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STVUSA
Safe Travels for Visitors to the USA
Underwriter: GBG Insurance Limited
Plan pays fixed amount per incident 
- Basic coverage, low cost, less benefits (Review limits)
- Coverage from 5 days to 365 days
- Renewable and Cancelable
- PPO network (See list of doctors and hospitals)
- Unexpected recurrence of a pre-existing condition up to the policy maximum
-
See plan brochure
| Description of Coverage | Plan FAQs
Policy info
Plan Administrator: Trawick International
Carrier: GBG Insurance Limited
AM Best Rating: A(Excellent)
Safe Travels for Visitors to the USA insurance Plan covers the visitors who are traveling to USA and provide coverage while in the USA.
Safe Travels for Visitors to the USA insurance is a basic travel medical insurance plan that has fixed pre defined limit for each medical service.
You visit any doctor or hospital of your choice.
The following benefit table shows how much insurance pays for the given covered medical service. If the actual bill is more, the difference will be your responsibility. Please review Safe Travels for Visitors to the USA Insurance Brochure and Description of Coverage (policy document) for complete and accurate coverage and exclusions.
Safe Travels for Visitors to the USA insurance is a basic travel medical insurance plan that has fixed pre defined limit for each medical service.
You visit any doctor or hospital of your choice.
The following benefit table shows how much insurance pays for the given covered medical service. If the actual bill is more, the difference will be your responsibility. Please review Safe Travels for Visitors to the USA Insurance Brochure
and Description of Coverage (policy document) for complete and accurate coverage and exclusions.
Benefits
Plan Overview
FAQs
BASIC
($50,000 policy)
Per person, per incident
($50,000 policy)
Per person, per incident
ECONOMY
($25,000 policy)
Per person, per incident
($25,000 policy)
Per person, per incident
GOLD
($100,000 policy)
Per person, per incident
($100,000 policy)
Per person, per incident
PLATINUM
($175,000 policy)
Per person, per incident
($175,000 policy)
Per person, per incident
SILVER
($75,000 policy)
Per person, per incident
($75,000 policy)
Per person, per incident
Dr. / Physician Visit
Up to $55/visit,
1/day, 30 visits Max
Up to $55/visit, 1/day, 30 visits Max
Up to $85/visit,
1/day, 30 visits Max
Up to $115/visit,
1/day, 30 visits Max
Up to $70/visit,
1/day, 30 visits Max
Urgent Care
Up to $55/visit,
1/day, 30 visits Max
Up to $55/visit, 1/day, 30 visits Max
Up to $85/visit,
1/day, 30 visits Max
Up to $115/visit,
1/day, 30 visits Max
Up to $70/visit,
1/day, 30 visits Max
Surgical Treatment
Up to $3500
Up to $3500
Up to $6000
Up to $7500
Up to $4750
Prescription Drugs / Medicines
Up to $100
Up to $100
Up to $150
Up to $200
Up to $125
Lab & X-rays
$450
Up to $650 Scan PET
scan or MRI
$450
Up to $650 Scan
PET scan or MRI
$500
Up to $1050 scan, PET
scan or MRI
$675
Up to $1300 Scan, PET
scan or MRI
$475
$875 scan, PET scan
or MRI
Physical Therapy
Up to $40/visit, 1/day,
12 visits Max
Up to $40/visit, 1/day, 12 visits Max
Up to $40/visit, 1/day,
12 visits Max
Up to $60/visit, 1/day,
12 visits Max
Up to $40/visit, 1/day,
12 visits Max
BASIC
($50,000 policy)
Per person, per incident
($50,000 policy)
Per person, per incident
ECONOMY
($25,000 policy)
Per person, per incident
($25,000 policy)
Per person, per incident
GOLD
($100,000 policy)
Per person, per incident
($100,000 policy)
Per person, per incident
PLATINUM
($175,000 policy)
Per person, per incident
($175,000 policy)
Per person, per incident
SILVER
($75,000 policy)
Per person, per incident
($75,000 policy)
Per person, per incident
Hospital Room
Up to $1400/day,
30 day max
Up to $1400/day, 30 day max
Up to $2000/day,
30 day max
Up to $2700/day,
30 day max
Up to $1750/day,
30 day max
Surgical Treatment
Up to $3500
Up to $3500
Up to $6000
Up to $7500
Up to $4750
Hospital Intensive Care Unit
Additional $700/day,
8 day Max
Additional $700/
day,
8 day Max
Additional $900/day,
8 day Max
Additional $1150/day,
10 day Max
Additional $800/day,
8 day Max
BASIC
($50,000 policy)
Per person, per incident
($50,000 policy)
Per person, per incident
ECONOMY
($25,000 policy)
Per person, per incident
($25,000 policy)
Per person, per incident
GOLD
($100,000 policy)
Per person, per incident
($100,000 policy)
Per person, per incident
PLATINUM
($175,000 policy)
Per person, per incident
($175,000 policy)
Per person, per incident
SILVER
($75,000 policy)
Per person, per incident
($75,000 policy)
Per person, per incident
Ambulance Expenses
Up to $500
Up to $500
Up to $500
Up to $750
Up to $500
Emergency Room(ER)
Up to $350
$200 extra ER deductible for sickness not leading to hospitalization.
