|
| Plan Administrator Company |
Seven Corners |
| Carrier / Underwriter |
Nationwide |
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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 or United States citizen living outside the US can also purchase the plan for temporary coverage in US. The Plan must become effective within 3 months of arrival in the United States |
|
Plan Type
|
Comprehensive Coverage Plan
Percentage based coverage. |
|
AM Best Rating
|
A+ (Superior) |
|
Coverage in U.S.A.
|
Covered |
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Coverage outside U.S.A.
|
Covered |
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Co-Pay
|
No Co-pay |
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Co-Insurance
|
20% 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 deductible, plan pays 80% for the first $5,000 of accumulated expenses; then plan pays 100% to the selected policy maximum.
Outside USA/Canada: After the Insured pays the deductible, the program pays 100% to the selected policy maximum. |
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Coverage Type
|
Lifetime of the policy |
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Deductible Type
|
Once Annually or Per Policy Period. |
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Renewability
|
Renewable with $5 fee each time you renew, up to a maximum period of 3years (1 year for person age 65 and over). |
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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, coverage can be extended up to 3 years, by renewing.
For persons age 65 and over, total coverage length is 12 months. |
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Available Deductibles
|
Choose From: $0, $100, $250, $500, $1000, $2500 |
|
Available Coverage
|
Choose From: $50,000; $150,000;$ 300,000, $500,000
Ages 65 to 79: $50,000 only.
Ages 80+: Limited to $15,000 only. |
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Provider Directory
|
By Provider, Phone Nos. : 800-335-0477 or 317-575-2656 |
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Plan Brochure
|
Liaison Majestic Insurance Brochure  |
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US States Restriction
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No Restriction |
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Home Country Definition
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The country where the covered person has his/her true, fixed, permanent home and principal establishment. |
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Country Restriction
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Not available to the residents of Cuba, Iran, Syria.
Residents of Gambia, Ghana, Nigeria, Sierra leone needs to have a US billing address. |