Parents visiting USA 
Non-US Citizens visiting USA 
B1/B2 Visa Holders to the USA Plan Details
Insurance Provider
WorldTrips
Plan Underwriter
Lloyd’s of London
Plan Rating
A.M. Best Rating: A
Plan Category
Travel Medical Insurance
Plan Type
Comprehensive Coverage
PPO Network
United Healthcare PPO Network
Plan Eligibility
Eligibility
For non U.S residents and non U.S citizens traveling to the U.S.
Age for Coverage
14 days to 99 years
Coverage Duration
Minimum of 5 days to a maximum of 364 days
Extendable
Yes, up to 364 days
Policy Maximum, Deductibles & Medical Coverage Limits
Overall Maximum Limit
Age 80 or older – $10,000
Age 65 to 79 – $50,000 or $100,000
All others – $50,000, $100,000, $250,000, $500,000, $1,000,000, or $2,000,000
Deductible Options
$0, $100, $250, $500, $1,000, $2,500, or $5,000 per certificate period
In-Network
Plan pays 100% up to the policy maximum
Out-of-Network
Plan pays 100% up to the policy maximum
Pre-Existing Conditions
Acute Onset of Pre-Existing Conditions
Up to the overall maximum limit
Emergency Coverage
Ambulance Expenses
Usual, reasonable and customary charges when covered illness or injury results in hospitalization as inpatient
Emergency Room(ER)
After deductible, the plan pays 100% up to policy maximum for eligible expenses
Out-Patient
Dr. / Physician Visit
After deductible, the plan pays 100% up to policy maximum for eligible expenses
Urgent Care
$15 co-pay (deductible waived) for urgent care and walk-in clinics only applicable to claims incurred inside the US. Co-pay waived if $0 is chosen for policy
Surgical Treatment
After deductible, the plan pays 100% up to policy maximum for eligible expenses
Prescription Drugs / Medicines
After deductible, the plan pays 100% up to policy maximum for eligible expenses
Lab & X-rays
After deductible, the plan pays 100% up to policy maximum for eligible expenses
Physical Therapy
100% up to policy maximum
In-Patient
Hospital Room
After deductible, the plan pays 100% up to policy maximum for eligible expenses
Surgical Treatment
After deductible, the plan pays 100% up to policy maximum for eligible expenses
Hospital Intensive Care Unit
After deductible, the plan pays 100% up to policy maximum for eligible expenses
Dental Coverage
Acute onset of pain
Up to $300
Travel Coverage
Emergency Medical Evacuation
Up to $1,000,000 lifetime maximum
Return of Remains
Overall maximum limit (not subject to deductible or coinsurance)
Emergency Reunion
Up to $100,000, subject to a maximum of 15 days – not subject to deductible
Return of minor Child(ren)
$50,000 per certificate period (not subject to deductible)
Trip Interruption
$10,000 limit per certificate period (not subject to deductible)
Loss of checked Baggage
$1,000 limit per certificate period (not subject to deductible)
Additional Coverage Options
Accidental Death and Dismemberment
Up to Age 69: Up to $25,000
Age 70-74: Up to $12,500
Age 75 and older: Up to $ 6,250
Age under 18: Up to $5,000 (subject to a maximum of $250,000 any one family or group)
Optional Riders Available (see policy brochure for details)
Crisis Response Benefit Rider
Up to $10,000 – not subject to deductible or overall maximum limit
Personal Liability Benefit Rider
Up to: $25,000 lifetime maximum $25,000 third person injury $25,000 third person property $2,500 related third person property – not subject to deductible or overall maximum limit
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