Out-Patient |
| Dr. / Physician Visit |
In-Network: 90% covered for first $5,000
100% covered thereafter
Out-of-Network: 80% covered for first $5,000
100% covered thereafter
|
| Surgical Treatment |
In-Network: 90% covered for first $5,000
100% covered thereafter
Out-of-Network: 80% covered for first $5,000
100% covered thereafter
|
| Prescription Drugs / Medicines |
In-Network: 90% covered for first $5,000
100% covered thereafter
Out-of-Network: 80% covered for first $5,000
100% covered thereafter
|
| Lab & X-rays |
In-Network: 90% covered for first $5,000
100% covered thereafter
Out-of-Network: 80% covered for first $5,000
100% covered thereafter
|
| Physical Therapy |
In-Network: 90% covered for first $5,000
100% covered thereafter
Out-of-Network: 80% covered for first $5,000
100% covered thereafter
|
In-Patient |
| Hospital Room |
In-Network: 90% covered for first $5,000
100% covered thereafter
Out-of-Network: 80% covered for first $5,000
100% covered thereafter
|
| Surgical Treatment |
In-Network: 90% covered for first $5,000
100% covered thereafter
Out-of-Network: 80% covered for first $5,000
100% covered thereafter
|
| Hospital Intensive Care Unit |
In-Network: 90% covered for first $5,000
100% covered thereafter
Out-of-Network: 80% covered for first $5,000
100% covered thereafter
|
Emergency Services |
| Ambulance Expenses |
In-Network: 90% covered for first $5,000
100% covered thereafter
Out-of-Network: 80% covered for first $5,000
100% covered thereafter
|
| Emergency Room(ER) |
In-Network: 90% covered for first $5,000
100% covered thereafter
Out-of-Network: 80% covered for first $5,000
100% covered thereafter
|
Dental |
| Acute, spontaneous and unexpected pain |
Up to $100
|
| Accidental emergency |
In-Network: 90% covered for first $5,000
100% covered thereafter
Out-of-Network: 80% covered for first $5,000
100% covered thereafter
|
Travel |
| Emergency Medical Evacuation / Repatriation |
In-Network: 90% covered for first $5,000
100% covered thereafter
Out-of-Network: 80% covered for first $5,000
100% covered thereafter
|
| Return of mortal Remains |
Coverage up to a maximum of $50,000 for return of Mortal Remains to the insured’s home country or up to $5000 for the preparation, local burial and cremation of your mortal remains at the place of death.
|
| 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 |
$50 per item up to $250 max per period of coverage
|
Life |
| AD&D |
$25,000 principal sum
|
| Common Carrier Accidental Death |
$50,000 to beneficiary; max $250,000 per family
|
Other |
| Pre-Existing Conditions |
Sudden and unexpected recurrence of a Pre-existing Medical condition for non- US citizens age 65 and under is covered up to a life time maximum of $50,000, for 65+ up to $2500.
|
| Maternity |
Not Covered
|
| General Physical full Checkup |
Not Covered
|
| Terrorism Coverage |
Up to $50,000 lifetime maximum
|
| Brochure |
Patriot American Insurance Brochure
|
Support |
| 24-Hrs Emergency Assistance |
Yes. Contact number and details can be found on the ID card.
|