Inbound USA

Plan Detail

Plan Administrator: Seven Corners | AM Best Rating: A "Excellent" | Underwriter: Lloyd's

Benefits


Age 14 Days through 69

Plan A

Plan B

Plan C

Plan D

INPATIENT

$50000 Max per Injury/Sickness

$75000 Max per Injury/Sickness

$100,000 Max per Injury/Sickness

130,000 Max per Injury/Sickness

 

       

Hospital Room & Board including Laboratory Tests, X-rays, Prescription Medical and other miscellaneous

Up to $1,400/day, 30 day max

Up to $1,725/day, 30 day max

Up to $2,000/day, 30 day max

Up to $2,585/day, 30 day max

Hospital Intensive Care Unit

Additional $660/day, 8 day max

Additional $755/day, 8 day max

Additional $850/day, 8 day max

Additional $1,105/day, 8 day max

Surgical Treatment

Up to $3,300

Up to $4,400

Up to $5,500

Up to $7,150

Anesthetist

Up to $825

Up to $1,100

Up to $1,375

Up to $1,775

Assistant Surgeon

Up to $825

Up to $1,100

Up to $1,375

Up to $1,775

Physician’s Non-Surgical Visits

Up to $60/visit, 1/day, 30 visits max

Upto $75/visit,1/day, 30 visits max

Up to $85/visit, 1/day, 30 visits max

Up to $115/visit, 1/day, 30 visits max

Consultant Physician, when requested by attending Physician

Up to $450

Up to $475

Up to $500

Up to $650

Pre-Admission Tests w/in 7 days before Hospital admission

Up to $1,100

Up to $1,100

Up to $1,100

Up to $1,450

Private Duty Nurse

Up to $550

Up to $550

Up to $550

Up to $700

OUTPATIENT

       

Surgical Treatment

Up to $3,300

Up to $4,400

Up to $5,500

Up to $7,150

Anesthetist

 Up to $825

Up to $1,100

Up to $1,375

Up to $1,775

Assistant Surgeon

Up to $825

Up to $1,100

Up to $1,375

Up to $1,775

Physician’s Non-Surgical /Urgent Care Visits

Up to $60/visit,1/day, 10 visits max

Up to $75/visit,1/day, 10 visits max

Up to $85/visit,1/day, 10 visits max

Up to $115/visit,1/day, 10 visits max

Diagnostic X-rays & Lab Services

Up to $450 - Additional $250 - One CAT scan, PET scan or MRI

Up to $475 – additional $375 - One CAT scan, PET scan or MRI

Up to $500 - Additional $500 - One CAT scan, PET scan or MRI

Up to $650 - Additional $600 - One CAT scan, PET scan or MRI

Hospital Emergency Room

Up to $330

Up to $465

Up to $550

Up to $750 max

Prescription Drugs

Up to $250 Per Coverage Period

Up to $250 Per Coverage Period

Up to $250 Per Coverage Period

Up to $250 Per Coverage Period

Outpatient Surgical Facility

Up to $1,000

Up to $1,050

Up to $1,100

Up to $1,400

OTHER SERVICES

       

