Visit USA-Healthcare is a comprehensive coverage plan for non-U.S. citizens traveling to the United States. You can obtain an instant quote and/or purchase online on this web site. The insurance coverage can start as early as the next day or any future date you specify. As soon as you make a purchase, you will receive confirmation in your email along with your virtual ID card. You will not receive any physical cards in the mail.
What is covered and not covered?
The insurance company will generally pay for new medical conditions, injuries (caused either by accidents or otherwise) or sicknesses that may occur after the effective date of the policy. It does not cover any expenses related to pre-existing conditions, preventive check ups, immunizations or maternity.
Coverage for acute onset of pre-existing conditions:
For those under the age 65, it will pay up to a $10,000 lifetime maximum for eligible medical expenses. For those age 65 and older, it will pay up to $2,500 lifetime maximum.
U.S. / Canada Urgent care visit is $50 copay and not subject to deductible. After which co-insurance may apply; if applicable. If you visit the emergency room for a sickness (not for injury) for which you are not admitted into the hospital, there is $250 penalty per visit.
Prescription drugs are covered just like any other eligible medical expenses.
Dental is covered only up to $100 for acute pain to sound and natural teeth. For any practical dental coverage, consider a low cost plan from CAREINGTON that provides excellent coverage.
Visit USA-Healthcare provides coverage in the U.S. and incidental trips up to 14 days to Canada, Mexico or the Caribbean Islands only.
How do I use the insurance?
Please look at the detailed description.
How much is covered?
First, you will have to pay your chosen deductible once per policy period (varies from $0 to $2,500) before the insurance company starts paying for covered expenses, even for doctor visits. You will need to continue to pay all the money yourself until you have completely satisfied the deductible. The deductible is not just for the hospitalization. There is no concept of co-pay.
After that, within First Health PPO network if providers bill directly, the plan pays 100% up to the selected policy maximum, either $50,000 or $100,000. Otherwise, after the deductible the plan pays 90% of the next $10,000 of covered expenses, you pay 10%. In other words, you will have to pay a maximum $1,000 out of your pocket towards the 10% coinsurance, if your provider does not bill directly or go out of the PPO network.
Let's assume that you have purchased a $50,000 policy maximum with a $250 deductible for 3 months.
Let's assume that the doctor charges you $150/visit and you need to visit several times.
The first time you visit the doctor, you will have to pay all of that $150 yourself. You still have $100 left towards the unsatisfied deductible.
When you visit the doctor next time, and he charges you $150, you will have to pay $100 yourself. You have now completely satisfied your deductible once per policy period. Out of the remaining $50 after your deductible, the plan pays 90%, that is $45 and you pay 10%, that is $5.*
For any subsequent treatment (whether for the same condition or a different condition), you don't have to pay the deductible again. The insurance company will continue to pay 90% for the first $10,000 of covered medical expenses, you pay 10% (that is maximum $1,000).*
After that, the insurance company will pay 100% for covered medical expenses, up to $50,000.
Let's assume that you were in an accident and are hospitalized for 2 days. The hospital charges $12,000 per day for a total bill of $24,000. Assuming this is the first instance of your needing to use the insurance, you pay your $250 deductible plus $1,000 (10% of first $10,000) and the insurance company will pay the rest.*
*Co-insurance may be waived if using in network providers who bill directly.
Benefits Updated: 04/2013