CA-G

CoverAmerica - Gold

Comprehensive Coverage
AM Best Rating
A (Excellent)
Administrator/Underwriter
Seven Corners
Lloyd's of London
100%
In Network

After deductible, the plan pays 100% up to the policy maximum.

80%
Out of Network

Plan pays 80% of the first $5,000 then 100% up to policy maximum.

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Acute onset of Pre-Existing Conditions
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Medical Coverage During Travel
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Renewable & Cancelable
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Comprehensive Coverage Plan
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Coverage from 5 days to 364 days
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Urgent Care
BUY

CoverAmerica - Gold is a visitor insurance plan that provides medical insurance coverage and emergency services for Non US citizens and Non US residents traveling to the USA. It also covers for trips to Canada, Mexico, Bahamas, Latin America and South America, while visiting the USA. After the deductible is satisfied, in the USA, within the PPO Network , the plan pays 100% up to the policy maximum. Outside the PPO network, the plan pays 80% for the first $5,000 and 100% thereafter towards eligible covered expenses for each sickness or injury. Outside the USA, after the deductible is met, the plan pays 100% up to the chosen policy maximum.

Please review CoverAmerica- Gold Brochure brochure or Description of Coverage brochure (policy document) for complete and accurate coverage information.

CoverAmerica - Gold Insurance plan requires pre-certification for certain services and treatments. Read more on Pre-Certification Requirements for CoverAmerica - Gold

Out-Patient

Dr. / Physician Visit

After deductible is met:


Within PPO Network

100% covered up to policy maximum


Outside PPO Network

80% covered for first $5,000, 100% covered thereafter, up to policy maximum

Urgent Care

  • $25 copay for policy max of $50,000
  • $20 copay for policy max $100,000 or more

For all other services after deductible is met:

Within PPO network

100% covered up to policy maximum


Outside PPO Network

80% covered for first $5,000, 100% covered thereafter, up to policy maximum

Surgical Treatment

After deductible is met:


Within PPO Network

100% covered up to policy maximum


Outside PPO Network

80% covered for first $5,000, 100% covered thereafter, up to policy maximum

Prescription Drugs / Medicines

After deductible is met:

Plan pays 80% for the first $5,000 and then 100% up to policy maximum

Lab & X-rays

After deductible is met:


Within PPO Network

100% covered up to policy maximum


Outside PPO Network

80% covered for first $5,000, 100% covered thereafter, up to policy maximum

Physical Therapy

After deductible is met:


Within PPO Network

100% covered up to policy maximum


Outside PPO Network

80% covered for first $5,000, 100% covered thereafter, up to policy maximum

In-Patient

Hospital Room

After deductible is met:


Within PPO Network

100% covered up to policy maximum


Outside PPO Network

80% covered for first $5,000, 100% covered thereafter, up to policy maximum

Surgical Treatment

After deductible is met:


Within PPO Network

100% covered up to policy maximum


Outside PPO Network

80% covered for first $5,000, 100% covered thereafter, up to policy maximum

Hospital Intensive Care Unit

After deductible is met:


Within PPO Network

100% covered up to policy maximum


Outside PPO Network

80% covered for first $5,000, 100% covered thereafter, up to policy maximum

Emergency Services

Ambulance Expenses

Reasonable and Customary up to policy maximum

Emergency Room(ER)

After deductible is met:


Within PPO Network

100% covered up to policy maximum


Outside PPO Network

80% covered for first $5,000, 100% covered thereafter, up to policy maximum


For ER visits for illness, that does not lead to in-patient hospitalization, there is an extra $250 deductible.

This deductible does not apply to accidents/injuries or sickness that lead to in-patient hospitalization

Dental

Acute, spontaneous and unexpected pain

Up to $250. Coverage starts after 30 days of continuous coverage

Accidental emergency

After deductible is met:


Within PPO Network

100% covered up to policy maximum


Outside PPO Network

80% covered for first $5,000, 100% covered thereafter, up to policy maximum


Policy has to be purchased for more than 30 days

Travel

Emergency Medical Evacuation / Repatriation

Up to $1,000,000. Covered for any sickness or injury, including pre-existing conditions

Return of Remains

Up to $25,000. Includes coverage for death due to pre-existing conditions

Emergency Reunion

Up to $100,000

Return of minor Child(ren)

