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IMG Visitors Care Travel Medical Insurance Plan Information

Travel Insurance for India!

Visitors CareSM   travel medical insurance

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 monthsAfter 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.

 

Visitors Care Plan Rates

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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.
 
 
BENEFITS

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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.

 
 
 

 

CONDITIONS OF COVERAGE 

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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.
EXCLUSIONS

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Charges for the following services, treatments and/or conditions, among others, are expressly excluded from coverage under the Visitors Care plan:
 

  1. 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
  2. Treatment or surgeries which are elective, investigational, experimental or for research purposes.
  3. War, political insurrection, protest, or any act thereof.
  4. Immunizations and routine physical exams.
  5. Treatment of Temporomandibular Joint or dental treatment, except as otherwise expressly provided for in the Policy Wording.
  6. 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.
  7. Pregnancy, childbirth, birth control, artificial insemination, treatment for infertility or impotency, sterilization or reversal thereof, or abortion.
  8. 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.
  9. Vision or ear tests and the provision of visual or hearing aids.
  10. Vocational, recreational, speech or music therapy.
  11. Charges incurred for custodial care, educational or rehabilitative care, or nursing services.
  12. 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.
  13. Treatment for, and injuries and/or illnesses resulting or arising from, substance abuse or drug addiction.
  14. 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.
  15. Willful self-inflicted injury or illness.
  16. Treatment required as a result of or arising from complications from a treatment or condition not covered under the Visitors Care plan.
  17. Any services or supplies performed or provided by a relative of the Insured Person or provided at no cost to the Insured Person.
  18. Treatment for mental and nervous disorders.
  19. Organ or tissue transplants, and all related services.
  20. 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.

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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
 

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International Plans are NOT available to Canadian Residents

These plans do NOT cover pre-existing medical conditions. Please read plan terms and conditions carefully.


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