injury & sickness medical benefits for visitors and immigrants medical coverage in the united states • choice of deductibles • up to 5 years of protection • coverage for families & individuals
why you need this program
The United States offers the most comprehensive medical care available, but it is often complicated as well as very expensive. For a visitor to the United States or a recent immigrant, finding an insurance program that is easy to understand and reasonably priced is often difficult.
As a solution, Inbound Immigrant was developed to provide a simple program to visitors and immigrants that will provide up to 5 years of protection.
This is a brief description of the Inbound Immigrant program. Detailed wording is outlined in the Program Summary, which will be emailed to you after you have enrolled.
eligibility
This program is available to non-United States citizens who are traveling to the United States for business, pleasure, to study, or to immigrate. The program must become effective within 24 months of arrival in the United States.
home country
Home Country means the country where the Insured Person’s passport was issued.
period of coverage
You may initially enroll in Inbound Immigrant for as little as 5 days and up to a maximum of 12 months. Total period of coverage for Inbound Immigrant cannot exceed 60 months (in order to reapply, you must first return to your home country for a minimum of 31 days). Please note: Once you reapply for a new policy, the pre-existing condition(s) look back starts over.
effective date
Your coverage will become effective at 12:01 A.M. North American Eastern Time on the latest of the following:
- Your departure from your Home Country; or
- The date your Application and premium are received by Seven Corners®; or
- The date your Application and premium are accepted by Seven Corners®; or
- The date you request on the Application.
expiration date:
Your coverage will end at 12:01 A.M. North American Eastern Time on the earlier of the following:
- The date shown on the Insurance Confirmation Card, for which premium has been paid; or
- The 31st day of any Insured Person’s return trip to his or her Home Country whether days of the trip are consecutive or not; or
- 60 months after your original Effective Date; or
- The day an insured becomes a U.S. citizen; or
- The date of entry into active military service.
Upon each renewal, rates, benefits, and program in general are subject to change.
renewal
Seven Corners
® will send renewal notices to you via email. If you initially apply online, you will have the option to renew in whatever increment you choose (Minimum 5 day purchase). There is a $5 admin fee each time you renew. Again, total period of coverage for Inbound Immigrant cannot exceed 60 months. Additionally, the company may change aspects of the program, including rates, at any renewal date.
what you will receive
Upon successful enrollment in Inbound Immigrant, you will receive an email from Seven Corners
®. This email will include your virtual ID Card and a link to the Program Summary. The Program Summary describes the benefits of Inbound Immigrant in complete detail. In addition, the Program Summary explains the procedure for submitting claims.
schedule of benefits
If your covered Injury or Sickness requires treatment by a physician, this program will provide benefits up to the Scheduled amount, as listed in the Schedule of Benefits, which exceed the chosen Per Person Deductible (either $75 or $150, and $125 or $250 deductible for age 70 and over) for each Injury and each Sickness, and which are incurred within the 52 weeks following the Injury or Sickness (within 32 weeks for those insureds age 70 and over). Payment for any covered service will be no more than the Benefit Limit shown in the Schedule of Benefits. The total amount payable for all Benefits will be no more than $50,000 or $100,000 for each Injury and each Sickness.
For persons age 70 and over, the maximum benefit limit is $50,000. The period in which covered expenses must be incurred is 32 weeks following the Injury or Sickness, and a separate schedule applies.
