|
IMG Visitors Care Travel
Medical Insurance Plan Information
Travel Insurance for India!
|
|
| The Visitors Care
plan provides travel medical insurance coverage for
individuals aged 14 months to 79 years old traveling outside
their country of citizenship for a minimum of one month up to
24 months. If the initial purchase is for a period of three
(3) months or longer, the plan is renewable for a minimum of 3
months at a time for a total of 24 continuous months. After
24 months of continuous coverage, the Visitors Care plan can
be rewritten for succeeding or subsequent periods. New
Deductible, Eligibility, Conditions of Coverage and
Pre-Existing Condition Exclusions will apply and a new
application must also be completed. This plan offers
Lifetime benefit maximums of US$25,000, US$50,000 and US$100,000. You
have your choice of deductibles of US$75 or US$150 per period
of insurance. When you incur eligible medical expenses , the
plan will provide benefits for Usual, Reasonable and Customary
charges as outlined in the Schedule of Benefits below. |
|
 |
|
|
|
|
|
Plan A - US$25,000 maximum benefit per life of
plan |
|
|
|
|
Option 1
US$0 deductible
per period of coverage |
Option 2
US$50 deductible
per period of coverage |
Option 3
US$100 deductible
per period of coverage |
|
Age |
One Month |
One Month |
One Month |
|
2 weeks - 49 |
$31 |
$26 |
$23 |
|
50-69 |
$47 |
$39 |
$36 |
|
70-79 |
N/A |
$61 |
$58 |
|
80+* |
N/A |
$122 |
$116 |
|
Dependent child |
$24 |
$20 |
$18 |
|
|
| |
Option 1
US$0 deductible
per period of coverage |
Option 2
US$50 deductible
per period of coverage |
Option 3
US$100 deductible
per period of coverage |
|
Age |
Daily |
Daily |
Daily |
|
2 weeks - 49 |
$1.04 |
$0.87 |
$0.77 |
|
50-69 |
$1.57 |
$1.30 |
$1.20 |
|
70-79 |
N/A |
$2.03 |
$1.93 |
|
80+* |
N/A |
$4.10 |
$3.90 |
|
Dependent child |
$0.80 |
$0.67 |
$0.60 |
|
|
|
*The
maximum amount of coverage for applicants who are 80 years
of age or older is US$10,000. |
|
Plan B - US$50,000 maximum benefit per life of
plan |
|
|
|
|
Option 4
US$0 deductible
per period of coverage |
Option 5
US$50 deductible
per period of coverage |
Option 6
US$100 deductible
per period of coverage |
|
Age |
One Month |
One Month |
One Month |
|
2 weeks - 49 |
$47 |
$39 |
$36 |
|
50-69 |
$71 |
$59 |
$55 |
|
70-79 |
N/A |
$91 |
$86 |
|
Dependent child |
$36 |
$30 |
$28 |
|
|
| |
Option 4
US$0 deductible
per period of coverage |
Option 5
US$50 deductible
per period of coverage |
Option 6
US$100 deductible
per period of coverage |
|
Age |
Daily |
Daily |
Daily |
|
2 weeks - 49 |
$1.56 |
$1.30 |
$1.20 |
|
50-69 |
$2.36 |
$1.97 |
$1.83 |
|
70-79 |
N/A |
$3.05 |
$2.90 |
|
Dependent child |
$1.20 |
$1.00 |
$0.93 |
|
Plan C - US$100,000 maximum benefit per life of
plan |
|
|
|
|
Option 7
US$0 deductible
per period of coverage |
Option 8
US$50 deductible
per period of coverage |
Option 9
US$100 deductible
per period of coverage |
|
Age |
One Month |
One Month |
One Month |
|
2 weeks - 49 |
$70 |
$58 |
$54 |
|
50-69 |
$104 |
$87 |
$85 |
|
70-79 |
N/A |
$136 |
$132 |
|
Dependent child |
$59 |
$49 |
$45 |
|
|
| |
Option 7
US$0 deductible
per period of coverage |
Option 8
US$50 deductible
per period of coverage |
Option 9
US$100 deductible
per period of coverage |
|
Age |
Daily |
Daily |
Daily |
|
2 weeks - 49 |
$2.33 |
$1.93 |
$1.83 |
|
50-69 |
$3.47 |
$2.90 |
$2.83 |
|
70-79 |
N/A |
$4.55 |
$4.40 |
|
Dependent child |
$1.97 |
$1.63 |
$1.50 |
|
| |
| All
premium rates are in US dollars and are effective through
12-Dec-2007. Rates include 2.5% surplus lines tax where
applicable. A dependent child is your child shown on the
Application Form over 14 days and under 18 years of age,
traveling with you, and for whom premium has been paid.
