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Out Going Travel Plan

With COVID 19 - With Excess

 

SCHEDULE OF BENEFITS

COVERAGE LIMIT

Travel Information Service

No limit

Referral to Medical Correspondents Abroad

No limit

Long Distance Medical Advice

No limit

Dispatch of a Specialized Physician

No limit

Delivery of Urgent Messages

No limit

Cover of Medical Expenses and Hospitalization Abroad

Up to 100,000 $

Evacuation and / or Medical Repatriation

Up to 50,000 $

Repatriation of Mortal Remains

Up to 50,000 $

Transportation to Join Member following hospitalization of 10+ days

Round-trip ticket

Return of Dependent Children

One-way ticket

Compensation for the Total Loss or Disappearance of Baggage

Up to 800 $

Emergency Dental Care

Up to 200 $

Contribution to Sea & Mountain Rescue

Up to 25,000$

Cover of Winter Sports (Ski)

Up to 10,000$ (Excess 250$)

Compensation for Flight Cancellation (4 hours Excess)

150$ per Flight

Trip Cancellation

Up to 5,000$ per Trip 

(Aggregate for family: 7000$)

COVID-19 :

Medical expenses due to COVID-19
Evacuation and / or Medical Repatriation due to COVID-19

Repatriation of Mortal Remains due to COVID-19

Upt to 30,000$

Up to 30,000 $

Up to 30,000 $

 

 

SCHEDULE OF PREMIUMS 

 

Worldwide Excluding USA, Canada,

Japan, Australia & Singapore.

Duration.             From 71 to               From 76 to

                                 75 yrs                       85 yrs

5 Days                          $14                        $39        

7 Days                          $17                        $45        

10 Days                        $19                        $51          

15 Days                        $20                        $53           

21 Days                        $25                        $67           

31 Days                        $28                        $74           

62 Days                        $43                        $116          

92 Days                        $59                        $161            

184 Days *                    $94                        NA         

365 Days *                    $186                      NA  

730 Days *                    $267                      NA      

 

Worldwide Including USA, Canada,

Japan, Australia & Singapore.

Duration.               From 71 to                From 76 to

                                   75 yrs                       85 yrs

5 Days                          $20                       $53

7 Days                          $28                       $74

10 Days                        $30                       $80

15 Days                        $31                       $85

21 Days                        $39                       $104

31 Days                        $42                       $114

62 Days                        $67                       $181

92 Days                        $112                     $301

184 Days *                    $141                     NA

365 Days *                    $282                     NA

730 Days *                    $334                     NA

 

* Maximum of 92 consecutive days per trip

 

Excess applicable for both Medical expenses and Covid-19 covers

Worlwide excluding countries

Up to 70 years                     USD 100
From 71 to 75 years.           USD 250

From 76 to 79 years old      USD 1,500

From 80 to 85 years old.     USD 3,000

 

Worlwide excluding countries

Up to 70 years                     USD 100
From 71 to 75 years.           USD 250

From 76 to 79 years old      USD 3,000

From 80 to 85 years old.     USD 5,000

 

Special conditions:
- Green Card and Residence Permit holders are not covered by this policy.

- This policy is non-refundable exce[t in case of visa refusal from the embassy.

- Covid-19 coverage will be only granted if the Beneficiary got infected at least 72-hours after arrival to his/her destination.