GlobeHopper Senior Multi Trip-Benefits

Period of Coverage

12 months with a maximum of 30 days per trip

Area of Coverage

Outside the United States

Maximum Limit per Period of Coverage Ages 65-79

$1,000,000

Maximum Limit per Period of Coverage Age: 80+

$100,000

Deductible

$250 per Illness/Injury

Coinsurance

No Coinsurance

Sudden & Unexpected Recurrence of Pre-existing Condition

Eligible medical expenses: $5,000 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

$5,000 maximum limit before earlier of a)30 day per injury or illness or b)upon return to home country

Emergency Medical Evacuation

$250,000 lifetime maximum

Emergency Reunion

$50,000 lifetime maximum

Non-Emergency Medical Evacuation

N/A (only offered under Evacuation Plus rider)

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 evacuations

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, 5 overnights per trip maximum

Identity Theft

$500

Felonious Battery

$10,000 lifetime maximum

Local Ambulance Expense

URC

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

URC= Usual, Reasonable and Customary charges

*Terms and Conditions of the contract do apply