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CA
ChoiceAmerica
Underwriter: Sirius International
Plan pays fixed amount for each service and treatment 
- Basic coverage, low cost, less benefits (Review limits)
- Limited Pre-Ex conditions Coverage | Limited Dental and Vision coverage
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Key Features and Benefits
Amusement Park Coverage | Cruise Coverage | Loss of passport | Border Entry Protection coverage - No PPO network, visit any doctor
- Renewable and Cancelable
- Cannot accept an address in Maryland (MD).
Policy info
Plan Administrator: IMG
Carrier: Sirius International
AM Best Rating: A(Excellent)
ChoiceAmerica is travel medical insurance for non-U.S. citizens traveling to the United States, Mexico or Canada.
ChoiceAmerica insurance is a basic travel medical insurance plan that has fixed pre defined limit for each medical service.
You visit any doctor or hospital of your choice.
Note: Choice America is not available for citizens or residents of the U.S.A. For Canadian and Mexican citizens and residents, the plan will not cover in their home country and country of citizenship.
The following benefit table shows how much insurance pays for the given covered medical service. If the actual bill is more, the difference will be your responsibility.
Please review ChoiceAmerica Insurance Brochure 
and Description of Coverage (policy document) for complete and accurate coverage and exclusions.
Benefits
Plan Overview
FAQs
Plan A
($50,000 policy)
Per person, policy period
($50,000 policy)
Per person, policy period
Plan B
($100,000 policy)
Per person, policy period
($100,000 policy)
Per person, policy period
Plan C
($150,000 policy)
Per person, policy period
($150,000 policy)
Per person, policy period
Dr. / Physician Visit
$65/visit, 10 visits max
$90/visit, 10 visits max
$130/vist, 10 visits max
Urgent Care
$65/visit, 10 visits max
$90/visit, 10 visits max
$130/vist, 10 visits max
Surgical Treatment
$3,500
$4,500
$8,000
Prescription Drugs / Medicines
Up to Max $250 per certificate period
Up to Max $250 per certificate period
Up to Max $250 per certificate period
Lab & X-rays
$850
$1,000
$1,400
Physical Therapy
$40 per visit per day/ 12 visits max
$40 per visit per day/ 12 visits max
$40 per visit per day/ 12 visits max
Plan A
($50,000 policy)
Per person, policy period
($50,000 policy)
Per person, policy period
Plan B
($100,000 policy)
Per person, policy period
($100,000 policy)
Per person, policy period
Plan C
($150,000 policy)
Per person, policy period
($150,000 policy)
Per person, policy period
Hospital Room
$1,400 per day/ 30 days max
$2,000 per day/ 30 days max
$3,000 per day/ 30 days max
Surgical Treatment
Up to $3,500
Up to $6,000
Up to $7,500
Hospital Intensive Care Unit
Up to $700 per day/ 8 Days max
Up to $1,000 per day/ 8 Days max
Up to $1,500 per day/ 8 Days max
Plan A
($50,000 policy)
Per person, policy period
($50,000 policy)
Per person, policy period
Plan B
($100,000 policy)
Per person, policy period
($100,000 policy)
Per person, policy period
Plan C
($150,000 policy)
Per person, policy period
($150,000 policy)
Per person, policy period
Ambulance Expenses
Up to $500
Up to $500
Up to $500
Emergency Room(ER)
Up to max $355
Up to max $575
Up to max$800
Plan A
($50,000 policy)
Per person, policy period
($50,000 policy)
Per person, policy period
Plan B
($100,000 policy)
Per person, policy period
($100,000 policy)
Per person, policy period
Plan C
($150,000 policy)
Per person, policy period
($150,000 policy)
Per person, policy period
Acute, spontaneous and unexpected pain
Optional Coverage with additional premium
1 exam: Up to $75
Tooth Removal : Up to $150
1 exam: Up to $75
Tooth Removal : Up to $150
Optional Coverage with additional premium
1 exam: Up to $75
