Visitors Medical Protection™

  • $50 Dr Office co-pay benefits (Not subject to deductible)
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  • Plan (A) - 90% in PPO Network (70/30% out of Network)
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  • Plan (B) - 100% in PPO Network (70/30% to $5000 & then 100% out of Network)
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  • Outside US & Canada: 100% coverage (After your deductible)
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  • Non-US Citizens traveling to USA/Worldwide
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  • US Citizens traveling Abroad (Excluding Home Country)
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  • Emergency Evacuation & Repatriation
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  • No Age Limit & No Medical Exam required
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  • Immediate Coverage (After departing home country)
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  • Obtain INSTANT ID CARDS
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Visitors Medical Protection™(VMP) – is an immediate short-term health insurance. The plan offers a complete package of international benefits available 24 hours a day. The VMP Plan provides benefits to travelers travelling to overseas. The Visitors Medical Protection plan offers excellent benefits and services to meet your global travel needs

Coverage can be purchased from a minimum of 5 days and up to a maximum of 2 years. If the initial purchase is for one month or more, then plan is renewable (Without break in coverage) in one month increments up to a 24 continuous months


VMPPlan Benefits:


Visitors Medical Protection(VMP), exclusively designed by Visitors Insurance.com - A division of Community Insurance Agency, Inc.

Visitors Medical Protection(VMP) is a Short-term health insurance. If visiting the U.S.A., the plan provides benefits to foreign nationals (Parents and relatives), including international visitors, or temporary residents, subject to the terms and conditions of the certificate of coverage. VMP is Travel/Visitors Insurance for non-U.S. citizens traveling outside of their home country and for U.S. citizens traveling outside the United States.

Coverage can be obtained from a minimum of 5 days up to a maximum of 2 years. If the initial purchase is for One month or more, then plan is renewable (Without break in coverage) in one month increments up to a 24 continuous months

Deductible - Your choice of US$100, $250, $500, $1,000 or $2,500 deductible per insured person, per coverage period
$50 Dr Office co-pay benefits - (not subject to deductible) in PPO or out of network
Medical Maximum benefits - $25,000, $50,000, $100,000 & $250,000 ( Age 80+ $15,000 policy Maximum)
Co-insurance (After deductible paid by insured)- (See locating PPO Provider on the web sites )
Plan - A In PPO Network: The plan Pays 90% of eligible expenses up to the Policy Maximum limits.
Plan - A Out of PPO Network: Pays 70% of eligible expenses up to the Policy Maximum limits.
New Improved 100% PPO Benefits!
Plan - B In PPO Network: The plan Pays 100% of eligible expenses up to the Policy Maximum limits...
Plan - B Out of PPO Network: The plan Pays 70% of the next US$5,000 then 100% of eligible expenses up to the Max. limits.
Outside US & Canada: 100% (No coinsurance)
Benefit Period

If a covered injury or illness requires continuing treatment after the Period of Coverage expires, the six-month Benefit Period may provide continued coverage. When the certificate expires, the Company will review the date of initial treatment for the covered injury or illness. If treatment began less than six months before the Period of Coverage expired, benefits for the covered injury or illness will continue subject to the Policy Limits and the other terms of the plan until there have been six months of continuous coverage for the covered injury or illness.

Period of Coverage - Minimum 5 days and maximum 24 consecutive months for any one policy period
Emergency Evacuation

Up to US$100,000 when coordinated through the Plan Administrator. This Plan includes coverage for Emergency Medical Evacuations to the nearest qualified medical facility; expenses for reasonable travel and accommodations resulting from the evacuation; and the cost of returning to either the country of residence or the country where the evacuation occurred.

Repatriation

Up to US$20,000 per adult, US$5,000 per child when coordinated through the Plan Administrator. If a covered illness/injury results in death, expenses for Repatriation of bodily remains or ashes to the country of residence will be covered up to a maximum of US$20,000 per adult and US$5,000 per child.

Emergency Reunion

Up to US$15,000 when coordinated through the Plan Administrator. This Plan provides emergency reunion coverage, up to US$15,000 for a maximum of 15 days, for the reasonable travel and lodging expenses of a relative or friend during an Emergency Medical Evacuation: either the cost of accompanying the insured during the evacuation or traveling from the country of residence to be reunited with the insured.

