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Global Medical Insurance has 3 plan options available: Silver, Gold and Platinum


Silver Plan Summary


Global Medical Silver ® Insurance is an affordable long-term, annually-renewable, major medical insurance. Global Medical Silver ® Insurance has specific dollar limits on most benefits. Global Medical Silver ® Insurance is the perfect expatriate medical insurance policy for those who want coverage for a variety of medical services, but are seeking to reduce their premium costs.

Policy Maximum Global Medical Silver ® Insurance plan offers US$ 5,000,000 lifetime per individual.
Deductible US$250, $500, $1000, $2500, $5000 and $10,000 deductible per period of coverage.
Co-insurance For treatment received within the US & Canada:
In the PPO Network: Plan pays 90% of eligible expenses up to US$5,000 then 100% up to the Policy Maximum.
Out of the PPO Network: Plan pays 80% of eligible expenses up to US$5,000 then 100% up to the Policy Maximum.
For treatment received Outside the US & Canada:
No Coinsurance.
Eligibility - Global Medical Silver ® Insurance is offered to the persons between the age of 14 days and 74 years old may apply for coverage. Person older than 74 years of age are not eligible.
Pre-Existing Condition Definition - The following illnesses which exist, manifest themselves or are treated or have treatment recommended prior to or during the first 180 days of coverage from the initial effective date are considered pre-existing conditions: asthma, allergies, tonsillectomy, back conditions, adenoidectomy, hemorrhoids or hemorrhoidectomy, disorders of the reproductive system, hysterectomy, hernia, gall stones or kidney stones, any condition of the breast, and any condition of the prostate.
Pre-Existing Condition Coverage - Global Medical Silver plan options provide a US$50,000 lifetime benefit for eligible pre-existing conditions that existed at or prior to the effective date, subject to a maximum of US$5,000 per period of coverage. This benefit is payable whether or not you have received consultation or treatment for the condition(s) during the 24-month period. This plan options do not rider or charge additional premium for pre-existing conditions.
Coverage - Hospital Room and Board
- Hospital intensive care unit charges
- Physician visits, surgeon, Private duty nurse fee
- Pre-admission tests
- Diagnostics: X-Rays
- Hospital emergency room
- Prescription Drugs
Underwriter Underwritten by Sirius International Insurance Corporation(publ), Sirius International is a White Mountains Re company.
Buy - Online Apply & purchase online Global Medical Silver ® Insurance
Brochure Complete, mail/fax the Global Medical Silver ® Insurance Brochure along with payment


Global Medical Silver ® Insurance Plan Description


Global Medical Silver ® Insurance is designed to provide coverage similar to Global Medical Insurance, however, it features specific dollar limits on most benefits. This is the perfect plan for those who want coverage for a variety of medical services, but are seeking to reduce their premium costs.
You also have the option of adding Global Term Life InsuranceSM and Global Daily IndemnitySM to your Global Medical Silver ® Insurance coverage.

Global Term Life Insurance


  • Global Term Life Insurance provides protection for your family at the time of a traumatic loss and is available with no additional underwriting. This coverage is available for a standard annual premium of $240 and includes an Accidental Death and Dismemberment benefit.

Global Daily Indemnity


  • Global Daily Indemnity pays you US$100 for each covered overnight hospital stay other than those related to pregnancy.

Plan Benefits


Global Medical Silver ® Insurance covers the Usual, Reasonable and Customary (URC) charges for eligible expenses in the area where you receive treatment. Each insured person will only need to satisfy their deductible once per period of coverage (12 months), with a maximum of three deductibles per family.

For eligible expenses incurred in the U.S. and Canada: once the deductible is met, it pays 80% of the next US$5000 in eligible expenses, then 100% of eligible expenses up to the policy maximum.

For eligible expenses incurred outside of the U.S. and Canada: once the deductible is met, it will pay 100% of eligible expenses up to the policy maximum.