Ambulance Services

Up to $450

Up to $475

Up to $475

Up to $475

Initial Orthopedic Prosthesis/Brace

Up to $1,100

Up to $1,200

Up to $1,300

Up to $1,700

Chemotherapy and/or Radiation Therapy

Up to $1,100

Up to $1,225

Up to $1,350

Up to $1,750

Dental Treatment for Injury to Sound, Natural Teeth

Up to $550

Up to $550

Up to $550

Up to $550

Mental & Nervous Disorder & Substance Abuse

Same as any Sickness

Same as any Sickness

Same as any Sickness

Same as any Sickness

Physiotherapy

Up to $40/visit, 1/day, 12 visits max

Up to $40/visit, 1/day, 12 visits max

Up to $40/visit, 1/day, 12 visits max

Up to $40/visit, 1/day, 12 visits max

Extended Care Facility

Covered under the Hospital Room & Board benefit

Covered under the Hospital Room & Board benefit

Covered under the Hospital Room & Board benefit

Covered under the Hospital Room & Board benefit

Return of Remains/Local Cremation & Burial Benefit

$25,000/$5,000

$25,000/$5,000

$25,000/$5,000

$25,000/$5,000

Common Carrier AD&D Principal Sum

$25,000

$25,000

$25,000

$25,000

Acute Onset of a Pre-existing Condition

$50,000 per coverage period for Medical Expense Benefits (subject to the sublimits for each benefit shown above) & $25,000 per coverage period for Emergency Medical Evacuation.

$75,000 per coverage period for Medical Expense Benefits (subject to the sublimits for each benefit shown above) & $25,000 per coverage period for Emergency Medical Evacuation

$100,000 per coverage period for Medical Expense Benefits (subject to the sublimits for each benefit shown above) & $25,000 per coverage period for Emergency Medical Evacuation

$130,000 per coverage period for Medical Expense Benefits (subject to the sublimits for each benefit shown above) & $25,000 per coverage period for Emergency Medical Evacuation.

Age 70To 99Yrs

Plan J - $50000 Policy Max

Plan K - $70000 Policy Max

INPATIENT

   

Hospital Room & Board including Laboratory Tests, X-rays, Prescription Medical and other miscellaneous

Up to $1,050/day, 30 day max

Up to $1,470/day, 30 day max

Hospital Intensive Care Unit

Additional $460/day, 8 day max

Additional $640/day, 8 day max

Surgical Treatment

Up to $2,750

Up to $3,850

Anesthetist

Up to $685

Up to $960

Assistant Surgeon

Up to $685

Up to $960

Physician’s Non-Surgical Visits

Up to $55/visit, 1/day, 30 visits max

Up to $75/visit, 1/day, 30 visits max

A Consulting Physician, when requested by attending Physician

Up to $400

Up to $560

Private Duty Nurse

Up to $450

Up to $450

Pre-Admission Tests w/in 7 days before Hospital admission

Up to $775

Up to $1,085

OUTPATIENT

 

Up to $3,850

Surgical Treatment

Up to $2,750

Up to $3,850

Anesthetist

Up to $685

Up to $960

Assistant Surgeon

Up to $685

Up to $960

Physician’s Non-Surgical / Urgent Care Visits

Up to $55/visit, 1/day, 10 visits max

Up to $75/visit, 1/day, 10 visits max

Diagnostic X-rays & Lab Services

Up to $400 - Additional $250 - One CAT scan, PET scan or MRI

Up to $560 – additional $300 - One CAT scan, PET scan or MRI

Hospital Emergency Room (all expenses incurred therein)

Up to $250

Up to $350

Prescription Drugs

Up to $200 Per Coverage Period

Up to $250 Per Coverage Period

Outpatient Surgical Facility

Up to $850

Up to $1,190

OTHER TREATMENT AND SERVICES

 

 

Ambulance Services

Up to $450

Up to $450

Initial Orthopedic Prosthesis/brace

Up to $850

Up to $1,190

Durable Medical Equipment

Up to 1,000

Up to 1,000

Chemotherapy and/or radiation therapy

Up to $850

Up to $1,190

Dental Treatment for Injury to Sound, Natural Teeth

Up to $550

Up to $550

Mental & Nervous Disorder & Substance Abuse

Same as any Sickness

Same as any Sickness

Physiotherapy

Up to $40/visit, 1/day, 12 visits max

Up to $40/visit, 1/day, 12 visits max

Extended Care Facility

Covered under the Hospital Room & Board

Covered under the Hospital Room & Board

Emergency Evacuation

$50,000

$50,000

Return of Remains/Local Creamation/Burial

$25,000
$5,000

$25,000
$5,000

AD&D Principal Sum

$25,000 Common Carrier

$25,000 Common Carrier

Accute Onset of Pre-existing Conditions

This benefit is not available if you are 70 or older

This benefit is not available if you are 70 or older