Up to $100,000

Trip Interruption

Up to $10,000

Loss of checked Baggage

Up to $250

Life

AD&D

Up to $25,000 for primary insured and spouse.
(Dependents children: $5,000); $250,000 Family max

Common Carrier Accidental Death

Up to $50,000
(Dependents $25,000 each; $250,000 Max for Family)

Other

Pre-Existing Conditions

Coverage is available for acute onset of pre-existing conditions

This benefit begins 48 hours after the policy goes into effect


Up to age 69

Maximum coverage $125,000

For Cardiac and Stroke: Maximum coverage $36,000

Maternity

Not Covered

General Physical full Checkup

Not Covered

Terrorism Coverage

Up to policy maximum chosen

Brochure

Support

24-Hrs Emergency Assistance

Yes. Contact Number and details can be found on the ID card.

Plan Administrator Company

Seven Corners

Carrier / Underwriter

Lloyd's of London

Eligibility

Available for Non US Citizens and Non US Residents, traveling to the USA for a short trip.

Plan Type

Comprehensive Coverage Plan
Percentage based coverage.

AM Best Rating

A (Excellent)

Coverage in U.S.A.

Covered

Coverage outside U.S.A.

Covered

Co-Pay

Urgent care consultation copay $25 for $50,000 policy maximum and $20 for $100,000 policy maximum or higher.

Co-Insurance

100% covered within United Health Care PPO Network. Outside the Network, it covers 80% for the first $5,000 and then 100% after that.

How the Benefits are Paid

After the deductible, within the PPO network plan pays 100% up to selected policy maximum. Outside PPO Network, plan pays 80% for the first $5,000 of accumulated expenses; then plan pays 100% to the selected policy maximum.

Coverage Type

Lifetime of the policy

Deductible Type

Once Annually or Per Policy Period.

Renewability

Renewable with $5 fee each time you renew up to a maximum period of 364 days.

Cancellation

Full refund available if cancelled before start date. Pro-rated refund available after start date if no claims have been made( $25 Cancellation Fee Applicable)

PPO Network

UnitedHealthCare

Coverage Length

Min 5 Days to 364 days

Available Deductibles

Age up to 69 Choose from:$100; $250; $500; $1,000; $2,500; $5,000
Age 70-79 Choose from: $1,000; $2,500; $5,000

Available Coverage

Choose From: $50,000; $100,000; $250,000; $500,000; $1,000,000
Ages 70 to 79: Limited to $50,000; $100,000
Ages 80 and over: No coverage available

Provider Directory

By Provider, Phone Nos. : 800-335-0477 or 317-575-2656

Plan Brochure

CoverAmerica Gold Insurance Brochure brochure

Home Country Definition

The country where the covered person has his/her true, fixed, permanent home and principal establishment.

US States Restrictions

No Restrictions

Country Restrictions

Not available to the residents of the following countries:Islamic Republic of Iran, Syrian Arab Republic, U.S. Virgin Islands, Gambia, Ghana, Nigeria and Sierra Leone

CoverAmerica - Gold Insurance FAQs

Q1. Am I eligible for the CoverAmerica - Gold?

The CoverAmerica - Gold plan is available for:

  • any non-US citizen or resident, visiting the USA, for a short period of time.
  • It also covers for incidental trips from USA to Canada, Mexico, Bahamas, South America & North America. .
  • The plan is available for a minimum of 5 days and a maximum of 364 days.
  • It is not available for US citizens, US Green Card Holders or long term visa holders, who stay in the USA permanently, and pay taxes in the USA.
  • It is also not available to the residents of the following countries:Islamic Republic of Iran, Syrian Arab Republic, U.S. Virgin Islands, Gambia, Ghana, Nigeria, and Sierra Leone, Switzerland, Australia & Canada (Manitoba & Alberta only)

  • Q2. What Information do I need to buy the Plan?

    You would need the names, dates of birth, passport numbers of the visitors, and a valid credit card to buy the plan.

    Q3. When will I receive my ID card?

    You can print out your ID card from your confirmation e-mail and it will be used as proof of insurance.

    Q4. Can I renew the plan, if I plan to stay longer?

    Yes, if you buy the plan initially for more than 5 days, you can renew the policy. You would need to renew the plan at least two days before the policy expires. There would be an extra $5 renewal charge. The policy can be renewed for up to a maximum of 364 days.

