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Inbound Guest Insurance


Plan Summary


Inbound Guest was developed to provide a simple program to visitors and immigrants. This is available to non-United States citizens who come to the U.S. for business, pleasure, to study, or to immigrate. The program must become effective within 180 days of arrival in the United States.

Policy Maximum Maximum medical coverage is $45,000, $65,000, $85,000 . For 70+ age group coverage is $40,000 and $60,000.
Deductible $0, $50 or $100, or a $200 deductible for age 70 and over.
Eligibility - Inbound Guest is available to non-United States citizens who come to the U.S. for business, pleasure, to study, or to immigrate
Coverage - Hospital room & board charges
- Hospital intensive care unit charges
- Physician (inpatient & outpatient), surgeon, nursing services fee
- Diagnostics: X-Rays & lab services
- Prescription Drugs
- Dental: Only injury to sound natural teeth covered
Coverage Period Total period of coverage for Inbound Guest cannot exceed 6 months (in order to reapply after the 6 months, you must first return to your home country).
Underwriter Inbound® Guest is underwritten by Certain Underwriters at Lloyd's, London
Buy - Online Apply & purchase online Inbound Guest Insurance
Brochure Complete, mail/fax the Inbound Guest Insurance Brochure along with payment


Inbound Guest Insurance Benefit details


Why you need Inbound Guest Insurance?


The United States offers the most comprehensive medical care, but is often complicated as well as very expensive. For a visitor to the United States or a recent immigrant, finding an insurance program that is easy to understand and reasonably priced is often difficult.

As a solution, InboundGuest was developed to provide a simple program to visitors and immigrants.

This is a brief description of the Inbound Guest program. Detailed wording is outlined in the Program Summary, which will be e-mailed to you once you have enrolled in Inbound Guest.

Eligibility for Inbound Guest Insurance


Inbound Guest Insurance is available to non-United States citizens who come to the U.S. for business, pleasure, to study, or to immigrate. The program must become effective within 180 days of arrival in the United States.

Period of coverage


You may initially enroll in Inbound Guest for as little as 5 days and up to maximum of 6 months. Total period of coverage for Inbound Guest cannot exceed 6 months (in order to reapply after the 6 months, you must first return to your home country).

Effective Date of Inbound Guest Insurance


Your coverage will begin on the latest of the following:

  1. Your departure from your Home Country; or
  2. The date your Application and premium are received by Seven Corners; or
  3. The date your Application and premium are accepted by Seven Corners; or
  4. The date you request on the Application

Expiration Date of Inbound Guest Insurance


Your coverage will end on the earlier of the following:
  1. The date shown on the Insurance Confirmation Card, for which premium has been paid; or
  2. The date you return to your Home Country; or
  3. 6 months after your original Effective Date; or
  4. The day an insured becomes a U.S. citizen or is considered a U.S. resident by the state where they are residing; or
  5. The date of entry into active military service.
Upon each renewal, rates, benefits, and program in general are subject to change.

Renewal


When you initially apply online, you will have the option to renew in whatever increment you choose (Minimum 5 day purchase). There is a $5 admin fee each time you renew. Again, the total period of coverage for Inbound Guest cannot exceed 6 months.

Schedule of Benefits


If your covered Injury or Sickness requires treatment by a physician, this program will provide benefits for the Usual and Customary (U&C) charges scheduled below which exceed the chosen Per Person Deductible ($0, $50 or $100, or a $200 deductible for age 70 and over) for each Injury and each Sickness and which are incurred within the 26 weeks following the Injury or Sickness. Payment for any covered service will not exceed the Benefit Maximum shown. The maximum amount payable for all benefits will be no more than $45,000, $65,000, or $85,000 for each Injury and each Sickness.

For persons age 70 and over, the maximum benefit limit is $40,000 or $60,000 for each Injury or Sickness. The period in which covered expenses must be incurred is 26 weeks following the Injury or Sickness, and a separate schedule applies.

