Parents visiting USA 
Non-US Citizens visiting USA 
B1/B2 Visa Holders to the USA Plan Details
Insurance Provider
Trawick International
Plan Underwriter
Crum & Forster, SPC
Plan Rating
A.M. Best Rating: A
Plan Category
Travel Medical Insurance
Plan Type
THIS IS A LIMITED BENEFIT POLICY. The insurance described in this document provides limited benefits
PPO Network
United Healthcare PPO Network
Plan Eligibility
Eligibility
For non U.S residents and non U.S citizens traveling to the U.S or the U.S and worldwide
Coverage for minimum 5 days to maximum up to 364 days
Extendable for up to 364 days
For ages 1 years to 89 years
Plan must be purchased within 364 days of arrival
Eligible for Student Visa holders who do not have specific health insurance requirements to meet
Temporary coverage for green card holders visiting the USA for a short trip
Purchase Restrictions
Not available for Citizens of: United States (USA)
Policy Maximum, Deductibles & Medical Coverage Limits
Emergency Medical & Hospitalization Policy Maximum
$50,000, $100,000, $250,000, $500,000 or $1,000,000
Deductible Options
$0, $100, $250, $500, $1,000, $2,500, $5,000
Co-Insurance
100% up to the Policy Maximum
Pre-Existing Conditions
Acute Onset of Pre-existing Conditions
Included
Emergency Coverage
Emergency Local Ambulance
Covered
Emergency Room(ER)
Additional $200 deductible applies to ER visit for sickness that does not lead to hospitalization
Out-Patient
Dr. / Physician Visit
Covered
Urgent Care
$30 copay applies
No Co-pay if $0 deductible is chosen
Surgical Treatment
Covered
Prescription Drugs / Medicines
Prescription Medicine – Covered
Lab & X-rays
Covered
Physical Therapy
$50 per day, up to 10 visits per Policy Period
In-Patient
Hospital Room
The average semi-private room rate
Surgical Treatment
Covered
Hospital Intensive Care Unit
Up to maximum limit
Dental Coverage
Dental Treatment
Up to $250 for injury or pain to sound natural teeth
Travel Coverage
Emergency Medical Evacuation
100% up to $2,000,000 per policy period
Return of Remains
100% up to $50,000 per policy period
Emergency Reunion
$15,000 per policy period
Return of minor Child(ren)
$5,000 per policy period
Trip Interruption
$5,000 per policy period
Loss of checked Baggage
$1,000 per policy period
Additional Coverage Options
Sports Activity Coverage
Up to $50,000 per policy period
Accidental Death & Dismemberment
Insured: $25,000 Principal Sum
Spouse / Domestic Partner: $25,000 Principal Sum
Dependent Child: $10,000 Principal Sum
LOCAL BURIAL / CREMATION
$5,000 per Policy Period
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