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
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, or $1,000,000.
Deductible Options
$0, $100, $250, $500, $1,000, $2,500, or $5,000 per certificate period.
Coinsurance
In-Network Payment: Within the PPO:We will pay 70% of eligible expenses after the deductible to the overall maximum limit.
Out-of-Network Payment : Outside the PPO:Usual, reasonable, and customary. You may be responsible for any charges exceeding the payable amount.
Pre-Existing Conditions
Acute Onset of Pre-Existing Conditions
No Benefits.
Emergency Coverage
Ambulance Expenses
After deductible, the plan pays 100% of URC up to policy maximum for eligible expenses.
Emergency Room(ER)
After deductible, the plan pays 100% of URC up to policy maximum for eligible expenses.
(Emergency Room cost not covered for general illness unless hospitalized. Prefer going to an urgent care facility or make an appointment directly with doctor for general illness related conditions.)
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% of URC up to policy maximum for eligible expenses.
Prescription Drugs / Medicines
After deductible, the plan pays URC for prescription drugs/medicines.
Lab & X-rays
After deductible, the plan pays 100% of URC up to policy maximum for eligible expenses.
In-Patient
Hospital Room
After deductible, the plan pays 100% of URC up to policy maximum for eligible expenses.
Surgical Treatment
After deductible, the plan pays 100% of URC up to policy maximum for eligible expenses.
Hospital Intensive Care Unit
After deductible, the plan pays 100% of URC up to policy maximum for eligible expenses.
Dental Coverage
Acute, spontaneous and unexpected pain
Up to $300 for emergency dental accidents and acute onset of pain.
Accidental emergency
Up to $300 for emergency dental accidents and acute onset of pain.
Travel Coverage
Emergency Medical Evacuation / Repatriation
Up to $5000,000 maximum lifetime limit.
Return of Remains
Up to $25,000.
Additional Coverage Options
Local Burial or Cremation
Not covered.
Terrorism Coverage
Up to $50,000.