Parents visiting USA 
Non-US Citizens visiting USA 
B1/B2 Visa Holders to the USA Plan Details
Insurance Provider
International Medical Group
Plan Underwriter
Sirius Point
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 79 years, Age 80 years and older
Coverage Duration
Minimum of 5 days to a maximum of 365 days
Extendable
Yes, up to 365 days
Purchase Restrictions
Not available for Citizens of: Botswana (BWA), Gambia (GMB), Ghana (GHA), Niger (NER), Nigeria (NGA), Sierra Leone (SLE) & United States (USA)
Not available to individuals who are physically located in the states of: New York (NY)
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
Not available to individuals who are non U.S citizens residing in the states of: Maryland (MD)
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
Period of Coverage
Twelve (12) continuous months of maximum coverage
Period of Coverage per Injury or Illness Maximum Limit
Lite: $25,000
Plus: $50,000
Platinum: $100,000
Coinsurance
Plan Pays: 100% of scheduled Benefit Limit
The insured is responsible for charges that are not considered eligible medical expenses and exceed the maximum limits stated in the Inpatient services, outpatient services, emergency services, and other services
Pre-Existing Conditions
Acute Onset of Pre-existing Conditions(Insured Person must be under 70 years of age)
Maximum Limit:
Lite: $25,000
Plus: $50,000
Platinum: $100,000
Emergency Coverage
Emergency Local Ambulance
Maximum Limit:
Lite: max up to $250
Plus: max up to $450
Platinum: max up to $475
Out-Patient
Outpatient Physician
Maximum per visit: Lite $40 | Plus: $60 | Platinum: $85
Maximum visits per day: 1 per day, Maximum visits: 10
Urgent Care Clinic and Walk-in Clinic
Maximum per visit: Lite $40 | Plus: $60 | Platinum: $85
Maximum visits: 10
Hospital Emergency Room
Maximum per visit: Lite: $200 | Plus: $300 | Platinum: $550
Surgical Facility
Maximum per Surgical session: Lite: $750 | Plus: $900 | Platinum: $1,000
In-Patient
Inpatient Physician
Maximum per visit: Lite $40 | Plus: $60 | Platinum: $85
Maximum visits per day: 1 per day, Maximum visits: 10
Hospital / Room & Board
Maximum per day: Lite: $825 | Plus: $1,400 | Platinum: $2,000
Average semi private room rate, Maximum days 30
Intensive Care
Additional benefit per day Lite $400 | Plus: $660 | Platinum: $850
Maximum days 8
Surgeon
Maximum per Surgical session: Lite: $2,000 | Plus: $3,300 | Platinum: $5,500
Dental Coverage
Dental Accident
Maximum Limit: $550
Subject to deductible
Travel Coverage
Emergency Medical Evacuation
Maximum Limit:
Lite: $25,000 | Plus: $50,000 | Platinum: 50,000
Return of Mortal Remains
Maximum Limit:
Lite: $25,000 | Plus: $25,000 | Platinum: 25,000
Incidental Trip
Maximum days: 14
Additional Coverage Options
Terrorism
Maximum Limit: $50,000
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