Atlas America®

Non-U.S. citizens traveling to the U.S.

5 Days to 364 Days

The Atlas America plan is with you almost anywhere in the world you may travel for vacation, study abroad, corporate travel, or mission work.

Why Choose Atlas America?

Whatever your reason, international travel should be a pleasant experience. Complications and emergencies such as illness, injury, and natural disasters are a fact of life. While we hope none of these incidents happen, we're here to help if they do.

That's why Atlas America provides coverage for unexpected medical expenses as well as emergency travel benefits and multilingual travel assistance services.

Do I need travel medical insurance?

Many times, the primary medical insurance in your home country offers little or no coverage for medical expenses incurred as you travel outside of your home country. Atlas America provides international coverage as well as important benefits like Emergency Medical Evacuation, Hospital Room and Board, and Crisis Response for kidnap and ransom situations abroad.

After purchasing coverage, how can I trust the company to be there if I need them?

The administrator, headquartered in the United States in Carmel, Indiana, is a full-service company offering international medical insurance designed to meet needs of consumers worldwide.

The administrator is a member of the Tokio Marine HCC group of companies. Tokio Marine HCC is a leading specialty insurance group conducting business in approximately 180 countries and underwriting more than 100 classes of specialty insurance. Headquartered in Houston, Texas, the company is made up of highly entrepreneurial teams equipped to underwrite special situations, companies, and individuals acting independently to deliver effective solutions. Our products and capabilities set the standard for the industry, and many of our nearly 2,500 employees are industry-leading experts. Tokio Marine HCC is part of Tokio Marine, a premier global company with a market cap of approximately $30 billion.*

For more information about Atlas America please contact us.

*As of 11/02/22

Atlas America Schedule of Benefits and Limits

Plan Details
Deductibles$0, $100, $250, $500, $1,000, $2,500 or $5,000 per certificate period.
Overall Maximum LimitAge 80 or older - $10,000; Age 65 to 79 - $50,000, or $100,000; All others - $50,000, $100,000, $250,000, $500,000, $1,000,000, or $2,000,000.
CoinsuranceWe will pay 100% of eligible expenses after the deductible up to the overall maximum limit.
Eligible expenses are subject to deductible, overall maximum limit, and are per certificate period unless specifically indicated otherwise.
BenefitLimit
Hospital Room and BoardAverage semi-private room rate, including nursing services.
Local AmbulanceUsual, reasonable and customary charges only when covered illness or injury results in hospitalization as inpatient.
Intensive Care UnitUp to the overall maximum limit.
Emergency Room Co-paymentClaims incurred in the U.S.
You shall be responsible for a $200 co-payment for each use of emergency room for an illness unless you are admitted to the hospital. There will be no copayment for emergency room treatment of an injury.

Claims incurred outside the U.S.
No co-payment
Urgent Care Center Co-paymentClaims incurred in the U.S.
For each visit, you shall be responsible for a $15 co-payment.
- co-payment is waived for members with a $0 deductible
- not subject to deductible


