Eligibility
Underwriter
Rating| Benefits | Coverage |
| Emergency Medical & Hospitalization | $50,000 |
| Hospitalization/ Room & Board | 100% |
| Inpatient Surgery/ Hospital Facility | 100% |
| Outpatient Surgery/ Hospital Facility | 100% |
| Surgeon | 100% |
| Pre-admission Testing | 100% |
| Anesthesia/ Anesthesiologist | 100% |
| Physician Visits Inpatient or Outpatient | 100% |
| Physician Specialists Visits | 100% |
| Urgent Care Visits | 100% |
| Laboratory, Radiology & X-ray | 100% |
| Outpatient Prescription Drugs | 100% |
| Emergency Local Ambulance | 100% |
| Outpatient Physical Therapy/ Chiropractor | $2,500 |
| Emergency Dental | $500 |
| Deductible | $0 |
| Co-Insurance | 100% |
| Emergency Medical Evacuation/ Repatriation | $150,000 (per evacuation) |
| Accompaniment | $6,000 ($300/day) |
| Continuation | 100% |
| Repatriation of Mortal Remains, Cremation or Local Burial | $20,000 |
| 24/7 Emergency Assistance | Included |
