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Patriot Group Travel Medical InsuranceSM

Overview • Benefits • ExclusionsQuote / Buy Online
Premiums: Patriot InternationalSMPatriot AmericaSM

SCHEDULE OF BENEFITS- EACH PLAN INCLUDES THE FOLLOWING BENEFITS:
INTERNATIONAL EMERGENCY CARE
Emergency Evacuation To Policy Maximum when coordinated through IMG

Each Patriot Group Travel Medical Insurance plan includes coverage for Emergency Medical Evacuations to the nearest qualified medical facility or the country of residence (as determined by IMG); 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.

Emergency Reunion To US$15,000 when coordinated through IMG
Each Patriot Group plan also provides emergency reunion coverage, up to US$15,000 for a maximum of 15 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 reunited with the insured.
Repatriation To US$25,000 when coordinated through IMG

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.

Returning Minor Children To US$5,000 when coordinated through IMG

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 PatriotSM 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).

 
SPECIAL COVERAGES
Home Country Coverage As described below
Incidental Home Country Coverage - During the Period of Coverage an insured person may return to their country of residence for incidental visits up to a cumulative two weeks total, subject to: a. The insured person must have left their country of residence, b. The total Period of Coverage must be for a minimum of 30 days, and c. The return to the country of residence may not be taken to receive treatment for an illness or injury incurred while traveling.

End of Trip Home Country Coverage - For every six months of coverage you purchase, you can purchase one additional month of home country coverage up to a maximum of two months.
Trip Interruption  To US$5,000
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.
Lost Luggage To US$50 per item; maximum of US$250

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.

Common Carrier Accidental Death US$50,000 to Beneficiary; maximum of US$250,000 per family of Group

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 of Group.

 
MEDICAL BENEFITS Usual reasonable and customary charges,subject to deductible and coinsurance
Hospital Room and Board To Policy Maximum for average semi-private room rate
 
Intensive Care To Policy Maximum
 
Medical Expenses To Policy Maximum
 
Outpatient Medical To Policy Maximum
 
Local Ambulance To Policy Maximum
 
Dental To Policy Maximum
Each Patriot Group plan covers the cost of emergency dental treatment and dental procedures necessary to restore sound natural teeth lost or damaged in an accident.
Sports & Activities To Policy Maximum for basic sports Coverage as described below
Each Patriot Group 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.
Accidental Death&Dismemberment US$25,000 principal sum
Each Patriot Group 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 of the Patriot Group Travel Medical Insurance brochure. For beneficiary information see the Beneficiaries section of the Patriot Group Travel Medical Insurance brochure.
 
PLAN INFORMATION
Deductible Your choice of US$100, $250, $500, $1,000 or $2,500
 
Coinsurance As described below

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.

Benefit Period Six months
If a covered injury or illness requires continuing treatment after the period of coverage expires, the Benefit Period may provide continued coverage. When the period of coverage expires, IMG will review the date of initial treatment for the covered injury or illness. If treatment began less than six months before the period of coverage expired, benefits for the covered injury or illness will continue subject to the Policy Limits and the other terms of the plan until there has been six months of continuous coverage. The Benefit Period serves as an extension of benefits and does not limit the treatment time during the period of coverage.
 
Additional Benefits for U.S. Citizens
Sudden Recurrence of a Pre-existing Condition
Up to US$5,000 will be paid for the eligible expenses of a sudden and unexpected recurrence of a Preexisting 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 on panel 10 in the Patriot Group Travel Medical Insurance brochure.
Dental Emergency
Patriot International will pay up to US$100 for the necessary treatment of sudden, unexpected pain to sound natural teeth.
Indemnity
Patriot International will pay directly to the group member US$100 for each night of a required overnight stay in a hospital. The hospital stay must be covered under this plan in order to receive this benefit.
 
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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