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Visitors Care - Visitor Insurance USA
Non-US citizens. 5 days-2 years.
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Traveling abroad can be an exciting experience. But what would happen if you or one of your family members became ill or injured while away from home? International travel can quickly turn frightening if you’re not prepared for a medical emergency.
Most travelers assume they will be covered by their standard medical plan. The truth is, while traditional plans may offer adequate domestic coverage, they may not be designed for international travel. Without even realizing it, you may be putting your health - and that of your family - at risk.
What if you are injured or become ill during your trip? Could you get quality treatment at an unfamiliar hospital? How would you deal with the language and currency barriers? What if the treatment you need isn’t available nearby? Who do you call? Imagine trying to call your insurance company or plan administrator at 3:00 a.m. from a foreign country during a medical emergency! Will they be there when you need them the most?
You have enough things to worry about when you’re traveling. Don’t let your medical coverage be one of them. International Medical Group® (IMG®) has developed Visitors Care® to provide you and your family Coverage Without Boundaries®. This plan offers a broad package of international scheduled benefits under nine separate options based on deductible levels and maximum limits. Simply select the option that best fits your needs.
Since 1990, International Medical Group has provided a unique, full-service approach to insurance coverage. Dedicated exclusively to the international insurance market, IMG provides around-the-clock coverage services to individuals and families in more than 150 countries.
Medical treatment while traveling is often an unfortunate fact of life. IMG's goal is to make the medical process a smooth and efficient one. IMG’s multilingual claims administrators, on-site medical staff and customer service professionals work together to ensure that your medical insurance needs are met. IMG processes as many as 100,000 claims each year from countries throughout the world, and can confidently handle virtually any language or currency.
To give you true Global Peace of Mind®, IMG representatives are available 24 hours a day, seven days a week, 365 days a year for medical emergencies, evacuations and precertification. IMG's customer service is routinely rated among the highest in the industry. You can rest assured that IMG will be there for you, whether it be for routine treatment or during a medical emergency.
IMG gives you worldwide coverage experience, impeccable service, and international expertise. Don’t leave your medical care to chance. Let IMG reduce the uncertainties of international travel for you and your family.
The Visitors Care plan provides scheduled coverage for individuals traveling and/or temporarily residing outside their home country for a minimum of 5 days. The plan is renewable (without break in coverage) for 5 days up to 12 months up to a maximum total of 24 continuous months. However, any one policy period may not exceed 12 months. For each renewal, you will be charged a fee of US$5 in addition to the premium costs.
After 24 months of continuous coverage, the Visitors Care plan can be rewritten for succeeding or subsequent periods. New Deductible, Eligibility, Conditions of Coverage and Pre-Existing Condition Exclusions will apply and a new application must also be completed.
The plan offers benefit maximums of US$25,000, US$50,000 or US$100,000 for the life of the plan, and a choice of deductibles of US$0, US$50, or US$100 applied per period of coverage. When you incur eligible medical expenses, the plan will provide benefits for Usual, Reasonable and Customary charges up to the limits outlined in the Schedule of Benefits below, with no coinsurance. The four benefits below apply to all three plans.
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I N T E R N A T I O N
A L E M E R G E N C Y C A R E
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Emergency Evacuation
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To US$50,000 when coordinated through
IMG (not to exceed plan maximum)
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The plan includes coverage for Emergency Medical Evacuations to the nearest qualified medical facility in life-threatening situations, and expenses for reasonable travel and accommodations resulting from the evacuation, which must be approved and coordinated in advance.
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Return of Mortal Remains
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To US$7,500 when coordinated through IMG
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If a covered illness/injury results in death, expenses for repatriation of bodily remains or ashes to the country of residence or citizenship will be covered, up to a maximum of US$7,500.
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S P E C I A L C
O V E R A G E S
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Home Country Coverage
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(As
described below)
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Incidental Home Country Coverage - During the period of coverage, an insured person may return to his/her home country for incidental visits up to a cumulative two weeks total, and retain continuing coverage during such visit(s), so long as: a. The insured person must have previously left his/her home country for some portion of the period of coverage, and b. The return to the home country must not be undertaken for the purpose of receiving treatment for an illness or injury incurred while traveling or residing outside the home country.
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Common Carrier Accidental Death
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US$25,000 to Beneficiary
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If accidental death should occur while traveling on a commercial common carrier during the period of coverage, US$25,000 will be paid to the designated beneficiary.