| |
Age 14 Days To Age 69 |
Age 14 Days To Age 69 |
Age 70 And Over |
| inpatient |
$50,000 max per injury/sickness |
$100,000 max per injury/sickness |
$50,000 max per injury/sickness |
| Hospital Room & Board including
Laboratory Tests, X-Rays, Prescription Medical and other miscellaneous |
Up to $1,725/day, 30 day max |
Up to $2,400 per day, 30 day max |
Up to $1,250/day, 30 day max |
| Hospital Intensive Care Unit |
Additional $725/day, 8 day max |
Additional $1025/day, 8 day max |
Additional $525/day, 8 day max |
| Surgical Treatment |
Up to $4,200 |
Up to $6,950 |
Up to $3,350 |
| Anesthetist |
Up to $1,000 |
Up to $1,650 |
Up to $800 |
| Assistant Surgeon |
Up to $1,000 |
Up to $1,650 |
Up to $800 |
| Physician's Non-Surgical Visits |
Up to $75/visit, 1/day, 30 visits |
Up to $100/visit, 1/day, 30 visits |
Up to $65/visit, 1/day, 30 visits |
| Consultant Physician, when requested by attending Physician |
Up to $500 |
Up to $575 |
Up to $450 |
| Pre-Admission Tests w/in 7 days
before Hospital admission |
Up to $1,300 |
Up to $1,300 |
Up to $900 |
| Private Duty Nurse |
Up to $650 |
Up to $650 |
Up to $650 |
| outpatient |
| Surgical Treatment |
Up to $4,200 |
Up to $6,950 |
Up to $3350 |
| Anesthetist |
Up to $1,000 |
Up to $1,650 |
Up to $800 |
| Assistant Surgeon |
Up to $1,000 |
Up to $1,650 |
Up to $800 |
| Physician's Non-Surgical Visits |
Up to $75/visit, 1/day, 10 visits |
Up to $100/visit, 1/day, 10 visits |
Up to $65/visit, 1/day, 10 visits |
| Diagnostic X-rays & Lab Services |
Up to $500; Additional $325 -
One CAT scan, PET scan or MRI |
Up to $575; Additional $975 -
One CAT scan, PET scan or MRI |
Up to $450; Additional $325 -
One CAT scan, PET scan or MRI |
| Hospital Emergency Room |
Up to $400 max |
Up to $650 max |
Up to $325 max |
| Prescription Drugs |
Up to $135 |
Up to $200 |
Up to $100 |
| Day surgery miscellaneous,
related to outpatient scheduled surgery performed at a Hospital or licensed outpatient surgery center; including the cost of operating room, anesthesia, drugs and
medicines and medical supplies. |
Up to $1200 |
Up to $1,400 |
Up to $1,050 |
| others |
| Ambulance Services |
Up to $500 |
Up to $500 |
Up to $500 |
| Initial Orthopedic Prosthesis/brace |
Up to $1,325 |
Up to $1,600 |
Up to $1,000 |
| Chemotherapy and/or
radiation therapy |
Up to $1,325 |
Up to $1,600 |
Up to $1,000 |
| Dental Treatment for
Injury to Sound, Natural Teeth |
Up to $650 |
Up to $650 |
Up to $650 |
| Mental & Nervous Disorder
& Substance Abuse |
Same as any Sickness |
Same as any Sickness |
Same as any Sickness |
Maternity
(conception occurs at least 90 days after your effective date) |
Up to $2,800 |
Up to $2,800 |
N/A |
| Physiotherapy |
Up to $45/visit, 1/day, 12 visits |
Up to $45/visit, 1/day, 12 visits |
Up to $45/visit, 1/day, 12 visits |
| Emergency Evacuation |
$10,000 |
$10,000 |
$10,000 |
| Repatriation of Remains |
$7,500 |
$7,500 |
$7,500 |
| AD&D Principal Sum |
$25,000 Common Carrier |
$25,000 Common Carrier |
$25,000 Common Carrier |
If an insured person turns 70 years old during the purchased coverage period, the age 70 and over benefit schedule becomes effective upon the day the insured turns 70.
incidental trips to your home country
This benefit covers the Insured Person for incidental trips to his or her Home country (30 days per 12 months of purchased coverage or pro rata thereof – example: approximately 2½ days per month of purchased coverage). Maximum benefit is reduced to $50,000 for any illness or injury occurring while on an incidental trip to the Home Country.
international travel coverage
An insured person may travel to additional countries, other than the United States, up to a maximum of thirty (30) days. You must purchase a minimum of one (1) month of coverage. International travel coverage does not include travel back to the insured person’s home country, and it does not extend after your current expiration date. International travel must be utilized during your current Period of Coverage.
emergency medical evacuation expenses
If you or any covered dependents become sick or injured during the Period of Coverage and it has been determined that an Emergency Medical Evacuation is required to either the nearest medical facility, where appropriate medical treatment can be obtained, or to your Country of Residence, all eligible expenses incurred are covered up to $10,000. An Emergency Medical Evacuation must be recommended by a legally licensed physician who certifies that the severity of the Injury or Sickness necessitates such Emergency Medical Evacuation, and agreed to by you or your representative. All arrangements must be coordinated by the Assistance Provider.
repatriation of mortal remains expenses
If Injury or Sickness commencing during the Period of Coverage results in death, all reasonable expenses incurred for preparation and return of the remains to the Country of Residence are covered up to a maximum of $7,500, provided that all arrangements are coordinated by the Assistance Provider.
