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GeoBlue Xplorer

Expatriate Health Insurance for Individuals and Families

Global Innovator

GeoBlue Xplorer is an innovator and leader in helping world travelers and expatriates stay safe and gain easy access to quality healthcare all around the world.

What is GeoBlue Xplorer®?

International health insurance that covers you inside and outside the U.S.

The GeoBlue Xplorer health plan is designed to support the international lifestyles of those who travel to or from the United States for extended periods of business, leisure and study. If you leave home for six months or more, your health and financial security are at serious risk because of significant gaps in most available insurance coverage and services. This risk is only heightened by limited knowledge of health and safety hazards around the world, including medical treatment from unfamiliar providers.

GeoBlue Xplorer is the ultimate international health plan because it combines comprehensive worldwide benefits with a new generation of medical assistance services, which include an impressive array of online and mobile tools to help you identify, access and pay for quality healthcare all around the world.

GeoBlue Xplorer plans provide access to care inside and outside the U.S. that fit your health and travel needs. It allows members to travel to other countries for high quality care, including covered elective treatments.

Global Health and Safety Services - Because Insurance Isn't Enough.

An experience well beyond that of traditional health insurance

GeoBlue Xplorer provides unsurpassed service and the convenience of mobile technology to access the best medical care no matter what town, country or time zone.

Easy Access to an Elite International Provider Community

The administrator has an elite network of doctors from most every specialty ready to see you in over 190 countries. Only a small fraction of doctors around the world meet GeoBlue’s exacting standards—participation is by invitation only. We seek out professionals certified by the American or Royal Board of Medical Specialties who speak English, and we factor in recommendations by over 158 Physician Advisors from all over the world.

We assemble in-depth provider profiles so our members can choose with confidence, and we put formal contracts in place to ensure preferred patient access. The administrator doctors and hospitals bill us directly so you don’t have to worry about filing a claim.

Accessing care in the United States

Certain plans allow members to access the Blue Cross and Blue Shield Blue Card PPO network within the United States. With BlueCard PPO, you can access in-network Blue Cross and Blue Shield doctors and hospitals across the U.S. so you can get the care you need when you need it. BCBS has built direct relationships with an expansive network of more than 1.7 million in-network providers, spanning every zip code in the United States. That’s more board-certified doctors than any other health insurance company. While you can choose to see any provider you want, both in- and out-of-network, you’ll typically pay less when you go to a provider in the Blue Card PPO network.

Personal Safety Intelligence

The administrator provides unsurpassed resources designed to promote personal safety by giving members convenient access to vital news, health and safety analysis and medical translation tools.

  • Global Health and Safety news alerts published daily and delivered by email or smartphone.
  • City and country level profiles on crime, terrorism and natural disasters.
  • Brandname equivalents for more than 400 common over-the-counter and prescription drugs in 55 of the most frequently visited countries.
  • Translation of hundreds of medical terms and phrases into the 14 most widely spoken languages.

Around-the-Clock Assistance Call Center

The administrator maintains a 24/7, toll-free call center to assist members with everything from routine requests to medical emergencies. The staff has years of experience with international medical assistance and has close working relationships with the best doctors around the globe.

Emergency Evacuation and Centers of Excellence

The administrator coordinates emergency services with a worldwide network of contracted Physician Advisors as well as air ambulance operators selected for their safety records. Members in need of life-saving medical intervention are treated in Centers of Excellence in the U.S. and around the world whenever possible.

Personalized Member Services

Informed ChoiceSM

When GeoBlue Xplorer members experience an unanticipated medical problem, they can request a second opinion and referral through the Informed Choice service. A Regional Physician Advisor is available to discuss the member's diagnosis and treatment plan directly with the attending physician.

Personalized Recruitment

If GeoBlue Xplorer members need a physician or specialist in an area not currently covered by the network, the administrator will make every effort to recruit and contract with an appropriate, qualified doctor.

Personal Solutions

GeoBlue Xplorer members enjoy a full range of Personal Solutions. Your online and mobile tools allow you to check medical symptoms, understand your health risks and access personalized prevention and wellness recommendations.

Global TeleMDTM

In addition to the worldwide network of healthcare professionals available through the GeoBlue health plan, we’ve teamed up with Teladoc Health to bring members Global TeleMD, a telemedicine smartphone app that provides unlimited, 24/7/365 access to doctor consultations by telephone or video, at no additional cost. Doctors are available within and outside the U.S. Prescriptions may also be provided, as appropriate (subject to local regulations).

