This comparison chart
shows information for
Non-US citizens.
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Per incident
$40,000 & $60,000 policy
- for all ages up to 99.
$45,000 to $85,000
policy - up to age 69.
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Per incident
$25,000 & $50,000 policy -
for all ages 70-99.
$50,000 to $130,000 policy -
up to age 69.
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Per incident
$50,000 & $70,000 policy -
for all ages 70-99.
$50,000 to $130,000 policy -
up to age 69.
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Lifetime maximum
$10,000 policy - for 80 &
above.
$25000, $50000 & $100000
policy - up to age 79.
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Per injury/sickness
$0, $50 & $100 are
available up to age 69.
$200 available for age 70
& above.
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Per injury/sickness
$0, $50 & $100 are
available up to age 69.
$200 available for age 70 &
above.
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Per injury/sickness
$0, $50 & $100 are available
up to age 69.
$200 available for age 70 &
above.
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Per period of coverage
$50 & $100 are available for
all ages.
$0, $50 & $100 are available
up to age 69.
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Co-Insurance
(Inside USA/Canada)
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n/a
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n/a
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n/a
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n/a
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Co-Insurance
(Outside USA/Canada)
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n/a
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n/a
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n/a
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n/a
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Provider Network
(Inside USA)
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Visit any doctor/hospital
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Yes
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Visit any doctor/hospital
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Yes
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Provider Network
(Outside USA)
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n/a
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Yes
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n/a
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Yes
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Yes, Renew Online
Minimum 5 days of renewal
required.
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Yes, Renew Online
Minimum 5 days renewal
required.
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Yes, Renew Online
Minimum 5 days of renewal
required.
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Yes, Renew Online
Minimum 5 days renewal
required.
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Renewal fee charged by
Insurance Company
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$5/renewal
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$5/renewal
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$5/renewal
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$5/renewal
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Seven Corners (SC)
(Formally known as SRI)
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HCC Medical Insurance
Services (HCCMIS)
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Seven Corners (SC)
(Formally known as SRI)
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International Medical Group
(IMG)
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Lloyd's of London
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Lloyd's
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Lloyd's of London
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Sirius International
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A "Excellent"
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A "Excellent"
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A "Excellent"
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A "Excellent"
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Premium
Benefits
Plan Description
Exclusions
Brochure
Claim form
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Premium
Benefits
Plan Description
Exclusions
Brochure/Application
Claim form
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Premium
Benefits
Optional Pre-exsiting Benefit
Plan Description
Exclusions
Brochure/Application
Claim form
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Premium
Benefits
Plan Description
Exclusions
Brochure/Application
Claim form
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Plan for Non-US citizens
traveling to USA.
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Plan is currently not for
applicants physically located
in State of New York.
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Plan for Non-US citizens
traveling to USA.
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Medical Coverage (For Outpatient treatment, please check "coverage details" available under detail section)
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30 days maximum
$45,000 policy - up to
$1,260/day.
$85,000 policy - up to
$1,785/day.
For ages 70 & above - up
to $870/day.
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30 days maximum
$50,000 policy - up to
$1,400/day.
$75,000 policy - up to
$1,675/day.
$100,000 policy - up to
$1,950/day.
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30 days maximum
$50,000 policy - up to
$1,400/day.
$100,000 policy - up to
$1,950/day.
For ages 70 & above - up to
$1,050/day.
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30 days maximum per
period of coverage.
$25,000 policy - up to
$825/day.
$50,000 policy - up to
$1,400/day.
$100,000 policy - up to
$1,950/day.
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Intensive Care Unit (ICU)
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8 days maximum
$45,000 policy - additional
$595/day.
$85,000 policy - additional
$790/day.
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8 days maximum
$50,000 policy - $2,060/day.
$75,000 policy - $2,430/day.
$100,000 policy -
$2,800/day.
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8 days maximum
$50,000 policy - additional
$660/day.
$100,000 policy - additional
$850/day.
