| Coinsurance - Claims incurred in the USA |
In-Network: Plan pays 100% after deductible, up to the overall maximum limit
Out-of-Network: Usual, reasonable, and customary. You may be responsible for charges exceeding payable amount |
In-Network: Plan pays 100% after deductible, up to the overall maximum limit
Out-of-Network: Usual, reasonable, and customary. You may be responsible for charges exceeding payable amount |
| Coinsurance - Claims incurred Outside the USA |
| Plan pays 100% after deductible, up to the overall maximum limit |
Plan pays 100% after deductible, up to the overall maximum limit |
| Emergency medical evacuation |
| $250,000 |
$250,000 |
| Accidental death and dismemberment |
| $50,000 |
$50,000 |
| Repatriation of remains |
| $50,000 |
$50,000 |
| Political evacuation |
| $50,000 |
$50,000 |
| Emergency reunion |
| $15,000 |
$15,000 |
| Return of minor children |
| $50,000 |
$50,000 |
| Terrorism |
| $50,000 |
$50,000 |
| Emergency dental |
| $1,000 for accident or $100 for pain relief |
$1,000 for accident or $100 for pain relief |
| Trip interruption |
| $5,000 |
$5,000 |
| Loss of baggage |
| $500 |
$500 |
| Stolen passport/Visa |
| $100 |
$100 |
| Optional Add-On Benefits |
- Intercollegiate or Interscholastic Sports Coverage
- Hazardous Activities
- Accidental Death and Dismemberment coverage is based on age:
- Under 18: $5,000
- 18-69: $50,000
- 70-74: $20,000
- 75 and above: $10,000
- Additional AD&D is not available for those 70 and above.
|
- Intercollegiate or Interscholastic Sports Coverage
- Hazardous Activities
- Accidental Death and Dismemberment coverage is based on age:
- Under 18: $5,000
- 18-69: $50,000
- 70-74: $20,000
- 75 and above: $10,000
- Additional AD&D is not available for those 70 and above.
|
Plan Life
Underwriter
Renewability
Rating
Cancellation and refund
Eligibility
Policy Maximum?
Insurance Provider