Tooth Removal : Up to $150
1 exam: Up to $75
Tooth Removal : Up to $150
Optional Coverage with additional premium
1 exam: Up to $75
Tooth Removal : Up to $150
1 exam: Up to $75
Tooth Removal : Up to $150
Accidental emergency
Up to $600 per certificate period
Up to $600 per certificate period
Up to $600 per certificate period
Plan A
($50,000 policy)
Per person, policy period
($50,000 policy)
Per person, policy period
Plan B
($100,000 policy)
Per person, policy period
($100,000 policy)
Per person, policy period
Plan C
($150,000 policy)
Per person, policy period
($150,000 policy)
Per person, policy period
Emergency Medical Evacuation / Repatriation
Up to $50,000
Up to $50,000
Up to $100,000
Return of Remains
Up to $7,500
Up to $7,500
Up to $7,500
Return of minor Child(ren)
Not Covered
Not Covered
Not Covered
Trip Interruption
Not Covered
Not Covered
Not Covered
Loss of checked Baggage
Not Covered
Not Covered
Not Covered
Plan A
($50,000 policy)
Per person, policy period
($50,000 policy)
Per person, policy period
Plan B
($100,000 policy)
Per person, policy period
($100,000 policy)
Per person, policy period
Plan C
($150,000 policy)
Per person, policy period
($150,000 policy)
Per person, policy period
AD&D
Not Covered
Not Covered
Not Covered
Common Carrier Accidental Death
Up to $5,000 per insured and Max $25,000 Max per family
Up to $5,000 per insured and Max $25,000 Max per family
Up to $5,000 per insured and Max $25,000 Max per family
Plan A
($50,000 policy)
Per person, policy period
($50,000 policy)
Per person, policy period
Plan B
($100,000 policy)
Per person, policy period
($100,000 policy)
Per person, policy period
Plan C
($150,000 policy)
Per person, policy period
($150,000 policy)
Per person, policy period
Pre-Existing Conditions
Optional Coverage with Additional Premium
Additional Deductible: $50 per incident
Physician Visit: $100 per vist/ 2 visits max
Lab work & X-ray: $500
Emergency Room & Hospitalization: $1,000
Prescription : $50
Physician Visit: $100 per vist/ 2 visits max
Lab work & X-ray: $500
Emergency Room & Hospitalization: $1,000
Prescription : $50
Optional Coverage with Additional Premium
Additional Deductible: $50 per incident
Physician Visit: $100 per vist/ 2 visits max
Lab work & X-ray: $500
Emergency Room & Hospitalization: $1,000
Prescription : $50
Physician Visit: $100 per vist/ 2 visits max
Lab work & X-ray: $500
Emergency Room & Hospitalization: $1,000
Prescription : $50
Optional Coverage with Additional Premium
Additional Deductible: $50 per incident
Physician Visit: $100 per vist/ 2 visits max
Lab work & X-ray: $500
Emergency Room & Hospitalization: $1,000
Prescription : $50
Physician Visit: $100 per vist/ 2 visits max
Lab work & X-ray: $500
Emergency Room & Hospitalization: $1,000
Prescription : $50
Local Burial or Cremation
Up to $5,000
Up to $5,000
Up to $5,000
Maternity
Not Covered
Not Covered
Not Covered
Incidental Home Country Coverage
Not Covered
Not Covered
Not Covered
General Physical full Checkup
Up to $50,000 per certificate period
Up to $50,000 per certificate period
Up to $50,000 per certificate period
Terrorism Coverage
$50,000 per coverage period
$50,000 per coverage period
$50,000 per coverage period
Plan A
($50,000 policy)
Per person, policy period
($50,000 policy)
Per person, policy period
Plan B
($100,000 policy)
Per person, policy period
($100,000 policy)
Per person, policy period
Plan C
($150,000 policy)
Per person, policy period
($150,000 policy)
Per person, policy period
24-Hrs Emergency Assistance
Yes. Contact number and details can be found on the ID card.
Yes. Contact number and details can be found on the ID card.
Yes. Contact number and details can be found on the ID card.
Disclaimer
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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