Plan Administrator: GeoBlue | AM Best Rating: A - "Excellent" | Underwriter:4 Ever Life International Limited (4ELI)

  • PPO Network (Within USA): Lifetime Maximum per Insured Person unlimited
  • Outside PPO Network (USA): Lifetime Maximum per Insured Person unlimited
  • Outside USA: Maximum per Insured Person unlimited
  • Eligibility: All legal residents of the U.S. (citizens and foreign nationals) who are age 74 or younger at the time of application are eligible.
  • Renew: You will be notified of your new plan rate at least 30 days prior to your policy expiration date.

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Benefits

  • Doctor Visit :  Outside USA -100% Covered, Within USA In PPO Network 80% to Coinsurance Maximum then 100% and In USA outside PPO Network 60% to Coinsurance Maximum then 100%
  • Surgery: Outside USA -100% Covered, Within USA In PPO Network 80% to Coinsurance Maximum then 100% and In USA outside PPO Network 60% to Coinsurance Maximum then 100%
  • X-rays & Lab Services :  Outside USA -100% Covered, Within USA In PPO Network 80% to Coinsurance Maximum then 100% and In USA outside PPO Network 60% to Coinsurance Maximum then 100%.
  • Ambulance:  Outside USA -100% Covered, Within USA In PPO Network 80% to Coinsurance Maximum then 100% and In USA outside PPO Network 60% to Coinsurance Maximum then 100%.
  • Durable Medical Equipment: Outside USA -100% Covered, Within USA In PPO Network 80% to Coinsurance Maximum then 100% and In USA outside PPO Network 60% to Coinsurance Maximum then 100%.

Complete details are given in certificate of insurance. 

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  • Vision care services unless elected by your Group
  • Treatment of flat foot conditions and the prescription of supportive devices for such conditions and the treatment of subluxations of the foot
  • Treatment for hair loss
  • Services and treatment related to elective abortions.
  • Drugs and medications not requiring a Prescription, except insulin.
  • Non-medical substances or items.
  • Drugs and medications used for the purposes of sexual stimulation.
  • Dietary supplements, cosmetics, health or beauty aids.

Complete details are given in certificate of insurance.

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If you were previously covered by a group or individual U.S. health plan that issues you a Certificate of Creditable Coverage, GeoBlue will apply this prior coverage to the pre-existing conditions waiting period, provided you meet GeoBlue's medical underwriting criteria. GeoBlue will also consider private health insurance issued in other countries as creditable coverage. There are several reasons why coverage would not be considered creditable: 1) The medical benefits are too low 2) We do not consider surplus lines insurance sold in the U.S. as creditable coverage 3) We do not consider National or Public Health Insurance as creditable coverage 4) There is a time lapse where there was no coverage up until your effective date of your new plan.

The number of months of coverage shown on the Certificate will reduce or eliminate the six month pre-existing condition waiting period. If you have six or more months of creditable coverage, your waiting period will be eliminated. If you have less than six months creditable coverage, your waiting period will be reduced by the number of months you had creditable coverage. For example, if you have two months of creditable coverage, your waiting period will be reduced from six months to four months.

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You can enroll in a GeoBlue Xplorer policy up to age 84. The policy does not automatically renew upon your request. You will be notified of your new plan rate at least 30 days prior to your policy expiration date. You must confirm your new policy rate in writing or by accepting the rate when logged in to our secure website. Plan rates are based on age at time of enrollment and are impacted by medical inflation. You will not be asked any medical questions and your personal health history will not determine your new rate. GeoBlue Xplorer rates are standard rates for all re-enrolling members. Rates are reviewed and approved by state insurance regulators, which protects your rights and guarantees fairness. By contrast, offshore/surplus lines insurers are not required to file rates for approval.

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Any cancellation requests must come from the insured subscriber and be received by GeoBlue in writing via email, fax or regular mail. There are no cancellation fees or penalties. However, GeoBlue does not refund premium for a partial month. Retroactive cancellations are also not permitted.

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GeoBlue's Global Health and Safety services help members identify, access, and pay for quality healthcare all over the world. This includes a contracted community of elite providers in 180 countries. Members can access these carefully selected providers and arrange for the bills to be sent directly to GeoBlue for payment as follows: go to www.geobluetravelinsurance.com. GeoBlue will automatically arrange for direct settlement of the bill for this visit. Please note, direct billing may not be available everywhere. Direct billing can also be requested by calling the assistance telephone number listed on your member ID card, or by emailing globalhealth@geo-blue.com Please note that in the U.S. a member can simply show their ID card at time of service and participating providers will only bill the member for any required deductible or co-payment.A claims instruction page is available online and can be accessed by visiting www.geobluetravelinsurance.com and selecting "Contact Us" from the top right navigation bar. Claim forms are downloadable from this section of the site as well.

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