IC

Inbound Choice

Underwriter: Lloyd's
Policy info
Plan Administrator: Seven Corners
Carrier: Lloyd's
AM Best Rating: A(Excellent)

Inbound Choice Insurance Plan is for visitors who are planning to stay in the U.S. for up to two years and must be purchased within 24 months of arrival in the U.S.
Inbound Choice insurance is a basic travel medical insurance plan that has fixed pre defined limit for each medical service.
You visit any doctor or hospital of your choice.

Note: Inbound Choice Plan is not available for the residents of Maryland (MD) & Washington (WA).

The following benefit table shows how much insurance pays for the given covered medical service. If the actual bill is more, the difference will be your responsibility.
Please review Inbound Choice Insurance Brochure brochure and Description of Coverage brochure (policy document) for complete and accurate coverage and exclusions.

All coverage is based on usual, reasonable, and customary expenses. See plan brochure and description of coverage for detailed coverage.

Inbound Choice Insurance Plan is for visitors who are planning to stay in the U.S. for up to two years and must be purchased within 24 months of arrival in the U.S.
Inbound Choice insurance is a basic travel medical insurance plan that has fixed pre defined limit for each medical service.
You visit any doctor or hospital of your choice.

Note: Inbound Choice Plan is not available for the residents of Maryland (MD) & Washington (WA).

The following benefit table shows how much insurance pays for the given covered medical service. If the actual bill is more, the difference will be your responsibility.
Please review Inbound Choice Insurance Brochure brochure and Description of Coverage brochure (policy document) for complete and accurate coverage and exclusions.

Here is a complete list of benefits of Inbound Choice
Plan A
($50,000 policy)
Per person, per incident
Plan B
($75,000 policy)
Per person, per incident
Plan C
($100,000 policy)
Per person, per incident
Plan D
($130,000 policy)
Per person, per incident
Dr. / Physician Visit
Up to $38/visit, 10 visits
Up to $56/visit, 10 visits
Up to $75/visit, 10 visits
Up to $100/visit, 10 visits
Surgical Treatment
Up to $2,100 per Incident
Up to $4,800 per Incident
Up to $5,800 per Incident
Up to $7,200 per Incident
Prescription Drugs / Medicines
Up to $68
Up to $101
Up to $135
Up to $200
Lab & X-rays
Up to $250; Additional $325 - One CAT scan, PET scan or MRI
Up to $375; Additional $325 - One CAT scan, PET scan or MRI
Up to $500; Additional $975 - One CAT scan, PET scan or MRI
Up to $575; Additional $975 - One CAT scan, PET scan or MRI
Physical Therapy
Up to $45/visit, 12 visits
Up to $45/visit, 12 visits
Up to $45/visit, 12 visits
Up to $45/visit, 12 visits
Plan A
($50,000 policy)
Per person, per incident
Plan B
($75,000 policy)
Per person, per incident
Plan C
($100,000 policy)
Per person, per incident
Plan D
($130,000 policy)
Per person, per incident
Hospital Room
Up to $1,500/day, 30 day max
Up to $2,000/day, 30 day max
Up to $2,500/day, 30 day max
Up to $3,000/day, 30 day max
Surgical Treatment
Up to $2,100 per Incident
Up to $4,800 per Incident
Up to $5,800 per Incident
Up to $7,200 per Incident
Hospital Intensive Care Unit
Additional $500/day, 8 day max
Additional $500/day, 8 day max
Additional $500/day, 8 day max
Additional $500/day, 8 day max
Plan A
($50,000 policy)
Per person, per incident
Plan B
($75,000 policy)
Per person, per incident
Plan C
($100,000 policy)
Per person, per incident
Plan D
($130,000 policy)
Per person, per incident
Ambulance Expenses
Up to $500 per Incident
Up to $500 per Incident
Up to $500 per Incident
Up to $500 per Incident
Plan A
($50,000 policy)
Per person, per incident
Plan B
($75,000 policy)
Per person, per incident
Plan C
($100,000 policy)
Per person, per incident
Plan D
($130,000 policy)
Per person, per incident
Acute, spontaneous and unexpected pain
Not covered
Not covered
Not covered
Not covered
Accidental emergency
Up to $650
Up to $650
Up to $650
Up to $650
Plan A
($50,000 policy)
Per person, per incident
Plan B
($75,000 policy)
Per person, per incident
Plan C
($100,000 policy)
Per person, per incident
Plan D
($130,000 policy)
Per person, per incident
Emergency Medical Evacuation / Repatriation
Up to $50,000
Up to $50,000
Up to $50,000
Up to $50,000
Return of Remains
Up to $7,500
Up to $7,500
Up to $7,500
Up to $7,500
Trip Interruption
Not covered
Not covered
Not covered
Not covered
Loss of checked Baggage
Not covered
Not covered
Not covered
Not covered
Plan A
($50,000 policy)
Per person, per incident
Plan B
($75,000 policy)
Per person, per incident
Plan C
($100,000 policy)
Per person, per incident
Plan D
($130,000 policy)
Per person, per incident
AD&D
Not Covered
Not Covered
Not Covered
Not Covered
Common Carrier Accidental Death
Up to $25,000
Up to $25,000
Up to $25,000
Up to $25,000
Plan A
($50,000 policy)
Per person, per incident
Plan B
($75,000 policy)
Per person, per incident
Plan C
($100,000 policy)
Per person, per incident
Plan D
($130,000 policy)
Per person, per incident
Pre-Existing Conditions
Acute Onset of a Pre-existing Condition coverage for age under 70 years
$50,000 per policy period medical expense benefits (subject to the sub limits for each benefit shown above) & $25,000 per policy period for medical evacuation
Acute Onset of a Pre-existing Condition coverage for age under 70 years
$75,000 per policy period medical expense benefits (subject to the sub limits for each benefit shown above) & $25,000 per policy period for medical evacuation
Acute Onset of a Pre-existing Condition coverage for age under 70 years
$100,000 per policy period medical expense benefits (subject to the sub limits for each benefit shown above) & $25,000 per policy period for medical evacuation
Acute Onset of a Pre-existing Condition coverage for age under 70 years
$130,000 per policy period medical expense benefits (subject to the sub limits for each benefit shown above) & $25,000 per policy period for medical evacuation
Maternity
Not covered
Not covered
Not covered
Not covered
General Physical full Checkup
Not covered
Not covered
Not covered
Not covered
Terrorism Coverage
Not covered
Not covered
Not covered
Not covered
Plan A
($50,000 policy)
Per person, per incident
Plan B
($75,000 policy)
Per person, per incident
Plan C
($100,000 policy)
Per person, per incident
Plan D
($130,000 policy)
Per person, per incident
24-Hrs Emergency Assistance
Yes. Contact number and details can be found on the ID card.
Yes. Contact number and details can be found on the ID card.
Yes. Contact number and details can be found on the ID card.
Yes. Contact number and details can be found on the ID card.
Disclaimer
Plan features listed here are high level, provided for your convenience and information purpose only. Please review the Evidence of Coverage and Plan Contract (Policy) for a detailed description of Coverage Benefits, Limitations and Exclusions. Must read the Policy Brochure and Plan Details for complete and accurate details. Only the Terms and Conditions of Coverage Benefits listed in the policy are binding.