Plan Administrator: International Medical Group | AM Best Rating: A "Excellent" | Underwriter: Sirius Point
Complete details are given in certificate of insurance.
Note: This plan must be purchased prior to departing the Country of Residence, including any future repurchases
Age and Policy Maximum |
Age 69: $50,000, $100,000 or $250,000 Ages 70 and older: $50,000 |
Doctor Visit |
Covered 75% after decutible is met |
Urgent Care |
Not subject to Deductible and Coinsurance In-Network Copayment: $25 Out-of-Network Copayment: $50 |
Hospital Room and Board |
Average semi-private room rate Includes nursing services (It will cover 75% after deductible) |
Ambulance |
Subject to Deductible and Coinsurance Injury Illness resulting in an Inpatient Hospital admission (It will cover 75% after deductible) |
Prescription |
It will cover 75% after deductible |
Complete details are given in the certificate of insurance.
Complete details are given in the certificate of insurance.
PPO Providers are contracted separately through United States Preferred Provider Organization.
https://providerlocator.firsthealth.com/LocateProvider/SelectNetworkType
Complete details are given in certificate of insurance
All claims and related claim information should be filed with the Company through the Plan Administrator at the contact information below, or online at www.imglobal.com/member as soon as possible:
International Medical Group
Attn: Claims Department
PO Box 9162
Farmington Hills, MI 48333-9162
USA
The Insured Person shall have three (3) days from the Initial Effective Date of Policy as evidenced and outlined by this Certificate. If not completely satisfied, the Insured Person may request cancellation of this insurance retroactive to the Initial Effective Date of Coverage by sending a written request to the Company by email, mail or fax and received by the Company within the Review Period, thereby qualifying to receive a full refund of Premium paid. Upon effectuation of such cancellation and refund, neither the Company nor the Insured Person shall have any further rights, liabilities or obligations under this insurance. After the Review Period, the Insured person may request cancellation by sending a written request to the Company by email, mail or fax. However, the following conditions apply for Premium refund: (a) If any claims have been filed with the Company, the Premium is fully earned and is non-refundable. (b) If no claims have been filed with the Company:
All claims and related claim information should be filed with the Company through the Plan Administrator at the contact information below, or online at www.imglobal.com/member as soon as possible:
International Medical Group
Attn: Claims Department
PO Box 9162
Farmington Hills, MI 48333-9162
USA
Coverage under this Certificate is not renewable or extendable
Complete details are given in certificate of insurance