Claims incurred outside the U.S.
No co-payment
Outpatient Physical Therapy and Chiropractic CareUp to $50 maximum per day. Must be ordered in advance by a physician.
All Other Eligible Medical ExpensesUp to the overall maximum limit.
Acute Onset of Pre-existing Condition
See benefit description
Up to the overall maximum limit.
Up to $25,000 lifetime maximum for Emergency Medical Evacuation.
Emergency Dental (Acute Onset of Pain)Up to $300 - not subject to deductible
Emergency Eye Exam for a Covered Loss Up to $150, $50 deductible per occurrence (plan deductible is waived).
Emergency Travel BenefitsLimit
Emergency Medical EvacuationUp to $1,000,000 lifetime maximum, except as provided under Acute Onset of Pre-existing Condition.
- not subject to deductible or overall maximum limit
Return of Minor ChildrenUp to $50,000 - not subject to deductible
Pet ReturnUp to $1,000 - not subject to deductible
Repatriation of Remains Equal to the elected overall maximum limit - not subject to deductible or coinsurance
This limit is for this benefit only and is not included in or subject to the overall maximum limit.
Emergency ReunionUp to $100,000 subject to a maximum of 15 days - not subject to deductible
Natural Disaster - Replacement AccommodationsUp to $250 a day for up to 5 days - not subject to deductible
Trip InterruptionUp to $10,000 - not subject to deductible
Travel DelayUp to $100 a day after a 12-hour delay period requiring an unplanned overnight stay. Subject to a maximum of 2 days. - not subject to deductible
Lost Checked LuggageUp to $1,000 - not subject to deductible
Lost or Stolen Passport/Travel VisaUp to $100 - not subject to deductible
Political EvacuationUp to $100,000 lifetime maximum - not subject to deductible
Accidental Death & Dismemberment (excludes loss due to common carrier accident)

$250,000 maximum benefit any one family or group.
- not subject to deductible or overall maximum limit
      Ages 18 through 69Lifetime Maximum - $25,000
Death - $25,000
Loss of 2 Limbs - $25,000
Loss of 1 Limb - $12,500
      Under age 18Lifetime Maximum - $5,000
Death - $5,000
Loss of 2 Limbs - $5,000
Loss of 1 Limb - $2,500
      Ages 70 through 74Lifetime Maximum - $12,500
Death - $12,500
Loss of 2 Limbs - $12,500
Loss of 1 Limb - $6,250
      Ages 75 and olderLifetime Maximum - $6,250
Death - $6,250
Loss of 2 Limbs - $6,250
Loss of 1 Limb - $3,125
Optional Accidental Death & Dismemberment Rider (only available to members age 18 through age 69) Lifetime Maximum - $25,000
Death - $25,000
Loss of 2 Limbs - $25,000
Loss of 1 Limb - $12,500

- not subject to deductible or overall maximum limit
Common Carrier Accidental Death Ages 18 through 69: $50,000
Under age 18: $10,000
Ages 70 through 74: $25,000
Ages 75 and older: $12,500

Subject to a maximum of $250,000 any one family or group.
- not subject to deductible or overall maximum limit
Crisis Response - Ransom, Personal Belongings, and Crisis Response Fees and ExpensesUp to $10,000 - not subject to deductible or overall maximum limit

Optional Crisis Response buy-up with Natural Disaster Evacuation Coverage. $90,000 per certificate period, with $10,000 maximum for Natural Disaster Evacuation.
Hospital Indemnity$100 per day of inpatient hospitalization - not subject to deductible
Personal LiabilityUp to:
$25,000 lifetime maximum
$25,000 third person injury
$25,000 third person property
$2,500 related third person property
- not subject to deductible, or overall maximum limit

Optional Personal Liability Rider of up to $75,000 lifetime max.
- not subject to deductible or overall maximum limit
Bedside VisitUp to $1,500 - not subject to deductible
Border Entry ProtectionUp to $500 if traveling on a valid B-2 visa and denied entrance at the U.S. border - not subject to deductible

What's Covered by Atlas America

International Coverage

Emergency Medical Evacuation and Emergency Reunion

Would you know what to do if you found yourself in a life-threatening situation far from home? We are experienced in arranging emergency medical evacuations. Atlas America will cover eligible expenses necessary to transport you from an initial treating facility to the nearest hospital qualified to treat your life-threatening condition. We also understand the importance of family support in these difficult situations. Atlas America will also cover the transportation, lodging, and meal costs for a relative to join you after a covered emergency medical evacuation, up to the lifetime limit.

Repatriation of Remains

What would your family do if disaster strikes while you are away from home? The death of a loved one is never easy, no matter the circumstances. In the unfortunate event of your death while traveling abroad, Atlas America will arrange for and cover eligible costs associated with the repatriation of your remains.

