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The PremierX IVAS Plan is a travel medical Insurance plan for visitors traveling anywhere worldwide outside their home country, including USA, Canada, EU, UK, and Australia The plan is available to non-US residents aged 0 to 99 years old traveling to the US, Canada, or Mexico when purchased before the start date of your trip for at least 90 days and not more than 364 days. The benefit maximum is overall maximum payable including the cost of PPO discounts (if any). The Premier Plan comes with UHC PPO Network offering excellent repricing of covered claims. INF PremierX IVAS Plan is not available to US residents and is only available to non-US residents INF PremierX IVAS Plan provides coverage for pre-existing conditions as defined in the plan, as per policy limitations, exclusions and maximums, with no benefit waiting period. In addition to accident and sickness benefits, the INF PremierX plan includes eligible emergency medical evacuation benefits, repatriation of remains benefits, and accidental death and dismemberment benefits. INF PremierX policies are issued by Tideview Risk SPC and backed by Convex Insurance UK Ltd., one of the world’s most trusted reinsurers, rated “A Excellent” by A.M. Best.

Key Highlights:

  • Coverage for non-US residents ages 0-99 years
  • Short-term travel medical coverage (90 days to 364 days)
  • Utilizes the United HealthCare Options PPO
  • Direct Billing through United HealthCare Options PPO may be available from providers
  • Maximum Limits of $100,000, $150,000, $300,000, $500,000, and $1,000,000
  • Pre-Existing Limits:
    • For Ages 0-69: $20,000, $30,000, $40,000, $50,000, $60,000, $100,000, $150,000 or $200,000
    • For Ages 70-99: $15,000 and $25,000
  • Includes Pre-Existing Condition Coverage (See plan details)
  • Insurance Benefits underwritten by Tideview Risk, SPC and backed by Convex Insurance UK Ltd, rated “A Excellent” by A.M. Best.
Key Highlights

Best Suitable Plan For

Parents visiting USA
Non-US Citizens visiting USA
B1/B2 Visa Holders to the USA
Plan Details

Administrator

INF Visitor Care


Coverage Type

Limited Or Fixed Benefits Coverage


Plan Underwriter

Tideview Risk, SPC



Plan Eligibility

Eligibility

All non-US citizen members ages 70 to 99 of the Policyholder who are traveling
to the United States, Canada or Mexico.
All non-US residents plan members ages 69 and under of the Policyholder who
are traveling outside of their Home.

Policy Maximum, Deductibles & Medical Coverage Limits

Maximum Period of Coverage

364 days


Total Maximum for all Accident or Sickness Expense Benefits:

Age 0-69 :
OPTION 1: $100,000
OPTION 2: $150,000
OPTION 3: $300,000
OPTION 4: $500,000
OPTION 5: $1,000,000

Age 70-99 : $100,000


Deductible options

Age 0-69 : $75, $100, $250, $500, $1,000, $2,500, or 5,000
Age 70-99 : $100, $250, $500, $1,000, $2,500, or $5,000


Coinsurance

100% of the Usual and Customary Charges


Pre-Existing Conditions

Pre-existing Conditions

Age 0-69:
For $100,000:
OPTION 1: $20,000 Maximum Benefit; Subject to a $1,000 Deductible
OPTION 2: $40,000 Maximum Benefit; Subject to a $5,000 Deductible

For $150,000:
OPTION 1: $30,000 Maximum Benefit; Subject to a $1,000 Deductible
OPTION 2: $60,000 Maximum Benefit; Subject to a $5,000 Deductible

For $300,000:
OPTION 1: $50,000 Maximum Benefit; Subject to a $1,000 Deductible
OPTION 2: $100,000 Maximum Benefit; Subject to a $5,000 Deductible

For $500,000:
OPTION 1: $150,000 Maximum Benefit; Subject to a $1,000 Deductible
OPTION 2: $200,000 Maximum Benefit; Subject to a $5,000 Deductible

For $1000,000:
OPTION 1: $150,000 Maximum Benefit; Subject to a $1,000 Deductible
OPTION 2: $200,000 Maximum Benefit; Subject to a $5,000 Deductible

Age 70-99:
OPTION 1: $15,000 Maximum Benefit; Subject to a $1,000 Deductible
OPTION 2: $25,000 Maximum Benefit; Subject to a $5,000 Deductible


Out-Patient

Surgical Room and Supply Expenses

Age 0-69 :
OPTION 1: Up to $1,100
OPTION 2: Up to $1,200
OPTION 3: Up to $1,800
OPTION 4: Up to $2,500
OPTION 5: Up to $3,500
Age 70-99 :
Up to $1,100


Doctor Surgical Expenses:

Age 0-69 :
OPTION 1: Up to $5,000
OPTION 2: Up to $6,000
OPTION 3: Up to $8,000
OPTION 4: Up to $10,000
OPTION 5: Up to $15,000
Age 70-99 :
Up to $5,000


X-rays, laboratory procedures

Age 0-69 :
OPTION 1: Up to $650
OPTION 2: Up to $750
OPTION 3: Up to $1,150
OPTION 4: Up to $1,500
OPTION 5: Up to $2,500
Age 70-99 :
Up to $650


Hospital Emergency Room

Age 0-69 :
OPTION 1: Up to $500
OPTION 2: Up to $750
OPTION 3: Up to $2,500
OPTION 4: Up to $3,500
OPTION 5: Up to $5,000
Age 70-99 :
Up to $500


Prescription Drug Expenses

Age 0-69 :
OPTION 1: Up to $150
OPTION 2: Up to $200
OPTION 3: Up to $300
OPTION 4: Up to $500
OPTION 5: Up to $750
Age 70-99 :
Up to $150

In-Patient

Room & Board Charges

Age 0-69 :
OPTION 1: Up to $1,750 per day to a maximum of 30 days
OPTION 2: Up to $1,900 per day to a maximum of 30 days
OPTION 3: Up to $3,000 per day to a maximum of 30 days
OPTION 4: Up to $4,500 per day to a maximum of 30 days
OPTION 5: Up to $6,000 per day to a maximum of 30 days
Age 70-99 :
Up to $1,750 per day to a maximum of 30 days


Doctor Surgical Expenses:

Age 0-69 :
OPTION 1: Up to $5,000
OPTION 2: Up to $6,000
OPTION 3: Up to $8,000
OPTION 4: Up to $10,000
OPTION 5: Up to $15,000
Age 70-99 :
Up to $5,000


Travel Coverage

Emergency Medical Evacuation Benefit

Age 0-69 :
OPTION 1: Up to $20,000
OPTION 2: Up to $25,000
OPTION 3: Up to $45,000
OPTION 4: Up to $65,000
OPTION 5: Up to $85,000
Age 70-99 :
Up to $20,000


Repatriation of Remains Benefit

Age 0-69 :
OPTION 1: Up to $15,000
OPTION 2: Up to $20,000
OPTION 3: Up to $30,000
OPTION 4: Up to $30,000
OPTION 5: Up to $30,000
Age 70-99 :
Up to $15,000


Trip Interruption Benefit

Age (0-69) : $1,000


Additional Coverage Options

Accidental Death and Dismemberment Benefit

$25,000


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