Comprehensive medical coverage for individuals traveling outside their country of citizenship for 6 months to 2 years
ExPatriot Plus® provides
coverage for US citizens AND non-US citizens traveling outside their country of
citizenship for a minimum of six months up to a maximum of two years. ExPatriot
Plus must be purchased for a minimum initial period of six months, and is
renewable for a total of two years by those traveling outside the US. For non-US
citizens traveling within the US, ExPatriot Plus may be renewed for up to one
year of total coverage. A new Deductible and Coinsurance will apply for each
Period of Coverage.
Policy Premiums ExPatriot Plus® Policy Monthly Premiums for Citizens
traveling outside their country of citizenship.
|
EXPATRIOT PLUS® POLICY PREMIUMS |
|||||
| 500,000 MAX | 1,000,000 MAX | 2,000,000 MAX | 500,000 MAX | 1,000,000 MAX | |
| US CITIZEN | US CITIZEN | US CITIZEN | NON-US CITIZEN | NON-US CITIZEN | |
| option 10 | option11 | option 12 | option 13 | option 14 | |
|
AGE |
One Month | One Month | One Month | One Month | One Month |
|
18-29 |
$43.00 | $48.00 | $54.00 | $64.00 | $75.00 |
|
30-39 |
$57.00 | $63.00 | $72.00 | $84.00 | $97.00 |
|
40-49 |
$73.00 | $81.00 | $99.00 | $126.00 | $142.00 |
|
50-59 |
$122.00 | $136.00 | $153.00 | $178.00 | $205.00 |
|
60-64 |
$153.00 | $180.00 | $201.00 | $207.00 | $248.00 |
|
65-69 |
$158.00 | $189.00 | $243.00 | $226.00 | $270.00 |
|
DEP CHILD |
$27.00 | $28.00 | $34.00 | $28.00 | $39.00 |
|
CHILD ALONE |
$41.00 | $45.00 | $52.00 | $49.00 | $66.00 |
All premium rates are in US dollars and are
effective through 6/30/2002. Rates include 2.5% surplus lines tax. A dependent
child is your child shown on the Enrollment Form over 14 days and under 18 years
of age, traveling with you, and for whom premium has been paid.
Benefit Period. If a covered injury or illness requires continuing
treatment after the policy expires, the Benefit Period may provide continued
coverage. When the policy expires, IMG will review the date of the initial
treatment for the covered injury or illness. If treatment began less than six
months before the policy expired, benefits for the covered injury or illness
will continue subject to the Policy Limits until there has been six months of
coverage. The Benefit Period serves as an extension of benefits and does not
limit the treatment time during the Policy Period.
To Report Claims...............................
Please mail to IMG
International Medical Group, Inc.
407 Fulton Street
Indianapolis, IN 46202 U.S.A.
Please include Identification Number in all correspondence.
The information here contains only a consolidated and summary description of all
current Patriot Travel Medical Insurance benefits, conditions, limitations and
exclusions. A certificate containing the complete Policy Wording with all terms,
conditions and exclusions will be included with the fulfillment kit. In support
of Patriot Travel Medical InsuranceSM, IMG has established the Global
Medical Services Group Insurance Trust, in Indiana. The trust owns a master
group international travelers insurance policy. Individual certificates of
insurance are issued from the master policy.
Underwritten by: Sirius International Insurance Corporation