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Patriot Platinum America

First-class travel medical insurance for individuals, families and groups of five or more.

5 Days to 3 Years

Get Covered Away From Home

Traveling abroad is an exciting experience, but unpredictable illnesses and accidents can happen. Most travelers assume they're already covered by their standard medical plan - but that isn't always the case. While domestic plans provide sufficient coverage at home, most are not designed to provide the coverage and assistance required for international travel.

This plan provides various levels of coverage for individuals, families, and groups who need temporary medical insurance while traveling for business or pleasure anywhere outside of their home country. Ideal for international vacationers, relatives visiting from overseas, and international business travelers, this plan is designed to protect you in the event of an illness or injury when traveling abroad and provide key medical benefits in case of emergency.

Choose Patriot Platinum America to meet your needs, and spend more time enjoying your international experience - not worrying about your medical coverage.

The Administrator

Since 1990, the administrator has provided global benefits and assistance services to millions of customers in nearly every country around the world. Owned by SiriusPoint*, a multibillion-dollar, AM Best "A-" rated insurance industry leader, the administrator is uniquely positioned to deliver the Global Peace of Mind® our members need.

  • 24/7 medical and travel assistance services
  • Multilingual staff & claims administrators
  • Highly trained customer service professionals
  • Customer service centers located in the U.S. and U.K.
  • Financial security to fulfill our promise when you need it most

SiriusPoint is the DBA of SiriusPoint Ltd.

We offer plans to meet your needs:
Maximum LimitUp to $8 million
Deductible$0 to $25,000
ExtensionsUp to 36 continuous months
Emergency Medical EvacuationUp to the maximum limit
Coinsurance
(In-Network)
100% up to the maximum limit
Coinsurance
(Out-of-Network)
90% up to $5,000, then 100%
COVID-19 CoverageCovered
Acute Onset of Pre-Existing ConditionsCovered
Travel IntelligenceCovered
TelehealthCovered
Evacuation PlusCovered

Premium Benefits

  • COVID-19 Coverage

    The COVID-19 pandemic has changed the way we think about travel. With COVID-19 coverage, charges for treatment resulting from COVID-19/SARS-CoV-2 are covered the same as any other illness covered under the policy.

  • Acute Onset of Pre-Existing Conditions

    Should you experience a sudden and unexpected outbreak or recurrence of a pre-existing condition, this coverage provides necessary emergency care for any medical emergency that is life threatening or requires immediate medical treatment. Coverage is available for travelers under age 70, and maximum limits vary by plan and age.

  • Travel Intelligence

    With Travel Intelligence, you can get location-specific alerts across ten threat categories that span health, transportation, security, and weather. Leverage location-specific travel intelligence, like travel tips, tools, and key insights from local analysts.

  • Telehealth

    Telehealth provides access to a national network of board-certified doctors and pediatricians in the U.S. who are available 24 hours a day, seven days a week, 365 days a year to help diagnose, treat, and prescribe medication (when necessary and available) for many non-emergent medical issues via phone or online video consultations. Telehealth does not replace existing primary care physician relationships, but supplements them as a convenient, affordable alternative for non-emergency medical care.

  • Evacuation Plus

    While this plan provides emergency medical evacuation coverage for life-threatening injuries and illness, Evacuation Plus provides coverage up to $25,000 for medical evacuations if you experience a sudden, non-life-threatening medical condition that requires hospitalization. The administrator will arrange and cover ground and air transportation to the nearest hopital capable of providing treatment.

