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| FEATURES | ||
| Plan Type | Comprehensive benefits plan | |
| Eligibility | For Non-U.S. citizens traveling to U.S.A. only | |
| Benefits | In USA & Canada: a) In Network & Directly Billed: After deductible, Plan pays 100% to policy maximum b) Otherwise: After deductible, Plan pays 90% of $10,000 and then 100% to policy maximum Outside USA & Canada: After deductible, Plan pays 100% to policy maximum | |
| Cancelability & Renewability | Cancelable and Not Renewable | |
| Pre-Existing Coverage | $10,000 for sudden onset of pre-existing conditions if age under 65 and $2500 if 65 & above | |
| International Travel | Coverage is provided outside of home country including during travel | |
| Per Period or Per Incident | Deductible and Policy Maximum are per policy period per person | |
| Purchase With in | None | |
| Coverage Length & Age Eligibility | Coverage is available from 5 days to 364 days for ages 14 days to 100+ years | |
| PPO Network | Coventry Health Care PPO Network | |
| Restricted States | Not available if mailing address and insured is physically located at the time of quote in Maryland(MD), New York(NY) & Washington(WA) | |
| Administrator & Underwriter | Administrator: USI Travel Insurance Services Claims Administrator: HCC Medical Insurance Services Underwriter: Lloyd’s of London | |
| Application Fee | Application Fee: $5 | |
| Other Benefits | •Accidental Death and Dismemberment •Complications of Pregnancy (until 26 weeks pregnancy) •Emergency Dental •Emergency Medical Evacuation •Emergency Reunion •Loss of Baggage •Recreational Sports •Return of Minor Children •Return of Mortal Remains •Stolen Passports/Visas •Terrorism •Trip Interruption •World Wide Assistance Services | |
| Optional Riders | •Additional Accidental Death & Dismemberment •Hazardous Activities •Intercollegiate/Interscholastic & Amateur Sports | |
| LINKS | ||
| Benefits Table | Visit USA Healthcare | |
| Brochure | Brochure | |
| Master Policy | Master Policy | |
| Claim Form | Claim Form | |
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