Visitors Care Insurance is a great insurance option when you have parents visiting the United States or for international travelers. Visitors Care Insurance provides affordable protection to citizens of any nation when traveling to the United States.
Visitors Care Plan Benefits
Visitors Care Insurance plan offers benefit maximums of US$25,000, US$50,000 or US$100,000 for the life of the plan, and a choice of deductibles of US$75 or US$150 applied per period of coverage. When you incur eligible medical expenses, the plan will provide benefits for Usual, Reasonable and Customary charges up to the limits outlined in the Schedule of Benefits below, with no coinsurance. The four benefits below apply to all three plans.
International Emergency Care
| Emergency Evacuation |
To US$50,000 when coordinated through IMG |
| The plan includes coverage for Emergency Medical Evacuations to the nearest qualified medical facility in life-threatening situations, and expenses for reasonable travel and accommodations resulting from the evacuation, which must be approved and coordinated in advance. |
| |
| Return of Mortal Remains |
To US$7,500 when coordinated through IMG |
| If a covered illness/injury results in death, expenses for repatriation of bodily remains or ashes to the home country will be covered, up to a maximum of US$7,500. |
Special Coverages
| Home Country Coverage |
As described below |
| Incidental Home Country Coverage - During the period of coverage, an insured person may return to his/her home country for incidental visits up to a cumulative two weeks total, and retain continuing coverage during such visit(s), so long as: a. The insured person must have previously left his/her home country for some portion of the period of coverage, and b. The return to the home country must not be undertaken for the purpose of receiving treatment for an illness or injury incurred while traveling or residing outside the home country. |
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| Common Carrier Accidental Death |
US$25,000 to Beneficiary |
| If accidental death should occur while traveling on a commercial common carrier during the period of coverage, US$25,000 will be paid to the designated beneficiary. |
Medical Benefits - usual, reasonable and customary charges, subject to deductible where applicable
Plan A - US$25,000 maximum benefit per life of plan
Inpatient Treatment
| Hospital Room and Board |
Up to US$825 per day, 30 day maximum per period of coverage |
| Intensive Care |
Additional US$400 per day, 8 day maximum per period of coverage |
| Surgical treatment |
US$2,000 per surgical session |
| Consult physician |
US$350 per period of coverage |
| Pre-admission tests |
US$750 per period of coverage |
| Private duty nurse |
US$400 per period of coverage |
| Physician Visits |
US$40 allowable charge per visit, 30 visits per period of coverage |
| |
| Outpatient Treatment |
| |
| Surgical treatment |
US$2,000 per surgical session |
| Diagnostic x-ray & lab |
US$650 per period of coverage, (US$325 allowable charge per procedure) |
| Hospital emergency room |
75% of URC to US$200 |
| Prescription drugs |
US$150 per period of coverage |
| Physician visits |
US$50 allowable charge per visit, 10 visits per period of coverage |
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| Miscellaneous Inpatient & Outpatient Services |
| |
| Anesthetist |
25% of surgical benefit |
| Assistant surgeon |
25% of surgical benefit |
| |
| Other Coverages |
| |
| Ambulance |
US$250 per period of coverage |
| Dental for accident to sound natural teeth |
US$350 per period of coverage |
| Physiotherapy |
US$25 per visit per day, 12 visits per period of coverage. |
Plan B - US$50,000 maximum benefit per life of plan
Inpatient Treatment
| Hospital Room and Board |
Up to US$1,400 per day, 30 day maximum per period of coverage |
| Intensive Care |
Additional US$660 per day, 8 day maximum per period of coverage |
| Surgical treatment |
US$3,300 per surgical session |
| Consult physician |
US$450 per period of coverage |
| Pre-admission tests |
US$1,100 per period of coverage |
| Private duty nurse |
US$550 per period of coverage |
| Physician Visits |
US$55 allowable charge per visit, 30 visits per period of coverage |
| |
| Outpatient Treatment |
