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International Health Insurance > HTH Worldwide

Xplorer Premier International Health Insurance

Xplorer Essential Health Plan Benefits

Xplorer Essential Benefits
  Outside U.S.
Lifetime Maximum per Insured Person Unlimited
Annual Maximum per Insured Person Unlimited
Preventative and Primary Care Insurer Waives Deductible
Primary Care Office Visits All except a $10 copay per visit1

Preventative Care For Babies/Children:
Birth to Age 18

  1. Office Visits/examination
  2. Immunizations, Lab work & X-rays

Preventative Care For Adults:
Age 19 and Older

  1. Routine Pap Smears, annual mammogram
  2. PSA For Men
  3. Annual Physical Examination/Health Screening
  4. Diagnostic lab work & X-rays
Professional Services Insurer Pays After Deductible is Met
Surgery, anesthesia, radiation therapy, in-hospital doctor visits, diagnostic X-ray and lab work. 100%
Inpatient Hospital Services Insurer Pays After Deductible is Met
Surgery, X-rays, in-hospital doctor visits, Organ/Tissue Transplant 100%
In-patient medical emergency2 100%
In-patient drugs 100%
Ambulatory and Therapeutic Services Insurer Pays After Deductible is Met
Ambulatory Surgical Center 100%
Ambulance Service 100%
Accidental Dental $1,000 per year, $200 per tooth
Acupuncture and Chiropractic Services 100% up to $2,000
Durable Medical Equipment 100%
Infusion Therapy 100%
Physical/Occupational Therapy $30/visit, 12 visits per year
Rehabilitation and Therapy Insurer Pays After Deductible is Met
Inpatient Mental Health 100% up to 60 days
Outpatient Mental Health 75% up to 40 visits/60% thereafter
Inpatient Substance Abuse 100% up to 60 days detox
Outpatient Substance Abuse 75% up to 40 visits/60% thereafter
Prescription Drug Benefit Options Insurer Waives Deductible
Basic Prescription Drug Benefit 100% of actual charges up to $500
Optional Prescription Drug Benefit, Subject to $25,000 Maximum per Insured Person per Policy Period 80% of actual charges
Global Travel Benefits Insurer Pays Without a Deductible
Medical Evacuation Up to $250,000
Repatriation of Remains Up to $25,000
Accidental Death and Dismemberment $50,000
  1. Copay waived when visiting an HTH Worldwide contracted provider.
  2. Emergency room visits that do not result in inpatient admissions will be subject to a $50 penalty.
  3. Deductibles are Per Person per Calendar Year. A family is charged a maximum of 2.5 deductibles.

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