Reside Prime insurance - Salient features
- Lifetime maximum?: $5,000,000 per insured person
- Policy period deductible options?: $250, $500, $1,000, $2,500, $5,000
- Insurance Provider: Seven Corners
Customer Care
Seven Corner’s Reside Prime plan summary
Underwriter
Eligibility
Plan options of Reside Prime insurance
- Certain Underwriters at Lloyd’s of London and Tramont Insurance Company Limited
- Their residence address determines which one provides the coverage
Eligibility
- A person living and travelling outside the US
- US citizen relocating or spending extended time overseas.
- A foreign traveler who requires travel protection outside his home country and while travelling abroad.
- The applicant must be aged between 14 years and 75 years at the time of applying.
- You cannot reside in the United States for 180 days or more within a 364-day period.
Plan options of Reside Prime insurance
- Policy Period: 364 days
- Worldwide Coverage Regions: Living in US is limited to 180 days during a given 364-day period in the both the options.
Worldwide coverage including US and Canada
Worldwide coverage excluding US and Canada
Once the plan is purchased, changes in coverage region is not available on the same certificate. - Lifetime maximum benefit?: $5,000,000 per insured person.
- Policy period deductible options?:
$250, $500, $1000, $2500 or $5000
Maximum of 3 deductible payments for families enrolling on one application. - Coinsurance?:
Expenses incurred inside US and Canada: After deductible, the plan pays 80% of the next $5000 of the eligible expenses, then 100% to the policy maximum.
If the treatment is received from the approved PPO network while in US, the plan will reduce the applicable deductible by 50% & waive coinsurance.
Expenses incurred outside US and Canada: After deductible, the plan pays 100% to plan maximum
Plan benefits of Reside Prime insurance
| Benefit | Coverage |
| Inpatient hospital expenses | Average semi-private room & board; usual, reasonable, & customary physician charges; prescription medications; durable medical equipment; nursing; & x-rays to the policy maximum |
| Intensive care | Intensive Care room & board; usual, reasonable, & customary physician charges; prescription medications; durable medical equipment; nursing; & x-rays to the policy maximum. |
| Surgery | Usual, reasonable, & customary charges for surgery, physician & anesthetics to the policy maximum. |
| Hospital daily indemnity benefit | $50 per day ($1,000 maximum per policy period) while hospitalized outside of the U.S. & Canada. This payment is not related to the hospital charges & is paid in addition to other eligible benefits. |
| Outpatient treatment | Usual, reasonable, & customary charges for emergency treatment; surgery; physician's office; & prescription medication to the policy maximum. |
| Physiotherapy, chiropractic | Up to $75 per visit, when referred in advance by a physician. Lifetime maximum of $10,000. |
| Medical supplies | Usual, reasonable, & customary charges to the policy maximum. |
| Ambulance | Usual, reasonable, & customary charges to the policy maximum. |
| Well child care (under age 19) | Up to $200 per policy period for checkups & routine visits after a 180-day waiting period. Not subject to deductible or coinsurance |
| Maternity | Usual, reasonable, & customary to the limits below per pregnancy. You must pre-notify within the first 90 days of pregnancy. Waiting period of 364 days. After completion of 1 continuous policy period: $1,000 After completion of 2 continuous and consecutive policy periods: $2,000 After completion of 3 continuous and consecutive policy periods: $3,000 After completion of 4 continuous and consecutive policy periods: $4,000 After completion of 5 continuous and consecutive policy periods: $5,000 |
| Newborn benefit | Maximums listed below per pregnancy for the first 31 days after birth. After completion of 2 continuous and consecutive policy periods: $2,000 After completion of 3 continuous and consecutive policy periods: $3,000 After completion of 4 continuous and consecutive policy periods: $4,000 After completion of 5 continuous and consecutive policy periods: $5,000 |
| Mental & nervous | Usual, reasonable, & customary to $10,000 per policy period after a 364-day waiting period. Inpatient limited to 45 days per policy period. Outpatient limited to 40 visits per policy period at 70% of eligible expenses. Lifetime maximum of $30,000. |
| Dental | $500 per policy period for usual, reasonable, & customary charges for repair & replacement of sound, natural teeth damaged in an accident. An optional Dental Rider may be purchased. | Emergency medical evacuation | $250,000 per person per policy period, when adequate medical facilities or treatment are not available |
| Repatriation/return of remains | $25,000 per person |
| Emergency medical reunion | $10,000 per person per ocurrence |
| Preventive benefits (age 19 and over) | $175 per policy period for checkups & routine physical exams for all members & female preventative exams & mammograms after a 180-day waiting period. Not subject to deductible or coinsurance. |
| Accidental death & dismemberment (ad&d) | 24-Hour AD&D: Principal Sum: $10,000 for insured & spouse, $2,000 for dependent children. Common Carrier AD&D: Principal Sum: $40,000 for insured & spouse, $8,000 for dependent children. |
| Lifetime transplant benefit | Up to $1,000,000 per insured person |
Optional Riders of Reside Prime insurance
Dental RiderOptional Worldwide dental coverage
AD & D Principal Sum Rider$100,000, $200,000, $300,000, $400,000 or $500,000 for the insured; $100,000 for the spouse and $10,000 for each child
Sports Rider$25,000 lifetime maximum for mountaineering up to 4500 meters where ropes or guides are normally used, hang gliding, parachuting & bungee jumping and $7,500 lifetime maximum for amateur sports or interscholastic athletics sponsored by a school or organization when not engaged for wage or profit
Hospital daily indemnity rider$150 per night when you are hospitalized outside US and Canada
