Diplomat Med-E-Vac provides Emergency Medical Evacuation, Emergency Reunion, Repatration of Remains, and Accidental Death & Dismemberment benefits for periods of either three, six, or twelve months.
Medical Evacuation Coverage
This web page has a brief description of the benefits of the Diplomat Med-E-Vac program. A complete description is contained in the plan summary, which is mailed to you upon your enrollment in the program. All coverages are in US Dollar amounts.
Coverage can only begin when the correct premium and a complete application are received by Global Underwriters Agency Inc. There is no medical coverage under this plan.
Who Is Eligible For This Coverage?
Foreign nationals traveling to the USA; US Citizens traveling abroad and individuals traveling outside their home country are eligible. Coverage is available for
you, your spouse and unmarried dependent children. A dependent child is from 14 days to 18 years of age and traveling with the parent, grandparent or legal guardian.
Period Of Coverage
Coverage can be purchased by US Citizens traveling abroad and individuals traveling outside their home country. Coverage is available for 3, 6 or 12 months to suit your travel needs. There are two plans from which to choose.
Effective Date
Coverage will begin on the later of the following:
- Your departure from your Home Country or Country of Residence; or
- The date your complete application and correct premium are received by Global Underwriters Agency Inc.; or
- The effective date requested on the application.
Expiration Date
Coverage will end on the earlier of the following:
- Your permanent return to your Home Country or Country of Residence; or
- Twelve months after your coverage's effective date; or
- The termination date shown on the certificate, for which premium has been paid.
Accidental Death And Dismemberment
If an Insured Person's Injury results in any of the following losses within 365 days after the date of accident; we will pay the sum shown opposite the loss. We will not pay more than the Principal Sum for all losses due to the same accident. The amount of Principal Sum is determined in the Schedule.
Table Of Losses
| Description of loss |
Indemnity |
| For loss of: |
| Life |
Principal Sum |
| Both Hands or Both Feet or Sight of Both Eyes |
Principal Sum |
| One Hand and One Foot |
Principal Sum |
| Either Hand or Foot and Sight of One Eye |
Principal Sum |
| Speech and Hearing in Both Ears |
Principal Sum |
| Quadriplegia |
Principal Sum |
| (total paralysis of both upper and lower limbs) |
| Either Hand or Foot |
One-Half the Principal Sum |
| Sight of One Eye |
One-Half the Principal Sum |
| Speech |
One-Half the Principal Sum |
| Hearing in Both Ears |
One- Half the Principal Sum |
| Paraplegia |
Three Quarters of the Principal Sum |
| (total paralysis of both lower limbs) |
| Hemipegia |
One-Half the Principal Sum |
| (total paralysis of both upper and lower limbs of one side of the body) |
| Thumb and Index Finger |
One Quarter of the Principal Sum |
| (same
hand) |
The term "loss" as used herein shall mean, with regard to hands feet, actual
severance through or above wrist or ankle joint, and regard to eyes, entire
irrecoverable loss of sight.
Worldwide Assistance Service
Worldwide
assistance services are available for emergency and non-emergency services 24
hours a day, every day of the year, while and any covered family members are
traveling abroad. Some of the services include:
- Pre-trip assistance service
- Country specific information
- Visa and passport requirements
- Inoculation and immunization information
- Foreign exchange rate information
|