Direct Pay

Members can avoid paying out of pocket for care by using Direct Pay. Through this service participating providers outside the U.S. bill the administrator directly for covered medical treatment.

Why Choose the GeoBlue Xplorer Plan?

A Recognized Leader

The administrator is a recognized leader in international health insurance and medical assistance services, serving hundreds of thousands of world travelers annually.

Highest Standards of Service

The administrator meets the highest expectations of quality. For medical care outside the U.S., members are free to see any provider and their benefits will remain the same.

World-Class Healthcare

The administrator has the expertise and capability to meet any medical need efficiently and effectively. This can be a matter of support for a minor issue or help for a major issue no matter where you are. Members have the ability to access care locally, regionally and internationally.

Plan Highlights

  • Unlimited annual and lifetime maximum.
  • Immediate coverage of pre-existing conditions with proof of prior health insurance.
  • Choice to see any healthcare provider outside of the U.S. and plan options that include access to the Blue Cross Blue Shield PPO network in the U.S.
  • Deductible waived for office visits, preventative care, prescriptions and more.
  • Includes prescription coverage with optional enhanced prescription benefits.
  • Optional dental and vision coverage.
  • Unlimited telemedicine services.
  • Continuous coverage for spouse and dependents in the event of subscriber death.*
GeoBlue Xplorer Premier Options
PlanDeductibleCoinsurance Maximum
Outside U.S.U.S. In-NetworkU.S. Out-of-Network
Elite$0$0$1,000$2,000
1,000$500$1,000$2,000$4,000
2,000$1,000$2,000$4,000$8,000
5,000$2,500$5,000$10,000$10,000
10,000$10,000$10,000$10,000$10,000
GeoBlue Xplorer Essential Options
PlanDeductible
Outside U.S.U.S. In-NetworkU.S. Out-of-Network
Elite$0n/an/a
1,000$1,000n/an/a
2,500$2,500n/an/a
5,000$5,000n/an/a
10,000$10,000n/an/a

How the Plan Works

GeoBlue Xplorer Premier and GeoBlue Xplorer Essential plans offer comprehensive benefits and a range of deductible options that allow members to select the right amount of insurance coverage for their budget and lifestyle. For detailed benefit schedule, please see below.

For families, the deductible is a multiple of 2.5.

After 364 days of continuous coverage, GeoBlue Xplorer members may re-enroll in a plan that matches their existing benefits.

Optional Benefit Upgrades

  • Basic U.S. Benefits Inside of the U.S. - available for the Xplorer Essential Plan only: Coverage is limited to emergency medical care, illness and accidental injuries or prescriptions needs when you are temporarily visiting the United States and to a combined maximum of 3 trips of 21 days for each trip per calendar year this upgrade is not available for the Xplorer Essential 10,000 Plan.
  • Enhanced Prescription Benefits Inside of the U.S. - available on all Xplorer plans: The Enhanced Prescription Medication Benefit provides a more accessible and efficient method for acquiring your prescriptions while traveling, as well as offers a higher limit than the basic benefit.
  • Dental/Vision Rider Benefits - available on all Xplorer plans: GeoBlue Dental and Vision benefits are designed to offer you coverage for common dental and vision care needs and to help you budget for dental services at all levels, preventive, basic and major.

More information is available on the Xplorer Benefits Schedule found below.

How to Apply

Applications are available online or may be initiated by telephone or email.

A personal check, money order or credit card number must accompany the application and must be sufficient to pay for one month of standard premium. The administrator will hold the form of payment until an underwriting decision is made. If your application is accepted, the payment will be applied to your account. Quotes obtained online or by telephone are advisory only. Actual premium is determined by the medical underwriting process.

The administrator will review your medical history as provided on the application and may request an Attending Physician's Statement. The administrator publishes standard premium rates for non-smokers. Smokers and other applicants with certain medical histories may be offered a policy at a higher rate. Not all applicants will be accepted. Your effective date of insurance will be on the 1st or 15th day of the month following underwriting approval.

Member Welcome Kit

When your application is accepted, the administrator will mail you and any family members covered under the plan a Welcome Kit with identification cards, a certificate of insurance and instructions on how to register online. Procedures for filing a claim or requesting direct payment of participating providers will also be included.