common carrier accidental death & dismemberment (ad&d)
Accidental Death and Dismemberment shall apply to covered accidents sustained by an insured person while riding as a passenger in or on any land, water or air conveyance operated under a license for the transportation of passengers for hire. A loss must occur within 365 days after the date of accident causing the loss:
| For Loss of: |
Indemnity: |
| Life |
Principal Sum |
| Both Hands or Both Feet or Sight of Both Eyes |
Principal Sum |
| One Hand and One Foot |
Principal Sum |
Either Hand or Foot and
Sight of One Eye |
Principal Sum |
| Either Hand or Foot |
One-Half the Principal Sum |
| Sight of One Eye |
One-Half the Principal Sum |
injury means bodily injury: (1) directly and independently caused by a specific accident that is unrelated to any pathological, functional, or structural disorder of injury, (2) treated by a Physician within thirty (30) days after the date of accident; and (3) that causes loss during the term of the policy.
sickness means sickness or disease of the insured Person that causes loss and originates while the Insured Person is covered under the policy. All related conditions and recurrent symptoms of the same or a similar condition will be considered one sickness.
pre-existing condition shall mean any medical condition, sickness, Injury, Illness, disease, Mental Illness or Mental Nervous Disorder, regardless of the cause, including any congenital, chronic, subsequent, or recurring complications or consequences related thereto or resulting therefrom, that with reasonable medical certainty existed at the time of application or within the one hundred and eighty (180) days
(three hundred and sixty five (365) days for Insured Persons 70 and older) immediately prior to the Insured Person’s Effective Date under the policy, whether or not previously manifested, symptomatic, known, diagnosed, treated or disclosed. This specifically includes but is not limited to any medical condition, sickness, Injury , Illness, disease , Mental Illness or Mental Nervous Disorder, for which medical advice, diagnosis, care or treatment was recommended or received or for which a reasonably prudent person would have sought treatment during the one hundred and eighty (180) days
(three hundred and sixty five (365) days for Insured Persons 70 and older)immediately preceding the effective date of coverage under this policy.
No benefits will be paid for loss or expense caused by, contributed to, or resulting from:
- Pre-existing Conditions; as defined herein;
- Any loss that occurs while traveling solely for the purpose of obtaining medical treatment, while on a waiting list for a specific treatment, or while traveling against the advice of a physician
- Maximum benefit is reduced to $50,000 for any illness or injury occurring while on an incidental trip to the Insured Person's Home Country;
- Routine physical, inoculations or other examinations where there are no objective indications of impairment of normal health, or well baby care;
- Eye examinations; prescriptions or fitting of eyeglasses and contact lenses; or other treatment for visual defects and problems.
- Hearing examinations or hearing aids; or other treatment for hearing defects and problems.
- Dental treatment, except as the result of injury to sound, natural teeth as stated in the Schedule of Benefits;
- Professional services rendered by a Member of the Insured Person's immediate family, or anyone who lives with the Insured Person;
- Services or supplies not necessary for the medical care of the patient's injury or sickness;
- Weak, strained or flat feet, corns, calluses, or toenails;
- Cosmetic surgery, or treatment for congenital anomalies (except as specifically provided), except reconstructive surgery as the result of a covered Injury or Sickness. Correction of a deviated nasal septum is considered cosmetic surgery unless it results from a covered Injury or covered Sickness;
- Elective Surgery and Elective Treatment;
- Treatment, drugs, diagnostic or surgical procedures in connection with infertility, impotency, artificial insemination, sterilization or reversal thereof, unless infertility is a result of a covered Injury or covered Sickness;
- Birth control, including surgical procedures and devices;
- Routine new-born baby care, well-baby nursery and related Physician charges;
- Injury sustained while participating in professional, sponsored, and/or organized amateur or intercollegiate athletics;
- Injury sustained while taking part in Mountaineering, hang gliding, parachuting, bungee jumping, racing by horse or motor vehicle or motorcycle, snowmobiling, motorcycle / motor scooter riding (whether as a passenger or driver), scuba diving involving underwater breathing apparatus (unless PADI or NAUI certified), water skiing, wakeboard riding, jet skiing, windsurfing, snow skiing and snow boarding
Mountaineering shall mean the sport, hobby or profession of walking, hiking, and climbing up mountains either:
- utilizing harnesses, ropes, crampons or ice axes; or
- ascending 4500 meters or above.