|
|
|
|
|
|
|
|
| The
plan offers benefit maximums of US$25,000, US$50,000
or US$100,000 for the life of the plan, and a choice
of deductibles of US$0, US$50, or US$100 applied per
period of coverage. When you incur eligible medical
expenses, the plan will provide benefits for Usual,
Reasonable and Customary charges up to the limits
outlined in the Schedule of Benefits below, with no
coinsurance. The four benefits below apply to all
three plans. |
| |
INTERNATIONAL EMERGENCY CARE
|
Emergency Evacuation |
To US$50,000 when coordinated through IMG
(not to exceed plan maximum) |
|
The plan includes coverage for Emergency Medical
Evacuations to the nearest qualified medical
facility in life-threatening situations, and
expenses for reasonable travel and accommodations
resulting from the evacuation, which must be
approved and coordinated in advance. |
| |
|
Return of Mortal Remains |
To US$7,500 when coordinated through IMG |
|
If a covered illness/injury results in death,
expenses for repatriation of bodily remains or
ashes to the home country will be covered, up to a
maximum of US$7,500. |
SPECIAL COVERAGES
|
Home Country Coverage |
As described below |
|
Incidental Home Country Coverage
- During the period of coverage, an insured person
may return to his/her home country for incidental
visits up to a cumulative two weeks total, and
retain continuing coverage during such visit(s),
so long as: a. The insured person
must have previously left his/her home country for
some portion of the period of coverage, and
b. The return to the home country
must not be undertaken for the purpose of
receiving treatment for an illness or injury
incurred while traveling or residing outside the
home country. |
| |
|
Common Carrier Accidental Death |
US$25,000 to Beneficiary |
|
If accidental death should occur while traveling
on a commercial common carrier during the period
of coverage, US$25,000 will be paid to the
designated beneficiary. |
MEDICAL BENEFITS -
usual, reasonable and customary charges, subject to
deductible where applicable
|
|
Plan A - US$25,000 maximum benefit per
life of plan |
Plan B - US$50,000 maximum benefit per
life of plan |
Plan C - US$100,000 maximum benefit per
life of plan |
|
Inpatient Treatment |
|
Hospital room & board |
Up to US$825 per day, 30 day maximum per period of
coverage |
Up
to US$1,400 per day, 30 day maximum per period of
coverage |
Up to US$1,950 per day, 30 day maximum per period
of coverage |
|
Intensive Care |
Additional US$400 per day, 8 day maximum per
period of coverage |
Additional US$660 per day, 8 day maximum per
period of coverage |
Additional US$850 per day, 8 day maximum per
period of coverage |
|
Surgical Treatment |
US$2,000 per surgical session |
US$3,300 per surgical session |
US$5,500 per surgical session |
|
Consult physician |
US$350 per period of coverage |
US$450 per period of coverage |
US$500 per period of coverage |
|
Pre-admission tests |
US$750 per period of coverage |
US$1,100 per period of coverage |
US$1,100 per period of coverage |
|
Private duty nurse |
US$400 per period of coverage |
US$550 per period of coverage |
US$550 per period of coverage |
|
Physician visits |
US$40 allowable charge per visit, 30 visits per
period of coverage |
US$55 allowable charge per visit, 30 visits per
period of coverage |
US$85 allowable charge per visit, 30 visits per
period of coverage |
|
Outpatient Treatment |
|
Surgical treatment |
US$2,000 per surgical session |
US$3,300 per surgical session |
US$5,500 per surgical session |
|
Diagnostic x-ray & lab |
US$650 per period of coverage, (US$325 allowable
charge per procedure) |
US$800 per period of coverage, (US$400 allowable
charge per procedure) |
