Inbound USA 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 $130,000) 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 364 days of arrival to USA
  • Coverage is available from 5 days to 364 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
  • 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  •Home Country Coverage  •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 A ($50,000 Max per Injury/Sickness)Plan B ($75,000 Max per Injury/Sickness)Plan C ($100,000 Max per Injury/Sickness)Plan D ($130,000 Max per Injury/Sickness)
INPATIENT
Hospital Room & Board including Laboratory Tests, X-rays, Prescription Medical and other miscellaneousUp to $1,400/day, 30 day maxUp to $1,675/day, 30 day maxUp to $1,950/day, 30 day maxUp to $2,535/day, 30 day max
Hospital Intensive Care UnitAdditional $660/day, 8 day maxAdditional $755/day, 8 day maxAdditional $850/day, 8 day maxAdditional $1,105/day, 8 day max
Surgical TreatmentUp to $3,300Up to $4,400Up to $5,500Up to $7,150
AnesthetistUp to $825Up to $1,100Up to $1,375Up to $1,775
Assistant SurgeonUp to $825Up to $1,100Up to $1,375Up to $1,775
Physician’s Non-Surgical VisitsUp to $55/visit, 1/day, 30 visits maxUp to $70/visit,1/day, 30 visits maxUp to $85/visit, 1/day, 30 visits maxUp to $110/visit, 1/day, 30 visits max
Consulting Physician, when requested by attending PhysicianUp to $450Up to $475Up to $500Up to $650
Private Duty NurseUp to $550Up to $550Up to $550Up to $700
Pre-Admission Tests w/in 7 days before Hospital admissionUp to $1,100Up to $1,100Up to $1,100Up to $1,450
OUTPATIENT
Surgical TreatmentUp to $3,300Up to $4,400Up to $5,500Up to $7,150
AnesthetistUp to $825Up to $1,100Up to $1,375Up to $1,775
Assistant SurgeonUp to $825Up to $1,100Up to $1,375Up to $1,775
Physician’s Non-Surgical / Urgent Care VisitsUp to $55/visit, 1/day, 10 visits maxUp to $70/visit, 1/day, 10 visits maxUp to $85/visit, 1/day, 10 visits maxUp to $110/visit, 1/day, 10 visits max
Diagnostic X-rays & Lab ServicesUp to $450 - Additional $250 - One CAT scan, PET scan or MRIUp to $475 – additional $375 - One CAT scan, PET scan or MRIUp to $500 - Additional $500 - One CAT scan, PET scan or MRIUp to $650 - Additional $600 - One CAT scan, PET scan or MRI
Hospital Emergency Room (all expenses incurred therein)Up to $330Up to $440Up to $550Up to $700
Prescription DrugsUp to $100Up to $125Up to $150Up to $200
Outpatient Surgical FacilityUp to $1,000Up to $1,050Up to $1,100Up to $1,400
OTHER TREATMENT & SERVICES
Ambulance ServicesUp to $450Up to $450Up to $450Up to $450
Initial Orthopedic Prosthesis/braceUp to $1,100Up to $1,200Up to $1,300Up to $1,700
Chemotherapy and/or Radiation TherapyUp to $1,100Up to $1,225Up to $1,350Up to $1,750
Dental Treatment for Injury to Sound, Natural TeethUp to $550Up to $550Up to $550Up to $550
Mental & Nervous Disorder & Substance AbuseSame as any SicknessSame 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 $40/visit, 1/day, 12 visits maxUp to $40/visit, 1/day, 12 visits max
Emergency Evacuation50000500005000050000
Repatriation of Remains7500750075007500
AD&D Principal Sum$25,000 Common Carrier$25,000 Common Carrier$25,000 Common Carrier$25,000 Common Carrier
Acute Onset of a Pre-existing Condition (the above maximum schedule still applies)$50,000 per policy period for medical expense benefits (subject to the sublimits for each benefit shown above) & $25,000 per policy period for medical evacuation$75,000 per policy period for medical expense benefits (subject to the sublimits for each benefit shown above) & $25,000 per policy period for medical evacuation$100,000 per policy period for medical expense benefits (subject to the sublimits for each benefit shown above) & $25,000 per policy period for medical evacuation$130,000 per policy period for medical expense benefits (subject to the sublimits for each benefit shown above) & $25,000 per policy period for 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 J ($50,000 Max per Injury/Sickness)Plan K ($70,000 Max per Injury/Sickness)
INPATIENT
Hospital Room & Board including Laboratory Tests, X-rays, Prescription Medical and other miscellaneousUp to $1,050/day, 30 day maxUp to $1,470/day, 30 day max
Hospital Intensive Care UnitAdditional $460/day, 8 day maxAdditional $640/day, 8 day max
Surgical TreatmentUp to $2,750Up to $3,850
AnesthetistUp to $685Up to $960
Assistant SurgeonUp to $685Up to $960
Physician’s Non-Surgical VisitsUp to $55/visit, 1/day, 30 visits maxUp to $75/visit, 1/day, 30 visits max
A Consulting Physician, when requested by attending PhysicianUp to $400Up to $560
Private Duty NurseUp to $450Up to $450
Pre-Admission Tests w/in 7 days before Hospital admissionUp to $775Up to $1,085
OUTPATIENT
Surgical TreatmentUp to $2,750Up to $3,850
AnesthetistUp to $685Up to $960
Assistant SurgeonUp to $685Up to $960
Physician’s Non-Surgical / Urgent Care VisitsUp to $55/visit, 1/day, 10 visits maxUp to $75/visit, 1/day, 10 visits max
Diagnostic X-rays & Lab ServicesUp to $400 - Additional $250 - One CAT scan, PET scan or MRIUp to $560 – additional $300 - One CAT scan, PET scan or MRI
Hospital Emergency Room (all expenses incurred therein)Up to $250Up to $350
Prescription DrugsUp to $80Up to $110
Outpatient Surgical FacilityUp to $850Up to $1,190
OTHER TREATMENT AND SERVICES
Ambulance ServicesUp to $450Up to $450
Initial Orthopedic Prosthesis/braceUp to $850Up to $1,190
Chemotherapy and/or radiation therapyUp to $850Up to $1,190
Dental Treatment for Injury to Sound, Natural TeethUp to $550Up to $550
Mental & Nervous Disorder & Substance AbuseSame as any SicknessSame as any Sickness
PhysiotherapyUp to $40/visit, 1/day, 12 visits maxUp to $40/visit, 1/day, 12 visits max
Emergency Evacuation5000050000
Repatriation of Remains75007500
AD&D Principal Sum$25,000 Common Carrier$25,000 Common Carrier
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 older