CA

ChoiceAmerica

Underwriter: Sirius International
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 brochure and Description of Coverage brochure (policy document) for complete and accurate coverage and exclusions. All coverage is based on usual, reasonable, and customary expenses. See plan brochure and description of coverage for detailed coverage.

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 brochure and Description of Coverage brochure (policy document) for complete and accurate coverage and exclusions.

Here is a complete list of benefits of ChoiceAmerica
Plan A
($50,000 policy)
Per person, policy period
Plan B
($100,000 policy)
Per person, policy period
Dr. / Physician Visit
Up to $65/visit, 1/day, 10 visits max
Up to $90/visit, 1/day, 10 visits max
Surgical Treatment
$3,300
$5,500
Prescription Drugs / Medicines
Up to $250 Per Coverage Period
Up to $250 Per Coverage Period
Lab & X-rays
Up to $800 per period of coverage, $400 per procedure
Up to $950 per period of coverage, $475 per procedure
Physical Therapy
Up to $40/visit, 1/day, 12 visits max
Up to $40/visit, 1/day, 12 visits max
Plan A
($50,000 policy)
Per person, policy period
Plan B
($100,000 policy)
Per person, policy period
Hospital Room
$1,400 per day
30 day max
$1,950 per day
30 day max
Surgical Treatment
Up to $3,300
Up to $5,500
Hospital Intensive Care Unit
Additional $660/per day, 8 days max
Additional $850/per day, 8 days max
Plan A
($50,000 policy)
Per person, policy period
Plan B
($100,000 policy)
Per person, policy period
Ambulance Expenses
Up to $450 per period of coverage
Up to $450 per period of coverage
Emergency Room(ER)
up to $330 per visit
up to $550 per visit
Plan A
($50,000 policy)
Per person, policy period
Plan B
($100,000 policy)
Per person, policy period
Acute, spontaneous and unexpected pain
1) Not covered if optional dental coverage is not chosen in application.
2) Covered only with optional Dental coverage- 1 exam up to $75, One tooth removal $150 per period of coverage
1) Not covered if optional dental coverage is not chosen in application
3) Covered only with optional Dental coverage- 1 exam up to $75, One tooth removal $150 per period of coverage
Accidental emergency
$550
$550
Plan A
($50,000 policy)
Per person, policy period
Plan B
($100,000 policy)
Per person, policy period
Emergency Medical Evacuation / Repatriation
Up to $50,000
Up to $50,000
Return of Remains
Up to $7,500 maximum or $5,000 for local burial or cremation
Up to $7,500 maximum or $5,000 for local burial or cremation
Trip Interruption
Not covered
Not covered
Loss of checked Baggage
Not covered
Not covered
Plan A
($50,000 policy)
Per person, policy period
Plan B
($100,000 policy)
Per person, policy period
AD&D
Not Covered
Not Covered
Common Carrier Accidental Death
Up to $5,000 per insured or $25,000 maximum per family per period of coverage
Up to $5,000 per insured or $25,000 maximum per family per period of coverage
Plan A
($50,000 policy)
Per person, policy period
Plan B
($100,000 policy)
Per person, policy period
Maternity
Not covered
Not covered
General Physical full Checkup
Not covered
Not covered
Terrorism Coverage
$50,000
$50,000
Plan A
($50,000 policy)
Per person, policy period
Plan B
($100,000 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.
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.