  • Summary of Benefits

    Inpatient or Outpatient Services
    Eligible Medical ExpensesUp to the maximum limit
    Physician Visits / ServicesUp to the maximum limit
    Urgent Care Clinic$25 copay. Copay is not applicable when the $0 deductible is selected. Not subject to deductible.
    Walk-in Clinic$15 copay. Copay is not applicable when the $0 deductible is selected. Not subject to deductible.
    Hospital Emergency Room: Inside the U.S.Injury not subject to emergency room deductible. Illness: Subject to a $250 deductible for each emergency room visit for treatment that does not result in direct inpatient hospital admission. Up to the maximum limit.
    Hospital Emergency Room: Outside the U.S.Up to the maximum limit
    Hospitalization / Room & BoardAverage semi-private room rate up to the maximum limit. Includes nursing service.
    Intensive CareUp to the maximum limit
    Bedside Visit
    Hospitalized in an intensive care unit
    $1,500 maximum limit. Not subject to deductible.
    Remote Transportation$5,000 per period; $20,000 lifetime maximum
    Supplemental$300 per covered accident
    Outpatient Surgical / Hospital FacilityUp to the maximum limit
    LaboratoryUp to the maximum limit
    Radiology / X-rayUp to the maximum limit
    Chemotherapy / Radiation TherapyUp to the maximum limit
    Pre-Admission TestingUp to the maximum limit
    SurgeryUp to the maximum limit
    Reconstructive Surgery
    Surgery is incidental to and follows surgery that was covered under the plan
    Up to the maximum limit
    Assistant Surgeon20% of the primary surgeon’s eligible fee
    AnesthesiaUp to the maximum limit
    Durable Medical EquipmentUp to the maximum limit
    Chiropractic Care
    Medical order or treatment plan required
    Up to the maximum limit
    Physical Therapy
    Medical order or treatment plan required
    Up to the maximum limit
    Extended Care Facility
    Upon direct transfer from an acute care facility
    Up to the maximum limit
    Home Nursing Care
    Upon direct transfer from an acute care facility
    Up to the maximum limit
    Prescriptions
    Prescription Drugs and Medications
    (Dispensing limit per prescription: 90 days)
    Up to the plan maximum limit
    Emergency Services
    Emergency Local Ambulance
    Injury or illness resulting in an inpatient hospital admission
    Up to the maximum limit. Subject to deductible and coinsurance.
    Emergency Reunion
    Must be approved in advance by the company
    $100,000 maximum limit. Not subject to deductible or coinsurance.
    Interfacility Ambulance Transfer
    Transfer from one licensed health care facility to another licensed health care facility resulting in an inpatient hospital admission
    Company pays 100%
    Natural Disaster Evacuation
    Must be approved in advance by the company
    $25,000 maximum limit. Not subject to deductible or coinsurance.
    Political Evacuation & Repatriation
    Must be approved in advance by the company
    $100,000 maximum limit. Not subject to deductible or coinsurance.
    Return of Minor Children
    Must be approved in advance by the company
    $100,000 maximum limit. Not subject to deductible or coinsurance.
    Return of Mortal Remains or Cremation/Burial
    Must be approved in advance by the company
    Up to the maximum limit for return of mortal remains or ashes to country of residence, or $5,000 maximum limit for cremation or local burial at the place of death. Not subject to deductible.
    Other Services
    Accidental Death & Dismemberment (AD&D)
    Death must occur within 90 days of the accident
    $50,000 principal sum. Not subject to deductible.
    Common Carrier Accidental Death$25,000 per insured child, $100,000 per insured adult, $250,000 maximum limit per family. Not subject to deductible or coinsurance.
    Dental Treatment$300 maximum limit due to dental accident or unexpected pain to sound natural teeth. Subject to deductible and coinsurance.
    Traumatic Dental Injury
    Treatment at a hospital due to an accident
    Up to the maximum limit. Additional treatment for the same injury rendered by a dental provider will be paid at 100%. Subject to deductible and coinsurance.
    Emergency Eye Examination
    Loss or damage to prescription corrective lenses due to an accident
    $150 limit. $50 deductible per occurrence. Subject to coinsurance.
    Hospital Indemnity$250 per overnight inpatient confinement, maximum limit of 10 overnights. Not subject to deductible or coinsurance.
    Identity Theft$500 maximum limit. Not subject to deductible or coinsurance.
    Lost Luggage$50 per item, $500 maximum limit. Not subject to deductible or coinsurance.
    Natural Disaster$250 per day and maximum limit of five days for accommodations. Not subject to deductible or coinsurance.
    Personal Liability
    Secondary to any other insurance
    $25,000 combined maximum limit. Injury to a third person: $100 per injury deductible. Damage to a third person's property: $100 per damage deductible. No coverage for injury to a related third party or damage to related third person's property.
    Pet Return
    For a pet cat or dog traveling with the insured person
    $1,000 maximum limit. Not subject to deductible or coinsurance.
    Small Pet Common Air Carrier Accidental Death Benefit
    For a pet cat or dog up to 30 pounds traveling with the insured person
    $500 maximum limit. Not subject to deductible or coinsurance.
    Terrorism$50,000 maximum limit. Not subject to deductible or coinsurance.
    Return Travel$10,000 maximum limit. Not subject to deductible or coinsurance.

