URC to medical maximum
$15 copay
Telehealth Consultations or Care
This includes long-distance or remote (i) health-related services and information, (ii)treatment of injury or illness, or (iii) other live consultations, each of which involves an insured person and a physician or nurse practitioner at
different locations using telecommunications technologies including internet, phone, video, audio, and computers.
Physiotherapy and Chiropractic Care
$50 per visit10 visits maximum
Hospital Daily Indemnity Outside the United States
$100 per day10-day limit per occurrence
If you are hospitalized while traveling outside of the United States, we will pay you for each night you spend in the hospital, up to 10 days. This benefit is in addition to other covered expenses, and you may use these incidental funds
as you wish.
Extension of Benefits to Home Country
This covers expenses incurred in your home country (including those following an emergency medical evacuation or repatriation) for conditions first diagnosed and treated outside your home country, if you seek treatment within 90 days of
the injury or illness. There is no coverage for pre-existing conditions.
Pre-certification Penalty
Required in the United States for specific types of treatment. A 25% reduction in covered expenses applies if you don't obtain pre-certification. Penalty does not apply to a medical emergency. See pre-certification section of the plan document for details.
The following expenses must always be pre-certified in the United States:
- Outpatient surgeries or procedures;
- Inpatient surgeries, procedures, or stays including those for rehabilitation;
- Diagnostic procedures including MRI, MRA, CT, and PET Scans;
- Physiotherapy;
- Home infusion therapy; or
- Home Health Care.
To comply with the pre-certification requirements, you must:
- Contact Seven Corners Assist before the expense is incurred;
- Comply with Seven Corners Assist’s instructions;
- Notify all medical providers of the pre-certification requirements and ask them to cooperate with Seven Corners Assist.
Once we pre-certify your expenses, we will review them to determine if they are covered by the plan.
If you do not comply with the pre-certification requirements:
- Covered expenses will be reduced by 25%; and
- The deductible will be subtracted from the remaining 75%; and
- Coinsurance will be applied.
Pre-certification does not guarantee coverage, payment, or reimbursement.
Contact information for Seven Corners Assist is provided on your ID card.
Acute Onset of
Pre-existing Conditions For United States residents traveling outside of the United States
Ages 14 days to 64 years old: $20,00065 to 75 years old:$2,500
Many travel insurance plans do not cover pre-existing conditions. Travel Medical Annual Multi-Trip covers them through the acute onset of pre-existing conditions benefit.
An Acute Onset of Pre-Existing Conditions is the occurrence of a pre-existing condition that meets these criteria:
- It is sudden, unexpected, and occurs without advanced warning;
- It is a medical emergency;
- It occurs during the period of coverage and after the 72-hour (3-day) waiting period;
- You obtained treatment within 24 hours of the occurrence;
- You did not have a change in prescription or treatment related to the underlying pre-existing condition within the last 30 days; and
- Your pre-existing condition is not congenital, a previously diagnosed chronic condition with expected episodes or flare-ups, or a deteriorating condition which cannot be controlled and gradually intensifies over time.
Coverage begins 72 hours after the effective date of coverage and ends when the first of these events occurs:
- The condition no longer being considered acute; or
- Your discharge from the hospital.
Myocardial Infarction and Stroke
For Non-United States residents traveling to the United States
$200 per day $3,000 maximum
This plan can pay the stated amount for each night you are hospitalized in the United States for a heart attack or stroke.
If you are injured as a result of terrorist activity, we will reimburse you for medical expenses if the following conditions are met:
- You have no direct or indirect involvement.
- The terrorist activity is not in a country or location where the U.S. government issued a Level 3 Terrorism, Level 3 Civil Unrest, or any Level 4 Travel Advisory or the authorities of your host country or home country issued similar
warnings, any of which were in effect within six months of your arrival.
- You departed the country or location following the date a warning to leave was issued by the U.S. government or appropriate authorities of your host country or home country.
Dental
Dental — Sudden Relief of Pain
The plan can pay for emergency treatment for the relief of pain to sound natural teeth.