| |
| Surgical treatment |
US$3,300 per surgical session |
| Diagnostic x-ray & lab |
US$800 per period of coverage, (US$400 allowable charge per procedure) |
| Hospital emergency room |
75% of URC to US$300 |
| Prescription drugs |
US$250 per period of coverage |
| Physician visits |
US$55 allowable charge per visit, 10 visits per period of coverage |
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| Miscellaneous Inpatient & Outpatient Services |
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| Anesthetist |
25% of surgical benefit |
| Assistant surgeon |
25% of surgical benefit |
| Other Coverages |
| |
| Ambulance |
US$450 per period of coverage |
| Dental for accident to sound natural teeth |
US$550 per period of coverage |
| Physiotherapy |
US$40 per visit per day, 12 visits per period of coverage. |
Plan C - US$100,000 maximum benefit per life of plan
Inpatient Treatment
| Hospital Room and Board |
Up to US$1,950 per day, 30 day maximum per period of coverage> |
| Intensive Care |
Additional US$850 per day, 8 day maximum per period of coverage |
| Surgical treatment |
US$5,500 per surgical session |
| Consult physician |
US$500 per period of coverage |
| Pre-admission tests |
US$1,100 per period of coverage |
| Private duty nurse |
US$550 per period of coverage |
| Physician Visits |
US$85 allowable charge per visit, 30 visits per period of coverage |
| |
| Outpatient Treatment |
| |
| Surgical treatment |
US$5,500 per surgical session |
| Diagnostic x-ray & lab |
US$950 per period of coverage, (US$475 allowable charge per procedure) |
| Hospital emergency room |
75% of URC to US$550 |
| Prescription drugs |
US$250 per period of coverage |
| Physician visits |
US$85 allowable charge per visit, 10 visits per period of coverage |
| |
| Miscellaneous Inpatient & Outpatient Services |
| |
| Anesthetist |
25% of surgical benefit |
| Assistant surgeon |
25% of surgical benefit |
| |
| Other Coverages |
| |
| Ambulance |
US$450 per period of coverage |
| Dental for accident to sound natural teeth |
US$550 per period of coverage |
| Physiotherapy |
US$40 per visit per day, 12 visits per period of coverage. |
Premium Rates
| Plan A - One Month Rates - US$25,000 maximum benefit per life of plan |
| |
| |
Option 1 -
US$0 deductible (
per period of coverage) |
Option 2 -
US$50 deductible (per period of coverage) |
Option 3 -
US$100 deductible (per period of coverage) |
| Age |
One Month |
One Month |
One Month |
| 2 weeks - 49 |
$31 |
$26 |
$23 |
| 50-69 |
$47 |
$39 |
$36 |
| 70-79 |
N/A |
$61 |
$58 |
| 80+* |
N/A |
$122 |
$116 |
| Dependent child |
$24 |
$20 |
$18 |
| |
Daily |
Daily |
Daily |
| 2 weeks - 49 |
$1.04 |
$0.87 |
$0.77 |
| 50-69 |
$1.57 |
$1.30 |
$1.20 |
| 70-79 |
N/A |
$2.03 |
$1.93 |
| 80+* |
N/A |
$4.10 |
$3.90 |
| Dependent child |
$0.80 |
$0.67 |
$0.60 |
| * The maximum amount of coverage for applicants who are 80 years of age older is US$10,000 |
| Plan B - One Month Rates - US$50,000 maximum benefit per life of plan |
| |
| |
Option 4 -
US$0 deductible (per period of coverage) |
Option 5 -
US$50 deductible (per period of coverage) |
Option 6 -
US$100 deductible (per period of coverage) |
| Age |
One Month |
One Month |
One Month |
| 2 weeks - 49 |
$47 |
$39 |
$36 |
| 50-69 |
$71 |
$59 |
$55 |
| 70-79 |
N/A |
$91 |
$86 |
| Dependent child |
$36 |
$30 |
$28 |
| |
Daily |
Daily |
Daily |
| 2 weeks - 49 |
$1.56 |
$1.30 |
$1.20 |
| 50-69 |
$2.36 |
$1.97 |
$1.83 |
| 70-79 |
N/A |
$3.05 |
$2.90 |
| Dependent child |
$1.20 |
$1.00 |
$0.93 |
| Plan C - One Month Rates - US$100,000 maximum benefit per life of plan |
| |
| |
Option 7 -
US$0 deductible (
per period of coverage) |
Option 8 -
US$50 deductible (per period of coverage) |
Option 9 -
US$100 deductible (per period of coverage) |
| Age |
One Month |
One Month |
One Month |
| 2 weeks - 49 |
$70 |
$58 |
$54 |
| 50-69 |
$104 |
$87 |
$85 |
| 70-79 |
N/A |
$136 |
$132 |
| Dependent child |
$59 |
$49 |
$45 |
| |
Daily |
Daily |
Daily |
| 2 weeks - 49 |
$2.33 |
$1.93 |
$1.83 |
| 50-69 |
$3.47 |
$2.90 |
$2.83 |
| 70-79 |
N/A |
$4.55 |
$4.40 |
| Dependent child |
$1.97 |
$1.63 |
$1.50 |
Policy Exclusions
Charges for the following services, treatments and/or conditions, among others, are expressly excluded from coverage under the Visitors Care plan.