Return of Minor Children

If you are expected to be hospitalized for more than 36 hours due to a covered injury or illness and covered children under 18 years of age will be left unattended as a result, Atlas America will cover the eligible transportation cost for the children to return home.

Terrorism

In these turbulent times, the risk of a terrorist attack is a reality. If you are in the wrong place at the wrong time, and the country or region you're visiting is NOT under a level 3 or higher travel advisory, Atlas America offers coverage for eligible medical expenses resulting from those acts. Coverage excludes countries or regions for which the U.S. Department of State has issued a level 3 ("reconsider travel") or higher travel advisory in the 60 days prior to your arrival date.

Political Evacuation

If, during the coverage period and after your arrival, the U.S. Department of States issues a level 3 or higher travel advisory for your destination country, Atlas America will coordinate your alternate departure arrangements from that country and cover eligible associated costs.

Natural Disaster - Replacement Accommodations

Natural disasters can happen anywhere and at any time. If a natural disaster occurs on your trip, causing you to become displaced from your planned and paid accommodations, Atlas America will provide relief of a maximum of $250 a day for 5 days to help cover the costs of alternative accommodations.

Atlas America* Quality Benefits

Acute Onset of Pre-Existing Conditions

Atlas America provides a limited benefit up to the medical coverage lifetime maximum for eligible medical expenses. If you are younger than 80, you may be covered for an acute onset of a pre-existing condition. This also includes up to a $25,000 lifetime maximum for emergency medical evacuation.

An acute onset of a pre-existing condition is a sudden and unexpected outbreak or recurrence that is of short duration, is rapidly progressive, and requires urgent care. A pre-existing con-dition that is a chronic or congenital, of that gradually becomes worse over time, is not acute onset of a pre-existing condition.

The Acute of Pre-existing Conditions benefit will only apply if all of the following conditions are met:

  • The Acute onset of a Pre-Existing Condition does not directly or indirectly relate to a chronic condition or congenital condition;
  • Treatment must be obtained within twenty-four (24) hours of the sudden and unexpected outbreak or reoccurrence;
  • You must be under eighty (80) years of age;
  • You must not be traveling against or in disregard of the recommendations, established treatment programs, or medical advice of a physician or other healthcare provider;
  • You must not be traveling with the intent or purpose to seek or obtain treatment for the pre-existing condition;
  • You must be traveling outside your home country

*The description of coverage in these pages is for informational purposes only. Actual coverage will vary based the terms and conditions of the policy issued. The information described herein does not amend or otherwise affect the terms and conditions of any insurance policy issued by the administrator or its affiliates. In the event that a policy is inconsistent with the information described herein, the language of the policy will take precedence.

**A Pre-existing condition is any means any injury, illness, sickness, disease, or other physical, medical, mental, or nervous disorder, condition, or ailment that, with reasonable medical certainty, existed at the time of application or at any time during the 2 years prior to the effective date of this insurance, whether or not previously manifested, symptomatic or known, diagnosed, treated, or disclosed to us prior to the effective date, and including any and all subsequent, chronic or recurring complications or consequences related thereto or resulting or arising therefrom

Hospitalization and Outpatient Treatment

If a covered illness or injury requires hospitalization, the plan provides coverage for eligible costs associated with hospitalization, including intensive care unit and outpatient treatment.

Sports Coverage

Atlas America includes coverage for eligible injuries and illnesses that could occur while participating in many popular vacation sports - skiing and snowboarding (recreational downhill and/or cross country), snorkeling, water skiing, and others - at no additional cost. Certain extreme sports are excluded from coverage.

Complications of Pregnancy

Atlas America offers coverage for complications of pregnancy during the first 26 weeks of gestation.

Crisis Response

Atlas America offers up to $10,000 (or up to $100,000 if **additional coverage is selected) to offset costs associated with kidnapping, such as ransom, crisis response expenses, and loss of personal belongings. This benefit includes access to the services of Unity Crisis Group for advice, coordination with law enforcement, and negotiations during a kidnapping.

