Plan Detail

Plan Administrator: USI Affinity Travel Insurance Services | AM Best Rating: A+ "Superior" | Underwriter: Lloyd's of London

• Eligibility: Non US Citizen Age 14-64 years travelling to USA.
• Coverage length: Min 5 days to 364 days.
• Coinsurance - Claims Incurred in the U.S.
• In-Network Payment : Within the PPO: We will pay 80% of eligible expenses, after the deductible, up to the overall maximum limit
• Out-Of-Network Payment: Outside the PPO: Usual, reasonable, and customary. You may be responsible for any charges exceeding the payable amount.
• Renew Online: Any extension or renewal is based upon the eligibility rules in force at the time of renewal and is solely at the discretion of Underwriter.
• ID card & Visa Letter comes in email instantly.

U.S. PREFERRED PROVIDER ORGANIZATION (PPO) REQUIREMENTS

Nothing contained in this insurance restricts or interferes with your right to select the hospital, physician or other medical service provider of your choice. Nothing contained in this insurance restricts or interferes with the relationship between you and the hospital, physician or other providers with respect to treatment or care of any condition, nor your right to receive, at your own expense, services and/or supplies that are not covered under this insurance.

To comply with the United States Preferred Provider Organization (PPO) requirements, you must receive medical treatment from PPO providers while in the United States. If you choose to seek treatment from a PPO provider, we will waive the coinsurance applicable to the expenses.

You may review a listing of hospitals, physicians and other medical service providers included in the PPO Network for the area where you will be receiving treatment by accessing the Internet website for Tokio Marine HCC - MIS Group: www.hccmis.com. For assistance locating a provider, contact us at 1-800-605- 2282.