$200 extra ER deductible for sickness not leading to hospitalization.
Up to $350
$200 extra ER deductible for sickness not leading to hospitalization.
$200 extra ER deductible for sickness not leading to hospitalization.
Up to $550
$200 extra ER deductible for sickness not leading to hospitalization.
$200 extra ER deductible for sickness not leading to hospitalization.
Up to $800
$200 extra ER deductible for sickness not leading to hospitalization.
$200 extra ER deductible for sickness not leading to hospitalization.
Up to $450
$200 extra ER deductible for sickness not leading to hospitalization.
$200 extra ER deductible for sickness not leading to hospitalization.
BASIC
($50,000 policy)
Per person, per incident
($50,000 policy)
Per person, per incident
ECONOMY
($25,000 policy)
Per person, per incident
($25,000 policy)
Per person, per incident
GOLD
($100,000 policy)
Per person, per incident
($100,000 policy)
Per person, per incident
PLATINUM
($175,000 policy)
Per person, per incident
($175,000 policy)
Per person, per incident
SILVER
($75,000 policy)
Per person, per incident
($75,000 policy)
Per person, per incident
Accidental emergency
Up to $600
Up to $600
Up to $600
Up to $600
Up to $600
BASIC
($50,000 policy)
Per person, per incident
($50,000 policy)
Per person, per incident
ECONOMY
($25,000 policy)
Per person, per incident
($25,000 policy)
Per person, per incident
GOLD
($100,000 policy)
Per person, per incident
($100,000 policy)
Per person, per incident
PLATINUM
($175,000 policy)
Per person, per incident
($175,000 policy)
Per person, per incident
SILVER
($75,000 policy)
Per person, per incident
($75,000 policy)
Per person, per incident
Emergency Medical Evacuation / Repatriation
$100,000
$100,000
Unlimited
Unlimited
$100,000
Return of Remains
$7,500
$7,500
$20,000
$25,000
$10,000
Return of minor Child(ren)
Up to $5,000
-
Up to $7,500
Up to $10,000
Up to $7,500
BASIC
($50,000 policy)
Per person, per incident
($50,000 policy)
Per person, per incident
ECONOMY
($25,000 policy)
Per person, per incident
($25,000 policy)
Per person, per incident
GOLD
($100,000 policy)
Per person, per incident
($100,000 policy)
Per person, per incident
PLATINUM
($175,000 policy)
Per person, per incident
($175,000 policy)
Per person, per incident
SILVER
($75,000 policy)
Per person, per incident
($75,000 policy)
Per person, per incident
AD&D
$25,000
Common Carrier
$25,000
$35,000
Common Carrier
$35,000
Common Carrier
$35,000
Common Carrier
BASIC
($50,000 policy)
Per person, per incident
($50,000 policy)
Per person, per incident
ECONOMY
($25,000 policy)
Per person, per incident
($25,000 policy)
Per person, per incident
GOLD
($100,000 policy)
Per person, per incident
($100,000 policy)
Per person, per incident
PLATINUM
($175,000 policy)
Per person, per incident
($175,000 policy)
Per person, per incident
SILVER
($75,000 policy)
Per person, per incident
($75,000 policy)
Per person, per incident
Pre-Existing Conditions
For acute onset of a pre-existing condition, plan pays up to the policy maximum. For cardiac events, plan pays up to $25,000.
Up to the Maximum policy limit per Period of Coverage; Maximum Lifetime Limit for Emergency Medical Evacuation of $25,000
Up to the Maximum
policy limit per Period
of Coverage Maximum
Lifetime Limit for
Emergency Medical
Evacuation of $25,000.
Up to the Maximum
policy limit per Period
of Coverage; Maximum
Lifetime Limit for
Emergency Medical
Evacuation of $25,000.
Up to the Maximum
policy limit per Period
of Coverage;
Maximum Lifetime
Limit for Emergency
Medical Evacuation of
$25,000.
Local Burial or Cremation
Up to $5,000
Up to $5,000
Up to $5,000
Up to $5,000
Up to $5,000
General Physical full Checkup
Up to $75 (must be used within 21 days of plan effective date)
Up to $75 (must be used within 21 days of plan effective date)
Up to $75 (must be used within 21 days of plan effective date)
Up to $75 (must be used within 21 days of plan effective date)
Up to $75 (must be used within 21 days of plan effective date)
BASIC
($50,000 policy)
Per person, per incident
($50,000 policy)
Per person, per incident
ECONOMY
($25,000 policy)
Per person, per incident
($25,000 policy)
Per person, per incident
GOLD
($100,000 policy)
Per person, per incident
($100,000 policy)
Per person, per incident
PLATINUM
($175,000 policy)
Per person, per incident
($175,000 policy)
Per person, per incident
SILVER
($75,000 policy)
Per person, per incident
($75,000 policy)
Per person, per incident
24-Hrs Emergency Assistance
Yes. Contact Number and details can be found on the ID card.
Yes. Contact Number and details can be found on the ID card.
Yes. Contact Number and details can be found on the ID card.
Yes. Contact Number and details can be found on the ID card.
Yes. Contact Number and details can be found on the ID card.
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.
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