|
| Plan Administrator Company |
Seven Corners |
| Carrier / Underwriter |
Lloyd's |
|
Eligibility
|
Can be purchased by any one travelling outside the home country. Non-United States citizens or any visa holders (e.g. L/H/B1,B2)as well as person on Green Card living outside the US can also purchase the plan for temporary coverage in US. |
|
Plan Type
|
Comprehensive Coverage Plan
Percentage based coverage. |
|
AM Best Rating
|
A (Excellent) |
|
Coverage in U.S.A.
|
Covered |
|
Coverage outside U.S.A.
|
Covered |
|
Co-Pay
|
No Co-pay |
|
Co-Insurance
|
10% for the first $5,000 of accumulated expenses only. 100% covered there after up to the policy maximum.
Outside USA/Canada: There's no co-insurance. Insurance covers all eligible expenses up to 100% |
|
How the Benefits are Paid
|
After the Insured pays the deductible, the program pays 90% of the first $5,000 of eligible expenses, then 100% to the selected maximum.
Outside USA/Canada: After you pay the deductible, the program pays 100% to the selected medical maximum. |
|
Coverage Type
|
Lifetime of the policy |
|
Deductible Type
|
Once Annually or Per Policy Period. |
|
Renewability
|
Renewable with $5 fee each time you renew, up to a maximum period of 3years (1 year for person age 65 and over). |
|
Cancellation
|
Full refund available if cancelled before start date.
Pro-rated refund available after start date if no claims have been made( $25 Cancellation Fee Applicable)
|
|
PPO Network
|
Choice Care Network |
|
Coverage Length
|
Min 5 Days to 12 months.
Can be extended up to 3 years
For ages 65 & over: Limited to 12 months |
|
Available Deductibles
|
Choose From: $0, $100, $250, $500, $1000, $2500 |
|
Available Coverage
|
Choose From: $60,000; $125,000; $600,000; $1,000,000
Ages 65+: Limited to $60,000
Ages 80+: Limited to $20,000 |
|
Provider Directory
|
By Provider, Phone: 800-335-0477 or 317-575-2656 |
|
Plan Brochure
|
Liaison Majestic Insurance Brochure  |
|
US States Restriction
|
Restricts Maryland(MD), Kentucky(KY) and Washington(WA) for a correspondence address |
|
Home Country Definition
|
The country where the covered person has his/her true, fixed, permanent home and principal establishment. |
|
Country Restriction
|
Not available to the residents of Cuba, Iran, Syria.
Residents of Gambia, Ghana, Nigeria, Sierra leone needs to have a US billing address. |