Out-Patient |
| Dr. / Physician Visit |
80% covered for first $5,000
100% covered thereafter
|
| Surgical Treatment |
80% covered for first $5,000
100% covered thereafter
|
| Prescription Drugs / Medicines |
80% covered for first $5,000
100% covered thereafter
|
| Lab & X-rays |
80% covered for first $5,000
100% covered thereafter
|
| Physical Therapy |
Up to $50/visit, up to a maximum of 10 visits.
|
In-Patient |
| Hospital Room |
80% covered for first $5,000
100% covered thereafter
|
| Surgical Treatment |
80% covered for first $5,000
100% covered thereafter
|
| Hospital Intensive Care Unit |
80% covered for first $5,000
100% covered thereafter
|
Emergency Services |
| Ambulance Expenses |
80% covered for first $5,000
100% covered thereafter
|
| Emergency Room(ER) |
80% covered for first $5000
100% covered thereafter
(Additional $250 deductible for each emergency room visit due to a covered illness. Deductible is waived if emergency room admittance is within 12 hours of incident)
|
Dental |
| Acute, spontaneous and unexpected pain |
Up to $100
|
| Accidental emergency |
80% covered for first $5,000
100% covered thereafter
|
Travel |
| Emergency Medical Evacuation / Repatriation |
Up to $500,000
|
| Return of mortal Remains |
Up to $50,000
|
| Emergency Reunion |
Up to $50,000
|
| Return of minor Child(ren) |
Up to $50,000
|
| Trip Interruption |
Up to $5,000
|
| Loss of checked Baggage |
Up to $250
|
Life |
| AD&D |
Up to $25,000 (Enhanced optional rider available up to $1000,000. Not available for children under 18)
|
| Common Carrier Accidental Death |
Up to $25,000 (Enhanced optional rider available up to $1000,000. Not available for children under 18)
|
Other |
| Pre-Existing Conditions |
Not covered
|
| Maternity |
Not covered
|
| General Physical full Checkup |
Not covered
|
| Terrorism Coverage |
Not covered
|
| Brochure |
Diplomat America Insurance Brochure
|
Support |
| 24-Hrs Emergency Assistance |
Yes. Contact Number and details can be found on the ID card.
|