|Hospital room and board||Up to the maximum limit
|Benefit Period||12 months|
|Intensive care||Up to the maximum limit|
|Medical expenses||Up to the maximum limit|
|Out-patient medical expenses||Up to the maximum limit|
|Emergency local ambulance||Up to the maximum limit|
|Emergency room accident||Up to the maximum limit.|
|Emergency room illness- with inpatient admission||Up to the maximum limit.
Charges incurred for the use of the emergency room for treatment of an illness are covered up to the maximum limit if treatment requires admission to the hospital
|Emergency room illness- without inpatient admission||Up to the maximum limit with additional $250 deductible.
Charges incurred for the use of the emergency room for treatment of an illness are subject to an additional (extra) $250 deductible if treatment does not require admittance to the hospital.
|Emergency dental treatment||Injury due to accident: up to maximum limit, covers the cost of emergency dental treatment and dental surgical procedures necessary to restore or replace sound natural teeth lost or damaged in an accident.
Sudden dental emergency: $250, for treatment of sudden, unexpected pain to sound natural teeth.
|Hospital indemnity||Up to $250 per overnight up to a maximum of 10 overnights.|
|Supplemental Accident||Up to $300
It provides up-front, additional protection for unexpected injuries. This benefit provides up to $300 of first-dollar benefits for treatment of an injury. per overnight up to a maximum of 10 overnights.
|Emergency medical evacuation||Up to maximum limit.|
For a maximum of 15 days
|Return of mortal remains or cremation/burial||$100,000for return of mortal remains
$5,000 for cremation/burial
|Return of minor children||$100,000.|
|Natural disaster||Up to $250 per day and five days for accommodations|
|Remote transportation||$5,000per certificate period
$20,000 lifetime maximum
|Identity theft assistance||Up to $500|
|Lost / Theft of luggage, valuables, personal papers||Up to $500|
|Felonious assault||Up to $10,000|
|Terrorism||Up to maximum limit|
|Sports & leisure activities||Up to the maximum limit for basic sports|
|Incidental home country coverage||Up to cumulative of 2 weeks|
|End of trip home country coverage||One month for every four months of travel coverage, up to a maximum of three months|
|Common carrier accidental death||$100,000 per adult, $25,000 per child, maximum of $250,000 per family.|
|Accidental death & dismemberment||$50,000 principal sum.|
|Small pet common carrier accidental death||Up to $500
$500 will be paid in the event of loss of life to a small pet while traveling with a covered insured on a common air carrier. This covers the pet while on the insured’s originating flight from his/her home country, and returning flight to the insured’s home country only. A small pet is a cat or dog up to 30 pounds in weight.