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PE
Patriot Exchange
Underwriter: Sirius International
Plan pays 100% up to policy maximum per incident 
- Satisfies U.S. J1 and J2 visa requirements
- Coverage from 1 Month to 48 months
- Renewable and Cancelable
- For students and scholars studying abroad or participants of cultural exchange programs
- Provides Family Coverage
- Cannot accept an address in Maryland (MD).
Policy info
Plan Administrator: IMG
Carrier: Sirius International
AM Best Rating: A(Excellent)
Patriot Exchange is a plan designed to meet the US visa requirement for a student studying abroad or a participant of a cultural exchange program including J1 and J2 visa holders . This plan has two options i.e. Standard and Basic.
Note: Patriot Exchange Plan is not available for the residents of Maryland (MD).
Please review Patriot Exchange Insurance Brochure
or Description of Coverage (policy document) for complete and accurate coverage and exclusions.
Note: Patriot Exchange Plan is not available for the residents of Maryland (MD).
Please review Patriot Exchange Insurance Brochure
or Description of Coverage (policy document) for complete and accurate coverage and exclusions.
Benefits
Plan Overview
FAQs
Dr. / Physician Visit
Plan pays 100% up to the policy maximum.
Urgent Care
$50 copay for urgent care consultation
Prescription Drugs / Medicines
Plan pays 100% up to the policy maximum.
Lab & X-rays
Plan pays 100% up to the policy maximum.
Physical Therapy
Plan pays 100% up to the policy maximum.
Hospital Room
Plan pays 100% up to the use of Semi private room.
Hospital Intensive Care Unit
Plan pays 100% up to the policy maximum.
Drug/Alcohol Abuse
In-patient: Up to $10,000 max
Out-Patient: $50 maximum limit per day. $500 total limit
Out-Patient: $50 maximum limit per day. $500 total limit
Ambulance Expenses
Plan pays 100% up to the policy maximum(For illness only hospitalization cases would be covered)
Emergency Room(ER)
Added $250 for illness that does not result in hospitalization
Acute, spontaneous and unexpected pain
Up to $350
Accidental emergency
Up to $500
Emergency Medical Evacuation / Repatriation
$50,000 Lifetime Maximum
Return of Remains
Up to $25,000
Emergency Reunion
Up to $15,000
Return of minor Child(ren)
Not Covered
Loss of checked Baggage
Covered under Optional Add-On plan
AD&D
Up to $25,000
Mental Illness
In-patient: Up to $10,000 max
Out-Patient: $50 maximum limit per day. $500 total limit
Out-Patient: $50 maximum limit per day. $500 total limit
Pre-Existing Conditions
Covered after 12 months of continous coverage $500 per year; $50,000 lifetime 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.
