Patriot Executive®
Travel Medical Insurance
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Benefits
International Emergency Care
Emergency Evacuation To US$25,000 for pre-existing conditions; to US$50,000 for covered incidents

The Patriot Executive 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 citizenship 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 and up to US$50,000 for evacuations resulting from other covered incidents, when coordinated through IMG.

Emergency Reunion To US$15,000 when coordinated through IMG

The Patriot Executive 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 Patriot 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
Trip Cancellation 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

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

 
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
 
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 policy wording.

 
Dental To Policy Maximum

The Patriot Executive 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 as described below

The Patriot Executive 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

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 in the Patriot Travel Medical brochure.

Basic Plan Information
Deductible US$250 per each illness; deductible waived for claims incurred as a result of a covered accident
 
Coinsurance None
 
Policy Maximum US$1,000,000
 
Benefit Period Six months

If a covered injury or illness requires continuing treatment after the policy expires, the Benefit Period may provide continued coverage. When the policy expires, IMG will review the date of initial treatment for the covered injury or illness. If treatment began less than six months before the policy expired, benefits for the covered injury or illness will continue subject to the Policy Limits until there has been six months of coverage for that particular claim. The Benefit Period serves as an extension of benefits and does not limit the treatment time during the period of coverage.

Globe Insure • • Phone & Fax: 632.451.1400
St. Francis Shangrila Place • Tower 1, Suite 52BC • Internal Road corner St Francis St. • Mandaluyong, Manila Philippines

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