TRAVEL INSURANCE
Covers COVID-19 Medical Expenses
Maximum Benefit up to US$ 50,000.00
Medical Payments Coverage
No worry about Trip Delay, Trip Interruption, Lost Baggage
Protect Your Benefit from Covid-19 Pandemic
ADVANTAGE FOR YOUR VISA
With this insurance, your visa is more easily approved by the government.
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INSURANCE PROVIDER
Trawick International Insurance Agency
Trawick is recommended by Forbes as one of the BEST TRAVEL INSURANCE COMPANIES. We are delighted to be an agency of theirs for many years and improving to be professional in advising travel insurance.
SIMPLE CLAIM PROCEDURE
For Claim Status please contact 866-669-9004 or 866-696-0409.
Email:
[email protected]
Mail claim form and all necessary documents to:
Co-ordinated Benefit Plans LLC on Behalf of Crum and Forster SPC
PO Box 2069
Fairhope AL 36533
CLAIM PROCEDURES
Claim Forms
These claim forms are used for your corresponding situations.
Medical Expenses Reimbursement
Local Burial
Repatriation
Baggage Claim Form
Trip Delay Claim Form
Trip Interruption Claim Form
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US$ 299.00US$ 119.00 |||LEADFORM_V2|||
SCHEDULE OF BENEFIT
POLICY MAXIMUM BENEFITS
Medical Maximum
$50,000
Deductible
$0, $50, $100, $250, $500, $1,000, $2,500, $5,000
MEDICAL EXPENSE BENEFIT
COVERED TREATMENT OR SERVICE
MAXIMUM BENEFIT
Hospital Room And Board Expenses
The average semi-private room rate
Covid-19 Medical Expenses
Covered and treated as any other Sickness
Ancillary Hospital Expenses
Covered
Icu Room And Board Charges
3 times the average semi-private room rate
Physician’s Non-surgical Visits
Covered
Physician’s Surgical Expenses
Covered
Assistant Physician’s Surgical Expenses
Covered
Anesthesiologist Expense
Covered
Outpatient Medical Expenses
Covered
Physiotherapy/Physical Medicine/ Chiropractic Expenses
Limited to $50 per visit, one visit per day and 10 visits per Policy Period.
Dental Treatment For Injury, For Pain To Sound Natural Teeth
$500 per Policy Period
X-ray
Covered
Physicians Visits
Covered
Prescription Drugs
Covered
Emergency Medical Treatment Of Pregnancy
$2,500 per Policy Period
Mental Or Nervous Disorder
$2,500 per Policy Period
ADDITIONAL MEDICAL TREATMENT AND SERVICES
COVERED TREATMENT OR SERVICE
MAXIMUM BENEFIT
Unexpected recurrence of a pre-existing condition
$2,500
TRANSPORTATION EXPENSES
COVERED TREATMENT OR SERVICE
MAXIMUM BENEFIT
Ambulance Service Benefits
Covered
Emergency Medical Evacuation*
100% up to $2,000,000
Natural Disasters, Political Evacuation*
$25,000
Emergency Reunion*
$15,000
Return Of Minor Children Or Grand-children Or Traveling Companion*
$5,000
Repatriation Of Mortal Remains*
100% up to $1,000,000
ADDITIONAL BENEFITS
COVERED TREATMENT OR SERVICE
MAXIMUM BENEFIT
Hospital Confinement*
$150 per night up to a maximum of 15 nights
Accidental Death & Dismemberment (Ad&D) *
Insured
$25,000
Spouse/Domestic Partner/Traveling Companion
$25,000
Dependent Child
$10,000
Hijacking And Air Or Water Piracy Ad&D*
Covered
Coma Benefit*
$10,000
Seatbelt And Airbag Accidental Death And Dismemberment (Ad&D) *
10% up to $50,000
Felonious Assault & Violent Crime Ad&D *
$50,000
Adaptive Home And Vehicle*
$5,000
Lost Baggage*
$1,000 per Policy Period
Trip Interruption*
$7,500 per Policy Period
Trip Delay (Including Accommodations And Lodging)
$2000 including accommodation ($150/day) (6 hours or more)
Optional 24 Hour Accidental Death And Dismemberment
Increase to $50,000 maximum AD&D benefit – All Ages
Optional Athletic Sport Coverage
Coverage for injuries incurred during Amateur, Club, Intramural, Interscholastic, Intercollegiate activities. Professional and Semi Professional Sports are always excluded. Class 1 - includes Archery, Tennis, Swimming, Cross Country, Track, Volleyball and Golf Class 2 - includes Ballet, Basketball, Cheerleading, Equestrian, Fencing, Field Hockey, Football (no division 1), Gymnastics, Hockey, Karate, Lacrosse, Polo, Rowing, Rugby and Soccer
**Travel Assistance
Included
* Not subject to Deductible
** This is a non-insurance service and is not a part of the insurance underwritten by Crum & Forster, SPC.
CERTIFICATE SAMPLE POLICY TERMS AND CONDITIONS CANCELLATION AND REFUND
GENERAL TERMS OF COVERAGE EXCLUSIONS
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