Plan Administrator: USI Affinity Travel Insurance Services | AM Best Rating: A+ "Superior" | Underwriter: Lloyd's of London
| Age and Policy Maximum |
Age 0-65 :2,00,000 |
| Doctor Visit | Up to the overall maximum limit |
| Surgical Treatment | Up to the overall maximum limit |
| Hospital Room and Board | Average semi-private room rate, including nursing services. |
| Ambulance | Up to $350 per injury or illness, when covered illness or injury results in hospitalization as inpatient. - not subject to coinsurance |
| Prescription | Generic Drugs: $10 deductible per prescription Brand Name Drugs: $20 deductible per prescription. |
Complete details are given in certificate of insurance.
Complete details are given in certificate of insurance.
| Acute Onset of Pre-existing Condition (excludes chronic and congenital conditions) |
Up to $25,000 lifetime maximum for eligible medical expenses |
To comply with the United States Preferred Provider Organization requirements, the Member must receive medical treatment from PPO providers while in the United States. If the Member chooses to comply with the PPO requirements, and the expenses are incurred in a PPO provider, Underwriters will waive the Coinsurance applicable to the expenses.Members may review a listing of Hospitals, Physicians and other medical service providers included in the PPO Network for the area where the Member will be receiving treatment by accessing the Internet website for HCC Medical Insurance Services.
You must submit a claim for any expenses to be paid by us. This includes treatment or services for which you expect the medical provider is to bill us directly. No payments will be made by us without you first submitting a claim.
Notice of claim, Claimant's Statement and Authorization, and proof of claim must be mailed to: Tokio Marine HCC MIS Group
P.O.Box No 2005
Farmington Hills,MI-48333-2005