PA

Patriot America

Comprehensive Coverage,  Rated A- (Excellent)By: IMG,  UW: Sirius SpecialitySirius Specialty Insurance Corporation
AM Best Rating
A- (Excellent)
Administrator/Underwriter
IMG
Sirius Specialty Insurance Corporation
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 the policy maximum.

COVID-19 Excluded
extendable-cancelable
Extendable & Cancelable
urgent-care
Urgent Care
medical-coverage-during-travel
Medical Coverage During Travel
extendable-cancelable
Comprehensive Coverage Plan
Coverage from 5 days to 365 days
BUY

Patriot America insurance is a medical insurance plan that provides health coverage and emergency services to individuals and families traveling outside their home country. After the deductible is satisfied, for treatments within the PPO network, the plan pays 100% unto the policy maximum. Outside the PPO network, the plan pays 80% for the first $5,000 and 100% thereafter for each sickness or injury. Outside the USA, the plan pays 100% after deductible.

Please review Patriot America Insurance Brochure brochure or Description of Coverage brochure (policy document) for complete and accurate coverage and exclusions.

Out-Patient

Dr. / Physician Visit

In-Network: 100% covered up to policy maximum
Out-of-Network: 80% covered for first $5,000
100% covered thereafter
Outside USA: the plan pays 100% up to the policy maximum

Urgent Care

$25 co-pay applies for Urgent Care.
$15 co-pay applies to walk in clinics.
Co-pay waived if $0 deductible is chosen
In-Network: 100% covered up to policy maximum
Out-of-Network: 80% covered for first $5,000
100% covered thereafter

Surgical Treatment

In-Network: 100% covered up to policy maximum
Out-of-Network: 80% covered for first $5,000
100% covered thereafter
Outside USA: the plan pays 100% up to the policy maximum

Prescription Drugs / Medicines

Up to policy maximum.

Lab & X-rays

In-Network: 100% covered up to policy maximum
Out-of-Network: 80% covered for first $5,000
100% covered thereafter
Outside USA: the plan pays 100% up to the policy maximum

Physical Therapy

In-Network: 100% covered up to policy maximum
Out-of-Network: 80% covered for first $5,000
100% covered thereafter
Outside USA: the plan pays 100% up to the policy maximum

In-Patient

Hospital Room

Average semi-private room rate up to maximum limit. Includes nursing service.

Surgical Treatment

In-Network: 100% covered up to policy maximum
Out-of-Network: 80% covered for first $5,000
100% covered thereafter
Outside USA: the plan pays 100% up to the policy maximum

Hospital Intensive Care Unit

In-Network: 100% covered up to policy maximum
Out-of-Network: 80% covered for first $5,000
100% covered thereafter
Outside USA: the plan pays 100% up to the policy maximum

Emergency Services

Ambulance Expenses

In-Network: 100% covered up to policy maximum
Out-of-Network: 80% covered for first $5,000
100% covered thereafter
Outside USA: the plan pays 100% up to the policy maximum

Emergency Room(ER)

In-Network: 100% covered up to policy maximum
Out-of-Network: 80% covered for first $5,000
100% covered thereafter.

Separate deductible of $250 applies to ER visit for illness that does not result in direct inpatient hospital admission.

This deductible does not apply to injuries, or illness that lead to hospitalization.


Outside USA: the plan pays 100% up to the policy maximum

Dental

Acute, spontaneous and unexpected pain

Up to $300

Accidental emergency

In-Network: 100% covered up to policy maximum
Out-of-Network: 80% covered for first $5,000
100% covered thereafter
Outside USA: the plan pays 100% up to the policy maximum

Travel

Emergency Medical Evacuation / Repatriation

Up to $1,000,000

Return of Remains

Coverage up to a maximum of $50,000 for return of Mortal Remains to the insured's home country or up to $5,000 for the preparation, local burial and cremation of your mortal remains at the place of death.

Emergency Reunion

Up to $100,000. Not subject to deductible but must be approved beforehand.

Return of minor Child(ren)

Up to $100,000. Not subject to deductible but must be approved beforehand.

Trip Interruption

Up to $10,000

Loss of checked Baggage

$50 per item up to $500 maximum per period of coverage

Life

AD&D

$50,000 principal sum.

Common Carrier Accidental Death

$25,000 per insured child, $100,000 per insured adult. $250,000 maximum limit per family

Other

Pre-Existing Conditions

Not Covered

Maternity

Not Covered

General Physical full Checkup

Not Covered

Terrorism Coverage

Up to $50,000 maximum limit.

Brochure

Support

24-Hrs Emergency Assistance

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

Plan Administrator Company

IMG

Carrier / Underwriter

Sirius Specialty Insurance Corporation

AM Best Rating

A- (Excellent)

Eligibility

Can be purchased by Non US residents ( both US & Non US citizens), who love outside the USA, and are traveling to the USA for a short trip.

Plan Type

Comprehensive Coverage Plan
Plan pays up to a certain percentage of medical expenses.

Coverage in U.S.A.

Covered

Coverage outside U.S.A.

Covered

Co-Pay

$25 co-pay for Urgent Care;
$15 Co-pay for Walk in Clinics
Co-pay waived if $0 deductible is selected

Co-Insurance

After the Insured pays the deductible:

Inside PPO Network in the USA: The plan pays 100% up to the Policy Maximum.

Outside the PPO Network in the USA: The plan pays 80% of eligible expenses up to US$5,000, then 100% up to the Policy Maximum.

Outside the United States: After the Insured pays the deductible, the program pays 100% to the selected Maximum

How the Benefits are Paid

After the Insured pays the deductible:

Inside PPO Network in the USA: The plan pays 100% up to the Policy Maximum.

Outside the PPO Network in the USA: The plan pays 80% of eligible expenses up to US$5,000, then 100% up to the Policy Maximum.

Outside the United States: After the Insured pays the deductible, the program pays 100% to the selected Maximum

Coverage Type

Lifetime of the policy

Deductible Type

Annual deductible, Only one time in a year.

Renewability

Extendable with a $5 fee each time you extend, up to a maximum period of 2 years.

Cancellation

Full refund available if cancelled before the policy start date.
Prorated refund available after start date only if no claims have been made
$50 cancellation fee applicable if cancelled after start date

PPO Network

UnitedHealthcare

Coverage Length

Min 5 days-Max 12 Months, coverage can be extended up to 2 years by renewing

Available Deductibles

Choose From: $0, $100, $250, $500, $1,000, $2,500
Co-pay is waived if $0 deductible is chosen.

Available Coverage

Choose From: $50,000; $100,000; $500,000; $1,000,000
Ages 70+: Limited to $50,000
Ages 80+: Limited to $10,000

Provider Directory

By Provider, Phone Nos.: 800-628-4664 or 317-655-4500

Plan Brochure

Patriot America Insurance Brochure brochure

Home Country Definition

U.S. Citizens: Home Country is where the insured person maintains primary residence. Non-U.S. Citizens: Home Country is the country of which the Insured Person is a citizen or national; including any country where the Insured Person maintains his/her primary residence or usual place of abode and any country of which the Insured Person is the possessor of a validly issued passport. In the event there is more than one home country under the above-listed criteria, the Home Country is the country meeting the above-listed criteria and listed by the Insured as his or her Home Country on the application.

US States Restrictions

Residents of Maryland (MD) state cannot purchase this policy. Applicant with Maryland (MD) state address cannot purchase this policy. Policy still provides coverage for policy holder who is visiting MD State

Country Restrictions

Paper Application is needed for residents of Gambia, Ghana, Nigeria, Sierra leone, Niger, Botswana

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.