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8 days maximum per period
of coverage
$25,000 policy - additional
$400/day.
$50,000 policy - additional
$660/day.
$100,000 policy - additional
$850/day.
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30 visits Maximum, 1
visit/day
$45,000 policy - up to
$50/visit.
$85,000 policy - up to
$75/visit.
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30 visits Maximum
$50,000 policy - up to
$55/visit.
$75,000 policy - up to
$70/visit.
$100,000 policy - up to
$85/visit.
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30 visits, 1 visit/day
$50,000 policy - up to
$55/visit.
$100,000 policy - up to
$85/visit.
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30 visits per period of
coverage
$25,000 policy - up to
$40/visit.
$50,000 policy - up to
$55/visit.
$100,000 policy - up to
$85/visit.
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$45,000 policy - up to
$2,970.
$85,000 policy - up to
$4,840.
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$50,000 policy - up to
$3,300.
$75,000 policy - up to
$4,400.
$100,000 policy - up to
$5,500.
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$50,000 policy - up to
$3,300.
$100,000 policy - up to
$5,500.
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Per surgical session
$25,000 policy - up to $2,000.
$50,000 policy - up to $3,300.
$100,000 policy - up to
$5,500.
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up to $450 for all policy
maximum.
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$50,000 & $130,000 policy -
up to $450.
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up to $450 for all policy
maximum.
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Per period of coverage
$25,000 policy - up to $250.
$50,000 & $100,000 policy -
up to $450.
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Medicine/Prescription
Drug
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$45,000 policy - up to $90.
$85,000 policy - up to
$135.
For ages 70 & above - up
to $65.
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$50,000 policy - up to $100.
$75,000 policy - up to $125.
$100,000 policy - up to
$150.
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$50000 policy - up to $100.
$100,000 policy - up to $150.
For ages 70 & above - up to
$80.
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Per period of coverage
$25,000 policy - up to $150.
$50,000 & $100,000 policy -
up to $250.
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$45,000 policy - up to
$405, additional $250 for
One Cat scan, PET scan or
MRI.
$85,000 policy - up to
$485, additional $500 for
One Cat scan, PET scan or
MRI.
For ages 70 & above - up
to $330, additional $250
for Once Cat scan, PET
scan or MRI.
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$50,000 policy - US$450,
($250 allowable charge per
procedure)
$75,000 policy - US$475,
($375 allowable charge per
procedure)
$100,000 policy - US$500,
($500 allowable charge per
procedure)
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$50,000 policy - up to $450,
additional $250 for One Cat
scan, PET scan or MRI.
$100,000 policy - up to 500,
additional $500 for One Cat
scan, PET scan or MRI.
For ages 70 & above - up to
$400, additional $250 for
Once Cat scan, PET scan or
MRI.
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Per period of coverage
$25,000 policy - US$650,
($325 allowable charge per
procedure)
$50,000 policy - US$800,
($400 allowable charge per
procedure)
$100,000 policy - US$950,
($475 allowable charge per
procedure)
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Optional Coverage
(Age 69 or below) Up to
$5,000 in coverage for
Myocardial Infarction (heart
attack) or Stroke
(Age 70 or above) Up to
$3,000 in coverage for
Myocardial Infarction (heart
attack) or Stroke
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Dental - Acute,
unexpected pain
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Dental - Accident related
emergency
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up to $550.
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$50,000 & $130,000 - up to
$550.
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up to $550.
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Per period of coverage
$25,000 policy - up to $150.
$50,000 & $100,000 - up to
$250.
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Emergency Medical
Evacuation/Repatriation
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$50,000
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$50,000
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$50,000
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$50,000 (not to exceed plan
maximum)
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$7,500
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$7,500
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$7,500
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$7,500
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Accidental death &
dismemberment (AD&D)
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Common carrier
accidental death
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$25,000
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$25,000
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$25,000
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$25,000
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Identity theft assistance
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