Pre-Existing Condition Visitor Insurance Plans
If the traveler has a pre-existing condition like diabetes, high blood pressure, or heart disease, you can still get visitor medical insurance for your trip to the USA or for an international trip. While a standard visitor insurance plan won't cover pre-existing conditions, a handful of specialized visitor insurance plans do, and many others cover sudden flare-ups, known as Acute onset of pre-existing conditions. There is an important difference between the two, and it's worth understanding before you buy.
Only a few specialized plans offer full pre-existing condition coverage. These provide benefits for a pre-existing medical condition up to a set limit, and usually apply a separate deductible for that coverage. Such benefits either are included, or the plan allows you to add as a buy-up or rider, or an additional cost at the time of purchase.
Comprehensive Coverage
Underwriter: C&F Crum & Forster
In Network:80% up to policy maximum.
Out of Network:60% of URC, up to policy maximum.
Direct Billing:via PPO United Healthcare PPO Network
In Network:80% up to policy maximum.
Out of Network:60% of URC, up to policy maximum.
Direct Billing:via PPO United Healthcare PPO Network
- After the deductible, plan pays 80% of eligible medical expenses within the United Healthcare PPO network; Outside the PPO network, plan pays 60% of the URC for eligible medical expenses up to the policy maximum
- Pre-Existing Condition Coverage: Included
- Urgent Care Visits
- Emergency Medical Evacuation
- Emergency Room Services
- Emergency Dental Coverage
- Prescriptions/Medication
- COVID-19 Coverage: Included
- No optional add-on benefits available
Limited Coverage
Underwriter: C&F Crum & Forster
In Network:Pays fixed amount.
Out of Network:Pays fixed amount.
Direct Billing:via PPO United Healthcare PPO Network
In Network:Pays fixed amount.
Out of Network:Pays fixed amount.
Direct Billing:via PPO United Healthcare PPO Network
- After the deductible, plan pays Pre-Fixed Limited Coverage in or out of the United Healthcare PPO network
- Pre-Existing Condition Coverage: Included
- Emergency Medical Evacuation
- Urgent Care Visits
- Emergency Room Services
- Emergency Dental Coverage
- Prescriptions/Medication
- COVID-19 Coverage: Included
- No optional add-on benefits available
Limited Coverage
Underwriter: SiriusPoint Speciality Insurance Corporation
In Network:Pays fixed amount.
Out of Network:Pays fixed amount.
Direct Billing:via PPO First Health PPO Network
In Network:Pays fixed amount.
Out of Network:Pays fixed amount.
Direct Billing:via PPO First Health PPO Network
- After the deductible, plan pays Pre-Fixed Limited Coverage in or out of the First Health PPO network
- Pre-Existing Condition Coverage: Optional Pre-Existing Rider
- US Border Entry Protection
- Emergency Medical Evacuation
- Urgent Care Visits
- Emergency Room Services
- Emergency Eye Exam Coverage: Optional Vision Rider
- Emergency Dental Coverage: Optional Dental Rider
- Prescriptions/Medication
- Influenza (flu) Vaccination
- Optional Adventure Sports Rider
- COVID-19 Coverage
Comprehensive Coverage
Underwriter: SiriusPoint Speciality Insurance Corporation
In Network:75% up to policy maximum.
Out of Network:60% up to policy maximum.
Direct Billing:via PPO United Healthcare PPO Network
In Network:75% up to policy maximum.
Out of Network:60% up to policy maximum.
Direct Billing:via PPO United Healthcare PPO Network
- Pre-Existing Condition Coverage
- After the deductible, plan pays 75% of eligible medical expenses within the United Healthcare PPO network; Outside the PPO network, plan pays 60% of the URC for eligible medical expenses up to the policy maximum
- Emergency Medical Evacuation
- Urgent Care Visits
- Emergency Room Services
- Prescriptions/Medication
- COVID-19 Coverage: Included
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.