    All coverage and benefits in this plan are in United States (U.S.) dollars. Benefits are subject to the exclusions and limitations and are payable only at Usual, Reasonable and Customary charges. This is a summary of a selection of plan benefits offered only as an illustration and does not supersede in anyway the Certificate of Insurance and governing policy documents (together the "Insurance Contract"). The Insurance Contract is the only source of the actual benefits provided.

    Innovative Technology & Member Services

    • Self-Service Member Portal

      The administrator provides service at your fingertips, giving you the information and tools to manage your plans anytime, anywhere, through award-winning, easy-to-use technology. You'll have immediate access to these important resources online, including our 24/7/365 service centers, plan document access, claims management tools, Explanations of Benefits, and much more.

    • Pharmacy Discount Savings

      Universal Rx is a discount savings program that allows you to purchase prescriptions from one of 35,000 participating pharmacies in the U.S. and receive the lower of 1) Universal Rx contract price or 2) the pharmacy regular retail price. This network offers a simplified claims process with minimal paperwork for the member if they visit an in-network provider.

      This program is not insurance coverage; it is purely a discount program.

    • U.S. Network Access

      UnitedHealthcare provides travelers in the U.S. with direct access to one of the largest networks of providers in the U.S. that includes:

      • Over 1.4M physicians
      • 6,797 hospitals
      • Over 45,000 clinics
      • 67,000 pharmacies
      • 1,800 convenience clinics
    • International Provider AccessSM

      Travelers outside of the U.S. can also enjoy access to quality healthcare worldwide with proprietary IPA network that includes:

      • Over 18,550 physicians and facilities
      • Direct billing arrangements that minimize time and upfront expense

    Expand Your Coverage

    It's easy to customize your coverage to best meet your needs while away from home. When submitting your application, simply add the riders you need to the plan you've selected.

    • Adventure Sports Rider

      If you're a thrill-seeking traveler who enjoys life's more adventurous activities, you may want to consider adding supplemental coverage to your plan. The Adventure Sports Rider provides coverage for injuries sustained during certain extreme sports that would otherwise be excluded from your insurance policy.

      Lifetime Maximum
      Age 0-49: $50,000
      Age 50-59: $30,000
      Age 60-64: $15,000

    • Mobile Device Protection**

      Cell phones are essential when traveling internationally to keep you safe, connect with friends and family back home, and to take photos of your travels. Device protection provides coverage for repair or replacement of your cell phone if it is lost, stolen, or accidentally damaged during your trip - so you can continue your trip uninterrupted and stay digitally connected wherever you are in the world.

      **Rider option is available in select countries on individual plans only.

    • Enhanced Accidental Death & Dismemberment Rider (AD&D)***

      Accidents can happen - wouldn't you rather be prepared, especially when you're away from home? The AD&D rider will pay you or your beneficiaries up to $400,000 if your death or dismemberment is the direct result of an accident.

      Note: Available to the primary insured only. Available with a minimum purchase of three months of medical and AD&D rider coverage. Premium is charged in whole-month increments

      ***Rider option is available on individual plans only.

    • Chaperone/Faculty Leader Replacement Rider****

      If you are the designated chaperone/faculty leader and experience an unexpected death of a relative, a medical emergency, or the destruction of your residence that causes you to cancel or interrupt travel, this rider covers reimbursement for a round trip economy airline ticket up to $3,000 for a replacement chaperone/faculty leader.

      ****Rider option is available on group plans only.

    How To Get Covered

    • Step 1:

      Contact us or apply online.

    • Step 2:

      Complete your online application: If applying as a family, you may include yourself, your spouse, and dependents on one application. Please complete a group application if you have two or more primary insureds.

    • Step 3:

      Receive a fulfillment kit that includes an identification card, declaration of insurance, and a Certificate of Insurance outlining the details of the plan. Welcome to the family!

    How To Extend Your Coverage

    To meet the needs of our customers, this plan can be purchased for up to a 12-month period. Patriot Platinum America can be extended up to a maximum of 36 continuous months. To renew your coverage, please visit MyAccount.

