Plan Details
Insurance Provider
Seven Corners, Inc
Plan Underwriter
Lloyd’s of London
Plan Rating
A.M. Best Rating: A
Plan Category
Travel Medical Insurance
Plan Type
Limited Coverage
Plan Eligibility
Eligibility
For non U.S residents and non U.S citizens traveling to the U.S
Age for Coverage
14 days to 99 years
Coverage Duration
Minimum of 5 days to a maximum of 364 days
Benefit Period
180 days
Coverage Area
United states
Extendable
Extendable for a total of up to 1,092 days
Purchase Restrictions
Not available for Citizens of: Kosovo (XKX), Puerto Rico (PRI), Ukraine (UKR), United States (USA) & Virgin Islands (USA) (VIR)
Not available for purchase if the traveler(s) is from one of these U.S. States/Territories: Colorado (CO), Washington (WA), South Dakota (SD), New York (NY) & Maryland (MD). The policy will still cover the traveler(s) visiting and temporarily staying in these destinations.
Policy Maximum, Deductibles & Medical Coverage Limits
Medical Maximum Options
14 days to 69 years: $50,000; $100,000; $150,000
70 to 99 years: $50,000; $100,000
Deductible Options
14 days to 69 years: $0; $50; $100
70 to 99 years: $100; $200
Pre-Existing Conditions
Acute Onset of Pre-Existing Conditions
14 days to 69 years: $75,000
70 to 79 years: $25,000
80 to 99 years: N/A
Emergency Coverage
Local Ambulance
$500
Emergency Room Services
$600
Out-Patient
Dr. / Physician Visit
$100 per visit, 1 per day 30 visits maximum
Urgent Care
$100 per visit, 1 per day 30 visits maximum
Surgical Treatment
$5000
Prescription Drugs
$350 per Period of Coverage
Lab & X-rays
Diagnostic Basic: Up to $750
Diagnostic Comprehensive: Up to $1,250
Physical Therapy
$60 per visit, 1 visit per day, 12 visits maximum
In-Patient
Hospital Room
$2,000 per day, 30-day limit
Surgical Treatment
$5000
Hospital Intensive Care Unit
Additional $750 per day, 8-day limit
Dental Coverage
Dental — Sudden Relief of Pain
$750
Dental — Accident
$750
Travel Coverage
Emergency Medical Evacuation
$100,000 (separate from Medical Maximum)
Local Burial or Cremation
$25,000
Return of Mortal Remains
$25,000
Additional Coverage
Common Carrier Accidental Death and Dismemberment
$25,000 Principal Sum per Insured Person
$125,000 Aggregate Limit per any one (1) Accident
International Travel Coverage
Up to Medical Maximum