INF Short Term Premier

Plan Detail

Plan Administrator: INF Healthcare I AM Best Rating : "A++" I 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: Min 90days up to max 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: For Policy Maximum 100,000(Age 0-69):-$20,000 & $40,000; (Age 70-99):-$15,000 & $25,000; For Policy Maximum 150,000 (Age 0-69):-$30,000 & $60,000.
$0 Copay for Doctors Visit & Urgent Care using MeMD Telemedicine
PPO Network: Provides First Health PPO Network.
Includes Coverage for Dental, Prescription Drug , Vision issues such as eye irritations, Pregnancy & Childbirth (conception must occur coverage start), Chiropractic care & Urinary Tract Infections.
ID card, Visa Letter, Certificate, & Dental Card are Emailed Instantly.
NOTE: This plan is available to visitors who are not yet in the United States. Read More

Examples of Covered Pre-Existing Condition

Benefits Pre-existing Coverage Description Exclusions Renew Cancel Claims Provider Network

Benefits

INF PREMIER INPATIENT BENEFITS

COVERED SERVICES	$100,000 Policy Coverage	$150,000 Policy Coverage
Hospital Room (average semi-private) and Board and Miscellaneous	Up to $1,750 a day maximum, to 30 days	Up to $1,900 a day maximum, to 30 days
Hospital Intensive Care Unit	Up to $750 maximum additional a day, to 8 days	Up to $850 maximum additional a day, to 8 days
Surgeon	Up to $5,000 maximum	Up to $6,000 maximum
Anesthetist	Up to $1,250 maximum	Up to $1,500 maximum
Assistant Surgeon	Up to $1,250 maximum	Up to $1,500 maximum
Doctor’s Non-Surgical Visits	Up to $100 maximum a visit, 1 visit a day, to 30 visits	Up to $125 maximum a visit, 1 visit a day, to 30 visits
Consultant Doctor, when requested by attending Doctor	Up to $450 maximum	Up to $500 maximum
Pre-Admission Tests within 14 days before hospital admission	Up to $1,100 maximum	Up to $1,200 maximum
Surgical Room and Supply Expenses	Up to $1,100 maximum	Up to $1,200 maximum
Surgeon	Up to $5,000 maximum	Up to $6,000 maximum
Anesthetist	Up to $1,250 maximum	Up to $1,500 maximum
Assistant Surgeon	Up to $1,250 maximum	Up to $1,500 maximum
Doctor’s Non-Surgical Visits	Up to $100 a visit maximum, 1 visit a day, to 10 visits	Up to $125 a visit maximum, 1 visit a day, to 10 visits
Diagnostic X-rays and Lab Services	Up to $650 maximum	Up to $750 maximum
CAT Scan, PET Scan or MR	Up to $650 additional	Up to $1,000 additional
Hospital Emergency Room	Up to $500	Up to $750
Prescription Drugs	Up to $150 maximum	Up to $200 maximum
Ambulance Services	Up to $450 maximum	Up to $500 maximum
Rehabilitative Braces or Appliances	Up to $1,100 maximum	Up to $1,200 maximum
Dental Treatment injury to sound, natural teeth- due to accident	Up to $500 maximum. There are no benefits for dental services for immediate relief of pain	Up to $550. There are no benefits for dental services for immediate relief of pain.
Chemotherapy and/or Radiation Therapy	Up to $1,150 maximum	Up to $1,250 maximum
Physical and Occupational Therapy	Up to $45 a visit max, 1 visit a day to 12 visits	Up to $50 a visit max, 1 Visit a day to 12 visits
Private Duty Nurse	Up to $500 maximum	Up to $550 maximum
Pregnancy and Childbirth (conception must occur after the Trip begins)	Up to $5,000 maximum	Up to $5,500 maximum
Medical Evacuation	$20,000 maximum	$25,000 maximum
Repatriation of Remains	$15,000 maximum	$20,000 maximum
Intercollegiate Sports	No Benefits	No Benefits
Pre-existing Conditions Coverage	Options for Members Age 69 & Under: $20,000 Benefit with $1,000 Deductible $40,000 Benefit with $5,000 Deductible Options for Members Age 70-99: $15,000 Max Benefit with $1,000 Deductible $25,000 Maximum Benefit with $5,000 Deductible	*Options for Members Age 69 & Under:** $30,000 Maximum Benefit/$1,000 Deductible $60,000 Maximum Benefit/$5,000 Deductible *This coverage is not available forMembers Age 70-99.

THIS IS THE DESCRIPTION OF COVERAGE FOR POLICY NO. GLMN10783513P. THIS POLICY IS ADMINISTEREDBY INF AND UNDERWRITTEN BY ACE AMERICAN INSURANCE COMPANY, A MEMBER OF THE CHUBB GROUP OF COMPANIES, PHILADELPHIA, PA.

MEDICAL EXPENSE BENEFITS

The Plan will pay Medical Expense Benefits for Covered Expenses that result directly, and from no other cause, from a Covered Accident or Sickness. These benefits are subject to a Deductible of $75/$250 (Age 0-69) & $250/$500 (Age 70-99)per person for each Injury and each Sickness. Medical Expense Benefits are only payable: (1) for Usual andCustomary Charges incurred after the Deductible, if any, has been met; (2) for those Medically Necessary Covered Expenses that the Covered Person incurs; (3). for charges incurred for services rendered to the Covered Person while on a covered Trip; and (4) provided the first charge is incurred within 90 days of the Covered Accident or Sickness. Payment for Covered Expenses will not exceed the benefit limits shown below. The total amount payable under the policy for you and your Dependents (if you have elected Dependent coverage and paid the required premium) will not exceed the Policy Maximums shown below.