Plan Detail

Plan Administrator: INF Healthcare | AM Best Rating : "A++" | Underwriter: CHUBB American Insurance Company.

• Eligibility: Non US citizen & US Expatriates age 0-99 traveling to USA and traveling outside their home country.
• Coverage Length: Minimum 90 days to 12 months.
• Renew Online: It can be renewed up to 12months after the initial enrollment period,$5 application fee will charged for auto-enrollment.
• Covers all pre-existing conditions: Including any in-patient, out-patient, urgent care, specialist, doctor visits, anything related to pre-existing conditions. Pre-Existing Conditions treated like new sickness.
• Pre-Existing Condition: $25,000 and Deductible of $1,500 (Age 69 & under) or a Maximum Benefit of $20,000 and Deductible of $1,500 (Ages 70-99).
• $0 Copay for Doctors Visit & Urgent Care using MeMD Telemedicine.
• PPO Network: Provides United Healthcare PPO Network.
• Includes Coverage for Dental, Prescription Drug , Vision issues such as eye irritations, Urinary Tract Infections.
• ID card, Visa Letter, Certificate, & Dental Card are Emailed Instantly.
• Note: This plan is only available for visitors before coming to the USA. If a person is already in the USA and needs to purchase this plan kindly contact us at 510-353-1180

Examples of Covered Pre-Existing Condition

CLAIM PROCEDURE

It is required to file a claim with the Insurance company any time the insurance is used. Claims may be submitted to the Claims Administrator (Administrative Concepts Inc.) by the provider of service directly or by you, using the claim forms found in the Active Policies area of the MyINF Member Portal. All claims must be submitted using the applicable claim form, which can be found online or requested from the Claims Administrator.

Completed claim forms must be furnished to Administrative Concepts, Inc. within 90 days after the date of such loss. Failure to furnish such proof within the time required will not invalidate or reduce any claim if it was not reasonably possible to furnish proof.

Claims Office

Administrative Concepts, Inc. (ACI)

994 Old Eagle School Rd., Suite 1005

Wayne, PA 19087-1706

Toll Free: 888-293-9229 (from inside the U.S.)

Phone: 610-293-9229 (from outside the U.S.)

Fax: 610-293-9299

Web: http://www.visit-aci.com

Should you to check upon the status of your filed claim, or claims related questions you may call the claims office at the above number during business hours 7 AM to 7 PM (CST). Should you have questions regarding your brochure or insurance program, please contact INF Health Care. They can be reached by phone at 408-634-0065, from 9:00 AM to 6:00 PM (EST) during week days, Monday through Friday.

AXA Travel ASSISTANCE SERVICES (AVAILABLE FOR INSURED MEMBERS ONLY)

AXA Travel Assistance Services at 1-855-327-1414 will provide 24-hour access to the following services:

• Medical Assistance including referral to a doctor or medical specialist, medical monitoring when you arehospitalized, emergency medical evacuation to an adequate facility, medically necessary repatriation, and returnof mortal remains.
• Personal Assistance including pre-trip medical referral information and while you are on a trip: emergencymedication, embassy and consular information, lost document assistance, emergency referral to a lawyer,translator or interpreter access, medical benefits verification, and medical claims assistance.
• Travel Assistance including emergency travel arrangements, arrangements for the return of your travelingcompanion or dependents, and vehicle return.
• Access to a secure, web-based system for tracking global threats and health or location based risk intelligence.

You will receive information Travel Assistance on your Certificate of Insurance that will provide you with emergency call numbers. Information on how to access CHUBB’s Travel Assistance Web Portal can be found in the brochure for this plan.

This information provides you with a brief outline of the services available to you. These services are subject to the terms and conditions of the Policy under which you are insured. Travel assistance services are not available if your coverage under the Policy providing insurance benefits is not in effect.