Travel & Medical Insurance Program
for Students, Scholars, Spouses, Families and Visitors
 

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Call Us At 1-800-247-5575 or 1-703-660-9062 To Explore All 5 Insurance Plan Options!

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Outgoing from the USA Insurance Options
CoveragePremium Schedule Outgoing Application

Choose a Medical Insurance Coverage that Suits You!

Every situation is different. Therefore, VISIT Travel & Medical Insurance offers five Plan options to help you find the most appropriate coverage for your needs.


Standard Coverage

This coverage meets your basic insurance requirements at a very competitive price.  We will provide you with coverage for medical expenses, including the use of an air ambulance, extra traveling expenses, death and permanent disablement coverage.  After the Deductible, this Benefit will cover 80% of the first $5000 of covered medical expenses incurred. Excess of $5000, the policy will pay 100% up to the maximum.


Maternity Coverage
Maternity benefits are only available if the Maternity Plan option is chosen at least 30 days prior to conception.  Maternity benefits are available through Plan B and Plan D only.


Who is eligible for the insurance?  Any person non-US citizen traveling to the US and their family-members traveling with them, all under the age of sixty-nine. 


Family Member means a person who is related to the insured in any of the following ways: spouse, brother-in-law, father-in-law, parent (includes stepparent), brother or sister (includes stepbrother or stepsister), or child (includes legally adopted or stepchild.)

Premiums are per person.

 

Questions About Claims?
Click Here

 

Outgoing Schedule of Coverage 
(in US Dollars)

Please review the Plans carefully!
Coverage and Plan options have been revised.

After the Deductible per Occurrence, this Benefit will cover 80% of the first $5000 of covered medical expenses incurred. Excess of $5000, the policy will pay 100% up to the maximum stated below.

Click Here for Premium (Rate) Information

2007-2008 Plan Rates!

        NEW!
Plan
Coverage

Standard Plans
(A & B)

Super Plans
(C & D)

Annual Deductible (Plan E)

Deductible Deductibles are per occurrence except Plan E. 

See FAQ  for definitions.
$100
per occurrence
$250
per occurrence

$100 Annually

Benefit A
Medical Expenses
$100,000
$250,000
$100,000
  Medical Evacuation $50,000 $50,000 $50,000
  Prescription Drugs
80% of URC
$1000
(Max per policy period)

$1000
(Max per policy period)

$1000
(Max per policy period)
  Dental Treatment as a result of injury to natural teeth caused by an accident.
80% of URC
$1000
(Max per policy period)
$1000
(Max per policy period)
$1000
(Max per policy period)
  Physiotherapy $500 $500 $500
  Psychotherapy
Treatment of mental disorders, nervous disorders, alcoholism, and drug addition, up $30 per visit, one visit per day, to a maximum of $5000 all charges combined.
$5000
(Max per policy year)
$5000
(Max per policy year)
$5000
(Max per policy year)
  Organ Transplant
(organ transplant, bone marrow, transplant, skin grafts, kidney dialysis)
$10,000 $10,000 $10,000
       
Benefit B
Accidental Death
$15,000
$15,000
$15,000
         
Benefit C
Repatriation of Remains
$10,000 $10,000
$10,000
         
Benefit D
Dismemberment as per sliding scale to a maximum of:   $15,000

$25,000

$15,000
         
*Benefit E Pregnancy/ Childbirth/ Miscarriage
and
related treatment including pre-natal visits, sonograms, etc.

* Maternity benefits are only available if the Maternity Plan option is chosen at least 30 days prior to conception.  Maternity benefits are available through Plan B and Plan D.

$25,000
(Plan B only)

$50,000
(Plan D only)

No maternity option available for Plan E.

 Click Here for Answers to
Frequently Asked Questions

What is Covered?

For the purposes of this section, only such expenses, incurred as the result of and within 26 weeks of a disablement, which are specifically enumerated in the following list of charges, and which are not excluded in Exclusions, shall be considered as covered expenses:
  • Charges made by a hospital for room and board, floor nursing and other services exclusive of charges for professional services and with the exception of personal services of a non-medical nature; provided, however, that expenses do not exceed the hospital's average charge for semiprivate room and board accommodation or intensive care when medically necessary.
  • Charges made for diagnosis, treatment and surgery by a physician.

  • Charges made for the cost and administration of anesthetics.

  • Charges for medication, x-ray services, laboratory tests and services, the use of radium and radioactive isotopes, oxygen, blood transfusion, iron lungs, and medical treatment.

