Plan Administrator: INF Healthcare I AM Best Rating : "A+"(Superior) I Underwriter: Axis Insurance Company.

  • Eligibility: Non US citizen & US Expatriate Age 0-69 traveling to USA and traveling outside their home country.
  • Coverage length: Minimum 30 days to maximum 300 days.
  • Renew Online: It can be renewed up to 300 days after the initial enrollment period, $5 application fee will charged for re-enrollment.
  • Pre-Existing Condition: Not Covered.
  • Includes Coverage for Dental, Prescription Drug , Vision issues such as eye irritations.
  • Includes Telemedicine from Teladoc. Teladoc can be used for Pre-Existing Conditions & has no deductible.
  • PPO Network: Provides First Health PPO Network
  • ID card, Visa Letter, Certificate, & Dental Card are Emailed Instantly.

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Benefit

Age and Policy Maximum

Age (0-69)- $25000,$50000,$75000,$100000

Doctor Visit

Age(0-69)-$25000:-Usual & Customary Charges up to $50 max per visit, 1 visit per day, 10 visits max

Age(0-69)-$50000:-Usual & Customary Charges up to $60 max per visit, 1 visit per day, 10 visits max

Age(0-69)-$75000:-Usual & Customary Charges up to $80 max per visit, 1 visit per day, 10 visits max

Age(0-69)-$100000:-Usual & Customary Charges up to $100 max per visit, 1 visit per day, 10 visits max

Urgent Care

Age(0-69)-$25000:-Usual & Customary Charges up to $50 max per visit, 1 visit per day, 10 visits max

Age(0-69)-$50000:-Usual & Customary Charges up to $60 max per visit, 1 visit per day, 10 visits max

Age(0-69)-$75000:-Usual & Customary Charges up to $80 max per visit, 1 visit per day, 10 visits max

Age(0-69)-$100000:-Usual & Customary Charges up to $100 max per visit, 1 visit per day, 10 visits max

Hospital Room and Board

Age(0-69)-$25000:-Usual & Customary Charges up to $900 per day, to a maximum of 30 days .

Age(0-69)-$50000:-Usual & Customary Charges up to $1,300 per day, to a maximum of 30 days.

Age(0-69)-$75000:-Usual & Customary Charges up to $1,525 per day, to a maximum of 30 days.

Age(0-69)-$100000:-Usual & Customary Charges up to $1,750 per day, to a maximum of 30 days .

Ambulance

Age(0-69)-$25000:-Usual & Customary Charges up to $375 max

Age(0-69)-$50000:-Usual & Customary Charges up to $400 max

Age(0-69)-$75000:-Usual & Customary Charges up to $425 max

Age(0-69)-$100000:-Usual & Customary Charges up to $450 max

Prescription

Age(0-69)-$25000:-Usual & Customary Charges up to $75 max

Age(0-69)-$50000:-Usual & Customary Charges up to $100 max

Age(0-69)-$75000:-Usual & Customary Charges up to $125 max

Age(0-69)-$100000:-Usual & Customary Charges up to $150 max

Complete details are given in certificate of insurance.

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  • intentionally self-inflicted injury; suicide or attempted suicide.
  • war or any act of war, whether declared or not.
  • routine physicals and care of any kind.
  • cosmetic surgery, except for re constructive surgery needed as the result of an Injury.
  • eye refractions or eye examinations for the purpose of prescribing corrective lenses or for the fitting thereof; eyeglasses, contact lenses, and hearing aids.
  • elective treatment, exams or surgery; elective termination of pregnancy

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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 accessing the Internet website for INF Plans at:

https://www.firsthealthinternational.com/LocateProvider/SelectNetworkType

Complete details are given in certificate of insurance

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INF Plans can be renewed up to a maximum of 12 months or 364 days, after the initial enrollment period. To extend coverage for you or your visitor.

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Refund of premium, less a $25 processing fee, will be considered only if Cancellation Form is received by the INF Health Care Services prior to the effective date of coverage

After that date, the premium is considered fully earned and non-refundable.

All cancellation requests should be submitted by completing the Cancellation Form found under 'Members Area' section of the web pages.

The form can be faxed to 408-520-4967. Policy changes can not be made under any circumstances once the policy becomes effective.

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Claims may be submitted to the Claims Administrator (WEBTPA) by the provider of service directly or by you. Please visit our Claims section for more details. All claims must be submitted using the applicable claim form, which can be found online or requested from the Claims Administrator. Completed claim forms must be furnished to Administrative Concepts, Inc. within 90 days after the date of such loss. Failure to furnish such proof within the time required will not invalidate or reduce any claim if it was not reasonably possible to furnish proof.

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