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Atlas International - Travel Insurance
Persons traveling outside the US. 5 days-1092 days.
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Paper Application*
(* Use paper application if you are unable to purchase online)
- VISITING FAMILY
- VACATIONS
- BUSINESS TRIPS
- EXTREME SPORTS TRIPS
The Atlas International plan from HCC Medical Insurance Services (HCCMIS) is with you almost anywhere on the planet you may travel for vacations, studying abroad, corporate travel, mission trips and extreme sports adventures.
Many times the primary medical insurance in your home country will not cover you while traveling abroad and often will not provide important services, perhaps essential ones, in the event of an illness or injury. Atlas International includes these essentials such as translation assistance while being treated, doctor and hospital referrals, and assistance replacing lost prescriptions.
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 happen, we're here to help if they do. Atlas International helps protect you from potential financial disaster while traveling abroad with benefits including inpatient and outpatient medical expenses, $500,000 of coverage for emergency medical evacuation, coverage for lost checked baggage, and many other important benefits. Atlas International gives you the peace-of-mind you're looking for!
HCC Medical Insurance Services LLC (HCCMIS), headquartered in the United States in Indianapolis, Indiana, is a full-service company offering international medical insurance and short-term medical insurance products designed to meet needs of consumers worldwide. HCCMIS is a subsidiary of HCC Insurance Holdings, Inc. (NYSE: HCC), a leading Specialty Insurance group. HCC holds a financial strength rating of AA (Very Strong) by Standard & Poor's and Fitch Ratings and A+ (Superior) by A.M. Best Company.
| BENEFIT | LIMIT |
| Deductibles | $0, $100, $250, $500, $1,000 or $2,500 per certificate period |
| Coinsurance - claims incurred in U.S. or Canada | For the certificate period, underwriters will pay 80% of the next $5,000 of eligible expenses after the deductible, then 100% to the overall maximum limit. Coinsurance will be waived if expenses are incurred within the PPO and expenses are submitted to underwriters for review and payment directly to the provider |
| Coinsurance - claims incurred outside U.S. or Canada | For the certificate period, underwriters will pay 100% of eligible expenses after the deductible up to the overall maximum limit |
| Hospital room and board | Average semi-private room rate, including nursing services |
| Local ambulance | Usual, reasonable and customary charges, when covered illness or injury results in hospitalization as inpatient |
| Intensive care unit | Usual, reasonable and customary charges |
| Emergency room co-payment | In addition to coinsurance, the member shall be responsible for a $200 co-payment for each use of emergency room for an Illness unless the member is admitted to the hospital. There will be no copayment for emergency room treatment of an injury |
| Urgent Care Center | For each visit, the member shall be responsible for a $50 co-payment, after which coinsurance will apply. Not subject to Deductible.. |
| Hospital indemnity | $100 per day of inpatient hospitalization (not subject to deductible or coinsurance) |
| Physical therapy | $50 maximum per day |
| All other eligible medical expenses | Usual, reasonable and customary charges |
|
Acute onset of pre-existing condition
Only available to Members under age 70 |
$100,000 lifetime maximum for eligible medical expenses for overall maximum limits of $100,000, $200,000, $500,000 or $1,000,000, otherwise $50,000
$25,000 lifetime maximum for emergency medical evacuation |
| Emergency dental (acute onset of pain) | $250 limit per certificate period (not subject to deductible or coinsurance) |
| Emergency medical evacuation |
$500,000 lifetime maximum, except as provided under acute onset of pre-existing condition
(not subject to deductible or coinsurance) |
| Return of minor children | $50,000 per certificate period (not subject to deductible or coinsurance) |
| Local Burial or Cremation | $5,000 lifetime maximum |
| Repatriation of remains | Overall maximum limit (not subject to deductible or coinsurance) |
| Emergency reunion | $15,000 limit per certificate period, subject to a maximum of 15 days (not subject to deductible or coinsurance) |
| Natural disaster | Maximum $100 a day for 5 days (not subject to deductible or coinsurance) |
| Trip interruption | $5,000 limit per certificate period (not subject to deductible or coinsurance) |
| Lost checked luggage | $250 limit per certificate period (not subject to deductible or coinsurance) |
| Political evacuation | $10,000 lifetime maximum (not subject to deductible or coinsurance) |
| Terrorism | $50,000 maximum lifetime limit, eligible medical expenses only |
|
Accidental death and dismemberment
(excludes loss due to common carrier accident) |
Not subject to deductible or coinsurance |
| Members age 18 and older |
Lifetime maximum - $25,000
Death - $25,000 Loss of 2 limbs - $25,000 Loss of 1 limb - $12,500 Benefits reduce 50% at age 70 and an additional 50% at age 75 |
| Members under age 18 |
Lifetime maximum - $5,000
Death - $5,000 Loss of 2 limbs - $5,000 Loss of 1 limb - $2,500 $250,000 maximum benefit any one family |
| Common carrier accidental death |
Not subject to deductible or coinsurance.
$50,000 per member $25,000 per member $250,000 maximum benefit per any one family |
| Hospital pre-certification penalty | 50% of eligible medical expenses |
|
Overall maximum limit per certificate period
|
Age 80 or older: $10,000.
