|
Medical |
|
Health and Sickness |
Covered |
 |
|
Accidents |
Covered |
 |
|
Out-Patient |
|
Surgical Treatment |
80% for the first $5,000; 100% covered thereafter. |
 |
|
Dr. / Physician Visit |
80% for the first $5,000; 100% covered thereafter. |
 |
|
Prescription Drugs / Medicines |
80% for the first $5,000; 100% covered thereafter. |
 |
|
Physical Therapy |
80% for the first $5,000; 100% covered thereafter. |
 |
|
Lab & X-rays |
80% for the first $5,000; 100% covered thereafter. |
 |
|
In-Patient |
|
Surgical Treatment |
80% for the first $5,000; 100% covered thereafter. |
 |
|
Hospital Intensive Care Unit |
80% for the first $5,000; 100% covered thereafter. |
 |
|
Hospital Room and Board |
80% for the first $5,000; 100% covered thereafter. |
 |
|
Emergency Services |
|
Ambulance Expenses |
$5000 |
 |
|
Emergency Room(ER) |
80% covered for first $5000; 100% covered thereafter |
 |
|
Dental |
|
Acute, spontaneous and unexpected pain |
$100 (For U.S. Citizens Only) |
 |
|
Accidental emergency |
$500 (With 1 month or more coverage) |
 |
|
Travel |
|
Emergency Medical Evacuation / Repatriation |
$300,000 |
 |
|
Return of mortal Remains |
$50,000 |
 |
|
Emergency Reunion |
$50,000 |
 |
|
Return of minor Child(ren) |
$50,000 |
 |
|
Trip Interruption |
$5000 |
 |
|
Loss of checked Baggage |
$250 |
 |
|
Life |
|
AD&D |
$25,000 |
 |
|
Common Carrier Accidental Death |
$50,000 |
 |
|
Other |
|
More Details |
Please check Policy Details |
 |
|
Plan Exclusions |
What is not covered |
 |
|
Pre-Existing Conditions |
For US Citizens Traveling Abroad Only Up to $20,000 for Urgent Care |
 |
|
Maternity |
Not Covered |
 |
|
General Physical full Checkup |
Not Covered |
 |
|
Terrorism Coverage |
80% for the first $5,000; 100% covered thereafter. |
 |
|
Support |
|
24-Hrs Emergency Assistance |
Yes. Contact Number and details can be found on the ID card. |
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|
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Back  |
|
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. |
|