Inbound Immigrant

Plan Detail

Plan Administrator: Seven Corners | AM Best Rating: A+ "Superior | Underwriter: Lloyd's of London

Benefits


SCHEDULE OF BENEFITS & COVERED EXPENSES

Benefit Age 14 Days To Age 69
Plan A
Age 14 Days To Age 69
Plan B
Age 14 Days To Age 69
Plan C
Age 14 Days To Age 69
Plan D
Age 70 and over
Plan J
Lifetime Maximum $50,000 max per injury/ sickness $75,000 max per injury/ sickness $100,000 max per injury/ sickness $130,000 max per injury/sickness $75,000 max per injury/sickness
INPATIENT
Hospital Room & Board including  Laboratory Tests, X-rays, Prescription Medical and other miscellaneous Up to $1,500/day, 30 day max Up to $2,000 per day, 30 day max Up to $2,500/day, 30 day max Up to $3,000/day, 30 day max Up to $1,250/day, 30 day max
Hospital Intensive Care Unit Additional $500/day, 8 day max Additional $500/day, 8 day max Additional $500/day, 8 day max Additional $800/day, 8 day max Additional $525/day, 8 day max
Surgical Treatment Up to $2,100 Up to $4,800 Up to $5,800 Up to $7,200 Up to $3,350
Anesthetist Up to $500 Up to $750 Up to $1,000 Up to $1,650 Up to $800
Assistant Surgeon Up to $500 Up to $750 Up to $1,000 Up to $1,650 Up to $800
Physician’s Non-Surgical Visits Up to $38/visit, 1/day,
30 visits
Up to $56/visit, 1/day,
30 visits
Up to $75/visit, 1/day,
30 visits
Up to $100/visit, 1/day, 30 visits Up to $65/visit, 1/day, 30 visits
Consultant Physician, when requested by attending Physician Up to $250 Up to $325 Up to $500 Up to $575 Up to $450
Pre-Admission Tests w/in 7 days before Hospital admission Up to $650 Up to $975 Up to $1,300 Up to $1,300 Up to $900
Private Duty Nurse Up to $650 Up to $650 Up to $650 Up to $650 Up to $450
OUTPATIENT
Surgical Treatment Up to $2,100 Up to $4,800 Up to $5,800 Up to $7,200 Up to $3,350
Anesthetist Up to $500 Up to $750 Up to $1,000 Up to $1,650 Up to $800
Assistant Surgeon Up to $500 Up to $750 Up to $1,000 Up to $1,650 Up to $800
Physician’s Non-Surgical Visits Up to $38/visit, 1/day,
10 visits
Up to $56/visit, 1/day,
10 visits
Up to $75/visit, 1/day,
10 visits
Up to $100/visit, 1/day, 10 visits Up to $65/visit, 1/day, 10 visits
Diagnostic X-rays & Lab Services Up to $250; Additional
$325 - One CAT scan, PET scan or MRI
Up to $375; Additional $325 - One CAT scan, PET scan or MRI Up to $500; Additional
$975 - One CAT scan, PET scan or MRI
Up to $575; Additional
$975 - One CAT scan,
PET scan or MRI
Up to $450; Additional $325 -
One CAT scan, PET scan or MRI
Hospital Emergency Room Up to $200 max Up to $300 max Up to $400 max Up to $650 max Up to $325 max
Prescription Drugs Up to $68 Up to $101 Up to $135 Up to $200 Up to $100
Outpatient Surgical Facility Up to $600 Up to $900 Up to $1,200 Up to $1,400 Up to $1,050
OTHERS
Ambulance Services Up to $500 Up to $500 Up to $500 Up to $500 Up to $500
Initial Orthopedic Prosthesis/Brace Up to $663 Up to $994 Up to $1,325 Up to $1,600 Up to $1,000
Chemotherapy and/or
Radiation Therapy
Up to $663 Up to $994 Up to $1,325 Up to $1,600 Up to $1,000
Dental Treatment for Injury to Sound, Natural Teeth Up to $650 Up to $650 Up to $650 Up to $650 Up to $650
Mental & Nervous Disorder & Substance Abuse Same as any Sickness Same as any Sickness Same as any Sickness Same as any Sickness Same as any Sickness
Maternity (conception occurs at least 90 days after your effective date) Up to $2,800 Up to $2,800 Up to $2,800 Up to $2,800 N/A
Physiotherapy Up to $45/visit, 1/day,
12 visits
Up to $45/visit, 1/day,
12 visits
Up to $45/visit, 1/day,
12 visits
Up to $45/visit, 1/day,
12 visits
Up to $45/visit, 1/day, 12 visits
Emergency Evacuation $50,000 $50,000 $50,000 $50,000 $50,000
Return of Remains $7,500 $7,500 $7,500 $7,500 $7,500
AD&D Principal Sum $25,000 Common Carrier $25,000 Common Carrier $25,000 Common Carrier $25,000 Common Carrier $25,000 Common Carrier
Acute Onset of a Pre-existing Condition(s) $50,000 per policy period for Medical Expense Benefits (subject to the sublimits for each benefit shown above) & $25,000 per policy period
for Emergency Medical Evacuation.
$75,000 per policy period for Medical Expense Benefits (subject to the sublimits for each benefit shown above) & $25,000 per policy period for Emergency Medical Evacuation. $100,000 per policy period for Medical Expense Benefits (subject to the sublimits for each benefit shown above) & $25,000 per policy period
for Emergency Medical Evacuation.
$130,000 per policy period for Medical Expense Benefits (subject to the sublimits for each benefit shown above) & $25,000 per policy period for Emergency Medical Evacuation. N/A
Common Carrier Accidental Death & Dismemberment

This benefit pays up to $25,000 for accidents occurring while you are riding as a passenger in or on any land, water or air conveyance transporting passengers for hire. Your loss must occur within 365 days after the accident date. A description of the covered losses is shown below:

For Loss of: Indemnity:
Life Principal Sum
Both Hands or Both Feet or Sight of Both Eyes Principal Sum
One Hand and One Foot Principal Sum
Either Hand or Foot and Sight of One Eye Principal Sum
Either Hand or Foot One-Half the Principal Sum
Sight of One Eye One-Half the Principal Sum

IMPORTANT BENEFIT HIGHLIGHTS

MEDICAL BENEFITS - If your covered injury or sickness requires medical treatment, we will pay the coverage amounts listed in the schedule of benefits, minus your chosen per person deductible. Treatment must be received within 364 days of the injury or sickness.
 
HOME COUNTRY COVERAGE - We will pay up to $50,000 for an illness or injury which occurs while you are on an incidental trip to your home country (90 days per 364 days of purchased coverage).
 
INTERNATIONAL TRAVEL COVERAGE - If you buy at least 30 days of coverage, you may travel to countries other than the United States for up to 30 days. This benefit does not include travel back to your home country, and it does not extend after your current expiration date.
 
EMERGENCY MEDICAL EVACUATION* - If medically necessary:
  • We will transport you to adequate medical facilities.
  • We will transport you home after receiving medical treatment related to a medical evacuation.
RETURN OF MORTAL REMAINS* - We will return your remains to your home country if you should die while traveling.
 
*Arrangements for evacuation & return of remains must be made by Seven Corners Assist.