• Medical Insurance • AD&D and Travel Related Benefits for persons traveling outside their Home Country • Coverage from 5 days to 1 year • Renewable up to 2 years
BENEFITS AT A GLANCE (Per Person)
Medical Maximum: $50,000, $100,000, $250,000, $500,000, $1,000,000 Deductible Options: $0, $50, $100, $250, $500, $1000, $2500, $5000 Co-insurance: 100% of all Covered Expenses
Medical Expense Benefits (subject to Policy Maximum, Deductible or Co-Insurance) Hospital Room and Board Charges: the average semi private room rate ICU Room and Board Charges: three times the average semi private room rate Outpatient Medical: Usual customary charge to the selected Medical Maximum Emergency Medical Treatment of Pregnancy: $2,500 Mental or Nervous Disorders: $2,500 Physiotherapy Physical Medicine/Chiropractic: $50 per visit per day,up to 10 visits per Policy Period Dental Treatment (Injury and emergency alleviation of pain): $500 Doctor Visits, X-rays and Prescriptions, Ambulance: Usual customary charge to the selected Medical Maximum Unexpected recurrence of a pre-existing condition: the first $20,000 of Covered Expenses up to age 65 or the first $10,000 for over age 65
Additional Benefits (not subject to Policy Maximum, Deductible or Co-Insurance) Accidental Death & Dismemberment Principal Sum: $25,000 Coma Benefit: $10,000 Felonious Assault and Violent Crime: 100% up to $50,000 Adaptive Home and Vehicle: $5,000 Seatbelt Benefit: 10% up to $50,000 Airbag Benefit: 10% up to $50,000 Hijacking and Air or Water Piracy: Covered Emergency Medical Evacuation: 100% of Covered Expenses Political Evacuation: $25,000 Repatriation of Remains: 100% of Covered Expenses Emergency Reunion: $15,000 Return of Minor Child(ren) or Travel Companion: $5,000 Hospital Confinement: $150 per day up to 15 days maximum Lost Baggage: $300 Trip Interruption: $7,500 Benefit Period: 1 year from the date of the Covered Accident or Sickness
Upgrade AD&D up to $1,000,000 Home Country Coverage/Follow Me Home Coverage Athletic Sports Coverage Extreme Sports/Hazardous Activities War Risk
Safe Travels International plan provides Accident and Sickness Medical, Accidental Death and Dismemberment, Emergency Medical Evacuation, Emergency Reunion, Political Evacuation, Trip Interruption, Repatriation,and Travel Assistance to individuals while traveling outside their Home Country, but not visiting the United States. It can provide coverage for you, your spouse/domestic partner/traveling companion and dependentchildren/grandchildren up to age 21 years. Coverage for travelers visiting the United States is available through the Safe Travels America. Customized coverage for groups of 3 or more people is available under the SafeTravels for Groups.
Renewal Procedure You may enroll for a period of coverage ranging from 5 days to 12 months, subject to the following rules: Five days premium is the minimum acceptable premium; twelve month's premium is the maximum acceptable premium; and the full premium is payable at the time of enrollment. If coverage is initially purchased for a minimum of three months, coverage may be renewed, if available, for additional periods at the premium rate in force at the time of renewal. The maximum total period of coverage for any one Insured Person cannot exceed 24 months. A renewal notice will be mailed to the correspondence address before the period of coverage ends. Or you can go online to www.trawickinternational.com and follow the directions to renew the coverage. There are no grace periods for renewals. Please note: Once you reapply for a new policy, the Pre-existing Condition Exclusion starts over.
Refund Procedure Refund of total plan cost minus the processing fee will only be considered if written request is received by Us prior to the Effective Date of Coverage. If written request is received after the Effective Date of coverage, theunused portion of the plan cost may be refunded minus a cancellation fee of $10, provided no claim has been submitted to Us.
We will not pay Medical Expense Benefits for any loss, treatment or services resulting from or contributed to by: 1. Pre-Existing Condition, defined as: a condition, regardless of the cause of the condition, for which medical advice, diagnosis, care or treatment was recommended or received within the 3 year period before the Covered Person's coverage became effective under the Policy. The term does not include genetic information in the absence of a diagnosis of the condition related to such information.
FOR FULL DETAILS AND ALL POLICY EXCLUSIONS PLEASE SEE THE BROCHURE IN THE TOP RIGHT CORNER OF THIS PAGE.
• You require a referral to a hospital or doctor
• You are hospitalized
• You need to be evacuated or repatriated
• You experience local communication problems
NOTE FROM ROCO: Safe Travels International is a Travel Medical Insurance that will cover anyone anywhere outside their home country. This is an excellent travel medical policy because it will cover you for an unforeseen medical emergency. For more information on this travel medical insurance policy or any of our other travel policies please contact us.