The plan can pay for emergency treatment to repair or replace sound natural teeth damaged because of an accidental injury caused by external contact with a foreign object. You are not covered if you break a tooth while eating or biting
into a foreign object.
Vision
The plan can pay for an emergency eye exam if required to obtain a prescription for replacement corrective lenses if your prescription lenses are lost or damaged to due a covered accident. There is no coverage for the cost of the lenses
or for contact lenses.
Emergency Services and Assistance
All emergency services except Natural Disaster Daily Benefit must be coordinated by Seven Corners Assist.
Emergency Medical Evacuation and Repatriation
$1,000,000
(separate from medical maximum)
If medically necessary, we will arrange and pay for transportation and related medical expenses during transportation to:
- Transport you to the nearest adequate medical facilities.
- Transport you to your home country for treatment or to recover after an emergency medical evacuation.
This benefit applies regardless of whether your hospitalization is related to a pre-existing condition. These benefits must be arranged by Seven Corners Assist. Failure to use Seven Corners Assist may result in the denial of benefits.
Emergency
Medical Reunion
$200 per day, 10-day limit
$50,000 maximum
If your physician recommends it, we will pay and arrange for one person of your choice to travel to the hospital where you are located when an emergency medical evacuation is occurring or has occurred or when an emergency medical repatriation
is to occur.
This benefit must be arranged by Seven Corners Assist. Failure to use Seven Corners Assist may result in the denial of benefits.
If you are in a hospital intensive care unit more than three days and do not require an Emergency Medical Evacuation or Repatriation, we will arrange and pay for round-trip economy airfare or ground transportation for one person from your home country to travel to and from your bedside.
This benefit must be arranged by Seven Corners Assist. Failure to use Seven Corners Assist may result in the denial of benefits.
If you are traveling alone with children and are hospitalized because of a covered illness or injury, we will arrange and pay for:
- One-way economy airfare to return the children to their home country; and
- Attendant/escort services to ensure the children’s safety.
These benefits must be arranged by Seven Corners Assist. Failure to use Seven Corners Assist may result in the denial of benefits.
We can pay reasonable expenses for embalming, a minimally-necessary container for transportation, shipping costs, and government authorizations to return your remains to your home country if you die while outside your home country. You
cannot use this benefit if you use the Local Cremation or Burial benefit.
These benefits must be arranged by Seven Corners Assist. Failure to use Seven Corners Assist may result in the denial of benefits.
Local Burial
or Cremation
This benefit can pay reasonable expenses for the preparation and either your local burial or cremation if you die while outside your home country. You cannot use this benefit if you use the Return of Mortal Remains benefit.
These benefits must be arranged by Seven Corners Assist. Failure to use Seven Corners Assist may result in the denial of benefits.
Natural Disaster Evacuation and Repatriation
If you need an emergency evacuation due to a natural disaster, we will arrange and pay for:
- Your natural disaster evacuation;
- Lodging for five days if you are delayed at the safe location; and
- Your return home by means of one-way economy class airfare. Seven Corners security personnel will determine the need for this evacuation in consultation with local governments and security analysts.
This benefit does not apply when you are in the U.S. and if the natural disaster precedes your
arrival at the affected location. See plan
document for additional details. These benefits must be arranged by Seven Corners Assist. Failure to use Seven Corners Assist may result in the denial of benefits.
Natural Disaster Daily Benefit
$100 per day, 5-day limit
We can reimburse you for replacement accommodations for up to five days if you are displaced from planned, paid accommodations due to an evacuation from a forecasted natural disaster or following a natural disaster. You must provide proof
of payment for the accommodations from which you were displaced.
Political Evacuation and Repatriation
We can arrange and pay for your political evacuation and/or return to your home country via one-way economy airfare if:
- A formal recommendation is made for you to leave your host country; or
- You are expelled or declared persona non-grata by the host country.
This benefit will not apply if you did not follow a Level 3 Terrorism, Level 3 Civil Unrest, or any Level 4 Travel Advisory from the U.S. Department of State or similar warnings from authorities of your host country or home country.
These benefits must be arranged by Seven Corners Assist. Failure to use Seven Corners Assist may result in the denial of benefits.
