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
Comprehensive Coverage
PPO Network
United Healthcare PPO Network
Plan Eligibility
Eligibility
For visitors traveling to the United States
Age for Coverage
For ages 14 days to 99 years
Coverage Duration
Coverage for a minimum of 90 days up to 365 days
Extendable
Not Extendable
Policy Maximum, Deductibles & Medical Coverage Limits
Period of Coverage
90 days up to 12 months
Period of Coverage per Injury or Illness Maximum Limit
Through age 69: $50,000, $100,000 or $250,000
Ages 70 and older: $50,000
Area of Coverage
United States including Canada and Mexico
Per Injury or Illness Deductible
$250, $500, $1,000, $2,500 or $5,000 per Insured Person, as indicated on the Declaration
Coinsurance In addition to Deductible
In Network: Plan pays 75% ; Insured pays 25%
Out of Network: Plan pays 60% ; Insured pays 40%
Pre-Existing Conditions
Pre-Existing Conditions
Deductible: $1,500 per Injury or Illness (plan Deductible waived)
Maximum Limit through age 69: $25,000
Maximum Limit ages 70 and older: $20,000
In-Patient/Out-Patient Services
Eligible Medical Expenses are limited to Usual, Reasonable and Customary
Limits per Period of Coverage unless stated as Maximum Limit
Physician Visits / Services
In-Network:75%; Out-of-Network:60%
Urgent Care Clinic
Not subject to Deductible and Coinsurance
In-Network Copayment: $25
Out-of-Network Copayment: $50
In-Network:100%; Out-of-Network:100%
Intensive Care
In-Network:75%; Out-of-Network:60%
Surgery
In-Network:75%; Out-of-Network:60%
Laboratory
In-Network:75%; Out-of-Network:60%
Emergency Coverage
Emergency Local Ambulance
Subject to Deductible and Coinsurance
Injury
Illness resulting in an Inpatient Hospital
In-Network : 75%; Out-of-Network:60%
Emergency Medical Evacuation
Maximum Limit: $25,000
Approved in advance and coordinated by the Company
In-Network : 100%; Out-of-Network:100%
Dental Coverage
Dental Coverage
Subject to Deductible and Coinsurance
Limit: $300 (Unexpected pain or Treatment due to an Accident)
In Network: 75%; Out-of-Network:60%
Travel Coverage
Emergency Reunion
Maximum Limit: $100,000
Maximum days: 15
Meal maximum per day: $25
Reasonable and necessary travel costs and accommodations
Approved in advance by the Company
In-Network : 100%; Out-of-Network:100%
Return of Minor Children
Maximum Limit: $100,000
Approved in advance by the Company
In-Network : 100%; Out-of-Network:100%
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