***A buy-up of an additional $90,000 is available for selection, which includes the added benefit of a $10,000 maximum for natural disaster evacuation.

Personal Liability

Atlas America offers up to $25,000 (or up to $100,000 if additional coverage is selected) to offset the following types of court-entered eligible judgments or approved settlements incurred by the member:

  • Third-party injury;
  • Damage/loss of a third party's personal property;
  • Damage/loss of a related third party's personal property.

Enrollment and Filing a Claim

Home Country Coverage

Incidental Home Country Coverage

You must have purchased three months of coverage for the Incidental Home Country Coverage to be in effect.

For individuals with a home country other than the U.S., for every three month period during which the member is covered hereunder, medical expenses incurred in the member's home country are covered up to a maximum of 30 days.

Any benefit accrued under a single three-month period does not accumulate to another period. Failure of the member to continue his or her international trip or the member returning to their home country for the sole purpose of obtaining treatment for an illness or injury that began while traveling shall void any incidental home country coverage.

Benefit Period Medical Coverage

While the certificate is in effect, the benefit period does not apply. Upon termination of the certificate, including when you return to your home country, the benefit period applies for up to 90 days only to eligible medical expenses directly related to an injury or illness that was diagnosed or treated while the certificate was in effect. The benefit period begins on the first day of diagnosis or treatment of a covered injury or illness made while you are outside your home country. The benefit period applies whether or not you return to your home country.

Enrollment

You may access the online quoting and purchasing system or call us.

Claim Filing

You may file a claim by completing and submitting a Claimant’s Statement and Authorization form along with proof of claim (itemized bills, payment receipts, etc.).

You may complete and submit the form and necessary attachments online OR you may download the claim form and submit it alongside proof of claim via postal mail to the address on the form.

We must receive proof of claim within 60 days of the last day of your certificate period (or for claims incurred during a benefit period, 60 days from the date the claim is incurred).

Outstanding Customer Service

MyAccount and World Service Center

MyAccount is an online account management and resource tool available to:

  • Extend coverage and reprint ID cards
  • Obtain claim forms and information about filing
  • Locate providers within the PPO Network

If you prefer to speak to a professional service representative, contact us by calling toll-free from various countries. The World Service Center can provide service in many different languages.

Worldwide Travel and Medical Assistance

Atlas America includes valuable travel and medical assistance services, which are available 7 days a week, 365 days a year. Contact the administrator to access any of these services.

Medical Monitoring

Consultations with attending medical professionals during hospitalization and establishment of a single point-of-contact for family members to receive ongoing updates regarding medical status.

Provider Referrals

Contact information for Western-style medical facilities, medical and dental practices, and pharmacies in the destination country.

Travel Document Replacement

Assistance with obtaining replacement passports, birth certificates, visas, airline tickets, and other travel-related documents.

Lost Luggage Assistance

Tracking service to assist in locating luggage or other items lost in transit.

Other Travel Assistance Services*

  • Prescription Drug Replacement
  • Emergency Travel Arrangements
  • Dispatch of Physician
  • Translation Assistance
  • Credit Card / Traveler's Check Replacement

*For a complete list of available assistance services or for more information, please contact us. Travel and medical assistance services are not insurance benefits. Any travel or medical assistance service provided is not a guarantee of any insurance benefit.

Rates

Atlas America® - For Non-US Citizens traveling to the U.S.

$0 Deductible
Maximum Limit$50,000$100,000$250,000$500,000$1,000,000$2,000,000
AgeDailyDailyDailyDailyDailyDaily
14d-29y$2.13$2.68$3.05$3.83$4.36$4.58
30-39$2.60$3.54$4.23$4.50$4.98$5.24
40-49$3.74$4.58$5.27$6.26$7.17$7.55
50-59$6.14$7.66$9.66$10.97$12.04$12.65
60-64$7.82$10.13$13.72$14.95$16.41$17.26
65-69$9.14$11.53N/AN/AN/AN/A
70-79*$14.31$18.05N/AN/AN/AN/A
80+**$21.26N/AN/AN/AN/AN/A

*$100,000 Maximum Limit for ages 70-79; **$10,000 Maximum Limit for age 80 and over.

