Visitors Care Insurance | Be Safe Insurance

Low cost, Limited (Fixed) benefits plan
For non-U.S. citizens traveling outside home country (U.S.A. included)
Fixed benefit limits increase with Policy Maximum
Cancelable and Renewable
Coverage is provided outside of home country including during travel
Deductible is per period of coverage and Policy Maximum is per life of plan
Must be purchased and effective with in 30 days of arrival to USA if age above 65
Coverage is available from 5 days to 24 months for ages 14 days to 100 years
No PPO Network
Not available if mailing address is in Maryland(MD)
Administrator: International Medical Group (IMG)
Underwriter: Sirius International
Other Benefits: • Common Carrier Accidental Death & Dismemberment •Dental for Accident to Sound Natural Teeth •Emergency Evacuation •Extended Care Facility •Local Ambulance •Physical Therapy •Return of Mortal Remains or Cremation/Burial

Benefits

	Plan A ($25,000 Max Benefit Per Life Of Plan)	Plan B ($50,000 Max Benefit Per Life Of Plan)	Plan C ($100,000 Max Benefit Per Life Of Plan)
Inpatient Treatment
Hospital room and board	Up to $825 per day, 30 day maximum per period of coverage	Up to $1,400 per day, 30 day maximum per period of coverage	Up to $1,950 per day, 30 day maximum per period of coverage
Intensive care	Up to an additional $400 per day, 8 day maximum per period ofcoverage	Up to an additional $660 per day, 8 day maximum per period of coverage	Up to an additional $850 per day, 8 day maximum per period of coverage
Surgical treatment	Up to $2,000 per surgical session	Up to $3,300 per surgical session	Up to $5,500 per surgical session
Physician consult	Up to $350 per period of coverage	Up to $450 per period of coverage	Up to $500 per period of coverage
Pre-admission tests	Up to $750 per period of coverage	Up to $1,100 per period of coverage	Up to $1,100 per period of coverage
Private duty nurse	Up to $400 per period of coverage	Up to $550 per period of coverage	Up to $550 per period of coverage
Physician visits	Up to $40 per visit, 30 visits per period of coverage	Up to $55 per visit, 30 visits per period of coverage	Up to $85 per visit, 30 visits per period of coverage
Outpatient Treatment
Surgical treatment	Up to $2,000 per surgical session	Up to $3,300 per surgical session	Up to $5,500 per surgical session
Surgical facility fee	Up to $750 per surgical session	Up to $900 per surgical session	Up to $1,000 per surgical session
Diagnostic x-ray & lab	Up to $650 per period of coverage, ($325 per procedure)	Up to $800 per period of coverage, ($400 per procedure)	Up to $950 per period of coverage, ($475 per procedure)
Hospital emergency room	Up to $200 per visit	Up to 75% of URC to $330 per visit	Up to 75% of URC to $550 per visit
Prescription drugs	Up to $150 per period of coverage	Up to $250 per period of coverage	Up to $250 per period of coverage
Physician visits	Up to $50 per visit, 10 visits per period of coverage	Up to $55 per visit, 10 visits per period of coverage	Up to $85 per visit, 10 visits per period of coverage
Miscellaneous Inpatient & Outpatient Treatment
Anesthetist	Up to $450 per surgical session	Up to $825 per surgical session	Up to $1,375 per surgical session
Assistant surgeon	Up to $450 per surgical session	Up to $825 per surgical session	Up to $1,375 per surgical session
Other Coverages
Local ambulance	Up to $250 per period of coverage	Up to $450 per period of coverage	Up to $450 per period of coverage
Dental for accident to sound natural teeth	Up to $350 per period of coverage	Up to $550 per period of coverage	Up to $550 per period of coverage
Physical therapy	Up to $25 per visit per day, 12 visits per period of coverage	Up to $40 per visit per day, 12 visits per period of coverage	Up to $40 per visit per day, 12 visits per period of coverage
Extended care facility	Up to $150 per day, 15 day maximum per period of coverage	Up to $200 per day, 15 day maximum per period of coverage	Up to $250 per day, 15 day maximum per period of coverage