Inbound Guest Insurance

  • Low cost, Limited (Fixed) benefits plan
  • For Non-U.S. citizens traveling to U.S.A. only
  • Fixed benefit limits increase with Policy Maximum
  • Cancelable and Renewable
  • Same as Policy Maximum (up to $120,000) coverage for acute onset of pre-existing conditions for age under 70 years
  • Includes international travel if coverage purchase is for 30 days or more
  • Deductible and Policy Maximum are per injury/sickness per person
  • Must be purchased and effective with in 180 days of arrival to USA
  • Coverage is available from 5 days to 180 days for ages 14 days to 99 years
  • No PPO Network
  • Not available if correspondence address in Kentucky(KY), Maryland(MD) & Washington(WA)
  • Administrator: Seven Corners
    Underwriter: Lloyd’s of London
  • Has slightly different Policy Maximums and Benefits compared to Inbound USA
  • Other Benefits:  • Ambulance Services  •Chemotherapy and/or Radiation Therapy  •Common Carrier Accidental Death & Dismemberment  •Dental Treatment for Injury to Sound Natural Teeth  •Emergency Medical Evacuation  •Initial Orthopedic Prosthesis/Brace  •International Travel Coverage  •Mental & Nervous Disorder & Substance Abuse  •Physiotherapy  •Return of Remains

Benefits

For Age 14 days to Age 69

Plan APlan BPlan CPlan DPlan E
INPATIENT$25,000 Max per Injury/Sickness$45,000 Max per Injury/Sickness$65,000 Max per Injury/Sickness$85,000 Max per Injury/Sickness$120,000 Max per Injury/Sickness
Hospital Room & Board Including Laboratory Tests, X-Rays, Prescription Medical and other miscellaneousUp to $910/day, 30 day maxUp to $1,260/day, 30 day maxUp to $1,565/day, 30 day maxUp to $1,785/day, 30 day maxUp to $2,340/day, 30 day max
Hospital Intensive Care UnitAdd’l $430/day, 8 day maxAdd’l $595/day, 8 day maxAdd’l $720/day, 8 day maxAdd’l $790/day, 8 day maxAdd’l $1020/day, 8 day max
Surgical TreatmentUp to $2,150Up to $2,970Up to $3,960Up to $4,840Up to $6,600
AnesthetistUp to $540Up to $740Up to $990Up to $1,210Up to $1,650
Assistant SurgeonUp to $540Up to $740Up to $990Up to $1,210Up to $1,650
Physician’s Non-Surgical VisitsUp to $40/visit, 1/day, 30 visits maxUp to $50/visit, 1/day, 30 visits maxUp to $65/visit,1/day, 30 visits maxUp to $75/visit, 1/day, 30 visits maxUp to $100/visit, 1/day, 30 visits max
A Consulting Physician, when requested by attending PhysicianUp to $295Up to $405Up to $465Up to $485Up to $600
Private Duty NurseUp to $360Up to $495Up to $550Up to $550Up to $660
Pre-Admission Tests within 7 days before Hospital admissionUp to $715Up to $990Up to $1,100Up to $1,100Up to $1,100
OUTPATIENT
Surgical TreatmentUp to $2,150Up to $2,970Up to $3,960Up to $4,840Up to $6,600
AnesthetistUp to $540Up to $740Up to $990Up to $1,210Up to $1,650
Assistant SurgeonUp to $540Up to $740Up to $990Up to $1,210Up to $1,650
Physician’s Non-Surgical / Urgent Care VisitsUp to $40/visit, 1/day, 10 visits maxUp to $50/visit, 1/day, 10 visits maxUp to $65/visit, 1/day, 10 visits maxUp to $75/visit, 1/day, 10 visits maxUp to $100/visit, 1/day, 10 visits max
Diagnostic X-rays & Lab ServicesUp to $295 - Additional. $250 One CAT scan, PET scan or MRIUp to $405 - Additional $250 - One CAT scan, PET scan or MRIUp to $465 – additional $375 - One CAT scan, PET scan or MRIUp to $485 - Additional $450 - One CAT scan, PET scan or MRIUp to $600 - Additional $500 - One CAT scan, PET scan or MRI
Hospital Emergency Room (all expenses incurred therein)Up to $215Up to $295Up to $395Up to $485Up to $660
Prescription DrugsUp to $65Up to $90Up to $115Up to $135Up to $180
Outpatient Surgical FacilityUp to $650Up to $900Up to $1,030Up to $1,070Up to $1,320
OTHER TREATMENT & SERVICES
Ambulance ServicesUp to $295Up to $450Up to $450Up to $450Up to $450
Initial Orthopedic Prosthesis/braceUp to $715Up to $990Up to $1,160Up to $1,240Up to $1,560
Chemotherapy and/or radiation therapyUp to $715Up to $990Up to $1,175Up to $1,275Up to $1,620
Dental Treatment for Injury to Sound, Natural TeethUp to $360Up to $550Up to $550Up to $550Up to $550
Mental & Nervous Disorder & Substance AbuseSame as any SicknessSame as any SicknessSame as any SicknessSame as any SicknessSame as any Sickness
PhysiotherapyUp to $30/visit, 1/day, 12 visits maxUp to $40/visit, 1/day, 12 visits maxUp to $40/visit, 1/day, 12 visits maxUp to $40/visit, 1/day, 12 visits maxUp to $40/visit, 1/day, 12 visits max
Acute Onset of Pre-existing Condition(s)$25,000 per policy period for Medical Expense Benefits (subject to the sublimits for each benefit shown above) & $25,000 per policy period for Emergency Medical Evacuation.$45,000 per policy period for Medical Expense Benefits (subject to the sublimits for each benefit shown above) & $25,000 per policy period for Emergency Medical Evacuation.$65,000 per policy period for Medical Expense Benefits (subject to the sublimits for each benefit shown above) & $25,000 per policy period for Emergency Medical Evacuation.$85,000 per policy period for Medical Expense Benefits (subject to the sublimits for each benefit shown above) & $25,000 per policy period for Emergency Medical Evacuation.$120,000 per policy period for Medical Expense Benefits (subject to the sublimits for each benefit shown above) & $25,000 per policy period for Emergency Medical Evacuation.
If you turn 70 years old during the purchased coverage period, the 70 and over benefit schedule becomes effective on the day you turn 70. If you have the $100,000 or $130,000 per injury or sickness policy maximum, you will receive the $70,000 per injury or sickness schedule for age 70 and older. If you have the $75,000 or $50,000 per injury or sickness policy maximum, you will receive the $50,000 per injury or sickness schedule for age 70 and older.

