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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 - A to D / Benefits - J & K / Exclusions
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Premiums: Plan A / Plan B / Plan C / Plan D / Plan J / Plan K |
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US Visitor/Immigrant Insurance > Seven Corners
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| Age 70 to Age 99 | Plan J | Plan K |
| INPATIENT | $50,000 Max per Injury/Sickness | $70,000 Max per Injury/Sickness |
| Hospital Room & Board including miscellaneous | Up to $1,050/day, 30 day max | Up to $1,470/day, 30 day max |
| Hospital Intensive Care Unit | Additional $460/day, 8 day max | Additional $640/day, 8 day max |
| Surgical Treatment | Up to $2,750 | Up to $3,850 |
| Anesthetist | Up to $685 | Up to $960 |
| Assistant Surgeon | Up to $685 | Up to $960 |
| Physician’s Non-Surgical Visits | Up to $55/visit, 1/day, 30 visits max | Up to $75/visit, 1/day, 30 visits max |
| A Consulting Physician, when requested by attending Physician | Up to $400 | Up to $560 |
| Private Duty Nurse | Up to $450 | Up to $450 |
| Pre-Admission Tests w/in 7 days before Hospital admission | Up to $775 | Up to $1,085 |
| OUTPATIENT | ||
| Surgical Treatment | Up to $2,750 | Up to $3,850 |
| Anesthetist | Up to $685 | Up to $960 |
| Assistant Surgeon | Up to $685 | Up to $960 |
| Physician’s Non-Surgical / Urgent Care Visits | Up to $55/visit, 1/day, 10 visits max | Up to $75/visit, 1/day, 10 visits max |
| Diagnostic X-rays & Lab Services | Up to $400 Additional $250 - One Cat scan, PET scan or MRI |
Up to $560 Additional $300 – One Cat scan PET or MRI |
| Hospital Emergency Room (all expenses incurred therein) | 75% of U&C to a maximum of $250 | 75% of U&C to a maximum of $350 |
| Prescription Drugs | Up to $80 | Up to $110 |
| Outpatient Surgical Facility | Up to $850 | Up to $1,190 |
| OTHER TREATMENT AND SERVICES | ||
| Ambulance Services | Up to $450 | Up to $450 |
| Initial Orthopedic Prosthesis/brace | Up to $850 | Up to $1,190 |
| Chemotherapy and/or radiation therapy | Up to $850 | Up to $1,190 |
| 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 max | Up to $40/visit, 1/day, 12 visits max |
| 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 |
Should an insured person turn 70 during the purchased coverage period, the 70 and over benefit schedule becomes effective upon the day the insured turns 70.
The program will pay up to $50,000 in Covered Expenses incurred if any covered Injury or Illness commencing during the Period of Coverage results in the Medically Necessary Emergency Medical Evacuation or Repatriation of the Insured Person (the Insured Person's medical condition warrants immediate transportation from the medical facility where the Insured Person is located to the nearest adequate medical facility where medical treatment can be obtained). The benefit must be ordered by the Assistance Company in consultation with the Insured Person's local attending Physician. *
The program will pay the reasonable Covered Expenses incurred up to a maximum of $7,500 to return the Insured Person's remains to his/her Home Country, if he or she dies.*
Accidental Death and Dismemberment shall apply to covered accidents sustained by an insured person while riding as a passenger in or on any land, water or air conveyance operated under a license for the transportation of passengers for hire. A loss must occur within 365 days after the date of accident causing the loss:
| For Loss of: |
Indemnity
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| Life |
Principal Sum
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| Both Hands or Both Feet or Sight of Both Eyes |
Principal Sum
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| One Hand and One Foot |
Principal Sum
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| Either Hand or Foot and Sight of One Eye |
Principal Sum
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| Either Hand or Foot |
One-Half the Principal Sum
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| Sight of One Eye |
One-Half the Principal Sum
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* NOTE: In the event of an Emergency Medical Evacuation or Repatriation of Mortal Remains benefit is needed or utilized, arrangements must be made by the Assistance Service Provider.