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Liaison International Travel Medical Insurance

Schedule of Benefits and Limits
Medical Maximum: $50,000; $100,000; $500,000; $1,000,000 (ages 80+, maximum limited to $15,000)
Deductible: $0; $100; $250; $500; $1000; $2500    Deductible is per person per policy period, maximum of 3 Policy Period deductibles per family. The selected Deductible and Coinsurance amount must be met for each 12-month period (see Continuing Coverage)
Coinsurance: Traveling outside the United States: After you pay the deductible, we pay 100% to the selected medical maximum.

Traveling to the United States: After you pay the deductible, we pay 80% of the next $5,000 of eligible expenses, then 100% to the selected medical maximum.
Hospital Indemnity*: class 1: $150 / night (traveling outside the US and Canada) In addition to any other Covered Expense.
Dental (Emergency)*: class 1: $100 or ($500 for accidents) Only available to programs purchased for 1 month or more.
Emergency Medical Evacuation / Repatriation: $300,000 (in addition to the Medical Maximum)
Home Country Coverage : Incidental Trips to The Home Country: Up to $50,000; Extension of Benefits: Up to $5,000
Return of Mortal Remains: $50,000
Emergency Reunion: $50,000
Return of Minor Child(ren): $50,000
Interruption of Trip: $5,000
Loss of Checked Luggage: $250
Local Ambulance Expense: $5,000
Accidental Death & Dismemberment: $25,000 Principal Sum for Insured or Insured Spouse, $5,000 for Dependent Child. Note: In the event of a Common Carrier Accidental Death, this benefit will not be paid.
Common Carrier AD&D: $50,000 Principal Sum for Insured or Insured Spouse; $10,000 per Dependent child(ren) under age of eighteen (18); $250,000 Maximum per family.
Hospital Room & Board: Usual, reasonable and customary to the selected Policy Maximum.
Intensive Care: Usual, reasonable and customary to the selected Policy Maximum.
Outpatient Medical Expense: Usual, reasonable and customary to the selected Policy Maximum.
Terrorism: Usual, reasonable and customary to the selected Policy Maximum
(This benefit not available for states underwritten by Certain Underwriters at Lloyd's of London)
Unexpected Recurrence of a Pre-Existing Condition $20,000 per coverage period for U.S. residents under 70 traveling outside the U.S. & Canada.
(Age 70+, up to $5, 000, refer to exclusion #1 for details)
Acute Onset of a Pre-Existing Condition $15,000 per coverage period for non-U.S. residents under age 70 traveling in the U.S. (age 70+, no benefit) for medical expenses & $25,000 for emergency medical evacuation.
Benefit Period: 180 days