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DLT
Diplomat Long Term International
Underwriter: United States Fire Insurance Company
Plan pays 80% of the first $5,000, then 100% 
- Coverage from 3 month to 3 years
- Comprehensive coverage plan
- Travel / Inflight Coverage
Policy info
Plan Administrator: Global Underwriters
Carrier: United States Fire Insurance Company
AM Best Rating: A(Excellent)
Useful Links
No PPO network
Diplomat Long-term International Insurance provides travel and medical coverage for the US and Non-US citizens, travelling outside of the United States.
Please review Diplomat Long Term Insurance Brochure 
or policy document for complete and accurate coverage information.
Benefits
Plan Overview
FAQs
Dr. / Physician Visit
In the USA: After the deductible, plan pays 80% for the first $5,000 and then 100% up to policy max
Outside USA: After the deductible, plan pays 100% up to the chosen policy max
Outside USA: After the deductible, plan pays 100% up to the chosen policy max
Surgical Treatment
In the USA: After the deductible, plan pays 80% for the first $5,000 and then 100% up to policy max
Outside USA: After the deductible, plan pays 100% up to the chosen policy max
Outside USA: After the deductible, plan pays 100% up to the chosen policy max
Prescription Drugs / Medicines
In the USA: After the deductible, plan pays 80% for the first $5,000 and then 100% up to policy max
Outside USA: After the deductible, plan pays 100% up to the chosen policy max
Outside USA: After the deductible, plan pays 100% up to the chosen policy max
Lab & X-rays
In the USA: After the deductible, plan pays 80% for the first $5,000 and then 100% up to policy max
Outside USA: After the deductible, plan pays 100% up to the chosen policy max
Outside USA: After the deductible, plan pays 100% up to the chosen policy max
Hospital Room
In the USA: After the deductible, plan pays 80% for the first $5,000 and then 100% up to policy max
Outside USA: After the deductible, plan pays 100% up to the chosen policy max
Outside USA: After the deductible, plan pays 100% up to the chosen policy max
Surgical Treatment
In the USA: After the deductible, plan pays 80% for the first $5,000 and then 100% up to policy max
Outside USA: After the deductible, plan pays 100% up to the chosen policy max
Outside USA: After the deductible, plan pays 100% up to the chosen policy max
Hospital Intensive Care Unit
In the USA: After the deductible, plan pays 80% for the first $5,000 and then 100% up to policy max
Outside USA: After the deductible, plan pays 100% up to the chosen policy max
Outside USA: After the deductible, plan pays 100% up to the chosen policy max
Drug/Alcohol Abuse
Not Covered
Ambulance Expenses
In the USA: After the deductible, plan pays 80% for the first $5,000 and then 100% up to policy max
Outside USA: After the deductible, plan pays 100% up to the chosen policy max
Outside USA: After the deductible, plan pays 100% up to the chosen policy max
Emergency Room(ER)
In the USA: After the deductible, plan pays 80% for the first $5,000 and then 100% up to policy max
Outside USA: After the deductible, plan pays 100% up to the chosen policy max
Outside USA: After the deductible, plan pays 100% up to the chosen policy max
Acute, spontaneous and unexpected pain
Up to $100
Accidental emergency
In the USA: After the deductible, plan pays 80% for the first $5,000 and then 100% up to policy max
Outside USA: After the deductible, plan pays 100% up to the chosen policy max
Outside USA: After the deductible, plan pays 100% up to the chosen 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.
Cataract Surgery
Not Covered
Cancer
Not Covered
Cardiac
Not Covered
Mental Illness
Not Covered
Alzheimer's Desease
Not Covered
Hazardous Sports Coverage
Not Covered
Pre-Existing Conditions
For US Citizens Only: Covers up to $20,000 for unexpected recurrence of a pre-existing condition. For people 65+ up to $2,500.
Maternity
Not Covered
24-Hrs Emergency Assistance
Yes. Contact Number and details can be found on the ID card.