Age 70 to 79: $50,000. All others: $50,000, $100,000, $200,000, $500,000 or $1,000,000 |
Would you know what to do if you found yourself in a life threatening situation far from home? Atlas International will cover the necessary expenses to transport you to the nearest medical facility qualified to treat your life-threatening condition. We also understand the importance of family support in these difficult situations. Atlas Travel will also cover the transportation, lodging, and meal costs for a relative to join you after an emergency medical evacuation.
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 International will arrange for and cover the costs associated with the repatriation of your remains.
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 International will cover the transportation cost for the children to return home.
In these turbulent times, the risk of a terrorist attack is a reality. If you are in the wrong place at the wrong time, Atlas International offers coverage for medical expenses resulting from these acts.
If, during the coverage period and after your arrival, the United States government issues a travel warning for your destination country, Atlas International will coordinate your alternate departure arrangements from that country and cover the associated costs.
Natural disasters can happen anywhere and at anytime. If a natural disaster occurs on your trip, causing you to become displaced from your accommodations, Atlas International will provide relief of a maximum of $100 a day for 5 days to help cover the costs of alternative accommodations.
If you are under age 70, you are covered for an acute onset of a pre-existing condition. Coverage is available up to $100,000 lifetime maximum for eligible medical expenses for all policy maximums greater than $50,000. Individuals who have a $50,000 policy maximum are entitled to a $50,000 maximum benefit for the acute onset of a pre-existing condition. This also includes 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 of a pre-existing condition which occurs spontaneously and without advance warning either in the form of physician recommendations or symptoms. Treatment must be obtained within 24 hours of the sudden and unexpected outbreak or recurrence.
If a covered illness or injury requires hospitalization, the plan provides coverage for costs associated with hospitalization care, including intensive care, and outpatient treatment.
If you plan to participate in sporting activities such as mountain climbing or whitewater rafting, Atlas International insurance includes coverage for eligible injuries and illnesses that occur while taking on vacation, adventure, and extreme sports activities at no additional cost. The accidental death and dismemberment benefit is excluded during participation in sports activities.
Atlas International offers coverage for complications of pregnancy during the first 26 weeks of gestation.
*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 HCCMIS or its affiliates. In the event that a policy is inconsistent with the information described herein, the language of the policy will take precedence.
HCC Medical Insurance Services, LLC (HCCMIS) is a service company that is a subsidiary of HCC Insurance Holdings Inc. HCCMIS is regulated by the State of Indiana in our capacity as Third Party Administrator. HCCMIS 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.
Home Country Coverage
For U.S. Citizens, for every three month period during which the Member is covered hereunder, Medical Expenses incurred in the US are covered up to a maximum of 15 days for any three month period. For Non-U.S. Citizens, 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 for any three month period. Any benefit accrued under a single 3 month period does not accumulate to another period. Failure of the member to continue his or her international trip or the members return to their home country for the sole purpose of obtaining treatment for an illness or injury that began while traveling shall void any home country coverage provided under the terms of this agreement.
While the certificate is in effect, the benefit period does not apply. Upon termination of the certificate, underwriters will pay eligible medical expenses, as defined herein, for up to 90 days beginning on the first day of diagnosis or treatment of a covered injury or illness while the member is outside his or her home country and while the certificate was in effect. The benefit period applies only to eligible medical expenses related to the injury or illness that began while the certificate was in effect.
You may purchase
Online
using this secure website.
Alternatively, you may complete a
Paper Application
and return it to us:
Insubuy®, Inc.
4700 Dexter Dr.
Suite 100
Plano TX 75093
Fax: (972) 767-4470
For citizens traveling outside of the US
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*Maximum limit for 80+ year old is $10,000 USD
**1 Free child age 9 or younger per insured parent. Maximum of 2 free children per policy.
To receive full benefits, pre-certification is required for hospitalization, surgery, emergency medical and political evacuations, emergency reunions, trip interruptions, repatriation of remains, CAT Scans, and MRIs.
Pre-certification may be done by phone, e-mail, or through Client Zone. Please see the certificate for more details.
You may file a claim by submitting a claimant's statement and authorization form. This form may be found online. Complete the form, attach all itemized invoices and payment receipts, and send them to the address shown on the claimant's statement.
This insurance coverage does not meet the minimum standards required by the health care reform law. The policy contains the plan benefits, including a lifetime maximum, that you have selected. Please review your choices to ensure that you have sufficient coverage to meet your medical needs.
Client Zone is an online account management and resource tool available to you to:
- Renew coverage and reprint ID cards
- Obtain details about claim filing and downloading forms
- Pre-certify for certain medical procedures and hospitalizations
- Locate providers within the PPO Network
- Study destination, weather and travel security information
You can access Client Zone by logging in at: http://www.insubuy.com/clients/
Atlas International includes valuable travel and medical assistance services, which are available to your employees 24 hours a day, 7 days a week.
Up-to-date information regarding required vaccinations, health risks, travel restrictions, and weather conditions specific to the destination country.
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.
Contact information for Western-style medical facilities, medical and dental practices, and pharmacies in the destination country.
Assistance with obtaining replacement passports, birth certificates, visas, airline tickets, and other travel-related documents.
Tracking service to assist in locating luggage or other items lost in transit.
- 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.
More Details
1000-AT-323-2013-BR
04/01/2013
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