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
Comprehensive Coverage
PPO Network
First Health PPO Network
Plan Eligibility
This policy is not available to anyone age 90years or above
For non-U.S. residents and non-U.S. citizens, traveling to the USA or USA and then other countries
This policy is not available to anyone residing within the U.S. for more than 365 days prior to their effective date
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, $50, $100, $250, $500, $1,000, $2,500, $5,000
Co-Insurance
80% of the first $5,000 then 100% up to the Policy Maximum
Pre-Existing Conditions
UNEXPECTED RECURRENCE OF A PRE-EXISTING CONDITION
$1,000 per Policy Period
Emergency Coverage
Emergency Local Ambulance
Covered
Emergency Room(ER)
$200 Additional deductible per visit – Only applies when receiving care in an Emergency Room for an Illness that does not result in a hospital admittance
Out-Patient
Dr. / Physician Visit
Covered
Urgent Care
$30 copay applies
There is no co-pay if $0 deductible is chosen
Surgical Treatment
Covered
Prescription Drugs / Medicines
Covered
Lab & X-rays
Covered
Physical Therapy
$50 per visit, up to 10 visits per Policy Period.
In-Patient
Hospital Room
The average semi-private room rate
Surgical Treatment
Covered
Hospital Intensive Care Unit
3 times the average semi-private room rate
Dental Coverage
Dental Treatment
Up to $250 for injury or pain to sound natural teeth
Travel Coverage
Emergency Medical Evacuation
Up to $2,000,000
Repatriation of Remains
Up to $50,000
Emergency Reunion
$15,000
Return of minor Child(ren)
$5,000
Trip Interruption
$5,000
Loss of checked Baggage
$1,000
Additional Coverage Options
Accidental Death & Dismemberment
$25,000
LOCAL BURIAL / CREMATION
$5,000
Coma Benefit
Up to $10,000
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