Plan Administrator: Trawick International | AM Best Rating: A | Underwriter: Crum and Forster, SPC
Age(0-69) $25,000 | Age(0-69) $50,000 | Age(0-69) $75,000 | Age(0-69) $100,000 | Age(0-69) $175,000 | Age(70-89) $50,000 | Age(70-89) $100,000 | |
Doctor Visit | Up to $55/visit, 1/day, 30 visits max | Up to $55/visit, 1/day, 30 visits max | Up to $70/visit, 1/day, 30 visits max | Up to $85/visit, 1/day, 30 visits max | Up to $115/visit, 1/day, 30 visits max | Up to $55/visit, 1/day, 30 visits max | Up to $55/visit, 1/day, 30 visits max |
Urgent Care | Up to $55/visit, 1/day, 30 visits max | Up to $55/visit, 1/day, 30 visits max | Up to $70/visit, 1/day, 30 visits max | Up to $85/visit, 1/day, 30 visits max | Up to $115/visit, 1/day, 30 visits max | Up to $55/visit, 1/day, 30 visits max | Up to $55/visit, 1/day, 30 visits max |
Hospital Room and Board | Up to $1400/day,30 day max | Up to $1400/day,30 day max | Up to $1750/day,30 day max | Up to $2000/day, 30 day max | Up to $2700/day, 30 day max | Up to $1500/day,15 day max | Up to $1500/day,15 day max |
Ambulance | Upto $500 | Upto $500 | Upto $500 | Upto $500 | Upto $750 | Upto $500 | Upto $500 |
Prescription | Upto $100 | Upto $100 | Upto $125 | Upto $150 | Upto $200 | Upto $90 | Upto $90 |
Complete details are given in certificate of insurance.
Complete details are given in certificate of insurance.
Acute Onset of a Pre-Existing Condition means a sudden and unexpected outbreak or recurrence of a Pre-existing Condition which occurs 1) spontaneously and without advance warning either in the form of Physician recommendations or symptoms, is of short duration, is rapidly progressive, and requires urgent and immediate medical care; 2) is a minimum of 48 hours after the Effective Date of the policy; and 3) prior to the age shown in the Schedule of Benefits/Limits with treatment being obtained within 24 hours of the sudden and unexpected outbreak or recurrence.
The Company maintains a Preferred Provider Network both within and outside the United States. Within the United States, the Company recommends the use of the Preferred Provider Network for maximum benefit payment. Outside the U.S., the Company retains the right to require the use of a Network Provider, where available. Utilizing these providers may result in payments directly to the provider as well as referrals to licensed medical providers you can trust. You can find the link to the provider directory on the back of your ID card Or be subject to a 20% copayment on all claims. or
CANCELLATION and REFUND PROCEDURE PROVISIONS
Cancellation and refund will only be considered if written request is received by Us prior to the Effective Date of Coverage as listed on this certificate. If written request is received after the Effective Date of coverage, the following conditions apply if the Insured Person wishes to cancel the insurance and a written partial refund request has been made:
Notice of Claim: This notice should identify the Covered Person and the Policy Number. All claims must be submitted within 90 days from date of incident or they will be denied. Circumstances may exist in which this is not always possible. Any submissions after 90 days will be considered based on those circumstances.