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International Emergency Care
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Emergency Evacuation
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To Policy Maximum when coordinated through IMG
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Each Patriot Group Travel Medical Insurance® 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 residence or the country where
the evacuation occurred up to the policy limit.
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Emergency Reunion
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To US$15,000 when coordinated through IMG
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Each Patriot 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:
either the cost of accompanying the insured during the evacuation or
traveling from the country of residence to be united 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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Home Country Coverage
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As described below
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Incidental Home Country Coverage- During the period of coverage
an insured person may return to their country of residence for incidental
visits up to a cumulative two weeks total, subject to: a. The insured person
must have left their country of residence, b. The total Period of Coverage
must be for a minimum of 30 days, and c. The return to the country of
residence may not be taken to receive treatment for an illness or injury
incurred while traveling.
End of Trip Home Country Coverage-For every six months of coverage
you purchase, you can purchase one additional month of home country coverage
up to a maximum of two months.
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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 of Group
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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 of Group.
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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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Dental
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To Policy Maximum
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Each Patriot 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 Coverage as described below
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Each Patriot 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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Each Patriot 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 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 Group Travel Medical Insurance brochure.
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Plan Information
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Deductible
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Your choice of US$100, $250, $500, $1,000 or $2,500
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Coinsurance
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As described below
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For treatment received outside the US &
Canada: No coinsurance
For treatment receivd within the US & Canada:
The plan pays 80% of eligible expenses up to US$5,000 then 100% up to the
Policy Maximum.
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Benefit Period
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Six months
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If a covered injury or illness has 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. The Benefit
Period serves as an extension of benefits and does not limit the treatment
time during the Policy Period.
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Additional Benefits for U.S. Citizens
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Sudden Recurrence of a Pre-existing Condition
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Sudden Recurrence of a Pre-existing Condition - Up to US$500 will be paid
for the eligible expenses of a sudden and unexpected recurrence of a
Pre-existing Condition while traveling outside of the US. In addition, up to
US$25,000 will be paid for the eligible costs and expenses of an Emergency
Medical Evacuation arising or resulting from a sudden and unexpected
recurrence of a Pre-existing Condition. For the definition of a Pre-existing
Condition, please see Exclusion number 1 in the Patriot Group Travel Medical
Insurance brochure.
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Dental Emergency
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This plan will pay up to $100 for the necessary treatment of sudden,
unexpected pain to sound natural teeth.
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The above outline is 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.
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