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International Emergency Care
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Emergency Evacuation
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To US$25,000 for pre-existing conditions; to US$50,000 for covered incidents
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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.
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Emergency Reunion
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To US$15,000 when coordinated through IMG
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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.
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Repatriation
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To US$25,000 when coordinated through IMG
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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.
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Returning Minor Children
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To US$5,000 when coordinated through IMG
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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).
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Special Coverages
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Trip Cancellation
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To US$5,000
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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.
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Lost Luggage
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To US$50 per item; maximum of US$250
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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.
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Common Carrier Accidental Death
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US$50,000 to Beneficiary; maximum of US$250,000 per family
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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
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Medical Benefits
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Usual reasonable and customary charges, subject to
deductible and coinsurance
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Hospital Room and Board
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To Policy Maximum for average semi-private room rate
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Intensive Care
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To Policy Maximum
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Medical Expenses
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To Policy Maximum
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Outpatient Medical
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To Policy Maximum
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Local Ambulance
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To Policy Maximum
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Pre-Existing Conditions
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To US$5,000 per period of coverage
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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.
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Dental
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To Policy Maximum
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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.
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Sports & Activities
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To Policy Maximum for basic sports as described below
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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.
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Accidental Death & Dismemberment
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US$25,000 principal sum
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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.
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Basic Plan Information
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Deductible
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US$250 per each illness; deductible waived for claims incurred as a result of a covered accident
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Coinsurance
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None
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Policy Maximum
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US$1,000,000
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Benefit Period
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Six months
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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.
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