About the Global Citizens Association

The Global Citizens Association is a national organization dedicated to promoting the interests of international travelers. Established more than 24 years ago, the GCA, is a not for profit affinity association located in Washington D.C., established to enhance global learning and lifestyles through safe and healthy world travel; to provide its members with useful international travel services and to make group international travel and health insurance coverages available to its members. Visit the GCA website to learn about the association's programs. This insurance is available only to GCA members and by enrolling, you will become a member. Association enrollment fees are included in the amounts charged for the insurance. You are not obligated to purchase any services or products from the GCA. The GCA is not affiliated with any insurance company

Eligibility

GeoBlue Xplorer is designed for extended living abroad. You can choose to enroll in a new plan when your existing plan expires. When you do, there are no medical questions and premium rates do not change based on your individual claims history. Your new rate will be the same as all persons covered in your rating class.

How Coverage Ends

Your coverage ends on the earlier of:

  1. The last day of the month after the date the Insured Person is no longer eligible;
  2. The end of the last period for which premium has been paid;
  3. The date the Policy terminates;
  4. The date of fraud or misrepresentation of a material fact by the Insured Person, except as indicated in the Time Limit on Certain Defenses provision.

Extension of Benefits

If an Insured Person is Totally Disabled on the date of termination of the Policy, coverage will be extended until the earlier of:

  1. The date payment of the maximum benefit occurs;
  2. The date the Insured person ceases to be Totally Disabled; or
  3. The end of 90 days following the date of termination.

Pre-existing conditions

The GeoBlue Xplorer plan does not cover services for treatment of a medical condition for which medical advice, diagnosis, care, or treatment was recommended or received during 180 days immediately preceding the member's eligibility date.

Prior Health Insurance coverage

The 180-day pre-existing conditions period can be reduced or eliminated if you have been covered by a creditable group or individual health insurance plan.

For benefits and other important information, please see below.

* In the unfortunate event the subscriber dies while covered under this plan, any currently enrolled spouse and/or dependent children will remain covered with the existing plan benefits for up to 24 months with no additional premium. The continuation of benefits ends at 24 months or when the dependents return to their home country.

GeoBlue Xplorer Premier Benefit Schedule

GeoBlue Xplorer Premier has three tiers of coinsurance: 100% outside the U.S.; 80% in-network inside the U.S.; 60% out-of-network inside the U.S. All plans have an unlimited lifetime maximum and a $250,000 maximum benefit for emergency medical evacuation. The Out-of-Pocket Maximum is calculated by adding the deductible and coinsurance maximum together. Please refer to the chart above.

