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Home Country :

Destination Country :

Coverage Start Date :

Coverage End Date :

Applicant Age :

Spouse Age :

Dependent Children Age

0-9 Yrs :

10-17 Yrs :

Deductible	Maximum Limit 50,000 Premium	Maximum Limit 100,000 Premium	Maximum Limit 250,000 Premium	Maximum Limit 500,000 Premium	Maximum Limit 1,000,000 Premium	Maximum Limit 2,000,000 Premium
$$0	$0	$0	$0	$0	$0	$0
$$100	$0	$0	$0	$0	$0	$0
$$250	$0	$0	$0	$0	$0	$0
$$500	$0	$0	$0	$0	$0	$0
$$1000	$0	$0	$0	$0	$0	$0
$$2500	$0	$0	$0	$0	$0	$0
$$5000	$0	$0	$0	$0	$0	$0

Plan Details

Plan Administrator: WorldTrips | AM Best Rating: A "Excellent" | Underwriter: Lloyd's

Eligibility: Non US citizen age at least 14 days to 99 years traveling outside home country.
Coverage Length: Min 5 days up to max 364 days.
Acute Onset of Pre-existing Condition: Up to the overall maximum limit Up to $25,000 lifetime maximum for Emergency Medical Evacuation
Co-Insurance:100% of eligible expenses after the deductible up to the overall maximum limit.
PPO Network :United Heathcare.
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