Patriot Platinum
Comprehensive Coverage- AM Best Rating
- A (Excellent)
- Administrator/Underwriter
- IMG
Sirius International
In Network
After deductible, the plan pays 100% up to the policy maximum.
Out of Network
Plan pays 90% of the first $5000, then 100% up to the policy maximum.
Acute onset of Pre-Existing Conditions
Medical Coverage During Travel
Renewable & Cancelable
Comprehensive Coverage Plan
Coverage from 5 days to 365 days
PPO
UnitedHealthcare Urgent Care
- Cannot accept an address in Maryland (MD).
Patriot Platinum insurance is a travel medical insurance plan that provides medical insurance 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% up to the policy maximum. Outside the PPO network, the plan pays 90% for the first $5,000 and 100% thereafter. Outside the USA, the plan pays 100% after deductible.
Please review Patriot Platinum Insurance Brochure 
or Description of Coverage (policy document) for complete and accurate coverage and exclusions.
Out-Patient
Dr. / Physician Visit
In-Network: The plan pays 100% to the selected maximum.
Out-of-Network: The plan pays 90% of eligible expenses up to US $5,000, then 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: 90% covered for first $5,000
100% covered thereafter
Surgical Treatment
In-Network: The plan pays 100% to the selected maximum.
Out-of-Network: The plan pays 90% of eligible expenses up to US $5,000, then 100% up to the policy maximum.
Prescription Drugs / Medicines
Up to policy maximum.
Lab & X-rays
In-Network: The plan pays 100% to the selected maximum.
Out-of-Network: The plan pays 90% of eligible expenses up to US $5,000, then 100% up to the policy maximum.
Physical Therapy
In-Network: The plan pays 100% to the selected maximum.
Out-of-Network: The plan pays 90% of eligible expenses up to US $5,000, then 100% up to the policy maximum.
In-Patient
Hospital Room
Average semi-private room rate up to the maximum limit. Includes nursing service.
Surgical Treatment
In-Network: The plan pays 100% to the selected maximum.
Out-of-Network: The plan pays 90% of eligible expenses up to US $5,000, then 100% up to the policy maximum.
Hospital Intensive Care Unit
In-Network: The plan pays 100% to the selected maximum.
Out-of-Network: The plan pays 90% of eligible expenses up to US $5,000, then 100% up to the policy maximum.
Emergency Services
Ambulance Expenses
In-Network: The plan pays 100% to the selected maximum.
Out-of-Network: The plan pays 90% of eligible expenses up to US$5,000, then 100% up to the Policy Maximum.
Emergency Room(ER)
In-Network: 100% covered up to policy maximum
Out-of-Network: 90% 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.
Dental
Acute, spontaneous and unexpected pain
Up to $300
Accidental emergency
100% covered
Travel
Emergency Medical Evacuation / Repatriation
100% covered up to the medical maximum
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
Return of minor Child(ren)
Up to $100,000
Trip Interruption
Up to $10,000
Loss of checked Baggage
$50 per item up to $500 maximum per period of coverage
Life
AD&D
Up to $50,000
Common Carrier Accidental Death
Up to $100,000 per Adult; $25,000 per child , to the maximum of $250,000 per family
Other
Pre-Existing Conditions
Acute onset of a pre-existing condition coverage, with varying limits by age, up to $1,000,000 for those under 70 years old.
For people 70 years & over there is no coverage for acute onset of pre-exiting conditions.
$25,000 maximum limit for emergency medical evacuation
Maternity
Not Covered
General Physical full Checkup
Not Covered
Terrorism Coverage
100% covered
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 International
Eligibility
Can be purchased by an non-U.S. citizen traveling outside of their home country on a legal visa status. Non-United States citizens or any visa holders (e.g. L/H/B1, B2, etc.) as well as person on Green Card living outside of the U.S. can also purchase the plan for temporary coverage in the U.S. For someone below 65 years of age, coverage must begin within 6 months of arrival in the U.S. and for someone 65 years of age and older, coverage must begin within 30 days of arrival in the U.S. (restriction waived with proof of previous valid insurance within 30 days of the policy start date).
Plan Type
Comprehensive Coverage Plan
Plan pays up to a certain percentage of medical expenses.
AM Best Rating
A (Excellent)
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:
Within US and Canada- Inside PPO Network: The plan pays 100% to the selected maximum. Outside the PPO Network: The plan pays 90% of eligible expenses up to US$5,000, then 100% up to the Policy Maximum. Outside the United States and Canada:The plan pays 100% to the selected maximum.