Benefits Outside U.S. U.S. (In-Network) U.S. (Outside Network)
Preventive and Office Visits - Insurer Waives Deductible
Physician Office Visits (Adult)All except a $10 copay per visit1All except a $30 copay per visit60% to Coinsurance Maximum then 100%
Physician Office Visits (Children 0-18)100%80% to Coinsurance Maximum then 100%60% to Coinsurance Maximum then 100%
Unlimited Well Baby Visits100%80% to Coinsurance Maximum then 100%60% to Coinsurance Maximum then 100%
Child Immunizations, Lab and X-rays done in conjuction with an office visit100%80% to Coinsurance Maximum then 100%60% to Coinsurance Maximum then 100%
Women: (19 and Older) Routine Pap Smears, Annual Mammogram 100%80% to Coinsurance Maximum then 100%60% to Coinsurance Maximum then 100%
PSA for Men100%80% to Coinsurance Maximum then 100%60% to Coinsurance Maximum then 100%
Immunizations as recommended by the Centers for Disease Control (CDC)100%80% to Coinsurance Maximum then 100%60% to Coinsurance Maximum then 100%
One Routine Physical Per Year100%80% to Coinsurance Maximum then 100%60% to Coinsurance Maximum then 100%
Travel Vaccinations, Subject to a $500 Maximum per Calendar Year100%80% to Coinsurance Maximum then 100%60% to Coinsurance Maximum then 100%
Professional Services - Insurer Pays After Deductible is Met
Surgery, Anesthesia, Radiation Therapy, In-hospital Doctor Visits, Diagnostic X-ray and Lab Work100%80% to Coinsurance Maximum then 100%60% to Coinsurance Maximum then 100%
Inpatient Hospital Services - Insurer Pays After Deductible is Met, Unless Noted
Surgery, X-rays, In-hospital Doctor Visits, Organ/Tissue Transplant 100%80% to Coinsurance Maximum then 100%60% to Coinsurance Maximum then 100%
Inpatient Medical Emergency100%80% to Coinsurance Maximum then 100%60% to Coinsurance Maximum then 100%
Inpatient Drugs100%80% to Coinsurance Maximum then 100%60% to Coinsurance Maximum then 100%
Ambulatory and Therapeutic Services - Insurer Pays After Deductible is Met, Unless Noted
Ambulatory Surgical Center100%80% to Coinsurance Maximum then 100%60% to Coinsurance Maximum then 100%
Ambulance Service100%80% to Coinsurance Maximum then 100%60% to Coinsurance Maximum then 100%
Accidental Dental$1,000 per year, $200 per tooth$1,000 per year, $200 per tooth$1,000 per year, $200 per tooth
Acupuncture and Chiropractic Services, Subject to a $2,000 Maximum per Calendar Year if under the care of a licensed Physician100%80% to Coinsurance Maximum then 100%60% to Coinsurance Maximum then 100%
Durable Medical Equipment100%80% to Coinsurance Maximum then 100%60% to Coinsurance Maximum then 100%
Infusion Therapy100%80% to Coinsurance Maximum then 100%60% to Coinsurance Maximum then 100%
Physical/Occupational Therapy, Limited to 12 visits per Calendar Year100%, no deductible100%, no deductible100%, no deductible
Inpatient Mental Health100%80% to Coinsurance Maximum then 100%60% to Coinsurance Maximum then 100%
Outpatient Mental Health100%, no deductible, $10 Copayment1100%, no deductible, $30 Copayment60% to Coinsurance Maximum then 100%, no deductible
Inpatient Substance Abuse100%80% to Coinsurance Maximum then 100%60% to Coinsurance Maximum then 100%
Outpatient Substance Abuse100%, no deductible, $10 Copayment1100%, no deductible, $30 Copayment60% to Coinsurance Maximum then 100%, no deductible
Prescription Drug Benefit Options - Insurer Waives Deductible
Basic Prescription Drug Benefit Subject to $1000 Maximum per Insured Person per Calendar Year (Pay and claim benefit only)100% of actual charges100% of actual charges 100% of actual charges
Optional rider, subject to $25,000 Maximum per Insured Person per Calendar Year. Max 90 day supply100% of actual chargesGenerics: 100% after $10 copay per 30-day supply
Brand name: 100% after $10 copay per 30-day supply
Injectables: 70%
Generics: 100% after $10 copay per 30-day supply
Brand name: 100% after $10 copay per 30-day supply
Injectables: 70%
Global Travel Benefits - Insurer Waives Deductible
Emergency Medical TransportationUp to $250,000n/an/a
Repatriation of Mortal RemainsUp to $25,000n/an/a
Accidental Death and Dismemberment$50,000$50,000$50,000
Other Benefits Limits
Home Health Care, Subject to a maximum of 30 visits per Calendar Year100%
Skilled Nursing Facilities, Subject to a maximum of $250 per day for a maximum of 50 days per Calendar Year100%
Hospice, Subject to a maximum of $5,000 per lifetime100%

See below for GeoBlue Xplorer Essential Benefit Schedule. This is intended to be a sample benefit schedule. Changes may occur to benefits, rates and terms annually
1. Copay waived when visiting a GeoBlue contracted provider outside the U.S.

GeoBlue Xplorer Essential Benefit Schedule

GeoBlue Xplorer Essential covers most services outside the U.S. at 100%. All plans have an unlimited lifetime maximum and a $250,000 maximum benefit for emergency medical evacuation.

Benefits Outside U.S. Only
Preventive and Office Visits - Insurer Waives Deductible
Physician Office Visits (Adult)All except a $10 copay per visit1
Physician Office Visits (Children 0-18)100%
Unlimited Well Baby Visits100%
Child Immunizations, Lab and X-rays done in conjunction with an office visit100%
Women (19 and Older) Routine Pap Smears, Annual Mammogram 100%
PSA for Men100%
Immunizations as recommended by the Centers for Disease Control (CDC)100%
One Routine Physical Per Year100%
Travel Vaccinations, Subject to a $500 Maximum per Calendar Year100%
Professional Services - Insurer Pays After Deductible is Met
Surgery, Anesthesia, Radiation Therapy, In-hospital Doctor Visits, Diagnostic X-ray and Lab Work.100%
Inpatient Hospital Services - Insurer Pays After Deductible is Met
Surgery, X-rays, In-hospital Doctor Visits, Organ/Tissue Transplant 100%
Inpatient Medical Emergency100%
Inpatient Drugs100%
Ambulatory and Therapeutic Services - Insurer Pays After Deductible is Met, Unless Noted
Ambulatory Surgical Center100%
Ambulance Service100%
Accidental Dental$1,000 per calendar year, $200 per tooth
Acupuncture and Chiropractic Services, Subject to a $2,000 Maximum per Calendar Year if under the care of a licensed Physician100%
Durable Medical Equipment100%
Infusion Therapy100%
Physical/Occupational Therapy, Limited to 12 visits per Calendar Year100%, no deductible
Inpatient Mental Health100%
Outpatient Mental Health100%, no deductible, $10 Copayment1
Inpatient Substance Abuse100%
Outpatient Substance Abuse100%, no deductible, $10 Copayment1
Prescription Drug Benefit Options - Insurer Waives Deductible
Basic Prescription Drug Benefit, Subject to $1,000 Maximum per Insured Person per Calendar Year (pay and claim benefit only) 100% of actual charges
Optional Enhanced Prescription Drug Rider, Subject to $25,000 Maximum per Insured Person per Calendar Year100% of actual charges
Global Travel Benefits - Insurer Waives Deductible
Emergency Medical TransportationUp to $250,000
Repatriation of Mortal RemainsUp to $25,000
Accidental Death and Dismemberment$50,000
Other Benefits
Home Health Care, Subject to a maximum of 30 visits per Calendar Year100%
Skilled Nursing Facilities, Subject to a maximum of $250 per day for a maximum of 50 days per Calendar Year100%
Hospice, Subject to a maximum of $5,000 per lifetime100%
Optional Basic U.S. Benefits - Deductible Applies2 Inside U.S. Only
Basic travel accident and sickness coverage inside the U.S. for short trips to the U.S. Covers incidental illness and injury. Not designed to cover preventive, elective care or extended stays in the U.S.100%, 80%, or 60% (depending upon services received) of actual charges up to $1,000,000 / $500 maximum for pre-existing medical conditions