Inbound Guest covered services Injury and Sickness Benefit Maximums


Age 14 days to Age 69 years old

Age 14 days to Age 69 Plan A plan B Plan C
Inpatient $45,000 Max per Injury/Sickness $65,000 Max per Injury/Sickness $100,000 Max per Injury/Sickness
Hospital Room & Board including miscellaneous Up to $1260/day, 30 day m Up to $1565/day, 30 day max Up to $1785/day, 30 day max
Hospital Intensive Care Unit Additional $595/day, 8 day max Additional $720/day, 8 day max Additional $790/day, 8 day max
Surgical Treatment Up to $2970 Up to $3960 Up to $4840
Anaesthetist Up to $740 Up to $990 Up to $1210
Assistant Surgeon Up to $740 Up to $990 Up to $1210
Physician's Non-Surgical Visits Up to $50/visit, 1/day, 30 visits Up to $65/visit, 1/day, 30 visits max Up to $75/visit, 1/day, 30 visits
Consultant Physician, when requested by attending Physician Up to $405 Up to $465 Up to $485
Private Duty Nurse Up to $495 Up to $550 Up to $550
Pre-Admission Tests within 7 days before Hospital admission Up to $990 Up to $1100 Up to $1100
Outpatient      
Surgical Treatment Up to $2970 Up to $3960 Up to $4840
Anesthetist Up to $740 Up to $990 Up to $1210
Assistant Surgeon Up to $740 Up to $990 Up to $1210
Physician's Non-Surgical / Urgent Care Visits Up to $50/visit, 1/day, 10 visits Up to $65/visit, 1/day, 10 visits max Up to $75/visit, 1/day, 10 visits
Diagnostic X-rays & Lab Services Up to $405 -Additional $250 - One Cat scan, PET scan or MRI Up to $465 - additional $375 - One Cat scan PET or MRI Up to $485 - Additional $500 - One Cat scan, PET scan or MRI
Hospital Emergency Room (all expenses incurred therein) 75% of U&C to a maximum of $295 75% of U&C to a maximum of $395 75% of U&C to a maximum of $485
Prescription Drugs Up to $90 Up to $115 Up to $135
Outpatient Surgical Facility Up to $900 Up to $1030 Up to $1070
Other Treatment and Services      
Ambulance Services Up to $450 Up to $450 Up to $450
Initial Orthopedic Prosthesis / brace Up to $990 Up to $1160 Up to $1240
Chemotherapy and / or radiation therapy Up to $740 Up to $1175 Up to $1275
Dental Treatment for Injury to Sound, Natural Teeth Up to $550 Up to $550 Up to $550
Mental & Nervous Disorder & Substance Abuse Same as any Sickness Same as any Sickness Same as any Sickness
Physiotherapy Up to $40/visit, 1/day, 12 visits max Up to $40/visit, 1/day, 12 visits max Up to $40/visit, 1/day, 12 visits max
Emergency Evacuation $50,000 $50,000 $50,000
Repatriation of Remains $7,500 $7,500 $7,500
AD&D Principal Sum $25,000 Common Carrier $25,000 Common Carrier $25,000 Common Carrier

If an insured person turns 70 years old during the purchased coverage period, the 70 and over benefit schedule becomes effective upon the day the insured turns 70. Individuals with the $65,000 or $85,000 per injury or sickness policy maximum will receive the $60,000 per injury or sickness schedule for age 70 and older. Individuals with the $45,000 per injury or sickness policy maximum will receive the $40,000 per injury or sickness schedule for age 70 and older.

