Liaison Travel Elite - Excluding USA

Plan Detail

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

Plan best suited - Non-US citizens traveling to USA only.
Ages - 14 days to 99 years.
Coverage length - Minimum 5 days to maximum 1,092 days.
ID card - Apply online to get ID card in email.
Renew - Renew online, by phone, by email, by fax.
Minimum 5 days renewal.
Acute onset of pre-existing coverage: Age 0-64 To the medical maximum WITHOUT A PRIMARY HEALTH PLAN Age 0-64 Up to $50,000 Ages 65+ $2,500 Emergency Services & Assistance limit $25,000

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

Benefits

SECTION 2. SCHEDULE OF BENEFITS

All benefits listed in this Schedule of Benefits are in UNITED STATES Dollar amounts. Except as specifically indicated otherwise, all benefits are subject to Deductible and Coinsurance. Also, all benefits except Loss of Checked Baggage are per Person per Period of Coverage.

Benefit or Service	Elite
COVERAGE LENGTH	5 days to 1,092 days
Coverage Area	Worldwide "Excluding" the United States Worldwide "Including" the United States
Medical Maximum Options	$50,000; $100,000; $500,000; $1,000,000; $2,000,000; $5,000,000 Ages 80+: $20,000 Max
Deductible Options (You Pay)	$0; $100; $250; $500; $1,000; $2,500, $5,000
Coinsurance Options (The plan pays)	Outside the United States: 100%
Inside the United States In PPO Network: 100% Coinsurance Out of PPO Network: 90% of the first $5,000, then 100% to the Medical Maximum
Hospital Room & Board	URC Up to Plan Maximum
Inpatient Hospital Services	URC Up to Plan Maximum
Outpatient Hospital / Clinical Services	URC Up to Plan Maximum
Emergency Room Services	URC Up to Plan Maximum
Doctor's Office Visits	URC Up to Plan Maximum
Prescription Drugs	URC Up to Plan Maximum
Home Healthcare	$2,500
Local Ambulance Benefit:	Medical Maximum
Hospital Indemnity (outside the United State & Canada)	$250 per day to a maximum of 30 days
Coma Benefit	$50,000 (In addition to Medical Maximum)
Precertification – 25% penalty	Required inside the United States Penalty does not apply to an emergency
Extension of Benefits to Home Country	$20,000
Incidental Trips to Home Country	$50,000
Waiver of Pre-existing Condition: United States Residents outside of the United States	With a Primary Health Plan: Age 0-64 Up to the Medical Maximum Without a Primary Health Plan: Age 0-64 Up to $50,000 Ages 65+ $2,500 Emergency Services & Assistance Limited to $25,000
Acute Onset of a Pre-existing Condition: Non-United States Residents traveling to the United States	Age 0-69: $50,000 Age 70 & over: $10,000 Emergency Services & Assistance Limited to $25,000
Dental - Sudden Relief of Pain:	$250
Dental - Accident:	Medical Maximum
Emergency Medical Evacuation & Repatriation:	$1,000,000 (In addition to the Medical Maximum)
Emergency Medical Reunion:	Up to $200 per day $10,0000 maximum limit
Return of Child(ren):	$100,000
Return of Mortal Remains	$100,000
Local Burial or Cremation	$5,000
Natural Disaster Evacuation	$100,000
Natural Disaster Daily Benefit	$250 per day, 10-day limit
Political Evacuation & Repatriation	$100,000
Felonious Assault	$20,000
Terrorism	Up to Med Max
24/7 TRAVEL ASSISTANCE SERVICES	Included
Accidental Death and Dismemberment (AD&D)	$50,000 Primary Insured or Travel Companion $10,000 Child Aggregate limit of $250,000 for Total Number of Insureds on Plan
Common Carrier Accidental Death	$100,000 Primary Insured or Travel Companion $20,000 Child Aggregate limit of $250,000 for Total Number of Insureds on Plan
Loss of Checked Luggage	Up to $50 per article $1,000 per occurrence maximum
Trip Interruption	$10,000
Personal liability	$100,000
Hazardous Sports (Optional)	Up to Plan Maximum
Benefit Period	180 Days