| Coronavirus coverage |
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Visit USA offers coverage for COVID-19 as a covered medical expense.
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| Maximum per injury / illness |
Plan A: Up to age 79 years: $50,000; For 80 years and above: $20,000
Plan B: Up to age 69 years: $150,000
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Plan A: Up to age 79 years: $75,000; For 80 years and above: $20,000
Plan B: Up to age 69 years: $200,000
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Up to age 79 years: $250,000; For 80 years and above: $20,000 |
| Deductibles |
Plan A: Up to age 69 years: $0, $50, $100, or $250 per injury or illness; Ages 70 years and above: $100 or $250 per injury or illness
Plan B: Up to age 69 years: $0, $50, $100, or $250 per injury or illness
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Plan A & Plan B: $0, $250, $500, or $1,000 per certificate period
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$0, $250, $500, or $1,000 per certificate period |
| Coinsurance – Claims incurred outside U.S. |
| Not Applicable |
Plan pays 100% of eligible expenses after the deductible up to the overall maximum limit. |
Plan pays 100% of eligible expenses after the deductible up to the overall maximum limit. |
| Coinsurance – Claims incurred in U.S. |
| Not Applicable |
In-Network: Plan pays 100% of eligible expenses, after the deductible, to the overall maximum limit.
Out-of-Network: Usual, reasonable, and customary. You may be responsible for any charges exceeding the payable amount.
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In-Network: Plan pays 100% of eligible expenses, after the deductible, to the overall maximum limit.
Out-of-Network: Usual, reasonable, and customary. You may be responsible for any charges exceeding the payable amount.
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| Hospital room and board |
Plan A: $1,500 per day, 30 days max
Plan B: $2,750 per day, 30 days max
(including
miscellaneous unless specified)
|
Average semi-private room rate, including nursing services |
Average semi-private room rate, including nursing services |
| Intensive care unit |
Plan A: $2,500 per day, 8 days max
Plan B: $4,000 per day, 8 days max
(including
miscellaneous unless specified)
|
Up to the overall maximum limit |
Up to the overall maximum limit |
| Emergency medical evacuation |
| Up to $100,000 Lifetime Maximum, except as provided under Acute Onset of Pre-existing Condition. Available only to Members under 70. |
Up to $250,000 lifetime maximum (not subject to deductible, coinsurance, or overall maximum limit) |
Up to $500,000 lifetime maximum (not subject to deductible, coinsurance, or overall maximum limit) |
| Optional Accidental death and dismemberment |
| Not Applicable |
Members age 18-69: Up to $50,000 lifetime max.
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Members age 18-69: Up to $50,000 lifetime max.
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| Repatriation of Remains |
| Up to $25,000 |
Up to $50,000 |
Up to the overall maximum limit |
| Local Burial & Cremation |
| $5,000 |
Up to $5,000 |
Up to $5,000 |
| Return of minor children |
| Not Applicable |
Up to $25,000 |
Up to $50,000 |
| Terrorism |
| Up to $25,000, eligible medical expenses only |
Up to $50,000 lifetime maximum, eligible medical expenses only |
Up to $50,000 lifetime maximum, eligible medical expenses only |
| Emergency Reunion |
| Up to $15,000, maximum 15 days (not subject to deductible or coinsurance) |
Up to $15,000, maximum 15 days (not subject to deductible or coinsurance) |
Up to $15,000, maximum 15 days (not subject to deductible or coinsurance) |
| Urgent care |
Plan A: Office visits, including urgent care - $75 per visit, 10 visits maximum (outpatient treatment)
Plan B: Office visits, including urgent care - $150 per visit, 10 visits maximum (outpatient treatment)
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Co-payment:
Claims incurred outside the U.S. No co-payment
Claims incurred in U.S. $50 co-payment, after which coinsurance will apply
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Co-payment:
Claims incurred outside the U.S. No co-payment
Claims incurred in U.S. $50 co-payment, after which coinsurance will apply
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| Emergency Room |
Plan A: $375 for an outpatient treatment
Plan B: $785 for an outpatient treatment
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Co-payment:
Claims incurred outside the U.S.: No co-payment
Claims incurred in U.S.: $250 co-payment for each use of emergency room for an illness unless you are admitted to the hospital. There will be no co-payment for emergency room treatment of an injury.