    Patriot Platinum America® Individual Rates (Destination includes the U.S.)

    Individual Daily Rate - $250 Deductible
    AgeMaximum Limit
    $20,000$100,000$1,000,000$2,000,000$5,000,000$8,000,000
    0-17N/AN/AN/A$3.07$3.88$5.28
    18-29N/AN/AN/A$3.08$3.89$5.37
    30-39N/AN/AN/A$4.07$5.62$6.99
    40-49N/AN/AN/A$5.31$6.72$8.92
    50-59N/AN/AN/A$8.57$10.95$15.25
    60-64N/AN/AN/A$10.15$13.21$19.23
    65-69N/AN/A$11.34N/AN/AN/A
    70-79N/A$16.76N/AN/AN/AN/A
    80+$44.07N/AN/AN/AN/AN/A

    Additional Deductible Options

    Deductible$0$100$250$500$1000$2500$5000$10000$25000
    Rate Factor1.251.101.000.900.800.700.600.550.45

    New premium rates per Insured Person effective May 11, 2022 for eligible individuals whose applications are approved by the administrator. The administrator reserves the right to assess the most current rates at the time of the effective date in the event these rates expire, are modified, or are replaced.

    Groups of 5 or more primaries get a 10% discount off the individual rates.

    Rates include surplus lines tax where applicable.

    IMPORTANT NOTICE REGARDING PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA): This insurance is not subject to and does not provide benefits required by PPACA. Since January 1, 2014, PPACA requires U.S. citizens, U.S. nationals and certain U.S. residents to obtain PPACA-compliant insurance coverage unless they are exempt from PPACA. Penalties may be imposed on persons who are required to maintain PPACA-compliant coverage but do not do so. Eligibility to purchase, extend or renew this product, or its terms and conditions, may be modified or amended based upon changes to applicable law, including PPACA. Please note that it is an insured person's sole and exclusive responsibility to determine the insurance requirements applicable to them, and the Company and the administrator shall have no liability whatsoever, including for any penalties a person may incur, for failure to obtain coverage required by any applicable law including without limitation PPACA. For information on whether PPACA applies to you or whether you are eligible to purchase the Patriot Travel Medical Insurance, please contact your attorney or CPA.

    Administrator

    IMG
    P.O. Box 88509
    2960 North Meridian Street
    Indianapolis, IN 46208-0509 USA

    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

    This invitation to inquire allows eligible applicants an opportunity to seek information about the insurance offered and is limited to a brief description of any loss for which benefits may be payable.

    Benefits are offered as described in the insurance contract. Benefits are subject to all deductibles, coinsurance, provisions, terms, conditions, limitations and exclusions in the insurance contract. Certain contracts do contain a pre-existing condition exclusion and do not cover losses or expenses related to a pre-existing condition.

    This brochure contains many of the valuable trademarks, names, titles, logos, images, designs, copyrights and other proprietary materials owned and registered and used by International Medical Group, Inc. and its representatives throughout the world. © 2007-2022 International Medical Group, Inc. All rights reserved.

    The UnitedHealthcare name and logo are registered trademarks of UnitedHealth Group in the U.S. and other jurisdictions.

    Version: 0522
    CM00501705A220428

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Why purchase insurance from Insubuy®?

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

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Visiting USA?

Healthcare costs are very high in the U.S.

Buy U.S. based visitors insurance and enjoy your trip.

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Traveling abroad?

Did you know that your insurance may not cover you abroad or that it may only provide limited coverage?

Purchase travel medical insurance that includes emergency medical evacuation.

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New immigrant to USA?

You are not eligible to enroll in Medicare for the first 5 years.

Purchase new immigrant medical insurance to bridge the gap.

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Going on a vacation?

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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Are you an exchange visitor to USA?

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

Buy J visa medical insurance to meet your requirements.

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Traveling to Europe?

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

Make an instant purchase online and get instant visa letter.

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Traveling frequently throughout the year?

You don't need to purchase travel insurance for every trip.

Purchase annual multi trip travel insurance for your travels.

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International student in the U.S.?

Most schools require international students to purchase health insurance.

Purchase international student health insurance that meets most school requirements.

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