Parents visiting USA 
Non-US Citizens visiting USA 
B1/B2 Visa Holders to the USA Plan Details
Insurance Provider
International Medical Group (IMG)
Plan Underwriter
SiriusPoint Speciality Insurance Corporation
Plan Rating
A.M. Best Rating: A
Plan Category
Travel Medical Insurance
Plan Type
Limited Coverage
PPO Network
First Health PPO Network
Plan Eligibility
Eligibility
For non U.S residents and non U.S citizens, traveling to the United States, Mexico or Canada
Age for Coverage
14 days to 79 years
Coverage Duration
Minimum of 5 days to a maximum of 365 days
Extendable
Yes, up to 365 days
Policy Maximum, Deductibles & Medical Coverage Limits
Maximum Coverage
Plan A: $50,000 per certificate period
Plan B: $100,000 per certificate period
Plan C: $150,000 per certificate period
Deductible ($0 deductible not available for ages 70-79)
Plan A: $0, $50, or $100 per certificate period
Plan B: $0, $50, or $100 per certificate period
Plan C: $0, $50, or $100 per certificate period
Pre-Existing Conditions
Pre-Exisiting Conditions
Plan A: Optional Add-on: Physician’s visit $150, 3 visits max Lab & X-ray $1,000 ER & Hospitalization $1,500 Prescription $100
Plan B: Optional Add-on: Physician’s visit $150, 3 visits max Lab & X-ray $1,000 ER & Hospitalization $1,500 Prescription $100
Plan C: Optional Add-on: Physician’s visit $150, 3 visits max Lab & X-ray $1,000 ER & Hospitalization $1,500 Prescription $100
Emergency Coverage
Emergency Local Ambulance
Plan A: Up to $650 per certificate period
Plan B: Up to $650 per certificate period
Plan C: Up to $650 per certificate period
Emergency Medical Evacuation
Plan A: Up to $50,000 per evacuation
Plan B: Up to $50,000 per evacuation
Plan C: Up to $50,000 per evacuation
Out-Patient
Outpatient Physician Visits (Includes Urgent Care Clinics and Walk-in Clinics)
Plan A: Up to $65 per visit, 10 visits per certificate period
Plan B: Up to $90 per visit, 10 visits per certificate period
Plan C: Up to $90 per visit, 10 visits per certificate period
Hospital Emergency Room
Plan A: Up to $400 per visit
Plan B: Up to $600 per visit
Plan C: Up to $800 per visit
Prescriptions
Plan A: Up to $350 per certificate period
Plan B: Up to $350 per certificate period
Plan C: Up to $350 per certificate period
In-Patient
Hospital Room & Board
Plan A: Up to $1,400 per day, 30-day maximum certificate period
Plan B: Up to $2,000 per day, 30-day maximum per certificate period
Plan C: Up to $3,000 per day, 25-day maximum per certificate period
Intensive Care
Plan A: Up to an additional $700 per day, 8-day maximum per certificate period
Plan B: Up to an additional $1,000 per day, 8-day maximum per certificate period
Plan C: Up to an additional $1,500 per day, 8-day maximum per certificate period
Dental Coverage
Dental Accident
Plan A: Up to $700 per certificate period
Plan B: Up to $700 per certificate period
Plan C: Up to $700 per certificate period
Travel Coverage
Return of Mortal Remains to Home Country
Plan A: Up to $7,500 maximum or $5,000 for local burial or cremation
Plan B: Up to $7,500 maximum or $5,000 for local burial or cremation
Plan C: Up to $7,500 maximum or $5,000 for local burial or cremation
Additional Coverage Options
Adventure Sports Rider
Plan A: Up to $50,000 per certificate period (Maximum limit varies by age)
Plan B: Up to $50,000 per certificate period (Maximum limit varies by age)
Plan C: Up to $50,000 per certificate period (Maximum limit varies by age)
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