ExPatriot PlusŪ provides coverage for US citizens AND non-US citizens under age 70 traveling outside their country of citizenship for a minimum of three months up to a maximum of two years. ExPatriot Plus must be purchased for a minimum initial period of three months, and is renewable (without break in coverage) for a total of up to two years. Each insured person must only satisfy one deductible and coinsurance within each yearly coverage period.

All premium rates are in US dollars and are effective through 12/31/2004. Rates include 2.5% surplus lines tax. A dependent child is your child shown on the Application Form over 14 days and under 18 years of age, traveling with you, and for whom premium has been paid.

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Refund of Premium

IMG will refund premium only if a written request is received prior to the certificate's effective date. The premium is non-refundable after that date.

Precertification, Emergency Evacuation and Repatriation

For precertification, emergency evacuation and repatriation please call IMG in the U.S. 1-800-628-4664 (toll free) or 1-317-655-4500. Call IMG outside the US: 001-317-655-4500 (collect if necessary). This information will also be provided on your ID card.

IMG must be notified prior to treatment or within 48 hours of an emergency.

To Report Claims

Please mail completed claim forms to International Medical Group, 407 Fulton Street, Indianapolis, IN 46202 USA. All IMG contact numbers, claim forms and Policy Wordings will be included in the fulfillment kit. IMG may also be contacted by fax: 317-655-4505 or email: insurance@imglobal.com.

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This web page contains only a consolidated and summary description of all current Patriot 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. IMG reserves the right to issue the most current Policy Wording for this insurance plan in the event this application and/or brochure has expired, is modified, or is replaced with a newer version. Current Policy Wordings are available upon request.