$100 Deductible
Maximum Limit$50,000$100,000$250,000$500,000$1,000,000$2,000,000
AgeDailyDailyDailyDailyDailyDaily
14d-29y$1.88$2.37$2.67$3.39$3.82$4.03
30-39$2.29$3.13$3.72$3.97$4.40$4.61
40-49$3.29$4.04$4.63$5.51$6.31$6.62
50-59$5.42$6.72$8.50$9.65$10.59$11.12
60-64$6.87$8.90$12.08$13.17$14.43$15.18
65-69$8.03$10.15N/AN/AN/AN/A
70-79*$12.59$15.87N/AN/AN/AN/A
80+**$18.69N/AN/AN/AN/AN/A

*$100,000 Maximum Limit for ages 70-79; **$10,000 Maximum Limit for age 80 and over.

$250 Deductible
Maximum Limit$50,000$100,000$250,000$500,000$1,000,000$2,000,000
AgeDailyDailyDailyDailyDailyDaily
14d-29y$1.51$1.91$2.15$2.71$3.10$3.25
30-39$1.84$2.51$2.99$3.21$3.53$3.72
40-49$2.63$3.26$3.73$4.42$5.07$5.32
50-59$4.36$5.41$6.84$7.75$8.52$8.96
60-64$5.55$7.15$9.71$10.57$11.61$12.20
65-69$6.46$8.16N/AN/AN/AN/A
70-79*$10.12$12.75N/AN/AN/AN/A
80+**$15.02N/AN/AN/AN/AN/A

*$100,000 Maximum Limit for ages 70-79; **$10,000 Maximum Limit for age 80 and over.

$500 Deductible
Maximum Limit$50,000$100,000$250,000$500,000$1,000,000$2,000,000
AgeDailyDailyDailyDailyDailyDaily
14d-29y$1.37$1.72$1.95$2.48$2.80$2.96
30-39$1.66$2.30$2.71$2.89$3.22$3.38
40-49$2.41$2.96$3.40$4.01$4.62$4.84
50-59$3.95$4.92$6.21$7.03$7.75$8.15
60-64$5.03$6.51$8.83$9.62$10.55$11.10
65-69$5.88$7.40N/AN/AN/AN/A
70-79*$9.19$11.61N/AN/AN/AN/A
80+**$13.67N/AN/AN/AN/AN/A

*$100,000 Maximum Limit for ages 70-79; **$10,000 Maximum Limit for age 80 and over.

$1,000 Deductible
Maximum Limit$50,000$100,000$250,000$500,000$1,000,000$2,000,000
AgeDailyDailyDailyDailyDailyDaily
14d-29y$1.20$1.51$1.71$2.15$2.46$2.59
30-39$1.46$2.01$2.36$2.55$2.81$2.96
40-49$2.09$2.59$2.97$3.51$4.04$4.25
50-59$3.46$4.31$5.44$6.16$6.77$7.12
60-64$4.40$5.71$7.72$8.43$9.25$9.71
65-69$5.13$6.49N/AN/AN/AN/A
70-79*$8.04$10.16N/AN/AN/AN/A
80+**$11.95N/AN/AN/AN/AN/A

*$100,000 Maximum Limit for ages 70-79; **$10,000 Maximum Limit for age 80 and over.

