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VU
Visit USA
Underwriter: Lloyd's of London
Plan pays 100% after deductible
(For Budget option: plan pays a fixed amount for each service and treatment)
- Comprehensive coverage plan
- Coverage from 5 days to 364 days.
- Cancelable
- PPO network (See list of doctors and hospitals)
- Covers within US only. No international coverage.
- Up to $25,000 coverage for acute onset of pre-existing conditions
- Not available for purchase to a resident of New York (NY), Maryland (MD) and Washington (WA) states.
Policy info
Plan Administrator: TIS
Carrier: Lloyd's of London
AM Best Rating: A(Excellent)
Useful Links
Standard & Superior Plans: First Health PPO Network
Budget Plan: No Network
Budget Plan: No Network
Visit USA-HealthCare is available to Non-U.S. residents while visiting the U.S. Coverage is available for the main insured party and spouse; unmarried adult dependent children; or for children traveling alone.
This plan is suitable for business and leisure travelers, international exchange students, tourists, holiday travelers and and church or missionary travelers.
Please review Visit USA-Healthcare Insurance Brochure 
or Description of Coverage (policy document) for complete and accurate coverage and exclusions.
Benefits
Plan Overview
FAQs
Dr. / Physician Visit
Budget Plan
$50,00 policy max selected: $75/10 visits max
$150,000 policy max selected: $125/10 visits max
Standard/Superior Plans
In-network: after deductible plan pays 100% up to policy max Out of network: After deductible, reasonable & customary up to policy max
$50,00 policy max selected: $75/10 visits max
$150,000 policy max selected: $125/10 visits max
Standard/Superior Plans
In-network: after deductible plan pays 100% up to policy max Out of network: After deductible, reasonable & customary up to policy max
Surgical Treatment
Budget Plan
$50,00 policy max selected: $3,300
$150,000 policy max selected: $7,150
Standard/Superior Plans
In-network: after deductible plan pays 100% up to policy max Out of network: After deductible, reasonable & customary up to policy max
$50,00 policy max selected: $3,300
$150,000 policy max selected: $7,150
Standard/Superior Plans
In-network: after deductible plan pays 100% up to policy max Out of network: After deductible, reasonable & customary up to policy max
Prescription Drugs / Medicines
Budget Plan
$50,00 policy max selected: $150
$150,000 policy max selected: $300
Standard/Superior Plans
In-network: after deductible plan pays 100% up to policy max Out of network: After deductible, reasonable & customary up to policy max
$50,00 policy max selected: $150
$150,000 policy max selected: $300
Standard/Superior Plans
In-network: after deductible plan pays 100% up to policy max Out of network: After deductible, reasonable & customary up to policy max
Lab & X-rays
Budget Plan
$50,00 policy max selected: $500, plus $400 for one CAT Scan, MRI or PET
$150,000 policy max selected: $750, plus $650 for one CAT Scan, MRI or PET
Standard/Superior Plans
In-network: after deductible plan pays 100% up to policy max Out of network: After deductible, reasonable & customary up to policy max
$50,00 policy max selected: $500, plus $400 for one CAT Scan, MRI or PET
$150,000 policy max selected: $750, plus $650 for one CAT Scan, MRI or PET
Standard/Superior Plans
In-network: after deductible plan pays 100% up to policy max Out of network: After deductible, reasonable & customary up to policy max
Physical Therapy
Budget Plan (both policy maximum options)
$50 per visit, 1 visit per day, maximum 12 visits
Standard/Superior Plans
Usual Reasonable and Customary. Must be ordered by attending physician
$50 per visit, 1 visit per day, maximum 12 visits
Standard/Superior Plans
Usual Reasonable and Customary. Must be ordered by attending physician
Hospital Room
Budget Plan
$50,00 policy max selected: $1,500 per day - 30 days max
$150,000 policy max selected: $2,750 per day - 30 days max
Standard/Superior Plans
Usual Reasonable and Customary. Must be ordered by attending physician
$50,00 policy max selected: $1,500 per day - 30 days max
$150,000 policy max selected: $2,750 per day - 30 days max
Standard/Superior Plans