US$950 per period of coverage, (US$475 allowable
charge per procedure) |
|
Hospital emergency room |
75% of URC to US$200 |
75% of URC to US$330 |
75% of URC to US$550 |
|
Prescription drugs |
US$150 per period of coverage |
US$250 per period of coverage |
US$250 per period of coverage |
|
Physician visits |
US$50 allowable charge per visit, 10 visits per
period of coverage |
US$55 allowable charge per visit, 10 visits per
period of coverage |
US$85 allowable charge per visit, 10 visits per
period of coverage |
|
Miscellaneous Inpatient & Outpatient
Services |
|
Anesthetist |
25% of surgical benefit |
25% per surgical session |
25% per surgical session |
|
Assistant surgeon |
25% of surgical benefit |
25% per surgical session |
25% per surgical session |
|
Other Coverages |
|
Ambulance |
US$250 per period of coverage |
US$450 per period of coverage |
US$450 per period of coverage |
|
Dental for accident to sound natural teeth |
US$350 per period of coverage |
US$550 per period of coverage |
US$550 per period of coverage |
|
Physiotherapy |
US$25 per visit per day, 12 visits per period of
coverage |
US$40 per visit per day, 12 visits per period of
coverage |
US$40 per visit per day, 12 visits per period of
coverage |
The period of coverage is the period of time for which
premium has been timely paid. At each renewal, a new
period of coverage will begin.
PLEASE NOTE: This web page contains only a
consolidated and summary description of all current
Visitors Care benefits, conditions, limitations and
exclusions. A certificate of insurance containing the
complete Policy Wording with all terms, conditions,
limits and exclusions will be included with the
fulfillment kit. Please review the Policy Wording
carefully upon receipt and contact IMG if you have any
questions concerning available coverages and benefits.
The plan underwriter reserves the right to amend or
modify the Policy Wording, and issue the most current
Policy Wording for the Visitors Care plan, in the
event an Application Form and/or this brochure has
expired, is modified, or is replaced with a newer
version. Current Policy Wordings are available upon
request.
|
|
|
|
|
| |
| |
|
|
|
1. Coverage and
benefits are subject to the applicable deductible and Scheduled
limits, and the other terms of the plan as contained in the
complete Policy Wording.
2. Coverage under the plan is secondary to any other coverage.
3. Coverage and benefits are for medically necessary, usual,
reasonable and customary charges only.
4. Charges must be administered or ordered by a physician.
5. Charges must be incurred during the Period of Coverage.
6. Claims must be presented to IMG for payment within the Period
of Coverage or during the three months immediately following the
Period of Coverage. |
|
|
|
Charges for the following services, treatments
and/or conditions, among others, are expressly excluded from
coverage under the Visitors Care plan:
- Pre-existing Conditions. Any Injury, Illness, sickness,
disease, or other physical or medical disorder, condition or
ailment that, with reasonable medical certainty, existed at the
time of Application or at any time during the three years prior
to the Effective Date of the Initial Period of Coverage, whether
or not previously manifested or symptomatic, diagnosed, treated,
or disclosed, including any subsequent, chronic or recurring
complications
- Treatment or surgeries which are elective, investigational,
experimental or for research purposes.
- War, political insurrection, protest, or any act thereof.
- Immunizations and routine physical exams.
- Treatment of Temporomandibular Joint or dental treatment,
except as otherwise expressly provided for in the Policy
Wording.