How the Benefits are Paid
After the Insured pays the deductible:
Within US and Canada- Inside PPO Network: The plan pays 100% to the selected maximum. Outside the PPO Network: The plan pays 90% of eligible expenses up to US$5,000, then 100% up to the Policy Maximum. Outside the United States and Canada:The plan pays 100% to the selected maximum.
Coverage Type
Lifetime of the policy
Deductible Type
Once Annually or Per Policy Period.
Renewability
Renewable (Only if initially purchased for 1 month) with $5 fee each time you renew, up to a maximum period of 3 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
Coverage Length
Min 5 days to Max 36 months.
Available Deductibles
Choose From: $0, $100, $250, $500, $1,000 , $2,500, $5,000, $10,000, $25,000
Co-pay waived if $0 deductible is selected
Available Coverage
Choose From: $1,000,000,$5,000,000,$8,000,000
Ages 70+: Limited to $100,000
Ages 80+: Limited to $20,000
Provider Directory
By Provider, Phone Nos.: 800-628-4664 or 317-655-4500
Plan Brochure
Home Country Definition
U.S. Citizens: Home Country is always the United States of America.
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
Patriot Platinum Insurance FAQs | |||||
| Q1: Am I eligible for the Patriot Platinum Plan? The Patriot Platinum Plan is available for any non-US citizen or Resident, visiting the USA or anywhere outside their home country, for a short period of time. It is not available for US citizens, US Green Card Holders or long term visa holders, who pay taxes in the USA. | |||||
| 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. While filling out the online application, you will receive confirmation in your e-mail. If you select paper mail/snail mail then you will receive the ID card in the mail within 5-10 business days. You can also retrieve your ID card using MyIMG: Get My ID Card | |||||
| Q4.Can I renew the plan, if I plan to stay longer? Yes, if you buy the plan initially for more than 30 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. | |||||
| Q5.Can I cancel the plan, if I plan to go back earlier? Yes, you can cancel and get a refund for the Patriot America Plan, if you need to go back earlier than plan. The following rules apply: | |||||
| Q6. Are pre-existing conditions covered by the Patriot Platinum Plan? Pre-existing conditions are not covered by the Patriot Platinum Plan. However, the Patriot Platinum Plan covers for an acute onset of a pre-existing condition. It covers, with varying limits by age, up to $1,000,000 for people up to 69 years of age; For age 70 and over, the plan does not provide coverage for acute onset of a pre-existing condition. It is up to the attending physician to determine if a particular medical situation is related to pre-existing condition or not, and also if it would be considered as an acute onset or not. 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 a pre-existing condition? An acute onset is a sudden and 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, and 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 sudden and unexpected recurrence 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 Patriot travel 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 1) Universal Rx contract price or 2) the pharmacy regular retail price. This discount program is not insurance coverage. It is purely a discount program to purchasers of the Patriot travel plans. Use of the discount card does not guarantee that prescribed medication is covered under the insurance benefit plan. Retrieve your Rx Discount card on imglobal.com: Get Rx Discount Card | |||||
| Q9. What is the Sports riders options? Adventure Sports are usually not covered in travel medical policies. With additional premium you can purchase the optional Adventure Sports Rider Coverage. It is available for those up to the age of 64. The following activities are covered to the lifetime maximum amounts listed below as long as they are engaged solely for leisure, recreation, or entertainment purposes: abseiling, BMX, bobsledding, bungee jumping, canyoning, caving, hang gliding, heli-skiing, high diving, hot air ballooning, inline skating, jet skiing, jungle zip lining, kayaking, mountain biking, parachuting, paragliding, parascending, piloting a non-commercial aircraft, rappelling, rock climbing or mountaineering (ropes and guides to 4500m from ground level), scuba diving (to 50m), skydiving, snorkeling, snow boarding, snowmobiling, snow skiing, spelunking, surfing, trekking, whitewater rafting (to Class V), and wildlife safaris, and windsurfing. All such activities must be carried out in strict accordance with the rules, regulations and guidelines of the applicable Governing Body or Authority of each such activity. The maximum coverage for Adventure sports rider for different age groups are the following:
| Q10: 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 Patriot Platinum Plan, which is the UnitedHealthcare PPO Network. You can search for doctors or hospitals in this Provider Directory. | Q11: How do I use this insurance? Please refer to the following article about the policy usage: How to use Visitor Insurance? | Q12: How do I file a claim? Please refer to the following article concerning the claim process: | Q13: 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. | Q14: Where can I find answers to other questions I have? Please refer to Visitors Insurance FAQs section. 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.