  • Charges for physiotherapy, if recommended by a physician for the treatment of a specific disablement and administered by a licensed physiotherapist.

  • Dressings, drugs, and medicines that can only be obtained upon a written prescription of a physician.

The charges enumerated above shall in no event include any amount of such charges which are in excess of regular and customary charges. A charge incurred by an Insured Person shall be deemed a regular and customary charge for the services and supplies for which the charge is made if it is not in excess of the average charge for such services and supplies in the locality where received, considering the nature and severity of the sickness or bodily injury in connection with which such services and supplies are received. If the charge incurred is in excess of such average charge, such excess amount shall not be recognized as covered expenses. All charges shall be deemed to be incurred on the date such services or supplies which give rise to the expense or charge are rendered or obtained.

Emergency Medical Evacuation

The Company will pay benefits for covered expenses incurred up to a maximum of $50,000 if an injury or sickness commencing during the course of a trip results in the necessary emergency evacuation of the Insured Person. An emergency evacuation must be ordered by a legally licensed physician who certifies that the severity of the Insured Person's injury or sickness warrants the emergency evacuation of the Insured Person.

Emergency Evacuation means:

  1. the Insured Person's medical condition warrants immediate transportation from the place where the Insured Person is injured or sick to the nearest hospital where appropriate medical treatment can be obtained; or
     

  2. after being treated at a local hospital, the Insured Person's medical condition warrants transportation to his or her then current place of primary residence to obtain further medical treatment or to recover; or
     

  3. both a) and b) above.

Covered expenses are expenses, up to the maximum, for transportation, medical services and medical supplies necessarily incurred in connection with emergency evacuation of the Insured Person.

All transportation arrangements made for evacuating the Insured Person must be by the most direct and economical route. Expenses for special transportation must be:

  1. recommended by the attending physician; or
     

  2. required by the standard regulations of the conveyance transporting the Insured Person.

Expenses for medical services and supplies must be recommended by the attending physician.

Transportation means any land, water or air conveyance required to transport the Insured Person during an emergency evacuation.

Special Transportation includes, but is not limited to, air ambulance, land ambulance, and private motor vehicles.

Repatriation of Remains

The Company will pay the reasonable covered expenses incurred to return the Insured Person's body home if he or she dies, not to exceed the maximum of $10,000. Covered expenses include, but are not limited to, expenses for embalming, cremation, coffins and transportation.

It is further understood and agreed that with respect to Emergency Evacuation and Repatriation of Remains only:

  1. Insurance to which this applies shall apply only to expenses which are incurred by an Insured Person while outside a 150-mile radius from his/her home or regular place of employment and which are coordinated through AIG Assist.
  2. Exclusions 2, 3, & 4 of Section IV of the Policy shall be deleted.
  3. The term 'Sickness' as used above means sickness or disease which causes loss covered herein for which symptoms are manifested while the policy is in force as to the Insured Person whose sickness is the basis for claim.

In the event of an accident, a compensation will be made either to your beneficiary (in the event of death) or to yourself (in the event of permanent dismemberment).

Cancellation Policy

All premiums are fully earned upon Application, and are Non-Refundable. Please apply only for the term of coverage you need, and re-apply as necessary as your plans may change.

These rates are for persons traveling abroad and their family members traveling with them, 69 years of age and younger. Additional coverage is available for persons 70-80 years of age. Please call 1-800-247-5575 for premium rates or Click Here for additional program options.

Looking for Extreme and Hazardous Sports Coverage?  Click Here

 

Underwritten by The Insurance Company of the State of Pennsylvania,
New York, NY
A Member of American International Group, Inc.
 

To learn more about what is not covered, please
Click Here

Outgoing from the USA Forms and Applications:

Apply Online or by Phone or Fax

Outgoing Brochure (.pdf format)

Outgoing Application 
 (.pdf format)  / 
(printer friendly format)
 

Click Here for Premium Information


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VISIT Travel & Medical Insurance Program, an Insurance program of PENTECO, LLC
Underwritten by The Insurance Company of the State of Pennsylvania, New York, NY.   A Member of American International Group, Inc.
www.visitinsurance.com

Correspondence: P.O. Box 210, Mount Vernon, VA  22121 (703) 660-9062/ (800) 247-5575/ (703) 991-9164 fax
email:
 info@visitinsurance.com

Copyright ©2008.  All Rights Reserved.