Age 70 days to Age 99 years old

Age 70 days to Age 99 Plan J plan K
Inpatient $40,000 Max per Injury/Sickness $60,000 Max per Injury/Sickness
Hospital Room & Board including miscellaneous Up to $870/day, 30 day max Up to $1260/day, 30 day max
Hospital Intensive Care Unit Additional $380/day, 8 day max Additional $550/day, 8 day max
Surgical Treatment Up to $2285 Up to $3300
Anesthetist Up to $570 Up to $825
Assistant Surgeon Up to $570 Up to $825
Physician's Non-Surgical Visits Up to $45/visit, 1/day, 30 visits max Up to $65/visit, 1/day, 30 visits max
Consultant Physician, when requested by attending Physician Up to $330 Up to $480
Private Duty Nurse Up to $375 Up to $450
Pre-Admission Tests within 7 days before Hospital admission Up to $775 Up to $775
Outpatient    
Surgical Treatment Up to $2285 Up to $3300
Anesthetist Up to $570 Up to $825
Assistant Surgeon Up to $570 Up to $825
Physician's Non-Surgical / Urgent Care Visits Up to $45/visit, 1/day, 10 visits Up to $65/visit, 1/day, 10 visits max
Diagnostic X-rays & Lab Services Up to $330 - Additional $250 - One Cat scan, PET scan or MRI Up to $480 - additional $300 - One Cat scan PET or MRI
Hospital Emergency Room (all expenses incurred therein) 75% of U&C to a maximum of $208 75% of U&C to a maximum of $300
Prescription Drugs Up to $65 Up to $95
Outpatient Surgical Facility Up to $705 Up to $1020
Other Treatment and Services    
Ambulance Services Up to $450 Up to $450
Initial Orthopedic Prosthesis / brace Up to $705 Up to $1020
Chemotherapy and / or radiation therapy Up to $705 Up to $1020
Dental Treatment for Injury to Sound, Natural Teeth Up to $550 Up to $550
Mental & Nervous Disorder & Substance Abuse Same as any Sickness Same as any Sickness
Physiotherapy Up to $40/visit, 1/day, 12 visits Up to $40/visit, 1/day, 12 visits
Emergency Evacuation $50,000 $50,000
Repatriation of Remains $7,500 $7,500
AD&D Principal Sum $25,000 Common Carrier $25,000 Common Carrier

Definitions


The term "Injury" shall mean bodily Injury listed in the most recent edition of the International Classification of Diseases and caused solely and directly by Accidental, external, and visible means occurring while this Certificate is in force and resulting directly and independently of all other causes resulting in a Covered Event under this Program.

The term "Sickness" shall mean Illness or Disease of any kind listed in the most recent edition of the International Classification of Diseases. All related conditions and recurrent symptoms of the same or a similar condition will be considered one Sickness.

The term "Pre-Existing Condition" shall mean 1) A condition that would have caused a person to seek medical advice, diagnosis, care or Treatment within the 6 months (or 12 months for persons ages 70 and older) prior to the Individual Effective Date of Coverage under this program; 2) A condition for which medical advice, diagnosis, care or Treatment, including Medication, was sought, recommended or received within the 6 months (or 12 months for persons ages 70 and older) prior to the Individual Effective Date of Coverage under this program; 3) The symptoms which occurred within the 6 months (or 12 months for persons ages 70 and older) prior to the Individual Effective Date of the Coverage under this Certificate would have allowed a person trained in medicine to make a diagnosis of the condition producing the symptoms: 4) A condition which manifested itself within the 6 months (or 12 months for persons ages 70 and older) prior to the Individual Effective Date of Coverage under this Certificate;

