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International Medical & Travel Insurance Call 888.708.0812 or +1.503.642.4646 FAX - +1.503.212.5599 |
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Details: Index / Benefits / Exclusions / Provider
Directory / Application Download / Quote
& Apply
Worldwide Rates: Silver / Gold / Platinum Rates Excluding US & Canada: Silver / Gold / Platinum |
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International Health Insurance > International Medical Group
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Benefit Description
Subject to deductible and coinsurance unless otherwise noted |
Global Medical Insurance - Gold |
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Coverage Area
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Two options: worldwide or worldwide excluding the U.S. and Canada |
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Policy Maximum
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$5,000,000 lifetime per individual |
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Deductible
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Ranges from $250 to $10,000 per period of coverage, 50% reduction within PPO, Carry forward deductible - last 30 days of certificate year |
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Family
Deductible
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3x the single |
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Coinsurance within the U.S. and Canada
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80% of the next $5,000 of eligible expenses after the deductible, then 100% to the overall maximum per period of coverage |
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Coinsurance within the PPO network and
outside the U.S. and Canada
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100% |
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Hospitalization / Room & Board
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Average semi-private room rate |
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Intensive Care
Unit
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Usual, Reasonable and Customary (URC) |
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Surgery
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URC |
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Anesthetist's Charges Associated with
Surgery
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URC |
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Transplants
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$1,000,000 |
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Outpatient
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URC |
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Rx Coverage
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URC |
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Emergency Room Illness
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URC - |
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Emergency Room Accident
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URC |
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Local Ambulance
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URC |
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Emergency
Evacuation
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Limited to policy maximum - not subject to deductible or coinsurance |
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Emergency
Reunion
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$10,000 |
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Return of Mortal Remains
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$25,000 |
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Maternity
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Optional Rider - $50,000 lifetime maximum, maximum of $5,000 for normal delivery, $7,500 for C-section, $200 child wellness benefit for first 12 months - not subject to deductible or coinsurance. Available after 10 months of coverage benefits reduced by 50% for births that occur in11th or 12th month of continuous coverage |
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Supplemental
Accident
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$300
per occurrence |
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Mental/Nervous
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$10,000
per period of coverage |
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Adult Wellness
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$250 per period
of coverage - not subject to deductible or coinsurance |
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Child Wellness
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$200 maximum per
period of coverage -not subject to deductible or coinsurance |
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Other Services
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URC |
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Physical
Therapy
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Maximum $50 per visit |
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High School
Sports Injury
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NA |
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Recreational
SCUBA
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URC |
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Remote
Transportation
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NA |
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Political Evacuation and Repatriation
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NA |
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Complementary Medicine
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Acupuncture $150 |
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Non-emergency
Dental
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NA |
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Emergency Dental due to Accident |
URC |
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Emergency Dental due to Sudden
Unexpected Pain
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$100 per period of coverage |
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Vision
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NA |
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Global Concierge & Assistance Services
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NA |
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Pre-existing
Conditions
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$5,000 per
period of coverage up to a $50,000 lifetime maximum. |
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NA (Not Applicable) / URC (Usual, Reasonable and Customary) / SAAI (Same As Any Illness) |
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