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usual, reasonable and customary charges, subject to deductible where applicable
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Plan A - US$25,000 maximum benefit per life of plan
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Inpatient Treatment
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Hospital room & board
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Up to US$825 per day, 30 day maximum per period of coverage
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Intensive care
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Additional US$400 per day, 8 day maximum per period of coverage
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Surgical treatment
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US$2,000 per surgical session
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Consult physician
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US$350 per period of coverage
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Pre-admission tests
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US$750 per period of coverage
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Private duty nurse
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US$400 per period of coverage
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Physician Visits
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US$40 allowable charge per visit, 30 visits per period of coverage
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Outpatient Treatment
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Surgical treatment
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US$2,000 per surgical session
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Diagnostic x-ray & lab
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US$650 per period of coverage, (US$325 allowable charge per procedure)
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Hospital emergency room
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75% of URC to US$200
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Prescription drugs
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US$150 per period of coverage
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Physician visits
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US$50 allowable charge per visit, 10 visits per period of coverage
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Miscellaneous Inpatient & Outpatient Services
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Anesthetist
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25% of surgical benefit
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Assistant surgeon
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25% of surgical benefit
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Other Coverages
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Ambulance
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US$250 per period of coverage
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Dental for accident to sound natural teeth
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US$350 per period of coverage
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Physiotherapy
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US$25 per visit per day, 12 visits per period of coverage
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The period of coverage is the period of time for which premium has
been timely paid. At each renewal, a new period of coverage will begin.
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usual, reasonable and customary charges, subject to deductible where applicable
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Plan B - US$50,000 maximum benefit per life of plan
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Inpatient Treatment
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Hospital room & board
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Up to US$1,400 per day, 30 day maximum per period of coverage
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Intensive care
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Additional US$660 per day, 8 day maximum per period of coverage
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Surgical treatment
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US$3,300 per surgical session
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Consult physician
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US$450 per period of coverage
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Pre-admission tests
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US$1,100 per period of coverage
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Private duty nurse
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US$550 per period of coverage
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Physician Visits
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US$55 allowable charge per visit, 30 visits per period of coverage
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Outpatient Treatment
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Surgical treatment
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US$3,300 per surgical session
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Diagnostic x-ray & lab
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US$800 per period of coverage, (US$400 allowable charge per procedure)
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Hospital emergency room
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75% of URC to US$330
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Prescription drugs
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US$250 per period of coverage
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Physician visits
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US$55 allowable charge per visit, 10 visits per period of coverage
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Miscellaneous Inpatient & Outpatient Services
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Anesthetist
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25% of surgical benefit
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Assistant surgeon
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25% of surgical benefit
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Other Coverages
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Ambulance
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US$450 per period of coverage
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Dental for accident to sound natural teeth
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US$550 per period of coverage
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Physiotherapy
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US$40 per visit per day, 12 visits per period of coverage
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The period of coverage is the period of time for which premium has
been timely paid. At each renewal, a new period of coverage will begin.
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usual, reasonable and customary charges, subject to deductible where applicable
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Plan C - US$100,000 maximum benefit per life of plan
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Inpatient Treatment
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Hospital room & board
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Up to US$1,950 per day, 30 day maximum per period of coverage
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Intensive care
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Additional US$850 per day, 8 day maximum per period of coverage
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Surgical treatment
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US$5,500 per surgical session
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Consult physician
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US$500 per period of coverage
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Pre-admission tests
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US$1,100 per period of coverage
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Private duty nurse
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US$550 per period of coverage
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Physician Visits
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US$85 allowable charge per visit, 30 visits per period of coverage
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Outpatient Treatment
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Surgical treatment
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US$5,500 per surgical session
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Diagnostic x-ray & lab
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US$950 per period of coverage (US$475 allowable charge per procedure)
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Hospital emergency room
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75% of URC to US$550
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Prescription drugs
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US$250 per period of coverage
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Physician visits
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US$85 allowable charge per visit, 10 visits per period of coverage
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Miscellaneous Inpatient & Outpatient Services
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Anesthetist
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25% of surgical benefit
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Assistant surgeon
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25% of surgical benefit
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Other Coverages
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Ambulance
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US$450 per period of coverage
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Dental for accident to sound natural teeth
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US$550 per period of coverage
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Physiotherapy
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US$40 per visit per day, 12 visits per period of coverage
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The period of coverage is the period of time for which premium has
been timely paid. At each renewal, a new period of coverage will begin.