Local Ambulance - To Policy Maximum
Accidental Death and Dismemberment

US$25,000 principal sum. The Plan includes US$25,000 principal sum benefit for Accidental Death and Dismemberment occurring during the Period of Coverage: Accidental Loss of life - principal sum; -Accidental Loss of two Members - principal sum; - Accidental Loss of one Member - 50% of principal sum. -Member- means hand, foot or eye. For additional information please see the Conditions of Coverage section.

Hospital Room and Board - Average semi-private room rate up to the Policy Maximum
Intensive Care - Two times the average semi-private room rate up to the Policy Maximum
Medical Expenses Usual, reasonable and customary up to the Policy Maximum
Outpatient Medical - Usual, reasonable and customary up to the Policy Maximum
Emergency Room

Charges incurred for the use of the Emergency Room due to an accident are covered up to the Policy Maximum. Charges incurred for the use of the Emergency Room for the treatment of an illness are subject to an additional (extra) US$250 deductible if treatment does not require admittance to the hospital.

Dental

Injury due to an accident: The Plan covers the cost of emergency dental treatment and dental procedures necessary to restore sound natural teeth lost or damaged in an accident up to the Policy Maximum. Sudden dental pain: The Plan will pay up to US$100 for the necessary treatment of sudden, unexpected pain to sound natural teeth.

Returning Minor Children

To US$5,000 when coordinated through the Plan Administrator. If an insured person is hospitalized due to a covered illness/ injury and is traveling alone with child(ren) 19 or under that otherwise would be left unattended, the Plan will pay up to US$5,000 for one way economy fare to their home country, including a chaperone, if necessary, for the safety of the child(ren).

Special Coverages

Incidental Home Country Coverage

During the Period of Coverage an insured person may return to his/her country of residence for incidental visits up to a cumulative two weeks total, subject to: a. The insured person must have left their country of residence, b. The total Period of Coverage must be for a minimum of 30 days, and c. The return to the country of residence may not be taken to receive treatment for an illness or injury incurred while traveling.

End of Trip Home Country Coverage

For every five months of continuous coverage you purchase, you can purchase one additional month of home country coverage as an accommodation and supplemental travel benefit, up to a maximum of two months. To purchase this special home country extension coverage, please check the appropriate box on the Application Form, and calculate your premium to include the additional month(s).

Trip Interruption

To US$5,000. If, during a covered trip, there is a death of an immediate family member (spouse, child, parent or sibling) or the substantial destruction of the insured-s principal residence, the Plan will pay to return the insured to the area of principal residence. The Plan will pay for a one way air or ground transportation ticket of the same class as the unused travel ticket, less the value of the unused return ticket.

Lost Luggage

To US$50 per item of personal property; maximum of US$250 per Period of Coverage. This benefit will be paid in the event that the Common Carrier permanently loses an insured person-s checked luggage. This coverage is secondary to any other available coverage, including the Carrier-s.

Common Carrier Accidental Death

US$50,000 to Beneficiary; maximum of US$250,000 per family. If accidental death should occur while traveling on a commercial Common Carrier, US$50,000 will be paid to the designated beneficiary, to a maximum of US$250,000 per family.

Sports & Activities Coverage

VMP covers injuries incurred during amateur athletic activities which are non-contact and engaged in by the insured person solely for leisure, recreation, entertainment or fitness purposes. Some of these sports and activities include, but are not limited to, motor cycle/motorscooter riding, scuba diving (to 10m), snorkeling, wakeboarding, and water skiing. However, activities not covered include amateur or professional sports or other athletic activity which is organized and/or sanctioned, or which involves regular or scheduled practices, games or competition.

The following hazardous activities are excluded unless the Adventure Sports Rider is purchased: abseiling, BMX, bobsleigh, bungee jumping, canyoning, caving, hang gliding, heli-skiing, high diving, horseback riding, hot air ballooning, inline skating, jet skiing, jungle zip lining, kayaking, mountain biking, paragliding, parascending, piloting a non-commercial aircraft, rappelling, rock climbing or mountaineering (ropes and guides to 4500m from ground level), scuba diving (to 50m), skydiving, snow boarding, snowmobiling, snow skiing, spelunking, surfing, trekking, whitewater rafting (to Class V), and wildlife safaris. To be covered under the Adventure Sports Rider, these adventure activities must be engaged in solely for leisure, recreation, or entertainment purposes.