- Pre-existing Conditions. Any Injury, Illness, sickness, disease, or other physical or medical disorder, condition or ailment that existed at the time of Application or at any time during the three years prior to the Effective Date of the Initial Period of Coverage, whether or not previously manifested or symptomatic, diagnosed, treated, or disclosed, including any subsequent, chronic or recurring complications or consequences related thereto or arising therefrom.
- Treatment or surgeries which are elective, investigational, experimental or for research purposes.
- War, political insurrection, protest, or any act thereof.
- Immunizations and routine physical exams.
- Treatment of Temporomandibular Joint or dental treatment, except as otherwise expressly provided for in the Policy Wording.
- Venereal disease, AIDS virus, AIDS related illness, ARC Syndrome, or AIDS, and the cost of testing for these conditions, and charges for treatment or surgeries which are incurred by any Insured Person who was HIV+ at time of enrollment into this insurance.
- Pregnancy, childbirth, birth control, artificial insemination, treatment for infertility or impotency, sterilization or reversal thereof, or abortion.
- Any Injury or Illness sustained while taking part in mountaineering activities where specialized climbing equipment, ropes or guides are normally or reasonably should have been used, Amateur Athletics or professional athletics, aviation (except when traveling solely as a passenger in a commercial aircraft), hang gliding and parachuting, snow skiing except for recreational downhill and/or cross country snow skiing (no cover provided whilst skiing in violation of applicable laws, rules or regulations; away from prepared and marked in-bound territories; and/or against the advice of the local ski school or local authoritative body), racing of any kind including by horse, motor vehicle (of any type) or motorcycle, spelunking, and subaqua pursuits involving underwater breathing apparatus.
- Vision or ear tests and the provision of visual or hearing aids.
- Vocational, recreational, speech or music therapy.
- Charges incurred for custodial care, educational or rehabilitative care, or nursing services.
- Charges, injuries and/or illnesses resulting or arising from or occurring during the commission or continuing perpetration of a violation of law by the Insured Person, including without limitation, engaging in an illegal occupation or act, but excluding minor traffic violations.
- Treatment for, and injuries and/or illnesses resulting or arising from, substance abuse or drug addiction.
- Injury and/or illness resulting or arising from or sustained while under the influence of or disablement of drugs or alcohol.
- Willful self-inflicted injury or illness.
- Treatment required as a result of or arising from complications from a treatment or condition not covered under the Visitors Care plan.
- Any services or supplies performed or provided by a relative of the Insured Person or provided at no cost to the Insured Person.
- Treatment for mental and nervous disorders.
- Organ or tissue transplants, and all related services.
- Treatment incurred as a result of or arising from exposure to nuclear radiation, and/or radioactive material(s).
PLEASE NOTE: This brochure contains only a consolidated and summary description of all current Visitors Care benefits, conditions, limitations and exclusions. A certificate of insurance containing the complete Policy Wording with all terms, conditions, limits and exclusions will be included with the fulfillment kit. Please review the Policy Wording carefully upon receipt and contact IMG if you have any questions concerning available coverages or benefits. The plan underwriter reserves the right to amend or modify the Policy Wording, and issue the most current Policy Wording for the Visitors Care plan, in the event an Application Form and/or this brochure has expired, is modified, or is replaced with a newer version. Current Policy Wordings are available upon request.
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