| |
| To Policy Maximum when coordinated
through the Plan Administrator |
| Patriot Extreme includes coverage for
Emergency Medical Evacuations from a medical facility to the nearest
qualified medical facility; 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. |
| To US$10,000 when coordinated through
the Plan Administrator |
| Patriot Extreme also provides emergency reunion
coverage, up to US$10,000 for a maximum of 15 days, for the reasonable
travel and lodging expenses of a relative or friend during an emergency
medical evacuation of the insured person: either the cost of accompanying
the insured during the evacuation or traveling from the country
of residence to be reunited with the insured. |
| To US$15,000 when coordinated through
the Plan Adminstrator |
| If a covered illness/injury results in
death, expenses for Repatriation of bodily remains or ashes to
the country of residence will be covered up to a maximum of US$15,000. |
| |
| 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. |
| 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. |
| US$50,000 to Beneficiary; maximum
of US$250,000 per family |
| 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 |
| |
| Usual reasonable and customary
charges,subject to deductible and coinsurance |
| To Policy Maximum for average semi-private
room rate |
| |
| To Policy Maximum |
| |
| To Policy Maximum |
| |
| To Policy Maximum |
| |
| To Policy Maximum |
| |
| To Policy Maximum |
| Patriot Extreme covers the cost of emergency
dental treatment and dental procedures necessary to restore sound
natural teeth lost or damaged in an accident |
| To Policy Maximum for basic and
extreme sports as described below |
Subject to the terms of the complete policy
wording, Patriot Extreme covers injuries incurred during non-contact
amateur athletic activities and certain Extreme Sports (see page
7 of the Patriot Extreme brochure). Activities may be organized
and include scheduled practices, games, and/or competitions.
Activities not covered include contact sports, professional sports
and any athletic activities that are organized and/or sanctioned
by the National Collegiate Athletic Association (or any other collegiate
sanctioning body) or the International Olympic Committee. |
| |
| US$250 per Period of Coverage
|
| |
| As described below |
| The plan pays 80% of eligible
expenses up to US$5,000 then 100% up to the Policy Maximum. |
| Three months |
| If a covered injury or illness has continuing
treatment after the certificate expires, the 3-Month Benefit Period
may provide continued coverage. When the certificate expires, the
Company will review the date of initial treatment for the covered
injury or illness. If treatment began less than three months before
the certificate expired, benefits for the covered injury or illness
will continue subject to the Policy Limits until there has been
three months of coverage for the covered injury or illness. |
| US$50,000 |
| The Patriot Extreme plan has a Policy Maximum
of US$50,000. |
| |
| The above outline is only a consolidated
and summary description of all current Patriot Extreme 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.
|