Injury sustained while participating in contact sports of any kind, racing of any kind, BASE jumping, kiteboarding, mountaineering or climbing or trekking above elevation 4500 meters above ground level or without proper ropes or guides; luge, motocross, Moto-X, rodeo activity, ski jumping, whitewater rafting exceeding Class V difficulty, scuba below 50 meters; and/or adventure sports not expressly covered hereunder are excluded regardless of which plan or rider is selected.


VMP Plan Exclusions:

Charges for or arising from the following services, treatments, events and/or conditions are excluded from coverage under the plan.

  1. Pre-existing Conditions. A pre-existing condition is defined as any injury, illness, sickness, disease, or other physical, medical, mental or nervous condition, disorder or ailment that, with reasonable medical certainty, existed at the time of application or at any time during the three years prior to the effective date of the insurance, whether or not previously manifested or symptomatic, diagnosed, treated, or disclosed prior to the effective date, including any subsequent, chronic or recurring complications or consequences related thereto or arising therefrom, whether or not previously manifested or known, diagnosed, treated, or disclosed.
  2. Treatment or surgeries which are elective, investigational, experimental or for research purposes.
  3. War, military action, terrorism, political insurrection, protest, or any act thereof.
  4. Immunizations and routine physical exams.
  5. Treatment of Temporomandibular Joint or dental treatment, except as expressly provided for in the Certificate of Insurance.
  6. Venereal disease, AIDS virus, AIDS related illness, ARC Syndrome, or AIDS, and the cost of testing for these conditions, and charges for treatment or surgeries which are incurred by any Insured who was HIV+ at time of enrollment into this insurance.
  7. Pregnancy, childbirth, birth control, artificial insemination, treatment for infertility or impotency, sterilization or reversal thereof, or abortion.
  8. Any illness or injury sustained while taking part in: Amateur Athletics, Professional Athletics, or other athletic activity that is sponsored or sanctioned by the National Collegiate Athletic Association (and/or any other collegiate sanctioning or governing body), or the International Olympic Committee. The following Adventure Sports are excluded unless the Adventure Sports Rider is purchased: abseiling, BMX, bobsledding, bungee jumping, canyoning, caving, hang gliding, heli-skiing, high diving, hot air ballooning, inline skating (with proper use of helmet and pads), jet skiing, jungle zip lining, kayaking, mountain biking, parachuting, paragliding, parascending, piloting a non-commercial aircraft, rappelling, rock climbing or mountaineering (ropes and guides to 4500m from ground level), scuba diving (to 50m), skydiving, snowboarding, snowmobiling, snow skiing, spelunking, surfing, trekking, whitewater rafting (to Class V), wildlife safaris, and windsurfing. All such activities must be carried out in strict accordance with the rules, regulations and guidelines of the applicable Governing Body or Authority of each such activity. Injury sustained while participating in contact sports of any kind, racing of any kind, any rodeo activity, BASE jumping, kiteboarding, mountaineering or climbing or trekking above elevation 4500 meters above ground level or without proper ropes or guides; luge, motocross, Moto-X, ski jumping, sub-aquatic activities below 50 meters, whitewater rafting exceeding Class V difficulty; and/or adventure sports activity not expressly covered hereunder are excluded regardless of which plan or rider is selected.
  9. Vision or ear tests and the provision of visual or hearing aids.
  10. Vocational, recreational, speech or music therapy.
  11. Treatment while confined primarily to receive custodial care, educational or rehabilitative care, or nursing services.
  12. Charges, injuries and/or illnesses resulting or arising from or occurring during the commission or continuing perpetration of a violation of law by the insured, including without limitation, the engaging in an illegal occupation or act, but excluding minor traffic violations.
  13. Treatment for, and injuries and/or illnesses resulting or arising from, substance abuse or drug addiction.
  14. Injury and/or illness resulting or arising from being under the influence of alcohol or drugs; and injury or illness resulting from operating any type of vehicle after consuming any alcohol or drugs.
  15. Willful self-inflicted injury or illness.
  16. Treatment required as a result of or arising from complications from a treatment or condition not covered under the certificate.
  17. Any services or supplies performed or provided by a relative of the Insured or provided at no cost to Insured.
  18. Treatment for mental and nervous disorders.
  19. Organ or tissue transplants or related services.
  20. Illness or injury where the trip to the host country is undertaken for treatment or advice for such Illness or injury, except as expressly provided for in the certificate of insurance.
  21. Treatment incurred as a result of or arising from exposure to nuclear radiation, and/or radioactive material(s)
  22. Any infection of the urinary tract (or Illness arising therefrom), that occurs within ninety (90) days of the Effective Date of coverage and that requires Treatment of the Insured Person in a Hospital; provided that any such Illness will be deemed by the Company to be a Pre-existing Condition.
  23. This web page contains only a consolidated and summary description of all current VMP benefits, conditions, limitations and exclusions. A certificate containing the complete Certificate Wordings with all terms, conditions and exclusions will be included with the fulfillment kit. IMG reserves the right to issue the most current Certificate Wordings for this insurance plan in the event this application and/or brochure has expired, is modified, or is replaced with a newer version. Current Certificate Wordings are available upon request.