- Venereal disease, AIDS virus, AIDS related illness, ARC
Syndrome, or AIDS, and the cost of testing for these conditions,
and charges for treatment or surgeries which are incurred by any
Insured Person who was HIV+ at time of enrollment into this
insurance.
- Pregnancy, childbirth, birth control, artificial
insemination, treatment for infertility or impotency,
sterilization or reversal thereof, or abortion.
- Any Injury or Illness sustained while taking part in
mountaineering activities where specialized climbing equipment,
ropes or guides are normally or reasonably should have been
used, Amateur Athletics or professional athletics, aviation
(except when traveling solely as a passenger in a commercial
aircraft), hang gliding and parachuting, snow skiing except for
recreational downhill and/or cross country snow skiing (no cover
provided whilst skiing in violation of applicable laws, rules or
regulations; away from prepared and marked inbound territories;
and/or against the advice of the local ski school or local
authoritative body), racing of any kind including by horse,
motor vehicle (of any type) or motorcycle, spelunking, and
subaqua pursuits involving underwater breathing apparatus.
- Vision or ear tests and the provision of visual or hearing
aids.
- Vocational, recreational, speech or music therapy.
- Charges incurred for custodial care, educational or
rehabilitative care, or nursing services.
- Charges, injuries and/or illnesses resulting or arising from
or occurring during the commission or continuing perpetration of
a violation of law by the Insured Person, including without
limitation, engaging in an illegal occupation or act, but
excluding minor traffic violations.
- Treatment for, and injuries and/or illnesses resulting or
arising from, substance abuse or drug addiction.
- Injury and/or illness resulting or arising from being under
the influence of alcohol or drugs; and injury or illness
resulting from operating of any type of vehicle after consuming
any alcohol or drugs.
- Willful self-inflicted injury or illness.
- Treatment required as a result of or arising from
complications from a treatment or condition not covered under
the Visitors Care plan.
- Any services or supplies performed or provided by a relative
of the Insured Person or provided at no cost to the Insured
Person.
- Treatment for mental and nervous disorders.
- Organ or tissue transplants, and all related services.
- Treatment incurred as a result of or arising from exposure
to nuclear radiation, and/or radioactive material(s).
PLEASE NOTE: This brochure contains only a consolidated and
summary description of all current Visitors Care benefits,
conditions, limitations and exclusions. A certificate of insurance
containing the complete Policy Wording with all terms, conditions,
limits and exclusions will be included with the fulfillment kit.
Please review the Policy Wording carefully upon receipt and
contact IMG if you have any questions concerning available
coverages or benefits. The plan underwriter reserves the right to
amend or modify the Policy Wording, and issue the most current
Policy Wording for the Visitors Care plan, in the event an
Application Form and/or this brochure has expired, is modified, or
is replaced with a newer version. Current Policy Wordings are
available upon request |
|
|
| This web material
contains only a consolidated and summary description of all
current Visitors Care benefits, conditions, limitations and
exclusions. A certificate containing the complete Policy Wording
with all terms, conditions and exclusions will be included with
the fulfilment kit. IMG reserves the right to issue the most
current Policy Wording for this insurance plan in the event this
application and/or brochure has expired, is modified, or is
replaced with a newer version. Current Policy Wordings are
available upon request. |
Get Quote & Buy Online Now!
Distributed and Administered by International Medical
Group and underwritten
Distributed and Administered by International
Medical Group and underwritten by
Sirius International, which is part of the White Mountains
Insurance Group Ltd. With approximately $2 billion of regulatory capital
and over $2 billion in gross premiums, the Group ranks among the top
insurance and reinsurance organizations in the world. Sirius
International Insurance Corporation (publ), offers the financial
security and reputation demanded by international consumers. Rated A
(excellent) by A.M. Best and A- by Standard & Poor's
See Legal Disclosure & Terms of Use
International Plans
are NOT available to Canadian Residents These plans do NOT
cover pre-existing medical conditions. Please read plan terms and
conditions carefully. |
Get
Quote NOW!
|