limitations, and for all other specific terms and conditions of the plan. Certificate wording is available upon request.
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