|
GlobeHopper Senior Single Trip-Benefits
|
|
Period of Coverage
|
Minimum of 5 days, up to a maximum of 365 days
|
|
Area of Coverage
|
Outside the United States
|
|
Maximum Limit per Period of Coverage Ages 65-79
|
$50,000, $100,000, $500,000 or $1,000,000
|
|
Maximum Limit per Period of Coverage Age: 80+
|
$100,000
|
|
Deductible
|
$0*, $100, $250, $500, $1,000 or $2,500
· 0 Deductible only available with $50,000 and $100,000 maximum limit
|
|
Coinsurance
|
No Coinsurance
|
|
Sudden & Unexpected Recurrence of Pre-existing Condition
|
Eligible medical expenses: $2,500 maximum limit. Emergency Medical Evacuation: $25,000 maximum limit
|
|
Hospital Room & Board
|
Average semi-private room rate
|
|
Intensive Care Unit
|
URC
|
|
Surgery
|
URC
|
|
Physician Visits
|
URC
|
|
Diagnostic Procedures
|
URC
|
|
Prescription Medication
|
URC
|
|
Home Nursing Care
|
URC
|
|
Durable Medical Equipment
|
URC
|
|
Continuation of Treatment Period
|
Earlier of 6 months per Injury or Illness, or upon return to home country
|
|
Emergency Medical Evacuation
|
$250,000 lifetime maximum
|
|
Emergency Reunion
|
$50,000 lifetime maximum
|
|
Non-Emergency Medical Evacuation
|
$25,000 lifetime maximum
|
|
Return of Mortal Remains
|
$50,000 lifetime maximum
|
|
Local Burial/ Cremation
|
$5,000 lifetime maximum
|
|
Political Evacuation
|
$50,000 lifetime maximum
|
|
Inter-facility Transportation
|
$2,500 lifetime maximum
|
|
Natural Disaster
|
$100 per day for five days, $5,000 lifetime maximum for evacuation
|
|
Terrorism
|
$50,000 lifetime maximum. Not subject to deductible
|
|
Accidental Death & Dismemberment
|
$25,000 principal sum
|
|
Common Carrier Accidental Death
|
$100,000 per adult/ $250,000 per family lifetime maximum
|
|
Trip Interruption
|
$5,000
|
|
Lost Luggage
|
$50 maximum per item of personal property, $250 overall maximum
|
|
Hospital Indemnity
|
$250 per night, 30 overnights maximum
|
|
Identity Theft
|
$500
|
|
Felonious Battery
|
$10,000 lifetime maximum
|
|
Local Ambulance Expense
|
$5,000
|
|
Emergency Room- Due to Accident or Illness with In-patient Admission
|
URC
|
|
Emergency Room- without In-patient Admission
|
URC. Subject to additional $250 deductible
|
|
Dental Emergency- Treatment due to Accident
|
URC
|
|
Dental Emergency- Treatment of Unexpected Pain to Natural Teeth
|
$100
|