Plan Administrator: Seven Corners | AM Best Rating: A "Excellent" | Underwriter: Lloyd's
Age(0-69) Plan A $50,000 |
Age(0-69) Plan B $75000 |
Age(0-69) Plan C $100,000 |
Age(0-69) Plan D $130,000 |
Age(70-99) Plan J $50,000 |
Age(70-99) Plan K $70,000 |
|
Doctor Visit |
Up to $60/visit, 1/day, 10 visits max |
Up to $75/visit, 1/day, 10 visits max | Up to $85/visit, 1/day, 10 visits max | Up to $115/visit, 1/day, 10 visits max | Up to $55/visit, 1/day, 10 visits | Up to $75/visit, 1/day, 10 visits max |
Urgent Care | Up to $60/visit, 1/day, 10 visits max | Up to $75/visit, 1/day, 10 visits max | Up to $85/visit, 1/day, 10 visits max | Up to $115/visit, 1/day, 10 visits max | Up to $55/visit, 1/day, 10 visits | Up to $75/visit, 1/day, 10 visits max |
Hospital Room and Board | Up to $1,400/day, 30 day max | Up to $1,725/day, 30 day max | Up to $2,000/day, 30 day max | Up to $2,585/day, 30 day max | Up to $1,050/day, 30 day max | Up to $1,470/day, 30 day max |
Ambulance | Up to $450 | Up to $475 | Up to $475 | Up to $475 | Up to $450 | Up to $450 |
Prescription | Up to $250 Per Coverage Period | Up to $250 Per Coverage Period | Up to $250 Per Coverage Period | Up to $250 Per Coverage Period | Up to $250 Per Coverage Period | Up to $250 Per Coverage Period |
Complete details are given in certificate of insurance.
Pre-existing Conditions, as defined herein. If you are a non-U.S. citizen under age 70, this exclusion is waived for eligible medical expenses for an Acute Onset of a Pre-existing Condition
Complete details are given in certificate of insurance
Acute Onset of Pre-Existing Conditions |
|
Ages 14 days to 69 years |
Up to $50,000 |
Ages 70 to 79 years |
$25,000 |
Age 80 and older |
N/A |
Coverage may be continued if the initial Period of Coverage is less than the Maximum Period of Coverage. If You elect to extend Your Trip beyond the initial Period of Coverage, You may extend the applicable Period of Coverage by a minimum of five (5) days and up to three hundred sixty-four (364) days at a time provided that the total Period of Coverage may not exceed the Maximum Period of Coverage. Upon such extension and receipt of the appropriate Plan premium and applicable fee charged for each extension, the original Certificate’s Expiration Date of Coverage will be extended to the new Expiration Date of Coverage. For Inbound® USA Basic, the original Effective Date of Coverage will be used to calculate Your Deductible; to determine whether maximum coverage amounts as set forth in the Schedule of Benefits have been obtained; and to determine any Pre-Existing Conditions. For Inbound® USA Choice and Elite Plans, a new Deductible will apply beginning the 365th day and beginning again on the 729th day, if applicable, during the Period of Coverage, but the original, beginning Effective Date of Coverage (day 1) will continue to be used to determine whether maximum coverage amounts as set forth in the Schedule of Benefits have been obtained and to determine any Pre-Existing Conditions.
Extensions, if offered by the Company, will be subject to the definitions, benefits, and conditions in force at the time of each renewal
We will refund your payment if we receive your written request for a refund before your effective date of coverage. If your request is received after your effective date, the unused portion of the plan cost may be refunded minus a $25 cancellation fee, if you have not submitted any claims to Seven Corners.
Filing a claim is easy! Simply send the itemized bill to Seven Corners within 90 days, along with a completed claim form. Payments can be converted to a currency of your choosing. You’re only responsible for your deductible and coinsurance and any non-eligible expenses