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DA
Diplomat America
Underwriter: United States Fire Insurance Company
Plan pays 80% of first $5,000, then 100% 
- Comprehensive coverage plan
- Coverage from 15 days to 12 months
- Not Renewable and Not Cancelable
- Covers during International Travel
Policy info
Plan Administrator: Global Underwriters
Carrier: United States Fire Insurance Company
AM Best Rating: A(Excellent)
Useful Links
No PPO Network
Diplomat America Insurance offers medical coverage and emergency services to individuals and families traveling to United States.
Please review Diplomat America Insurance Brochure 
or Description of Coverage (policy document) for complete and accurate coverage and exclusions.
Benefits
Plan Overview
FAQs
Dr. / Physician Visit
After deductible, plan pays 80% for the first $5,000, then 100% up to policy max
Surgical Treatment
After deductible, plan pays 80% for the first $5,000, then 100% up to policy max
Prescription Drugs / Medicines
After deductible, plan pays 80% for the first $5,000, then 100% up to policy max
Lab & X-rays
After deductible, plan pays 80% for the first $5,000, then 100% up to policy max
Hospital Room
After deductible, plan pays 80% for the first $5,000, then 100% up to policy max
Surgical Treatment
After deductible, plan pays 80% for the first $5,000, then 100% up to policy max
Hospital Intensive Care Unit
After deductible, plan pays 80% for the first $5,000, then 100% up to policy max
Drug/Alcohol Abuse
Not covered
Ambulance Expenses
After deductible, plan pays 80% for the first $5,000, then 100% up to policy max
Emergency Room(ER)
After deductible, plan pays 80% for the first $5,000, then 100% up to policy max. Extra $250 deductible applies for every ER visit for sickness, that does not lead to hospitalization within 12 hours
Acute, spontaneous and unexpected pain
Up to $100
Accidental emergency
After deductible, plan pays 80% for the first $5,000, then 100% up to policy max
Emergency Medical Evacuation / Repatriation
Up to $500,000
Return of Remains
Up to $50,000
Emergency Reunion
Up to $50,000
Return of minor Child(ren)
Up to $50,000
Trip Interruption
Up to $5,000
Loss of checked Baggage
$50 per item, up to $250
AD&D
$250,000 maximum benefit for any one family or group
Members under age 18:
Lifetime maximum: $5,000
Death: $5,000
Loss of 2 limbs: $5,000
Loss of 1 limb: $2,500
Members age 18—69:
Lifetime maximum: $100,000
Death: $100,000
Loss of 2 limbs: $100,000
Loss of 1 limb: $50,000
Members age 70—74:
Lifetime maximum: $12,500
Death: $12,500
Loss of 2 limbs: $12,500
Loss of 1 limb: $6,250
Members age 75 and older:
Lifetime maximum: $6,250
Death: $6,250
Loss of 2 limbs: $6,250
Loss of 1 limb: $3,125
Not subject to deductible, coinsurance, or overall maximum limit.
Members under age 18:
Lifetime maximum: $5,000
Death: $5,000
Loss of 2 limbs: $5,000
Loss of 1 limb: $2,500
Members age 18—69:
Lifetime maximum: $100,000
Death: $100,000
Loss of 2 limbs: $100,000
Loss of 1 limb: $50,000
Members age 70—74:
Lifetime maximum: $12,500
Death: $12,500
Loss of 2 limbs: $12,500
Loss of 1 limb: $6,250
Members age 75 and older:
Lifetime maximum: $6,250
Death: $6,250
Loss of 2 limbs: $6,250
Loss of 1 limb: $3,125
Not subject to deductible, coinsurance, or overall maximum limit.
Common Carrier Accidental Death
Members under age 18: $25,000
Members age 18—69: $50,000
Members age 70—74: $12,500
Members age 75 and older: $6,250
Subject to a maximum of $250,000 any one family or group. Not subject to deductible, coinsurance, or overall maximum limit.
Members age 18—69: $50,000
Members age 70—74: $12,500
Members age 75 and older: $6,250
Subject to a maximum of $250,000 any one family or group. Not subject to deductible, coinsurance, or overall maximum limit.
Pre-Existing Conditions
Acute onset of pre-existing conditions covered up to policy maximum
Maternity
Not covered
General Physical full Checkup
Not covered
Terrorism Coverage
Not covered
Brochure
24-Hrs Emergency Assistance
Yes. Contact Number and details can be found on the ID card.
