For those world travelers seeking stability,
quality, and financial strength in their medical insurers,
Reside Prime Worldwide Medical Plan is the answer.
Reside Prime provides comprehensive worldwide medical
coverage to simplify your health care choices regardless
of whether you are at home or away.
| Policy Maximum
|
The Reside Prime Medical
Plan provides a Lifetime Maximum Benefit of
US$5,000,000 per insured person |
| Deductible
|
$250, $500, $1,000, $2,500, $5,000,
$10,000 and $25,000 options. Families enrolling
on one Application make a maximum of three Deductible
payments. Any Eligible Expenses incurred and
applied to your Policy Period Deductible within
the last 30 days prior to the renewal date will
carry over to the next Policy Period Deductible. |
| Co-insurance |
- Outside the
U.S. and Canada:
For the Policy Period, the plan pays 100%
of Eligible Expenses after the Deductible
up to the Policy Maximum.
- In USA :
After the Deductible, the policy pays 80%
of the next $5,000, of Eligible Expenses,
then 100% up to the Policy Maximum. Use
of a PPO reduces the deductible by 50% and
any applicable coinsurance will be waived.
Expenses inside the US and Canada must be
pre-notified.
|
| Coverage Options |
The Policy Period is for 12 months
and must be renewed annually. After 36 months,
an extended coverage schedule of benefits replaces
the initial policy benefits.
Optional riders include Accidental Death
and Dismemberment, Dental, Sports, and Hospital
Daily Indemnity
|
| Plan Life
|
The Policy Period is for 12 months
and must be renewed annually. After 36 months,
an extended coverage schedule of benefits replaces
the initial policy benefits. |
| Underwriter |
The Reside Prime Medical Plan is
underwritten by Certain Underwriters at Lloyd's
of London, member of Lloyd's
Group of companies. |
| Claims Administrator
|
The Reside Prime Medical Plan is
administered by Seven Corners, Inc. |
Eligibility:
The Reside Prime Medical Plan is available
to persons of any country who are at least 15 days
of age and not yet 75 years old. Applicants/Insured
person(s) in US or Canada must either be outside the
US and Canada at the time of Application, or must
depart the US and Canada with 30 days of the Certificate’s
Effective Date. In addition, the Insured person(s)
must reside outside the US and Canada at least 6 months
during any given 12 month period to meet the Eligibility
Requirements of n Insured Person(s). Applicants/Insures
person(s) in geographical area B(excluding coverage
in United States/Canada) must be outside the US and
Canada at the time of application or must depart the
US or Canada prior to the Certificate’s Effective
Date.
Plan Benefits:
The Reside Prime Worldwide Medical Plan
offers a broad range of benefits including:
-
Full medical coverage
with a Lifetime Maximum of $5,000,000 per person;
-
Coverage for outpatient
and inpatient treatment, surgery, intensive care,
physiotherapy as well as chiropractic
-
A PPO network within
the United States;
-
Maternity(waiting
period of 12 months) and Newborn Benefits;
-
Preventive Benefits
after a 12 month waiting period
-
Emergency Medical
Evacuation coverage of $250,000 per person per policy
period;
-
Repatriation of
Remains;
-
Emergency Medical
Reunion;
-
Accidental Death
and Dismemberment Principal Sum: $10,000 for Insured
and Spouse, $2,000 for Dependent Children. For Common
Carrier, Principal Sum: $40,000 for Insured and
Spouse, $8,000 for Dependent Children.
-
Optional Dental
Rider also available for expanded dental coverage;
-
Lifetime Transplant
Benefit up to $1,000,000 per person; and,
-
Seven Corners Assist
with 24 hour worldwide medical and travel assistance.
Remarks:
- PPO Network: Outside the US the
plan does not follow a network. You can go to any
hospital or doctor. In the US, the plan follows the Hygeia Network
|