    Q5. Can I cancel the plan, if I plan to go back earlier?

    Yes, you can cancel and get a refund for the CoverAmerica - Gold Plan, if you need to go back earlier than plan. The following rules apply:
    1) You will get the full refund back if you cancel the policy before the policy start date.
    2) After the start date, you can get refund back, only if you do not need to visit the doctor/provider while the policy is in force.
    3) You can get a pro-rated refund for the number of days left in the policy
    4) $25 cancellation fee applies.
    5) If there is any claim on file, you would not get any refund back.
    6) Written request is required for any cancellation.

    Q6. Are pre-existing conditions covered by the CoverAmerica - Gold Plan?

    Pre-existing conditions are not covered by any travel insurance plan. The CoverAmerica - Gold plan covers for an acute onset of pre-existing conditions for people up to 79 years of age. This benefit starts 48 hours after the policy becomes effective. For people up to age 69 years the plan covers up the policy maximum or maximum up to $125,000 if policy maximum is higher than $100,000. For acute onset related to Cardiac conditions, it covers maximum up to $36,000. For people between age 70-79, the plan covers up to $30,000 for an acute onset of a pre-existing conditions. An optional $20,000 can be purchased with additional premium. For acute onset related to cardiac conditions, the plan would pay maximum up to $30,000. The additional coverage for the acute onset would not apply to cardiac conditions. There is no coverage for people above 79 years of age. Please check the Description of Coverage for more information about what is considered as acute onset of pre-existing condition.

    Q7. What is an acute onset of pre-existing condition?

    An acute onset is a sudden unexpected outbreak or recurrence of a Pre-existing Condition which occurs spontaneously and without advance warning either in the form of Physician recommendations or symptoms, is of short duration. It has to be an acute medical condition that requires immediate medical attention. More conditions and restrictions apply. Please check the Description of Coverage to understand what is covered under acute onset of pre-existing condition.

    Q8. What's the Rx Discount Card that comes with this plan?

    This is a discount savings program available to every certificate holder of the CoverAmerica - Gold plans. This program allows card members to purchase prescriptions at one of over 35,000 participating pharmacies in the U.S. and receive the lower of Universal Rx contract price or the pharmacy regular retail price.

    This discount program is not insurance coverage. It is purely a discount program to purchasers of the CoverAmerica - Gold plans. Use of the discount card does not guarantee that prescribed medication is covered under the insurance benefit plan.

    Q9. What is the Incidental Home Country Coverage?

    During the policy period, if you need to go back to your home country for a short trip, and come back again, then the plan would cover for short trips. The maximum number of days covered in incidental trip home is 30 days. The trip must not be taken for medical purposes. Incidental home country coverage does not apply to final trip to home country.

    Q10. What is Hazardous Sports Coverage?

    Adventure Sports are usually not covered in travel medical policies. With additional premium you can purchase the optional Hazardous Spots Rider Coverage. This would cover for the following sports and activities: motorcycle /motor scooter riding (whether as a passenger or a driver), hang gliding, Parachuting, zip lining, parasailing, bungee jumping, water skiing, wakeboard riding, jet skiing, windsurfing, snowmobiling, and spelunking

    Q11. Which doctor or hospital can I go to?

    You can go to any doctor or hospital of your choice. If you would like, you can choose to go in the PPO network for Liaison, which is the United Health Care PPO Network.

    You can search for doctors or hospitals in this Provider Directory.

    Q12. How do I use this insurance?

    Please refer to the following article about the policy usage: How to use Visitor Insurance?

    Q13. How do I file a claim?

    Please refer to the following article concerning the claim process:
    Visitor Insurance Claim Process

    Q14. When I buy this plan, do I need to make the full payment at once or do I have the option of paying it on a monthly basis?

    Based on the desired coverage length you have selected, you have to make the full payment at once.

    Since this plan is renewable you can renew it anytime you would like to before the policy expires. There is a renewable fee of $5 that associated with the renewal.

    Q15. Where can I find answers to other questions I have?

    Please refer to Visitors Insurance FAQs section.
    Learn more from informative articles at Visitor Insurance Information section. If you still have questions, please call our support line toll free: 1.866.384.9104

    Note: Information provided here is general in nature and may change from time to time. Your best course of action would be to refer to your policy papers/guidelines and contact the Provider for up-to-date information

    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.