Atlas Essential America

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

  • Eligibility: Non US citizen age at least 14 days to 99 yrs traveling to USA and traveling outside their home country.
  • Coverage Length: Min 5 days up to max 364 days.
  • Acute Onset of Pre-existing Condition: No coverage Available
  • Co-Insurance:
    In Network: Within the PPO: We will pay 75% of eligible expenses after the deductible to the overall maximum limit
    Out-of-Network:Outside the PPO: Usual, reasonable, and customary. You may be responsible for any charges exceeding the payable amount
  • PPO Network provides United Healthcare PPO Network.
  • ID Card & Visa Letter comes in email instantly

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Benefits

  • Doctor Visit: Usual, Reasonable and Customary charges
  • Urgent care: 
    Claims incurred in US
    For each visit,you shall be responsible for $15 co-payment
    – Co-payment is waived for members with a $0 deductible.
                    – not subject to deductible
    Claims incurred outside the U.S.
    No co-payment
  • Hospital room and board: Average semi-private room rate, which would include nursing services
  • Emergency room(Direct Admission): Claims incurred in the U.S.
    You shall be responsible for a $200 co-payment for each use of emergency room for an illness unless you are admitted to the hospital. There will be no co-payment for emergency room treatment of an injury.
     Claims incurred outside the U.S.
    No co-payment
  • Ambulance: Usual, reasonable and customary charges, only when covered illness or injury results in hospitalization as inpatient
  • Local Burial or Cremation: Up to $5,000 lifetime maximum - not subject to deductible or coinsurance

Complete details are given in certificate of insurance.

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  • Illness that begins by occurrence of symptoms and/or receipt of treatment within the first two (2) days of coverage beginning with and including the certificate effective date, if coverage was purchased on the same day as the coverage effective date.
  • Birth defects and congenital illnesses. Birth defects are deemed to include hereditary conditions.
  • All sexually transmitted diseases and conditions
  • HIV, AIDS, or ARC, and all diseases caused by and/or related to HIV.
  • Sleep apnea or other sleep disorders.
  • Mental health disorders.
  • Dental treatment and treatment of the temporomandibular joint, except for emergency dental treatment necessary to replace natural teeth lost or damaged in an accident covered hereunder or for the emergency relief of acute onset of pain.

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Nothing contained in this insurance restricts or interferes with your right to select the hospital, physician or other medical service provider of your choice. Nothing contained in this insurance restricts or interferes with the relationship between you and the hospital, physician or other providers with respect to treatment or care of any condition, nor your right to receive, at your own expense, services and/or supplies that are not covered under this insurance.

To comply with the United States Preferred Provider Organization (PPO) requirements, you must receive medical treatment from PPO providers while in the United States. If you receive treatment from a PPO provider, we will remit payment for eligible expenses directly to the provider.

You may review a listing of hospitals, physicians and other medical service providers included in the PPO Network for the area where you will be receiving treatment by visiting WorldTrips’ website located at: www.worldtrips.com. For assistance locating a provider, contact us at 1-800-605-2282.

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Extend or Renew My Atlas Travel Insurance Coverage

Extension Fee: $5/Extension

After your initial purchase, you may extend your coverage (5 day minimum) up to a maximum of 364 days from the initial effective date. Provided there is no break in coverage, you will not be required to re-satisfy the Deductible, nor will benefit limits be reset.

If your travel does not include the United States and you are not a U.S. Citizen, you may extend your coverage up to a maximum of 365 days. After 365 days of continuous coverage you may renew your policy for two additional 365-day coverage periods. Deductible must be re-satisfied as of each renewal date. If a new application is required, then you must re-satisfy your Deductible and Pre-existing Condition provisions.

Extensions or renewals must be made online in the Client Zone with payment by credit card.

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We hope you are happy with the cover this policy provides. However, if after reading it, this insurance does not meet with your requirements, please notify us of your wish to cancel and we will refund your premium

Premiums will be refunded in full if a cancellation request is received prior to the certificate effective date.

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

a. A $25 cancellation fee will apply for administrative costs incurred by us; and

b. Only the prorated portion of the premium will be refunded; and

c. You cannot file 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.

All claims and related claim information, including a proof of claim, should be submitted to the Company at the contact information below, or online at http://service.worldtrips.com/ as soon as possible.

Online: http://service.worldtrips.com/

Postal Mail: WorldTrips

P.O. Box 2005 Farmington Hills, MI 48333 USA

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