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Patriot GoTravel America Visitor Insurance

Please use this high level information as a guide only and do not make any decisions solely based on this comparison. If you have any concerns, doubts or questions, please refer to the individual policy details for complete information as it is not possible to accurately represent all the details in concise information such as follows. Please call us for further details. If there is any discrepancy between this comparison and the actual policy details, the policy details will override.


All the amounts are in U.S. dollars.


Routine physicals and vision (eyeglasses, etc.) are not covered in any of the plans.


Note: For all Comprehensive Coverage Plans, benefits are the same regardless of the policy maximum unlike Fixed Coverage Plans.


 
Plan type Comprehensive Comprehensive Plans
Plan name
Patriot GoTravel America
Co-insurance
In U.S./Canada: After deductible, you pay 10% (20% outside network) of the first $5,000 in covered expenses, rest covered at 100% up to selected policy maximum.

Outside U.S./Canada: After deductible, covered at 100% up to selected policy maximum.
MEDICAL - OUTPATIENT
Doctor/ urgent care visits To policy maximum
Hospital emergency room (all expenses incurred therein) To policy maximum.

Extra $250 deductible/visit if ER visit for a sickness (not injury/accident) does not result in direct hospital admission.
Prescription drugs To policy maximum, maximum supply of 90 days per prescription
Diagnostic x-rays lab services To policy maximum
Surgical treatment To policy maximum
To policy maximum
20% of primary surgeon charge. No standby availability coverage
To policy maximum
MEDICAL - INPATIENT
Hospital room and board including miscellaneous To policy maximum, average semi-private room
Intensive care unit To policy maximum
Surgical treatment To policy maximum
Anesthetist To policy maximum
Assistant surgeon 20% of primary surgeon charge. No standby availability coverage
Physician's non-surgical visits To policy maximum
Consult physician, when requested by attending physician To policy maximum
To policy maximum
MEDICAL - OTHER TREATMENT AND SERVICES
Same as any other eligible medical expense
Local ambulance
To policy maximum for covered illness that results in hospitalization as inpatient or for covered injury
To policy maximum
To policy maximum
-
-
To policy maximum
$20,000 Sudden and unexpected recurrence only, available if under 65; limited to $2,500 if 65+
Universal RX Pharmacy Discount Card
Yes. First Health PPO
Yes
Optional
Benefit period for continued treatment following termination date of policy
6 months
DENTAL
-
-
TRAVEL
-
-
-
-
-
-
$5,000
-
LIFE
$25,000
$50,000 per person. Max $250,000 per family
OTHER
Incidental and Optional End of Trip
$50,000
$500
$100/night, max 10 nights, but not for sudden/unexpected recurrence of pre-existing condition
$100/day, 5 days
-
PLAN FEATURES
Brochure
How Plan Works
Certificate Wording
Provider Directory
Paper Application
5 days Renewable
Rx Discount Card
Optional Coverages
Renewable Yes, renewable for min. 5 days if purchased min. 1 month initially
Cancellation policy Before effective date, full refund. After effective date, pro-rated refund minus $50 cancellation fee as long as no claims have been filed since the effective date.
multiples of days (min 5 days) - max 2 years
$0
$0
Help Help Help Help Help
Available deductibles
By Age
Annual
$0
$100
$250
$500
$1,000
$2,500
Policy maximum options
By Age
lifetime maximum
$10,000 Age 80+
$50,000 Up to 79
$100,000 Up to 69
$500,000 Up to 69
$1,000,000 Up to 69
Claims administrator International Medical Group (IMG)
Insurance company / Carrier / Underwriter Sirius International
A.M. Best rating A "Excellent"
  • $5 renewal fee (< 1 month)

  • *Not subject to Deductible or Coinsurance

  • To policy maximum, refers to the Usual, Reasonable and Customary charges (URC).

  • Coverages shown are per person unless noted otherwise.