- Injury or Sickness for which benefits are paid or payable under any Worker's Compensation or Occupational Disease Law or Act, or similar legislation;
- Organ and tissue transplants and related services and supplies;
- Any consequence, whether directly or indirectly, proximately or remotely occasioned by, contributed to by, or traceable to, or arising in connection with war, invasion, act of foreign enemy hostilities, warlike operations (whether war be declared or not), or civil war; terrorist activity; nuclear, chemical, biological; (additional details in the program summary);
- Suicide or attempted suicide (including drug overdose), while sane or insane (while sane in Missouri), or intentionally self-inflected Injury;
- Charges of an institution, health service, or infirmary for whose service payment is not required in the absence of insurance;
- Treatment of nervous or mental disorders, or Treatment of alcohol, chemical, or drug addiction, dependency, use or abuse, including illness(es) caused by such addiction, dependency, use or abuse, injuries incurred while under the influence of or resulting from the use of alcohol, chemicals or drugs unless prescribed by a Physician, except as stated in the Schedule of Benefits for mental and nervous disorders;
- Loss incurred from riding in any aircraft, other than as a passenger in an aircraft licensed for the transportation of passengers;
- Treatment services, supplies or facilities in a hospital owned or operated by: a) The Veteran's Administration; or b) A national government or any of its agencies. (This exclusion does not apply to treatment when a charge is made that the Insured is required by law to pay);
- Duplicate services actually provided by both a certified nurse-midwife and Physician;
- Expenses payable under any prior policy that was in force for the person making the claim;
- Expenses incurred during a hospital emergency room visit that is not of an emergency nature;
- Expenses incurred for outpatient treatment in connection with the detection or correction by manual or mechanical means of structural imbalance, distortion or sublimation in the human body for purposes of removing nerve interference and the effects thereof, where such interference is the result of or related to distortion, misalignment or subluxation of or in the vertebral column;
- Injury sustained as the result of the Insured operating a motor vehicle while not properly licensed to do so in the jurisdiction the motor vehicle accident occurs;
- Voluntary or elective abortion;
- Expense covered by any other valid and collectible medical, health or accident insurance;
- Expense incurred after the date insurance terminates for an Insured Person except as may be specifically provided;
- Sexually transmitted and venereal diseases;
- Treatment(s) which is incurred by an Insured Person(s) who is HIV Positive (i.e., infected with the human immunodeficiency virus, the cause of acquired immunodeficiency syndrome) at the time of Application for this Insurance, whether or not the Insured Person(s) was asymptomatic or symptomatic or had knowledge of his/her HIV status on the initial Effective Date of Coverage, or any associated diagnostic tests or charges for HIV infection, or testing for the following: HIV, seropositivity to the AIDS virus, AIDS related Illness(es), ARC Syndrome, or AIDS, and all diseases caused by and/or related to HIV.
- Treatment(s) for HIV, the AIDS virus, AIDS related Illness(es), ARC Syndrome, AIDS, and all diseases and illnesses caused by and/or related to HIV or arising as complications from these conditions including but not limited to the cost of testing for these conditions and/or charges for drug treatment(s) or surgeries;
- Treatment for tuberculosis, malaria, cholera, dengue fever and parasitic-sourced illnesses, including but not limited to treatment required as a result of complications from those same diseases, whether or not previously manifested or symptomatic prior to the effective date of the Policy;
- Charges incurred for treatment or surgeries which are Experimental/Investigational, or for research purposes; expenses which are non-medical in nature, expenses for custodial care, vocational, speech, recreational or music therapy, or durable medical equipment;
- Expenses for services or supplies which are not recommended, approved and certified as Medically Necessary and reasonable by a Physician;
- Chiropractic care or complementary medicine including but not limited to acupuncture and massage;
- Services performed or supplies provided by a Relative of the Insured Person, or anyone who lives with the Insured Person;
- Treatment of the Temporomandibular joint;
- Treatment required as a result of complications or consequences of a treatment or for a condition not covered under this Policy;
- Expenses for home health care, custodial care and/ or daily living, including but not limited to food, housing, or home maker services;
- Expenses for environmental supplies, including but not limited to handrails, ramps, special telephones, air conditioners, or home delivered meals.
refund of premium
Seven Corners
® realizes that there is uncertainty in international travel. Refund of total plan cost will only be considered if written request is received by Seven Corners
® prior to the Effective Date of Coverage. If written request is received after the Effective Date of coverage, the unused portion of the plan cost may be refunded minus a cancellation fee, provided no claim has been submitted to Seven Corners
® for reimbursement.
the insurance company
Inbound Immigrant is underwritten by Certain Underwriters at Lloyd’s of London and is rated A “Excellent" by A.M. Best. In addition to being one of the largest insurance entities in the world, Lloyd’s has over 300 years of experience in the international insurance business.
