Plan Details
Administrator
INF Visitor Care
Coverage Type
Comprehensive Coverage
Plan Underwriter
Crum & Forster, SPC
PPO Network
United Healthcare Options PPO
Plan Eligibility
Eligibility
Non-US resident plan members ages up to 99 who are traveling outside of their home country
The plan offers different coverage limits for age group 0 to 69 and age group 70 to 99
Policy Maximum, Deductibles & Medical Coverage Limits
Maximum Period of Coverage
364 days
Total Maximum for all Accident or Sickness Expense Benefits:
Age 0-69 : $150,000, $250,000, or $300,000
Age 70-99 : $75,000
Deductible options
Age 0-69 : $100, $250, $500, $1,000, $2,500, or $5,000
Age 70-99 : $100, $250, $500, $1,000, $2,500, or $5,000
Coinsurance
In-Network : 90% or 80% of the Preferred Allowance
Out-of-Network : 70% or 60% of Usual, Reasonable & Customary (URC) Charges
Travel Coverage
Emergency Medical Evacuation Benefit
Age 0-69 : Up to $25,000
Age 70-99 : Up to $25,000
Repatriation of Remains Benefit
Age 0-69 : Up to $20,000
Age 0-69 : Up to $20,000
Trip Interruption Benefit
$1,000
Additional Coverage Options
Accidental Death and Dismemberment Benefit
$25,000