Benefits

Limits

What is Covered

1. Hospital Confinement

Pays for standard accommodation and for services and supplies reasonable and necessary for your care during confinement as a resident in-patient.

2. Medical Services

Up to $500

The services of a legally licensed medical physician or surgeon, anesthetist and registered graduate nurse.

3. Physiotherapy

Up to $500

The services of a legally licensed physiotherapist when ordered by the attending physician as treatment of an injury.

4. Chiropractic 

Up to $500

The services of a legally licensed doctor of chiropractic when ordered by the attending physician.

5. Medical Examinations

When performed at the time of the initial emergency, lab tests and /or X-ray examination as ordered by a legally licensed medical physician.

6. Use of Ambulance

The use of a licensed local air, or sea ambulance (including mountain or sea evacuation), when necessary, to the nearest hospital.

7. Medical Equipment Rentals

Rental of crutches or hospital-type bed; and the costs of splints, trusses, braces or other prosthetics.

8. Hospital Service

Emergency out-patient hospital services.

9. Prescriptions Drugs 

Up to $500

Prescriptions drugs or medicines not to exceed a one month’s supply to a maximum of $500.

10. Return of Deceased Body

Up to $10,000

The expenses to return your body to your Country of Origin in the event of your death; or up to $4,000 for the cremation or burial at the place of death.

11. Accidental Dental  

Up to $3,000

The expenses to repair or replace whole or sound natural teeth caused by an accidental blow to the face.

12. Dental Emergencies

Up to $500

Benefits for immediate relief of acute dental pain caused by other than a blow to the face.

13. Return Home*   

Up to $3,000

Covers the costs of one-way economy transportation to your country of origin if the covered injury or sickness necessitates your immediate return during the period of coverage.  Includes one additional insured family member.

14.  Accidental Death and Disablement*

Up to $25,000

Covers accidental loss of life, limb or sight.

15. Follow-up Visits*

Covers two follow-up visits to your physician following emergency treatment of an injury or acute sickness.