For Age 70 to Age 99

Plan JPlan KPlan L
INPATIENT$40,000 Max per Injury/Sickness$60,000 Max per Injury/Sickness$100,000 Max per Injury/Sickness
Hospital Room & Board including miscellaneousUp to $870/day, 30 day maxUp to $1,260/day, 30 day maxUp to $2,050/day, 30 day max
Hospital Intensive Care UnitAdditional $380/day, 8 day maxAdditional $550/day, 8 day maxAdditional $900/day, 8 day max
Surgical TreatmentUp to $2,285Up to $3,300Up to $5,365
AnesthetistUp to $570Up to $825Up to $1,340
Assistant SurgeonUp to $570Up to $825Up to $1,340
Physician’s Non-Surgical VisitsUp to $45/visit, 1/day, 30 visits maxUp to $65/visit, 1/day, 30 visits maxUp to $100/visit, 1/day, 30 visits max
A Consulting Physician, when requested by attending PhysicianUp to $330Up to $480Up to $780
Private Duty NurseUp to $375Up to $450Up to $880
Pre-Admission Tests w/in 7 days before Hospital admissionUp to $775Up to $775Up to $1,500
OUTPATIENT
Surgical TreatmentUp to $2,285Up to $3,300Up to $5,365
AnesthetistUp to $570Up to $825Up to $1,340
Assistant SurgeonUp to $570Up to $825Up to $1,340
Physician’s Non-Surgical / Urgent Care VisitsUp to $45/visit, 1/day, 10 visits maxUp to $65/visit, 1/day, 10 visits maxUp to $100/visit, 1/day, 10 visits max
Diagnostic X-rays & Lab ServicesUp to $330 - Additional $250- One CAT scan, PET scan or MRIUp to $480 – additional $300- One CAT scan, PET scan or MRIUp to $780 – additional $300- One CAT scan, PET scan or MRI
Hospital Emergency Room (all expenses incurred therein)Up to$208Up to $300Up to $480
Prescription DrugsUp to $65Up to $95Up to $160
Outpatient Surgical FacilityUp to $705Up to $1,020Up to $1,660
OTHER TREATMENT AND SERVICES
Ambulance ServicesUp to $450Up to $450Up to $880
Initial Orthopedic Prosthesis/braceUp to $705Up to $1,020Up to $1,660
Chemotherapy and/or radiation therapyUp to $705Up to $1,020Up to $1,660
Dental Treatment for Injury to Sound, Natural TeethUp to $550Up to $550Up to $1,075
Mental & Nervous Disorder & Substance AbuseSame as any SicknessSame as any SicknessSame as any Sickness
PhysiotherapyUp to $40/visit, 1/day, 12 visits maxUp to $40/visit, 1/day, 12 visits maxUp to $80/visit, 1/day, 12 visits max
Accute Onset of Pre-existing ConditionsThis benefit is not available if you are 70 or olderThis benefit is not available if you are 70 or olderThis benefit is not available if you are 70 or older