It's important to
be prepared for any unexpected illness, injury or medical emergency.
EXECUTIVE & CEO
TRAVEL MEDICAL
Insurance
Age: Maximum
age 69.
Lifetime renewability
Time :15 Days
to 2 years
Residency:
All Nationalities
Citizenship:
All Nationalities
Patriot Executive Insurance is designed
for EXECUTIVES , any NATIONALITY &
Residence:
are under the age of 76,
are covered by an individual or group medical plan, and
travel outside of the United States frequently throughout the
year.
Non-US citizens who:
are under the age of 76,
are covered by an individual or group medical plan, and
travel outside
your country of citizenship frequently throughout the year.
INTERNATIONAL EMERGENCY CARE
Emergency
Evacuation
Up to US$25,000 for pre-existing
conditions; up to policy maximum for covered incidents for
insured persons under age 66; up to US$50,000 for covered
incidents for insured persons from ages 66 to 75
The Patriot Executive® plan includes coverage for emergency
medical evacuation to the nearest qualified medical
facility; expenses for reasonable travel and accommodations
resulting from the evacuation; and the cost of returning to
either the home country or the country where the evacuation
occurred up to the policy limit. The plan pays up to
US$25,000 for evacuations resulting from a pre-existing
condition; up to the policy maximum for covered incidents
for insured persons under age 66; and up to US$50,000 for
covered incidents for insured persons from ages 66 to 75.
Emergency
Reunion
To
US$15,000 when coordinated through the Plan Administrator
The Patriot Executive® 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 of the insured
person: either the cost of accompanying the insured during
the evacuation or traveling from the home country to be
reunited with the insured.
Return of
Mortal Remains
To
US$25,000 when coordinated through the Plan Administrator
If a covered illness/injury results in death, expenses for
repatriation of bodily remains or ashes to the home country
will be covered up to a maximum of US$25,000.
Returning
Minor Children
To
US$5,000 when coordinated through the Plan Administrator
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
Executive plan will reimburse 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
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 Patriot Executive plan will reimburse the
insured up to US$5,000 for the cost of returning the insured
to the area of principal residence. The plan will cover
reimbursement 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 of luggage; 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
If accidental death should occur while traveling on a
commercial Common Carrier, US$50,000 will be paid to the
designated beneficiary, to a maximum of US$250,000 per
family.*
MEDICAL BENEFITS
usual,
reasonable and customary charges, subject to deductible
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
Emergency
Room
As
described below
Charges incurred for the use of the Emergency Room due to an
accident are covered up to the Policy Maximum. Charges
incurred for the use of the Emergency Room for treatment of
an illness are subject to an additional (extra) US$250
deductible if treatment does not require admittance to the
hospital.
Dental
As
described below
Injury due to an accident:
The plan covers the
cost of emergency dental treatment and dental procedures
necessary to restore sound natural teeth lost or damaged in
an accident up to the Policy Maximum.
Sudden dental pain:
The plan will pay up to
US$100 for the necessary treatment of sudden, unexpected
pain to sound natural teeth.
Pre-existing Conditions
To
US$5,000 per period of coverage
The plan will cover up to US$5,000 maximum, per insured
person, per period of coverage (not per trip), for the
sudden and unexpected recurrence of a pre-existing
condition, as defined in the certificate wording.
Sports &
Activities Coverage
To
Policy Maximum for basic sports as described below
The Patriot Executive plan covers injuries incurred during
amateur athletic activities which are non-contact and
engaged in by the 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: racing of any kind, aviation
(except when traveling as a passenger in a commercial
aircraft), BMX, BASE jumping, bobsleigh, bungee jumping,
canyoning, caving, high diving, hang gliding, heli-skiing,
hot air ballooning, inline skating, jet skiing, kayaking,
luge, motocross (moto-x), mountain biking, mountaineering,
parachuting, rappelling, rock climbing, rodeo, scuba diving,
ski jumping, sky diving, snow skiing, snowboarding,
snowmobiling, spelunking, snorkeling, surfing, wakeboarding,
water skiing, windsurfing and whitewater rafting.
Accidental Death & Dismemberment
US$25,000 principal sum
The Patriot Executive 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 life which occurred
during a hijacking, kidnapping or attempted kidnapping - two
times the 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 on
panel 9 of the Patriot Executive brochure.*
BASIC PLAN INFORMATION
Deductible
US$250
per each covered Illness; deductible waived for claims
incurred as a result of a covered accident
Coinsurance
None
Policy
Maximum
US$1,000,000; US$50,000 for travelers who are 70-75 years
old
Benefit
Period
Six
Months
If a covered injury or illness requires continuing treatment
after the period of coverage expires, the six-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 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 have been six months of continuous
coverage for the covered injury or illness.
Group Travel
Medical Insurance® provides coverage for a group of 5
or more applicants (coverage period
between 15 days and 12 months),clickhere .
Extreme
Travel Medical Insurance® is
designed for the adventurous
international traveler.
providing benefits for those
traveling abroad who also intend to
participate in a select group of
athletic activities.click here.
CLICK NOW HERE
FOR a FAST 5 MINUTES QUOTE
Claims Filing Information
Direct Payment to
Providers
IMG®
works
directly with the hospital or
clinic, including those outside our
independent Preferred Provider
Organization, for payment of
eligible medical expenses.
To
file a claim, complete the
Claim Form and submit it with
original itemized bills.
If
you have received treatment and need
to be reimbursed for out-of-pocket
medical expenses, complete the
Claim Form and submit your
original itemized bills and paid
receipts within 90 days.
We will reimburse
your eligible medical expenses after
applying the deductible and
coinsurance.
Precertification
Information
Please call 001(317) 655-4500 for
Emergency Medical Evacuation
requests.
