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Home > List All Plans > Inbound USA
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Inbound USA
Limited Coverage Plan
Administrator :  Seven Corners (Formerly SRI)
Download Complete Plan Details
Plan Overview Benefit Details Brochure FAQ's
Medical
Health and Sickness Yes Covered
Accidents Yes Covered
Out-Patient
Surgical Treatment Yes Plan A($50,000 limit Policy) : $3,300 per Incident
Plan B ($75,000 limit Policy) : $4,400 per Incident
Plan C ($100,000 limit Policy) : $5,500 per Incident
Plan D($130,000 limit Policy): $7,150 per Incident
Plan J ($50,000 limit Policy): $2,750 per Incident
Plan K($70,000 limit Policy): $3,850 per Incident
Dr. / Physician Visit Yes Plan A($50,000 limit Policy) : $55 per visit
Plan B ($75,000 limit Policy) : $70 per visit
Plan C ($100,000 limit Policy) : $85 per visit
Plan D($130,000 limit Policy): $110 per visit
Plan J ($50,000 limit Policy): $55 per visit
Plan K($70,000 limit Policy): $75 per visit
Prescription Drugs / Medicines Yes Plan A($50,000 limit Policy) : $100 per Incident
Plan B ($75,000 limit Policy) : $125 per Incident
Plan C ($100,000 limit Policy) : $150 per Incident
Plan D($130,000 limit Policy): $200 per Incident
Plan J ($50,000 limit Policy): $80 per Incident
Plan K($70,000 limit Policy): $110 per Incident
Physical Therapy Yes $40 per visit
Lab & X-rays Yes Plan A($50,000 limit Policy) : $450 per Incident
Plan B ($75,000 limit Policy) : $475 per Incident
Plan C ($100,000 limit Policy) : $500 per Incident
Plan D($130,000 limit Policy): $650 per Incident
Plan J ($50,000 limit Policy): $400 per Incident
Plan K($70,000 limit Policy): $560 per Incident
In-Patient
Hospital Intensive Care Unit Yes Plan A($50,000 limit Policy) : $660 per day
Plan B ($75,000 limit Policy) : $755 per day
Plan C ($100,000 limit Policy) : $850 per day
Plan D($130,000 limit Policy): $1,105 per day
Plan J ($50,000 limit Policy): $460 per day
Plan K($70,000 limit Policy): $640 per day
Surgical Treatment Yes Plan A($50,000 limit Policy) : $3,300 per Incident
Plan B ($75,000 limit Policy) : $4,400 per Incident
Plan C ($100,000 limit Policy) : $5,500 per Incident
Plan D($130,000 limit Policy): $7,150 per Incident
Plan J ($50,000 limit Policy): $2,750 per Incident
Plan K($70,000 limit Policy): $3,850 per Incident
Hospital Room and Board Yes Plan A($50,000 limit Policy) : $1,400 per day
Plan B ($75,000 limit Policy) : $1,675 per day
Plan C ($100,000 limit Policy) : $1,950 per day
Plan D($130,000 limit Policy): $2,535 per day
Plan J ($50,000 limit Policy): $1,050 per day
Plan K($70,000 limit Policy): $1,470 per day
Emergency Services
Ambulance Expenses Yes $450 per Incident
Emergency Room(ER) Yes Plan A($50,000 limit Policy) : $330 per Incident
Plan B ($75,000 limit Policy) : $440 per Incident
Plan C ($100,000 limit Policy) : $550 per Incident
Plan D($130,000 limit Policy): $700 per Incident
Plan J ($50,000 limit Policy): $250 per Incident
Plan K($70,000 limit Policy): $350 per Incident
Dental
Acute, spontaneous and unexpected pain No Not covered
Accidental emergency Yes $550 per Incident
Travel
Emergency Medical Evacuation / Repatriation Yes Up to $50,000
Return of mortal Remains Yes Up to $7,500
Emergency Reunion No Not covered
Return of minor Child(ren) No Not covered
Trip Interruption No Not Covered
Loss of checked Baggage No Not Covered
Life
Common Carrier Accidental Death Yes Up to $25,000
AD&D No Not Covered
Other
Plan Exclusions What is not covered
More Details Please check Policy Details 
Pre-Existing Conditions Yes Optional Coverage of $5,000 for Myocardial infarction/ heart attack and stroke
Maternity No Not covered
General Physical full Checkup No Not covered
Terrorism Coverage No Not covered
Support
24-Hrs Emergency Assistance Yes Yes. Contact number and details can be found on the ID card.
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Note : 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.
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