Each
Patriot Travel Medical Plan includes the following benefits:
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INTERNATIONAL EMERGENCY CARE
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Emergency Evacuation
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To Policy Maximum when coordinated through IMG
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Each Patriot Group Travel Medical InsuranceSM plan also provides
for Emergency Medical Evacuations to the nearest qualified medical facility
or the country of residence (as determined by IMGSM)expenses
for reasonable travel and accommodations resulting from the evacuation;
and the cost of returning to either the country of residence or the country
where the evacuation occurred up to the policy limit.
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Emergency Reunion
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To US$15,000 when coordinated through IMG
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Each PatriotSM plan includes emergency reunion coverage, up
to US$15,000 for a maximum of 10 days, for the reasonable travel and lodging
expenses of a relative or friend during an Emergency Medical Evacuation:
either the cost of accompanying the insured during the evacuation or traveling
from the country of residence to be united with the insured.
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Repatriation
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To US$25,000 when coordinated through IMG
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If a covered illness/injury results in death, expenses for Repatriation
of bodily remains or ashes to the country of citizenship will be covered
up to a maximum of US$25,000.
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Returning Minor Children
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To US$5,000 when coordinated through IMG
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If an insured person is hospitalized due to a covered illness/injury
and is traveling alone with child(ren) 19 or under that otherwise would
be left unattended, the Patriot plans will pay up to US$5,000 for one
way economy fare to their home country, including a chaperone, if necessary,
for the safety of the child(ren).
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SPECIAL COVERAGES
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Home Country Coverage
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As described below
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Incidental Home Country Coverage - During the period of coverage
an insured person may return to their country of citizenship for incidental
visits of up to two weeks total, subject to: a. The insured person must
have left their country of citizenship, b. The Total Period of Coverage
must be for a minimum of 30 days, and c. The return to the country of
citizenship may not be taken to receive treatment for a condition incurred
while traveling.
End of Trip Home Country Coverage-For every six (6) months of coverage
ou purchase, you can purchase one (1) month of home country coverage up
to a maximum of 2 months.
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Trip Interruption
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To US$5,000
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If, during a covered trip, there is a death of an immediate family member
(spouse, child, parent or sibling) or the substantial destruction of the
insured's principal residence, the plan will pay to return the insured
to the area of principal residence. The plan will pay for a one way air
or ground transportation ticket of the same class as the unused travel
ticket, less the value of the unused return ticket.
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Lost Luggage
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To US$50 per item; maximum of US$250
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This benefit will be paid in the event that the Common Carrier permanently
loses an insured person's checked luggage. This coverage is secondary
to any other available coverage, including the Carrier's.
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Common Carrier Accidental Death
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US$50,000 to Beneficiary; maximum of US$250,000 per family
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If accidental death should occur while traveling on a commercial Common
Carrier, US$50,000 will be paid to the beneficiary to a maximum of US$250,000
per family
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MEDICAL BENEFITS
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Usual reasonable and customary charges,subject to deductible and coinsurance
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Hospital Room and Board
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To Policy Maximum for average semi-private room rate
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Intensive Care
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To Policy Maximum
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Medical Expenses
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To Policy Maximum
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Outpatient Medical
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To Policy Maximum
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Local Ambulance
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To Policy Maximum
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Dental
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To Policy Maximum
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Each Patriot plan covers the cost of emergency dental treatment and dental
procedures necessary to restore sound natural teeth lost or damaged in
an accident
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Sports & Activities
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To Policy Maximum for basic sports Coverage as described below
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Each Patriot plan covers injuries incurred during amateur athletic activities
which are non-contact and engaged in by an insured person solely for leisure,
recreation, entertainment or fitness purposes. However, activities not
covered include amateur or professional sports or other athletic activity
which is organized and/or sanctioned, or which involves regular or scheduled
practices, games or competition. The following hazardous activities are
excluded, but may be added by the Optional Sports Rider: Scuba
diving, mountain climbing (up to 4500 meters or where ropes or guides
are normally used), jet, snow and water skiing and snowboarding, sky diving,
amateur racing, piloting an aircraft, bungee jumping and spelunking.
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Accidental Death & Dismemberment
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US$25,000 principal sum
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Each Patriot plan includes US$25,000 principal sum benefit for Accidental
Death and Dismemberment occurring during the period of coverage: • Accidental
Loss of life- principal sum; • Accidental Loss of two Members- principal
sum; •Accidental Loss of one Member-50% of principal sum. "Member"
means hand, foot or eye. For more information see the Conditions of Coverage
section in the Patriot Travel Medical brochure.
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PLAN INFORMATION
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Deductible
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Your choice of US$100, $250, $500, $1,000 or $2,500
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Coinsurance
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As described below
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For treatment received outside the US & Canada: No coinsurance
For treatment receivd within the US & Canada: The plan pays
80% of eligible expenses up to US$5,000 then 100% up to the Policy Maximum.
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Benefit Period
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Six months
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If a covered injury or illness has continuing treatment after the policy
expires, the Benefit Period may provide continued coverage. When the policy
expires, IMG will review the date of initial treatment for the covered
injury or illness. If treatment began less than six months before the
policy expired, benefits for the covered injury or illness will continue
subject to the Policy Limits until there has been six months of coverage.
The Benefit Period serves as an extension of benefits and does not limit
the treatment time during the Policy Period.
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Additional Benefits for U.S. Citizens
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Sudden Recurrence of a Pre-existing Condition
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Sudden Recurrence of a Pre-existing Condition - Up to US$500 will be
paid for the eligible expenses of a sudden and unexpected recurrence of
a Pre-existing Condition while traveling outside of the US. In addition,
up to US$25,000 will be paid for the eligible costs and expenses of an
Emergency Medical Evacuation arising or resulting from a sudden and unexpected
recurrence of a Pre-existing Condition. For the definition of a Pre-existing
Condition, please see Exclusion number 1 in the Patriot Travel Medical
brochure.
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Dental Emergency
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This plan will pay up to $100 for the necessary treatment of sudden,
unexpected pain to sound natural teeth.
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The above outline is only a consolidated and summary description
of all current Patriot Group Travel Medical Insurance benefits, conditions,
limitations and exclusions. A certificate containing the complete Policy
Wording with all terms, conditions and exclusions will be included with
the fulfillment kit.
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