Safe Travels USA Cost Saver offer excess medical coverage. This includes emergency medical evacuation, repatriation and security evacuation benefits. It is ideal for foreign residents visiting USA and then other countries worldwide. Travelers on transit visa in US can also purchase this plan.
In-Network: up to 100%
Out-of-Network:
| Hospital room and board? | Average semi-private room rate |
| ICU Room and Board Charges | Three times the average semi private room rate |
| Well Doctor Visit | Pays up to $125. One visit per person per policy period. This visit must occur within 21 days after the coverage is effective. Initial purchase of 30 days is necessary. |
| Outpatient Medical | Usual customary charge up to the selected medical maximum |
| Urgent Care Co-Pay | $30 per Incident, if the $0 out of Network Deductible is chosen, there is no Co-Pay. |
| Mental or Nervous Disorders | $2,500 per Policy Period |
| Physiotherapy/Physical Medicine/Chiropractic | Limited to $50 per visit, one visit per day and 10 visits per Policy Period. |
| X-rays, Prescriptions and Ambulance | Covered |
| Ancillary Hospital Expenses | Covered |
| Physician's Non-Surgical Visits | Covered |
| Physician's Surgical Expenses | Covered |
| Assistant Physician's Surgical Expenses | Covered |
| Anesthesiologist Expenses | Covered |
| Telemedicine | Covered |
| Prescription Drugs | Covered |
| Emergency local ambulance | Covered |
| Emergency Medical Treatment of Pregnancy | $1,000 per Policy Period |
| Emergency illness with no direct hospitalization admission | $200 additional deductible per visit only applies while receiving care in a hospital for an illness that does not result in hospital admittance |
| Emergency room injury/accident or illness with direct hospital admission | Usual customary charge to the selected policy maximum |
| Dental Treatment (Injury and emergency alleviation of pain)? | $250 per Policy Period |
| Emergency medical evacuation? | 100% up to $2,000,000 |
| Return of minor children? | $5,000 |
| Emergency Reunion? | $15,000 |
| Lost luggage | $1,000 per Policy Period |
| Trip interruption? | $5,000 (Per Policy Period does not cover lost trip cost) |
| Accidental Death & Dismemberment Principal Sum? | $25,000 |
| Unexpected Recurrence of a Pre-Existing Condition | $1,000 per Policy Period |
| Political Evacuation? | $25,000 |
| Medically necessary repatriation | 100% up to $15,000 per Policy Period |
| Natural Disaster Evacuation | $10,000 per Policy Period, Up to $250 per day to a max of 5 days for Reasonable Expenses |
| Benefit Period | We will pay eligible medical expenses for up to 180 days beginning on the first day of diagnosis or treatment of a covered Sickness or Injury while a covered person is outside their home country |
| Lost luggage | $1,000 per Policy Period |
| Hospital Confinement | $50 per night up to a maximum of $500 per Policy Period |
| Coma Benefit | $10,000 |
| Felonious Assault and Violent Crime | $50,000 |
| Return of mortal remains or cremation/burial | 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 |
| Return To Home Country – if purchased | $50,000 per Policy Period Maximum days covered Up to 60days per 12 months |
866-669-9004 or 866-696-0409
Co-ordinated Benefit Plans LLC on Behalf of Crum and Forster SPC
PO Box 2069
Fairhope AL 36533
Email: Trawickclaims@cbpinsure.com
Yes, the Safe Travels USA plan can be renewed if initially purchased for more than Five days. There is an $5 fee for renewing the Trawick International Safe Travels USA Cost Saver plan
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