Patriot Platinum Travel Medical Insurance

Schedule of Benefits

All amounts shown are in U.S. dollars. Click the orange headers for further information.

PLAN INFORMATION
Maximum Limits $1,000,000, $5,000,000, $8,000,000
Individual Deductible Your choice of $0, $100, $250, $500, $1,000, $2,500, $5,000, $10,000 or $25,000
Family Deductible Three times the individual deductible
Coinsurance As described below
Benefit Period 12 months
Global Concierge & Assistance ServicesSM Access to a dedicated service team for assistance services
MyIMGSM 24 hour secure access from anywhere in the world to manage your account at anytime
eDocAmerica Access to board-certified physicians, licensed psychologists, pharmacists, dentists, dieticians and fitness trainers to assist with any routine health related questions
World-class Medical Benefits Premium coverage available for in-patient and out-patient medical expenses
International Emergency Care A wide range of international emergency benefits available including emergency evacuation, emergency reunion, return of mortal remains, return of minor children and more
MEDICAL BENEFITS Usual, reasonable and customary charges, subject to deductible and coinsurance when applicable
Hospital Room and Board Up to the Maximum Limit
Intensive Care Up to the Maximum Limit
Medical Expenses Up to the Maximum Limit
Out-patient Medical Expenses Up to the Maximum Limit
Local Ambulance Up to the Maximum Limit
Emergency Room Accident Up to the Maximum Limit
Emergency Room Illness with In-patient Admission Up to the Maximum Limit
Emergency Room Illness without In-patient Admission Up to the Maximum Limit with additional $250 deductible
Dental As described below
Hospital Daily Indemnity Up to $250
Supplemental Accident Up to $300
INTERNATIONAL EMERGENCY CARE (when coordinated through the Plan Administrator)
Emergency Evacuation Up to the Maximum Limit
Emergency Reunion Up to $100,000
Return of Mortal Remains
Cremation/Burial
Up to $100,000 for Return of Mortal Remains, or $5,000 for Cremation/Burial
Return of Minor Children Up to $100,000
Political Evacuation Up to $100,000
Natural Disaster $250 per day for five days
Remote Transportation $5,000 per certificate period
$20,000 lifetime maximum
Identity Theft Assistance Up to $500
Lost / Theft
(luggage, valuables, personal papers)
Up to $500
Felonious Assault Up to $10,000
ADDITIONAL BENEFITS
Terrorism Up to the Maximum Limit
Sports & Leisure Activities Up to the Maximum Limit for basic sports
Sudden and Unexpected Recurrence of a Pre-existing Condition - Medical (for U.S. citizens only) Click for more information
Sudden and Unexpected Recurrence of a Pre-existing Condition - Medical (for non-U.S. citizens only) Click for more information
Sudden and Unexpected Recurrence of a Pre-existing Condition - Emergency Medical Evacuation Click for more information
Incidental Home Country Coverage Up to a cumulative two weeks
End of Trip Home Country Coverage One month for every four months of travel coverage, up to a maximum of three months
Trip Interruption Up to $10,000
Common Carrier Accidental Death $100,000 per adult, $25,000 per child, maximum of $250,000 per family
Accidental Death & Dismemberment $50,000 principle sum
Small Pet Common Air Carrier Accidental Death Up to $500

* This Web page contains only a brief summary of current benefits, conditions, limitations and exclusions, and is subject to all the terms and conditions of the full Certificate of Insurance. The complete Certificate of Insurance with all terms, conditions and exclusions will be included in the fulfillment kit sent to approved applicants.  These plans are amended, modified or replaced from time to time, and IMG reserves the right to issue the most current Certificate of Insurance for this insurance plan in the event this Web page, application, and/or brochure has expired, is modified, or is replaced with a newer version. Samples of current Certificate wordings are available upon request.