Exclusions


No benefits will be paid for loss or expense caused by, contributed to, or resulting from:
  1. Pre-existing Conditions;
  2. Any expenses incurred when travel was undertaken soley for the purpose obtaining medical treatment or while traveling against the advise of a Physician;
  3. Expense incurred within the Insured Person's Home Country or country of regular domicile;
  4. Routine physicals, inoculations, or other examinations where there are no objective indications of impairment of normal health, or well baby care, new-born baby care; well-baby nursery and related Physician charges;
  5. Prescriptions or fitting of eyeglasses and contact lenses; eye examinations; or other treatment for visual defects and problems. "Visual defects: means any physical defect of the eye which does or can impair normal vision;
  6. Hearing examinations or hearing aids; or other treatment for hearing defects and problems. "Hearing defects: means any physical defect of the ear which does or can impair normal hearing;
  7. Dental treatment, except as the result of injury to sound, natural teeth;
  8. Services or supplies performed or provided by a Member of the Insured Person's family, or anyone who lives with the Insured Person;
  9. Expenses which were not recommended, approved and certified as Medically Necessary and reasonable by a Physician;
  10. Weak, strained or flat feet, corns, calluses, or toenails;
  11. Cosmetic surgery, or treatment for congenital anomalies (except as specifically provided), except reconstructive surgery as the result of a covered Injury or Sickness. Correction of a deviated nasal septum is considered cosmetic surgery unless it results from a covered Injury or covered Sickness;
  12. Elective Surgery and Elective Treatment;
  13. Drug, treatment or procedure that either promotes or prevents conception, or prevents childbirth;
  14. Injury sustained while participating in professional, sponsored and/or organized Amateur or Interscholastic Athletics;
  15. Organ transplants;
  16. Any consequence, whether directly or indirectly, proximately or remotely occasioned by, contributed to by, or traceable to, or arising in connection with war, invasion, act of foreign enemy hostilities, warlike operations (whether war be declared or not), or civil war;
  17. Participation in a riot or civil disorder, commission of or attempt to commit a felony in the country in which it was attempted or committed;
  18. Suicide or attempted suicide (including drug overdose), while sane or insane (while sane in Missouri), or intentionally self-inflected Injury;
  19. Expenses of an institution, health service, or infirmary for whose service payment is not required in the absence of insurance;
  20. Treatment of nervous or mental disorders, except as stated in the Schedule of Benefits, or treatment of alcoholism or drug abuse, except as provided for treatment of mental or nervous disorders, according to the Schedule of Benefits;
  21. Loss incurred from riding in any aircraft, other than as a passenger in an aircraft licensed for the transportation of passengers;
  22. Treatment services, supplies or facilities in a hospital owned or operated by: a) The Veteran's Administration; or b) A national government or any of its agencies. (This exclusion does not apply to treatment when a charge is made which the Insured is required by law to pay);
  23. Duplicate services actually provided by both a certified nurse-midwife and Physician;
  24. Expenses incurred during a hospital emergency room visit which is not of an emergency nature;
  25. Expenses incurred for outpatient treatment in connection with the detection or correction by manual or mechanical means of structural imbalance, distortion or sublimation in the human body for purposes of removing nerve interference and the effects thereof, where such interference is the result of or related to distortion, misalignment or subluxation of or in the vertebral column;
  26. Injury sustained while taking part in mountaineering where ropes or guides are normally used, hang gliding, parachuting, bungee jumping, racing by horse or motor vehicle or motorcycle, snowmobiling, motorcycle/motor scooter riding, scuba diving involving underwater breathing apparatus (unless PADI or NAUI certified), water skiing, snow skiing and snow boarding;
  27. Treatment paid for or furnished under any other individual, government, or group policy; previous policy; payable under any Worker's Compensation or Occupational Disease Law or Act; or charges provided at no cost to the Insured Person;
  28. Expense incurred after the Expiration Date for an Insured Person except as may be specifically provided;
  29. Expenses for treatment in connection with alcoholism and drug addiction, or use of any drug or narcotic agent or for Injury or Sickness due to wholly or partly to the effects of intoxicating liquor or drugs, unless prescribed by a Physician;
  30. Sexually transmitted diseases, including AIDS;
  31. Pregnancy expenses or Sickness resulting from pregnancy, childbirth, or miscarriage; or for miscarriage resulting from Injury; or voluntary or elective abortion;
  32. Treatment while confined primarily to receive custodial care, educational or rehabilitative care and nursing services in a long term facility, spa, hydroclinic, weight loss clinic, sanatorium, nursing home or similar facilities;
  33. Expenses for Speech therapy, Occupational therapy or Vocational Rehabilitation.

Refund of Premium


Refund of premium shall be considered only if written request is received by Seven Corners prior to the Effective Date of Coverage. After the Effective Date of Coverage, the premium is considered fully earned and non-refundable.

The Insurance Company


Inbound Guest is underwritten by Certain Underwriters at Lloyd's, London and is rated A "Excellent" by A.M. Best. In addition to being one of the largest insurance entities in the world, Lloyd's has over 300 years of experience in the international insurance business.




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