| |
| Diplomat Med-E-Vac®
|
|
|
Diplomat Med-E-Vac provides Emergency
Medical Evacuation, Emergency Reunion, Repatriation
of Remains, and Accidental Death & Dismemberment
benefits for periods of either three, six, or twelve
months for individuals and families traveling abroad.
It is a simple plan offering the most
critical benefits for international travelers. The
plan does not offer coverage for medical expenses
(hospital and outpatient expenses) but provides coverage
for costs incurred for transporting the sick or injured
to the hospital in specialized vehicles (i.e. medical
evacuation). In the event of a death the plan covers
costs to return the mortal remains back to the home
country.
| Policy Maximum
|
Emergency Medical Evacuation
- $100,000; Accidental Death and Dismemberment
– up to $25,000 depending on plan |
| Deductible
|
There is no deductible; plan will
pay from the start of the first covered expense |
| Co-insurance |
There is no co-insurance; plan
will pay 100% of the covered expense up to
the covered amount
|
| Coverage Options |
With additional premium one can
obtain coverage for hazardous activities (i.e.
skiing, mountain climbing, scuba etc.) and non-contact
athletic activities (club, inter-collegiate
track, tennis, basketball, volleyball etc.)
|
| Plan Life
|
3, 6, or 12 months |
| Underwriter |
Diplomat Med-E-Vac is underwritten
by the Insurance Company of the State of Pennsylvania,
a member company of American International Group,
Inc. (AIG) |
| Claims Administrator
|
Claims for the Diplomat Medical
Evacuation plan is provided by Global Underwriters,
Inc. located at Cincinnati, OH, USA |
Eligibility:
If you are traveling outside of your Home
Country and are at least 14 days old, you are eligible
for coverage.
Coverage becomes effective on the latest
of:
-
date the enrollment
form and correct premium is received ,
-
departure from
the Home Country or
-
the date requested
on the enrollment form.
Coverage will end on the earlier of the
following:
-
the termination
date shown on the enrollment form for which premium
has been paid, or,
-
twelve months after
coverage’s effective date, or,
-
your permanent
return to principle residence.
Plan Benefits:
Diplomat Med-E-Vac travel coverage provides
a variety of benefits including:
-
Medical Evacuation
to the nearest qualified medical center or hospital,
or to your Home Country (as recommended by the attending
physician and approved by the insurance company)
-
Accidental Death
and Dismemberment Coverage up to $25,000;
-
Up to $10,000 for
Emergency Reunion with a family member when suffering
from a covered illness or injury and the physician
feels that it would be beneficial;
-
Up to $20,000 for
Repatriation of Remains;
-
Worldwide Assistance
Service;
-
Optional Athletic
Coverage and Hazardous Activities Coverage;
-
Pet Return Service;
-
Vehicle Return
Service;
-
Prescription Drug
Refill Assistance; and
-
Eyeglass Replacement
Assistance.
Remarks:
- Cancellation: Full refund less
a $25 cancellation fee is possible if the cancellation
request is received in writing before the start
of the plan. After the policy is in effect, no refunds
are offered.
- Plan Options: For an additional
premium - Plan B provides higher Medical Evacuation
and Accidental Death & Dismemberment benefits
than the basic Plan B
|
| |
|
| |