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Plan A -
US$25,000 maximum benefit per life of plan
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Age
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Option 1
US $0 deductible
per period of coverage
One Month
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Option 2
US $50 deductible
per period of coverage
One Month
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Option 3
US $100 deductible
per period of coverage
One Month
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2 weeks - 49
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$31
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$26
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$23
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50 - 69
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$47
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$39
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$36
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70-79
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N/A
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$61
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$58
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80+*
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N/A
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$122
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$116
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Dependent child
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$24
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$20
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$18
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Age
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Option 1
US $0 deductible
per period of coverage
Daily
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Option 2
US $50 deductible
per period of coverage
Daily
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Option 3
US $100 deductible
per period of coverage
Daily
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2 weeks - 49
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$1.04
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$0.87
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$0.77
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50 - 69
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$1.57
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$1.30
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$1.20
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70-79
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N/A
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$2.03
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$1.93
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80+*
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N/A
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$4.10
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$3.90
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Dependent child
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$0.80
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$0.67
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$0.60
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*The maximum amount of coverage for applicants who are 80 years of age or older is US$10,000.
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Plan B -
US$50,000 maximum benefit per life of plan
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Age
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Option 4
US $0 deductible
per period of coverage
One Month
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Option 5
US $50 deductible
per period of coverage
One Month
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Option 6
US $100 deductible
per period of coverage
One Month
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2 weeks - 49
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$47
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$39
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$36
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50 - 69
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$71
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$59
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$55
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70-79
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N/A
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$91
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$86
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Dependent child
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$36
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$30
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$28
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Age
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Option 4
US $0 deductible
per period of coverage
Daily
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Option 5
US $50 deductible
per period of coverage
Daily
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Option 6
US $100 deductible
per period of coverage
Daily
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2 weeks - 49
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$1.56
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$1.30
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$1.20
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50 - 69
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$2.36
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$1.97
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$1.83
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70-79
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N/A
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$3.05
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$2.90
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Dependent child
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$1.20
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$1.00
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$0.93
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Plan C -
US$100,000 maximum benefit per life of plan
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Age
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Option 7
US $0 deductible
per period of coverage
One Month
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Option 8
US $50 deductible
per period of coverage
One Month
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Option 9
US $100 deductible
per period of coverage
One Month
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2 weeks - 49
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$70
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$58
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$54
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50 - 69
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$104
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$87
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$85
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70-79
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N/A
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$136
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$132
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Dependent child
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$59
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$49
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$45
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Age
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Option 7
US $0 deductible
per period of coverage
Daily
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Option 8
US $50 deductible
per period of coverage
Daily
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Option 9
US $100 deductible
per period of coverage
Daily
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2 weeks - 49
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$2.33
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$1.93
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$1.83
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50 - 69
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$3.47
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$2.90
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$2.83
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70-79
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N/A
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$4.55
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$4.40
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Dependent child
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$1.97
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$1.63
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$1.50
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All premium rates are in US dollars and are effective through 03/31/2010. Rates include 2.5% surplus lines tax where applicable. A dependent child is your child shown on the Application Form over 14 days and under 18 years of age, traveling with you, and for whom premium has been paid.
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Please complete the enrollment form or apply online on this web site. You should read the important information below prior to completing the enrollment form.
You can apply over the phone as well by calling toll-free 1-866-INSU-BUY.
Before you begin your travel, simply fill out the Application Form (including your selection of Option 1 through 9, above) and calculate the premium for the time period you and your family will be traveling. Once you have completed the Application Form, mail it to us or fax it to us(972-767-4470). You, your spouse and unmarried dependent children (over 14 days and under 18 years of age) listed on the Application Form and for whom premiums have been paid will be covered under the terms of the Visitors Care plan from the latest of the following dates: 1) The date IMG
receives your completed Application Form and the appropriate premium; 2) the date you depart from your home country; or 3) the date requested on your Application Form.
If you are applying online on this web site, you don't need to send any documents. As soon as you make an instant purchase, you will receive the virtual id card in the email. Next business day, actual id cards will be mailed to you.
