Visit USA HealthCare - Budget

Plan Administrator: USI Affinity Travel Insurance Services | AM Best Rating: A "Excellent" | Underwriter: Lloyd's of London

  • Coverage Area: Non-US citizen ( age 0-99) traveling outside home country.
  • Coverage Length: up to 364 days.
  • Acute Onset of Pre-existing No Coverage: Under Age 65:- Up to $20,000 & Age (65 to 99):-$2,500.
  • Renewable: No
  • Cancel: Yes only prior to effective date.
  • ID Card: Comes in email to download.

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  • Doctor Visit & Urgent care: Plan A - $75/visit & 10 visits max. Plan B - $150/visit. 10 visits max.
  • Hospital Room and board (inpatient): Plan A - $1,500/day & 30 days max. Plan B - $2,750/day & 30 days max.
  • Ambulance: Plan A - $500. Plan B - $500.
  • Prescription (Outpatient): Plan A - $150. Plan B - $300.

Complete details are given in certificate of insurance.

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  • Pre-existing Conditions, except charges resulting directly from an Acute Onset of Pre-existing Condition, as herein defined, subject to the limits set forth in the Schedule of Benefits and Limits.
  • Pregnancy, termination of pregnancy, routine prenatal care, child birth, postnatal care, and charges incurred by a child under the age of 14 days.
  • Routine medical examinations, including but not limited to vaccinations, immunizations, annual check- ups, the issue of medical certificates and attestations, and examinations as to the suitability of employment or travel.

Complete details are given in certificate of insurance.

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Acute Pre-Ex Coverage

Acute Onset of Pre-existing Conditions

PLAN A

Ages 65 and above: $2,500

All others: $20,000

$25,000 Lifetime Maximum for Emergency Medical Evacuation
 

PLAN B

Ages 65 and above: $2,500

All others: $20,000

$25,000 Lifetime Maximum for Emergency Medical Evacuation

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Members may review a listing of Hospitals, Physicians and other medical service providers included in the PPO Network for the area where the Member will be receiving treatment by accessing the Internet website for HCC Medical Insurance Services, LLC at: www.hccmis.com.

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Not Renewable.

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Premiums may be refunded after the certificate effective date subject to the following provisions:

  • A $25 cancellation fee will apply for administrative costs incurred by us; and
  • Only the unused portion of the plan cost will be refunded; and
  • You cannot have filed any claims to be eligible for a premium refund.

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This insurance policy has in it a Claims Procedure which tells you what steps you must take to file a claim, and explains our obligations to you. Beginning on the last day of your certificate period, you shall have 60 days to provide us proof of claim.

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