24/7 Travel
Assistance Services
Seven Corners has a 24/7 multilingual team available to help with travel emergencies and general assistance including medical evacuations, escorts for unaccompanied children, medical record transfers and second opinions, and help locating
medical care. They can also help provide interpreter referrals, help with passport recovery, hotel and flight re-bookings, and many other services.
AD&D
Accidental Death and Dismemberment (AD&D)
Ages Available
14 days to 18 years old:
19 to 75 years old:
Benefit Maximums
$5,000
$25,000
(aggregate limit of $250,000 for total number of insureds on the plan)
This can pay benefits for death, loss of limbs, quadriplegia, paraplegia, hemiplegia, and uniplegia due to an accident occurring while on your trip. If benefits are payable under Common Carrier Accidental Death, this benefit will not be
paid.
Common Carrier Accidental Death
Ages Available
14 days to 18 years old:
19 to 75 years old:
Benefit Maximums
$25,000
$50,000
(aggregate limit of $250,000 for total number of insureds on the plan)
This can pay benefits for death due to an accident that occurred while riding as a passenger on a common carrier (any public air conveyance operating under a valid license to transport passengers for hire).
Other Travel Benefits
Trip Interruption must be coordinated by Seven Corners Assist. Failure to utilize Seven Corners Assist may result in a denial of benefits.
$50 per article, $500 per occurrence
This benefit can reimburse you for lost bags and personal items owned by you and checked with a common carrier, if you took reasonable measures to protect, save, and recover the property.
This benefit can reimburse you for the expense of necessary personal items if your checked baggage is delayed or misdirected by a common carrier for at least 24 hours while you are on a covered trip. Coverage does not apply to your final
destination or residence.
This benefit can reimburse you for the cost of economy travel to your home if you cannot continue your trip due to the death of a parent, spouse, sibling, child, grandparent, grandchild, or in-laws (parent, son, daughter, brother, and sister), or due to serious damage to your principal residence from fire or natural
disaster. See the plan document for the definition of a natural disaster.
These benefits must be arranged by Seven Corners Assist. Failure to use Seven Corners Assist may result in the denial of benefits.
$100 per day, 2-day limit per occurrence
This benefit can reimburse you for accommodations, meals, and local transportation if you are delayed by your common carrier more than 12 hours while outside your home country if the delay results in an unplanned overnight stay.
Lost or Stolen Travel Documents
This benefit can reimburse you for fees for replacement of your passport, visas and other travel documents if they are lost, stolen, damaged or destroyed during your covered trip.
Border Entry Protection For Non-United States Residents traveling to the United States
We can pay for eligible court-entered judgments or settlements approved by us that are related to the personal liability you incur for acts, omissions, and other occurrences for losses or damages caused by your negligent acts or omissions
that result in:
- Injury to a third person;
- Damage or loss to a third person’s personal property;
- Damage or loss to a relative’s personal property.
We will pay for eligible court-entered judgments or settlements approved by Seven Corners that are related to the personal liability you incur for acts, omissions, and other occurrences for losses or damages caused by your negligent acts
or omissions that result in:
- Injury to a third person;
- Damage or loss to a third person’s personal property;
- damage or loss to a relative's personal property.
Optional Coverage
We cover typical vacation activities. If you plan to participate in more adventurous activities when you travel, consider buying this optional coverage that includes: bungee jumping; caving; hang gliding; jet skiing; motorcycle, motor scooter or electric scooter riding whether as a passenger or a driver; Parachuting; paragliding; parasailing; scuba diving only to a depth of 30 meters with a breathing apparatus provided that You are SSI, PADI or NAUI certified; sea kayaking; snowmobiling; spelunking; surfing waves up to two feet high; wakeboard riding; water skiing; windsurfing; or zip lining. You must purchase this optional coverage if you wish to be covered while riding a motorcycle, motor scooter, electric scooter, or similar transportation when such transportation is an established and accepted routine means of public transportation for hire in the specific geographic area where you are located in the host country.
*URC means Usual, Reasonable, and Customary. It is the maximum amount we will pay for covered expenses based on several factors. See the definition in the plan document for more details.