MEDICAL INSURANCE BENEFIT Subject to deductible and
coinsurance
Coverage area Worldwide

Policy maximum per individual US$5,000,000 lifetime maximum benefit

Hospital room & board US$600 per day
(maximum of 240 consecutive days per covered event)

Intensive care unit US$1,500 per day
(maximum of 180 consecutive days per covered event)

Inpatient or outpatient surgery URC up to lifetime maximum benefit

Anesthetist's charges associated with surgery 20% of the surgery benefit payable

Laboratory tests, X-rays, & other treatment associated with an inpatient covered event URC up to lifetime maximum benefit

Emergency medical evacuation US$50,000 per coverage period (not subject to deductible or coinsurance)

Local ground ambulance US$1,500 per covered event (not subject to deductible or coinsurance)

Emergency room treatment due to an accident URC up to lifetime maximum benefit

Emergency dental due to an accident US$1,000 per coverage period

Maternity
Available only after 12 months of continuous coverage
Limited to US$5,000 per pregnancy (not subject to coinsurance)

Professional services related to inpatient maternity expenses US$200 per day (not subject to coinsurance)

Newborn care and treatment US$15,000 lifetime maximum for the first 31 days after birth

Well child care 3 visits per coverage period (maximum limit of $200 per period of coverage)

Outpatient visits or exams
25 visits, including prenatal and postnatal care, per insured person per coverage period reimbursed to the maximum limit as outlined below:
 
• Physician US$70 per visit/exam
• Specialist US$70 per visit/exam
• Psychiatrist US$60 per visit/exam
• Chiropractor US$50 per visit/exam
• Surgical intervention consultation US$500 per visit/exam
   
Outpatient X-rays US$250 per exam maximum limit

Outpatient lab tests US$300 per exam maximum limit

Pre-existing Conditions
Available after 24 months of continuous coverage
US$50,000 lifetime maximum benefit
(maximum of US$5,000 per period of coverage)

Prescription medication related to a covered event URC up to lifetime maximum benefit

Extended care facility services Limited to the first 30 days of convalescent confinement

Home nursing care services Limited to 30 days per covered event

Inpatient hospice care Limited to the first 30 days of hospice confinement

Chemotherapy & radiation therapy URC up to lifetime maximum benefit

Physical therapy 30 visits per coverage period (maximum limit of $40 per visit)

MRI, CAT scan, endoscopy, echocardiography, gastroscopy, colonoscopy & cystoscopy US$600 per exam limit

Transplants
Certain precertification provisions must be met
US$250,000 all inclusive per transplant

Return of mortal remains US$25,000 lifetime maximum (not subject to deductible or coinsurance)

The foregoing list is only a summary of available benefits and coverages, and is subject to the specific terms and conditions of the plan concerning eligible benefits, limitations, eligibility and exclusions. Please refer to the certificate wording for a complete description, which is available upon request.

Policy Exclusions



After coverage has been in effect for 24 continuous months, Global Medical Silver ® Insurance provides a US$50,000 lifetime benefit for eligible pre-existing conditions that existed at or prior to the effective date, subject to a maximum of US$5,000 per period of coverage. This benefit is payable whether or not you have received consultation or treatment for the condition(s) during the 24-month period. This is important since few pre-existing conditions remain free from ongoing consultation or treatment, and often do not qualify for coverage in standard plans. Global Medical Silver ® Insurance does not "rider" or charge additional premium for pre-existing conditions. If you properly disclose a pre-existing condition at the time of application, and are accepted into the plan, you will be covered for eligible medical expenses after 24 months of continuous coverage, subject to the foregoing limits and the other terms of the plan.*

The following illnesses which exist, manifest themselves or are treated or havetreatment recommended prior to or during the first 180 days of coverage from the initial effective date are considered pre-existing conditions under the plan, and are subject to the waiting period and other limitations of coverage described above: asthma, allergies, tonsillectomy, back conditions, adenoidectomy, hemorrhoids or hemorrhoidectomy, disorders of the reproductive system, hysterectomy, hernia, gall stones or kidney stones, any condition of the breast, and any condition of the prostate.

OTHER EXCLUSIONS & LIMITATIONS*


  • Maternity and newborn care (unless the maternity rider is purchased - see details under the Benefits section)
  • Inpatient mental and nervous
  • Routine physical exams
  • Dental treatment unless accident related
  • Organized amateur or professional sports
  • Treatment not ordered or received by a physician
  • Treatment or supplies not medically necessary
  • Investigational, experimental or research procedures
  • Custodial care
  • Weight modification
  • Elective cosmetic or plastic surgery
  • Treatment of impotency
  • Contraceptive medication or treatment
  • Drug and alcohol abuse treatment
  • Organ transplants not specifically listed
  • Devices to correct sight or hearing
  • Routine foot care
  • Treatment by a relative or family member
  • Treatment as a result of war or riot
  • Treatment resulting from illegal activities
  • Speech therapy
  • Persons HIV+ at effective date
  • Services and treatment eligible for payment by any government or other insurance


* See certificate wording for a definition of pre-existing conditions and a complete list of exclusions and limitations, and for all other specific terms and conditions of the plan. Certificate wording is available upon request.




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