Attention Applicants: Certain Underwriters at Lloyd’s of London, operates as an approved Surplus Lines market in the United States. The premiums listed above include a general Surplus Lines Tax. Your State of Residence may warrant an additional Surplus Lines Tax, Stamping Fees and administration fee. Upon receipt and review of your application, Seven Corners® will inform you if additional Surplus Lines Taxes and fees will apply. If so, Seven Corners® will request the payment of the additional Surplus Lines Taxes and fees from you prior to issuing coverage. The additional Surplus Lines Taxes and fees shall be listed on the declaration page of your policy.
| Age |
$50,000 |
$100,000 |
| |
Monthly/Daily |
Monthly/Daily |
| 2 weeks to 18 |
$65 / $2.17 |
$95 / $3.17 |
| 19 to 29 |
$52 / $1.74 |
$76 / $2.54 |
| 30 to 39 |
$59 / $1.97 |
$86 / $2.87 |
| 40 to 49 |
$65 / $2.17 |
$95 / $3.17 |
| 50 to 59 |
$98 / $3.27 |
$138 / $4.60 |
| 60 to 69 |
$103 / $3.44 |
$145 / $4.84 |
Dependent Child Age 2 weeks through age 18)* |
$54 / $1.80 |
$81 / $2.70 |
| Age |
$50,000 |
$100,000 |
| |
Monthly/Daily |
Monthly/Daily |
| 2 weeks to 18 |
$62 / $2.07 |
$91 / $3.04 |
| 19 to 29 |
$50 / $1.67 |
$73 / $2.44 |
| 30 to 39 |
$56 / $1.87 |
$82 / $2.74 |
| 40 to 49 |
$62 / $2.07 |
$91 / $3.04 |
| 50 to 59 |
$95 / $3.17 |
$135 / $4.50 |
| 60 to 69 |
$100 / $3.34 |
$142 / $4.74 |
Dependent Child Age 2 weeks through age 18)* |
$51 / $1.70 |
$76 / $2.54 |
| Age |
$50,000 |
$100,000 |
| |
Monthly/Daily |
Monthly/Daily |
| Age 70 to 74 |
$118 / $3.94 |
N/A |
| Age 75 to 79 |
$122 / $4.07 |
N/A |
| Age 80 to 84 |
$158 / $5.27 |
N/A |
| Age 85 to 89 |
$166 / $5.54 |
N/A |
| Age 90 to 94 |
$175 / $5.84 |
N/A |
| Age 95 to 99 |
$183 / $6.10 |
N/A |
| Age |
$50,000 |
$100,000 |
| |
Monthly/Daily |
Monthly/Daily |
| Age 70 to 74 |
$108 / $3.60 |
N/A |
| Age 75 to 79 |
$111 / $3.70 |
N/A |
| Age 80 to 84 |
$144 / $4.80 |
N/A |
| Age 85 to 89 |
$151 / $5.04 |
N/A |
| Age 90 to 94 |
$159 / $5.30 |
N/A |
| Age 95 to 99 |
$167 / $5.57 |
N/A |
Please be aware that this is not a general health insurance policy, but an interim program intended for temporary use. Inbound Immigrant does not guarantee payment to a facility or individual for medical expenses until the Company determines that it is an eligible expense.
rapid processing
A “excellent" rated insurance company
professional customer service
24 hour worldwide assistance
online quote & purchase
- Complete entire application
- Select method of payment.
- If paying by check or money order, make payable to:
"Seven Corners" and enclose it together with completed
Application.
- If paying by credit card, complete Application and mail or
fax to Seven Corners. Be sure to sign Method of Payment
section.
Complete and return the Application with your payment for the total premium to:
Insubuy
®, Inc.
4700 Dexter Dr, Suite 100
Plano, TX 75093
Phone: (866) INSU-BUY or (972) 985-4400
Fax: (972) 767-4470
Web site:
insubuy.com
(You may fax if paying by credit card only. Originals are not required if application is faxed to us with credit card payment)
Since 1993, Seven Corners
® has provided medical insurance to corporations, worldwide travelers, expatriates, students, overseas visitors, immigrants and global citizens. With expertise and efficiency, we’ve served clients in more than a hundred countries.