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Co-payment:
Claims incurred outside the U.S.: No co-payment
Claims incurred in U.S.: $200 co-payment for each use of emergency room for an illness unless you are admitted to the hospital. There will be no co-payment for emergency room treatment of an injury.
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| Physical Therapy |
| $50 per visit, 1 visit per day, maximum 12 visits |
Usual, reasonable and customary charges. Must be ordered in advance by a physician. |
Usual, reasonable and customary charges. Must be ordered in advance by a physician. |
| Emergency dental |
| Not Applicable |
Up to $1,000 due to accident / Up to $100 for acute onset of pain |
Up to $1,000 due to accident / Up to $100 for acute onset of pain |
| Local Ambulance |
Plan A: Up to $500
Plan B: Up to $500
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Usual, reasonable and customary charges, when covered illness or injury results in hospitalization as inpatient. |
Usual, reasonable and customary charges, when covered illness or injury results in hospitalization as inpatient. |
| Political Evacuation |
| Not Applicable |
Up to $25,000 lifetime maximum |
Up to $50,000 lifetime maximum |
| Trip interruption |
| Not Applicable |
Up to $2,500 |
Up to $5,000 |
| OTHER BENEFITS |
| Optional accidental death and dismemberment coverage |
| Not Applicable |
Up to $50,000 (only available to members age 18 through age 69) |
Up to $50,000 (only available to members age 18 through age 69) |
| Optional intercollegiate or interscholastic sports rider |
| Not Applicable |
Not Applicable |
Up to $20,000 |
| Optional hazardous activities rider |
| Not Applicable |
Not Applicable |
Up to the overall maximum limit |
| Crisis Response - Ransom, Personal Belongings, and Crisis Response Fees and Expenses |
| Not Applicable |
Not Applicable |
Up to $10,000 |
| Mental Health Disorders |
| Not Applicable |
Not Applicable |
Up to $5,000 |
| Bedside Visit |
| Not Applicable |
Not Applicable |
Up to $1,500 |
| Pet Return |
| Not Applicable |
Not Applicable |
Up to $1,000 |
| Lost Checked Luggage |
| Not Applicable |
Not Applicable |
Up to $500 |
| Travel Delay |
| Not Applicable |
Not Applicable |
Up to $100 a day after a 12-hour, maximum of 2 days |
| Lost or Stolen Passport/Travel Visa |
| Not Applicable |
Not Applicable |
Up to $100 |
| Natural Disaster - Replacement Accommodations |
| Not Applicable |
Not Applicable |
Up to $100 a day for 5 days |
| Anesthesiologist / Assistant surgeon |
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Plan A: $825; Plan B: $1,775
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Not Applicable |
Not Applicable |
| Durable medical equipment |
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Plan A: $1,100; Plan B: $1,700
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| Inpatient Treatment |
- Surgery - Plan A: $4,000 per session; Plan B: $8,000 per session
- Consultant physician - Plan A: $450; Plan B: $650
- Private duty nurse - Plan A: $550 ; Plan B: $700
- Physician visits - Plan A: $75 per visit, 30 visits max; Plan B: $125 per visit, 30 visits max
|
Not Applicable |
Not Applicable |
| Outpatient Treatment |
- Surgery - Plan A: $3,300 per session; Plan B: $7,150 per session
- Outpatient surgical facility - Plan A: $1,100; Plan B: $1,500
- Pre-admission yesting - Plan A: $1,100; Plan B: $1,450
- Diagnostic X-ray and Labs - Plan A: $500, plus $400 for one CAT Scan, MRI or PET; Plan B: $750, plus $650 for one CAT Scan, MRI or PET
- Observation room services - Plan A: $355; Plan B: $750
- Outpatient prescription drugs - Plan A: $150; Plan B: $300
|
Not Applicable |
Not Applicable |
