Parents visiting USA 
Non-US Citizens visiting USA 
B1/B2 Visa Holders to the USA Plan Details
Insurance Provider
Seven Corners, Inc
Plan Underwriter
Crum & Forster SPC
Plan Rating
A.M. Best Rating: A
Plan Category
Travel Medical Insurance
Plan Type
Limited Benefit Short Duration Coverage
Plan Eligibility
Eligibility
For international travelers traveling outside their home country to the USA
Age for Coverage
14 days to 99 years
Coverage Duration
Minimum of 5 days to a maximum of 364 days
Extendable
Yes, up to 364 days
Purchase Restrictions
.
Not available for Citizens of: Kosovo (XKX), Puerto Rico (PRI), United States (USA) & Virgin Islands (USA) (VIR)
Not Available for Purchase from the Following U.S. States/Territories: Maryland (MD), New York (NY), Colorado (CO), North Dakota (ND) & Washington (WA)
Note: These U.S state restrictions are only applicable for purchase. The policy will still cover travelers visiting and temporarily staying in these U.S states
Policy Maximum, Deductibles & Medical Coverage Limits
Medical Maximum Options
14 days to 69 years: $50,000; $100,000; $500,000; $1,000,000
70 to 79 years: $50,000; $100,000
80 years & over: $10,000
Deductible Options
$0; $100; $250; $500; $1,000; $5,000
Coinsurance
Inside the United States:
In PPO Network: 100% to Medical Maximum
Out of PPO Network: 80% of the first $10,000 in Covered Expenses, then100% to Medical Maximum
Outside the United States: 100% to Medical Maximum
Pre-Existing Conditions
Acute Onset of Pre-Existing Conditions
14 days to 69 years: $25,000
70 to 79 years: $2,500
80 years & over: N/A
Emergency Coverage
Ambulance Expenses
Up to $5,000
Emergency Room(ER)
URC (Usual Reasonable and Customary) up to the medical maximum. Co-pay: $100
Out-Patient
Dr. / Physician Visit
URC up to Medical Maximum $30 Copay per visit
Urgent Care
URC up to Medical Maximum $30 Copay per visit
Surgical Treatment
Within USA: In Network: After the deductible is met plan pays 100% up to the policy maximum
Out of Network After the deductible is met, plan pays 80% for the first $10,000 and then 100% up to the policy maximum
Prescription Drugs / Medicines
URC (Usual Reasonable and Customary) up to the medical maximum
Lab & X-rays
URC (Usual Reasonable and Customary) up to the medical maximum
Physical Therapy
N/A
In-Patient
Hospital Room
URC (Usual Reasonable and Customary) up to the medical maximum
Surgical Treatment
URC (Usual Reasonable and Customary) up to the medical maximum
Hospital Intensive Care Unit
URC (Usual Reasonable and Customary) up to the medical maximum
Dental Coverage
Dental — Sudden Relief of Pain
$100
Dental — Accident
$250
Travel Coverage
Emergency Medical Evacuation and Repatriation
$250,000 (separate from Medical Maximum)
Return of Child(ren)
$25,000
Emergency Medical Reunion
$25,000 maximum, $200 per day, 10-day limit
Return of Mortal Remains
$25,000
Additional Coverage Options
Accidental Death and Dismemberment(AD&D)
14 days to 18 years: $2,500
19 years & over: $10,000
$250,000 Aggregate Limit total number of Insured Persons on Plan
Loss of Checked Baggage
$50 per article
$250 per occurrence
Trip Interruption
$2,500
Personal Liability
$25,000
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