IMPORTANT NOTICE REGARDING PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA): This insurance is not subject to, and does not provide benefits required by, PPACA. On January 1, 2014, PPACA will require U.S. citizens and certain U.S. residents to obtain PPACA compliant insurance coverage unless they are exempt from PPACA. Penalties may be imposed on U.S. citizens and U.S. residents who are required to maintain PPACA compliant coverage but do not do so. Please note that it is solely your responsibility to determine if PPACA is applicable to you.


Nationwide PPO Network:

Click here to ACCESS THE PPO DIRECTORY

You may seek treatment under Patriot Travel Medical Insurance Plan worldwide, including in the United States , with the hospital or doctor of your choice. When seeking treatment in the U.S., you may use the independent Preferred Provider Organization (PPO) contracted by IMG, a separately organized network (First Health Group) of approximately 500,000 physicians and 4,700 privately owned and operated hospitals. * This PPO network includes a large number of hospitals including some of the most well recognized university medical centers and transplant facilities.

Using this provider network could significantly reduce your out-of-pocket expenses.

PRECERTIFICATION: Each proposed hospital admission, inpatient or outpatient surgery, and other procedures as noted in the Certificate of Insurance must be Precertified for medical necessity, which means the insured person or their attending physician must communicate with an IMG representative at the number listed on the IMG identification card prior to admission to a hospital or performance of a surgery. In case of an emergency admission, the Precertification call must be made within 48 hours of the admission, or as soon as reasonably possible. If a hospital admission or a surgery is not Precertified, eligible claims and expenses will be reduced by 50%. It is important to note that Precertification is only a determination of medical necessity, not an assurance of coverage, verification of benefits or a guarantee of payment. All medical expenses eligible for reimbursement must be medically necessary and will be paid or reimbursed at usual, reasonable, and customary rates. Please refer to the Certificate Wording for full details of the Precertification requirements.


PLAN A

VMP MONTHLY RATES 90% / 10% in
PPO Network up to the Policy Maximum after deductible met (Options 1, 2, 3, 4)(70%/30% out of PPO Network)
Outside US & Canada: 100% (No coinsurance)
Option 1 - US$25,000 Policy Limit
Deductible US$100 US$250 US$500 US$1,000 US$2,500
Under 18 $23 $21 $19 $17 $14
18 - 29 $36 $33 $30 $26 $23
30 - 39 $46 $42 $38 $34 $30
40 - 49 $71 $65 $57 $52 $46
50 - 59 $101 $92 $84 $73 $65
60 - 64 $127 $116 $106 $94 $81
65 - 69 $146 $133 $120 $107 $94
70 - 79 $196 $178 $159 $143 $124
80+* $371 $337 $305 $269 $237
*$15,000 policy maximum.....