$2,500 Deductible
Maximum Limit$50,000$100,000$250,000$500,000$1,000,000$2,000,000
AgeDailyDailyDailyDailyDailyDaily
14d-29y$1.13$1.41$1.61$2.03$2.29$2.42
30-39$1.36$1.90$2.24$2.40$2.64$2.77
40-49$1.97$2.43$2.78$3.30$3.79$3.98
50-59$3.25$4.04$5.09$5.79$6.36$6.68
60-64$4.13$5.35$7.24$7.90$8.67$9.11
65-69$4.80$6.08N/AN/AN/AN/A
70-79*$7.57$9.53N/AN/AN/AN/A
80+**$11.20N/AN/AN/AN/AN/A

*$100,000 Maximum Limit for ages 70-79; **$10,000 Maximum Limit for age 80 and over.

$5,000 Deductible
Maximum Limit$50,000$100,000$250,000$500,000$1,000,000$2,000,000
AgeDailyDailyDailyDailyDailyDaily
14d-29y$0.93$1.19$1.40$1.78$2.01$2.12
30-39$1.12$1.59$1.94$2.09$2.33$2.44
40-49$1.63$2.06$2.42$2.89$3.32$3.50
50-59$2.66$3.42$4.43$5.06$5.59$5.88
60-64$3.39$4.55$6.30$6.93$7.60$8.01
65-69$3.95$5.18N/AN/AN/AN/A
70-79*$6.02$7.87N/AN/AN/AN/A
80+**$9.19N/AN/AN/AN/AN/A

*$100,000 Maximum Limit for ages 70-79; **$10,000 Maximum Limit for age 80 and over.
Rates are shown in US dollars and are effective 02/01/2023. Rates are subject to change. Charges will include Surplus Lines taxes and fees when applicable.

If for any reason you wish to cancel your policy, you must submit your cancellation request in writing to us in order to receive a refund or premium. Cancellation requests received after the policy effective date will be subject to the following conditions: 1) a $25 cancellation fee will apply; and 2) only the unused portion of the plan cost will be refunded; and 3) only members who have no claims are eligible for premium refund.

Administrator

WorldTrips
4 Carter Green, Suite 400
Carmel, IN 46032

FOR ADDITIONAL INFORMATION

Insubuy®, LLC.
4200 Mapleshade Ln, Suite 200
Plano, TX 75093

Toll Free: +1 (866) INSUBUY
Phone: +1 (972) 985-4400
Fax: +1 (972) 767-4470
Website: www.insubuy.com

Patient Protection and Affordable Care Act

("PPACA"): This insurance is not subject to, and does not provide certain insurance benefits required by the United States' Patient Protection and Affordable Care Act ("PPACA"). PPACA requires certain US citizens or US residents to obtain PPACA compliant health insurance, or "minimum essential coverage." PPACA also requires certain employers to offer PPACA compliant insurance coverage to their employees. Tax penalties may be imposed on U.S. residents or citizens who do not maintain minimum essential coverage, and on certain employers who do not offer PPACA compliant insurance coverage to their employees. In some cases, certain individuals may be deemed to have minimum essential coverage under PPACA even if their insurance coverage does not provide all of the benefits required by PPACA. You should consult your attorney or tax professional to determine whether this policy meets any obligations you may have under PPACA.

Atlas America is underwritten by Lloyd's. The administrator is a service company and a member of the Tokio Marine HCC group of companies. The administrator has authority to enter into contracts of insurance on behalf of the Lloyd's underwriting members of Lloyd's Syndicate 4141, which is managed by HCC Underwriting Agency Ltd.

Version: KHE2FFFYH6SP-971744701-645
02/01/2023

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You cannot find a lower price anywhere for the same product.

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Why purchase insurance from Insubuy®?

Same Price. Better Service.®

There are many advantages in purchasing from Insubuy® and no disadvantages.

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You could lose your non-refundable trip costs if you had to cancel your trip.

Buy a trip cancellation insurance package plan and be worry-free.

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The U.S. Department of State requires all J visa holders to purchase compliant insurance.

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Schengen countries require most non-US citizens to purchase Schengen visa insurance.

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