See above for GeoBlue Xplorer Premier Benefit Schedule. This is intended to be a sample benefit schedule. Changes may occur to benefits, rates and terms annually.

  1. Copay waived when visiting a GeoBlue contracted provider outside the U.S.
  2. Separate definitions, terms and exclusions apply to this rider. See full plan description online for details.

Rates

Xplorer Essential Health Plan - Premium Estimates (Effective July 1, 2021)

Optional Rx Plan premium is in addition to Medical Plan premium.

DeductibleElite1,0002,5005,00010,000Rx Plan Optional
AgeMonthlyMonthlyMonthlyMonthlyMonthlyMonthly
29 and Younger$241$172$145$129$112$64
30-34$337$236$197$174$151$78
35-39$444$318$263$233$203$101
40-44$455$326$272$238$207$125
45-49$578$417$342$300$261$155
50-54$744$529$437$385$335$182
55-59$921$661$542$479$417$219
60-64$1,145$816$673$587$511$273
65-69$2,056$1,467$1,204$1,059$921$411
70-74$2,968$2,107$1,736$1,524$1,326$591

Child (when insured with parent)

One Child under Age 1$263$189$158$141$123$71
One Child 1-25$167$119$101$90$78$48
2 Children$306$222$188$168$146$87
3 Children$434$317$263$234$204$119

Xplorer Essential does not include coverage in the United States. If you would like U.S. coverage, please refer to the Xplorer Premier Health Plan.

Xplorer Premier Health Plan - Premium Estimates (Effective July 1, 2021)

Optional Rx Plan premium is in addition to Medical Plan premium.

DeductibleElite1,0002,0005,00010,000Rx Plan Optional
AgeMonthlyMonthlyMonthlyMonthlyMonthlyMonthly
29 and Younger $485$344$304$252$219$117
30-34$665$465$406$338$294$151
35-39$866$601$530$431$375$186
40-44$878$600$526$429$373$226
45-49$1,098$748$661$531$462$283
50-54$1,399$949$829$670$583$337
55-59$1,730$1,167$1,020$820$713$407
60-64$2,130$1,431$1,251$1,001$871$502
65-69$3,774$2,520$2,191$1,744$1,517$908
70-74$5,420$3,611$2,131$2,492$2,168$1,314

Child (when insured with parent)

One Child under Age 1$602$426$382$319$278$133
One Child 1-25$400$291$263$225$196$81
2 Children$696$487$435$363$316$155
3 Children$960$666$593$484$421$224

Prices are subject to change. All coverage and premium decisions are subject to medical underwriting.

Administrator

GeoBlue
933 First Ave.
King of Prussia, PA 19406

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

GeoBlue is the trade name of Worldwide Insurance Services, LLC (Worldwide Services Insurance Agency, LLC in California and New York), an independent licensee of the Blue Cross and Blue Shield Association. GeoBlue is the administrator of coverage provided under insurance policies issued by 4 Ever Life International Limited, Bermuda, an independent licensee of the Blue Cross Blue Shield Association.

Version: INDV2004-MEM-6/21
07/01/2021

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