PLAN B

100% in PPO Network up to the Policy Maximum Limit after deductible met (Options 5,6,7,8)
(70% of next $5,000 and then 100% out of PPO Network)
Outside US & Canada: 100% (No coinsurance)
Option 5 - US$25,000 Policy Limit
Deductible US$100 US$250 US$500 US$1,000 US$2,500
Under 18 $30 $27 $25 $22 $19
18 - 29 $46 $42 $38 $33 $29
30 - 39 $59 $54 $48 $43 $38
40 - 49 $90 $82 $74 $66 $57
50 - 59 $129 $117 $106 $94 $82
60 - 64 $163 $148 $133 $119 $104
65 - 69 $186 $169 $152 $135 $118
70 - 79 $252 $229 $206 $183 $161
80+* $480 $436 $392 $349 $305
*$15,000 policy maximum.....
Option 2 - US$50,000 Policy Limit
Deductible US$100 US$250 US$500 US$1,000 US$2,500
Under 18 $25 $23 $21 $19 $15
18 - 29 $40 $36 $33 $29 $25
30 - 39 $51 $46 $42 $37 $33
40 - 49 $78 $71 $63 $57 $50
50 - 59 $111 $101 $92 $80 $71
60 - 64 $140 $127 $116 $103 $89
65 - 69 $161 $146 $132 $118 $103
70 - 79 $215 $196 $175 $157 $136
80+* N/A N/A N/A N/A N/A
Option 6 - US$50,000 Policy Limit
Deductible US$100 US$250 US$500 US$1,000 US$2,500
Under 18 $33 $30 $27 $24 $21
18 - 29 $51 $46 $41 $37 $32
30 - 39 $65 $59 $53 $47 $41
40 - 49 $99 $90 $81 $72 $63
50 - 59 $142 $129 $116 $103 $90
60 - 64 $179 $163 $147 $130 $114
65 - 69 $205 $186 $167 $149 $130
70 - 79 $277 $252 $227 $202 $176
80+ N/A N/A N/A N/A N/A
Option 3 - US$100,000 Policy Limit
Deductible US$100 US$250 US$500 US$1,000 US$2,500
Under 18 $29 $26 $24 $22 $18
18 - 29 $46 $42 $38 $34 $30
30 - 39 $62 $56 $50 $44 $40
40 - 49 $88 $80 $72 $64 $56
50 - 59 $136 $124 $112 $100 $86
60 - 64 $174 $158 $143 $126 $110
65 - 69 $210 $190 $171 $152 $134
70+ N/A N/A N/A N/A N/A
Option 7 - US$100,000 Policy Limit
Deductible US$100 US$250 US$500 US$1,000 US$2,500
Under 18 $36 $33 $30 $26 $23
18 - 29 $58 $53 $48 $42 $37
30 - 39 $76 $69 $62 $55 $48
40 - 49 $111 $101 $91 $81 $71
50 - 59 $172 $156 $140 $125 $109
60 - 64 $218 $198 $178 $158 $139
65 - 69 $262 $238 $214 $190 $167
70+ N/A N/A N/A N/A N/A
Option 4 - US$250,000 Policy Limit
Deductible US$100 US$250 US$500 US$1,000 US$2,500
Under 18 $33 $30 $28 $24 $20
18 - 29 $64 $58 $52 $46 $40
30 - 39 $79 $72 $66 $58 $50
40 - 49 $117 $106 $94 $84 $74
50 - 59 $183 $166 $150 $132 $116
60 - 64 $231 $210 $190 $169 $147
65 - 69 $269 $244 $221 $195 $171
70+ N/A N/A N/A N/A N/A
Option 8 - US$250,000 Policy Limit
Deductible US$100 US$250 US$500 US$1,000 US$2,500
Under 18 $43 $39 $35 $31 $27
18 - 29 $80 $73 $66 $58 $51
30 - 39 $101 $92 $83 $74 $64
40 - 49 $147 $134 $121 $107 $94
50 - 59 $232 $211 $190 $169 $148
60 - 64 $295 $268 $241 $214 $188
65 - 69 $344 $313 $282 $250 $219
70+ N/A N/A N/A N/A N/A