Emergency Medical Evacuation | $1,000,000 maximum limit. (independent of the maximum limit) |
Emergency reunion | $50,000 maximum limit. |
Return of mortal remains or Cremation / Burial | $50,000 maximum limit for return of mortal remains or ashes to country of residence, or $5,000 maximum limit for cremation or local burial at the place of death. |
Emergency room accident | Up to the maximum limit |
Hospital Emergency Room:International | Up to the maximum limit |
Hospital Emergency Room:Up to the maximum limit | Injury not subjected to emergerncy room deductible. Illness:Subject to a $250 deductible to each emergency room visit for treatment that does not result in direct inpatient. |
Urgent Care Clinic | $25 copay. Copay is not applicable when the $0 deductible is selected. Not subject to deductible. |
Walk-In Clinic | $15 copay. Copay is not applicable when the $0 deductible is selected. Not subject to deductible |
Accidental Death and Dismemberment | $25,000 principal sum. |
Common carrier accidental death | $50,000 per insured person and $250,000 maximum limit per lifetime and per family. |
Interfacility Ambulance Transfer | Company pays 100% |
Pet Return | $1,000 maximum limit. Not subject to deductible |
Small Pet Common Air Carrier Accidental Death Benefit | $500 maximum limit. Not subject to deductible. |
Trip interruption | $10,000 maximum limit. Not subject to deductible |
Lost luggage | $50 per item, $500 maximum limit. Not subject to deductible |
Identity Theft | $500 maximum limit. Not subject to deductible. |
Personal Liability | $25,000 combined maximum limit. Injury to a third person: $100 per injury deductible. Damage to a third person’s property: $100 per damage deductible. No coverage for injury to a related third party or damage to related third person’s property. |
Natural disaster | Up to $250 per day and maximum limit of five days for accommodations. Not subject to deductible. |
Terrorism | Up to $50,000 maximum limit. Not subject to deductible. |
Return of minor children | $50,000 maximum limit. |
Political evacuation | $100,000 maximum limit. Not subject to deductible |
Local Ambulance | Up to the Maximum Limit |
Hospital room and board | Average semi-private room rate up to the maximum limit. Includes nursing service |
Pre-Certification | 50% reduction of eligible medical expenses if pre-certification provisions are not met |
Intensive care | Up to the maximum limit |
Surgery | Up to the maximum limit |
Physician visits | Up to $15 copay for walk-in clinic. Up to $25 copay for urgent care center. (Copay not applicable when $0 deductible is selected) |
Assistant Surgeon | 20% of the primary surgeon’s eligible fee |
Hospital indemnity | Up to $100 per overnight up to a maximum of 10 overnights. |
Emergency dental treatment | $300 maximum limit due to accident or unexpected pain to sound natural teeth. |
Traumatic Dental Injury | Up to the period of coverage maximum limit. Subject to deductible and coinsurance. (Treatment at a hospital due to an accident) |
Enhanced AD&D Rider(available to the primary Insured on individual plans only | Up to an additional $400,000 |