Usual Reasonable and Customary. Must be ordered by attending physician
Surgical Treatment
Budget Plan
$50,00 policy max selected: $4,000
$150,000 policy max selected: $8,000
Standard/Superior Plans
Usual Reasonable and Customary. Must be ordered by attending physician
$50,00 policy max selected: $4,000
$150,000 policy max selected: $8,000
Standard/Superior Plans
Usual Reasonable and Customary. Must be ordered by attending physician
Hospital Intensive Care Unit
Budget Plan
$50,00 policy max selected: $2,500 per day - 8 days max
$150,000 policy max selected: $4,000 per day - 8 days max
Standard/Superior Plans
Usual Reasonable and Customary. Must be ordered by attending physician
$50,00 policy max selected: $2,500 per day - 8 days max
$150,000 policy max selected: $4,000 per day - 8 days max
Standard/Superior Plans
Usual Reasonable and Customary. Must be ordered by attending physician
Ambulance Expenses
Budget Plan
Both policy maximum options: $500
Standard/Superior Plans
Usual Reasonable and Customary, when it leads to inpatient hospitalization
Both policy maximum options: $500
Standard/Superior Plans
Usual Reasonable and Customary, when it leads to inpatient hospitalization
Emergency Room(ER)
Budget Plan
$50,00 policy max selected: $375
$150,000 policy max selected: $785
Standard/Superior Plans
Usual Reasonable and Customary. Additional $250 co-pay applies for illness that does not lead to inpatient hospitalization.
$50,00 policy max selected: $375
$150,000 policy max selected: $785
Standard/Superior Plans
Usual Reasonable and Customary. Additional $250 co-pay applies for illness that does not lead to inpatient hospitalization.
Acute, spontaneous and unexpected pain
Budget Plan: Not covered
Standard/Superior Plans: $100
Standard/Superior Plans: $100
Accidental emergency
Budget Plan: Not covered
Standard/Superior Plans: $1,000
Standard/Superior Plans: $1,000
Emergency Medical Evacuation / Repatriation
Budget Plan
Both policy maximum options: Overall maximum limit
Standard/Superior Plans
$100,000 lifetime maximum, except as provided under acute onset of pre-existing conditions.
Up to $500,000 lifetime maximum - not subject to deductible.
Both policy maximum options: Overall maximum limit
Standard/Superior Plans
$100,000 lifetime maximum, except as provided under acute onset of pre-existing conditions.
Up to $500,000 lifetime maximum - not subject to deductible.
Return of Remains
Budget Plan
Both policy maximum options: $50,000
Standard/Superior Plans
Up to the overall maximum limit - not subject to deductible or coinsurance
Both policy maximum options: $50,000
Standard/Superior Plans
Up to the overall maximum limit - not subject to deductible or coinsurance
Emergency Reunion
For all options: $15,000, subject to a maximum of 15 days - not subject to deductible.
Return of minor Child(ren)
Budget Plan: Not Covered
Standard/Superior Plans: $50,000
Standard/Superior Plans: $50,000
Trip Interruption
Budget Plan: Not Covered
Standard/Superior Plans: $5,000 not subject to deductible or co-insurance
Standard/Superior Plans: $5,000 not subject to deductible or co-insurance
Loss of checked Baggage
$250/Article, $500 Max
AD&D
Under 18: $5,000;
18-69: $50,000;
70-74: $20,000;
75 and above: $10,000.
Additional Accidental Death and Dismemberment available ( not available for those 70 and above)
18-69: $50,000;
70-74: $20,000;
75 and above: $10,000.
Additional Accidental Death and Dismemberment available ( not available for those 70 and above)
Common Carrier Accidental Death
Budget Plan: Not Covered
Standard/Superior Plans: $50,000
Standard/Superior Plans: $50,000
Pre-Existing Conditions
For all Plan Options:
Ages 65 and above: $2,500
All others: $20,000 ($25,000 for Superior)
Ages 65 and above: $2,500
All others: $20,000 ($25,000 for Superior)
Maternity
Not Covered
General Physical full Checkup
Not Covered
Terrorism Coverage
Budget Plan: $25,000 for eligible medical coverage.
Standard/Superior Plans: Up to $50,000 lifetime maximum, eligible medical expenses only
Standard/Superior Plans: Up to $50,000 lifetime maximum, eligible medical expenses only
Brochure
24-Hrs Emergency Assistance
Yes. Contact Number and details can be found on the ID card.