Visitors Care coverage ends on the earliest of the following dates: 1) The end of the period for which premium has been paid; 2) the date requested on your Application Form; or 3) the date you return to your home country (however, see Incidental Home Country Coverage above for incidental coverage).
IMG normally processes Application Forms within 24 hours of receipt. Once processing is complete, IMG will mail a fulfillment kit to the mailing address listed on the Application Form. The fulfillment kit willi nclude an IMG Identification Card, IMG contact numbers, Claim
Forms and an insurance certificate containing a complete outline of the Policy Wording. Please note: If you require express mail delivery, there is an additional charge listed on the Application Form.
The following conditions (among others) apply to all persons applying for and/or enrolling in the Visitors Care plan:
- Visitors Care is travel insurance for non-U.S. citizens traveling outside their home country.
- For those over age 65 and visiting the U.S., your initial Period of Coverage must begin within 30 days of arrival in the U.S. This requirement will be waived with proof of previous valid insurance. Please provide the name of your insurance carrier on the Application Form. If you are not in the U.S. at the time of application, please indicate your expected date of arrival on your Application Form.
The Visitors Care plan is renewable (without break in coverage) for 5 days up to 12 months up to a maximum total of 24 continuous months. However, any one policy period may not exceed 12 months. For each renewal, you will be charged a fee of US$5 in addition to the premium costs. For initial periods of coverage which have expired, the plan can be separately rewritten but not renewed. New Eligibility Requirements, Deductibles, Scheduled Benefit Limits, Conditions of Coverage, and Pre-existing Condition Exclusions will apply to any separately rewritten and non-continuous coverage periods.
Your satisfaction is very important to the plan underwriter, and to IMG as the plan administrator. If, for any reason, you are not pleased with this product, you may submit a written request for cancellation and refund of your premium. In order to be considered for a full refund, your request for cancellation must be received by IMG prior to your effective date. If you do not have any claims filed with IMG, you may cancel your plan after your effective date, however, the following conditions will apply: 1) you will be required to pay a US$25 cancellation fee and 2) your refund will be pro-rated based on the amount of time remaining in your period of coverage. If you have filed claims, your premium is non-refundable.
CLAIMS PROCEDURE
Each proposed hospital admission, inpatient or outpatient surgery, and other procedures as noted in the Certificate Wording must be Precertified for medical necessity, which means the insured person or their attending physician must call the number listed on the IMG Identification Card prior to admittance to a hospital or performance of a surgery. In case of an Emergency Admission, the Precertification call must be made within 48 hours of the admission, or as soon as reasonably possible. If a hospital admission or a surgery is not Precertified, eligible claims and expenses will be reduced by 50%. Precertification is not an assurance of coverage, a verification of benefits, or a guarantee of payment. All medical expenses must meet usual, reasonable, customary, and eligible payment guidelines. Please refer to the Certificate Wording for full details of the precertification requirements.
For precertification, emergency evacuation and repatriation, please call: IMG in the US: 1-800-628-4664 (toll free) or 1-317-655-4500. Call IMG outside the US: 001-317-655-4500 (collect if
necessary). This information will also be provided on your ID card.
Note: An insured person may begin the precertification process at IMG's website. Simply click the "Current Clients" title, then click the "Initiate Precertification" option. You will be asked to provide the required information, which can then be submitted electronically to IMG. The Medical Department at IMG will notify you upon receipt of the email, and once IMG has received the request, IMG's utilization management and review team will review the information provided and respond to the insured person or the provider within 2 business days. Please note that this online service will only initiate the precertification process, and it should not be used to precertify emergency admissions, procedures or evacuations.
All benefits payable under the Visitors Care plan are subject to the provisions described in this brochure and as contained in the Policy Wording and certificate of coverage. To make claims processing efficient, claims may be paid in two ways:
- Eligible claims that have already been paid by or on behalf
of the Insured Person will be reimbursed directly to the
Insured Person. Payment will be sent by check.
- Eligible claims that have not yet been paid by the Insured
Person will, at the option of IMG, be made either to the
Insured Person or directly to the provider.
Please mail completed claim forms to
International Medical Group,
P.O. Box 88500,
Indianapolis, IN 46208-0500
USA.
All IMG contact numbers, claim forms and Certificate
Wordings will be included in the fulfillment kit. IMG may also be contacted by fax: 317-655-4505.
- Coverage and benefits are subject to the applicable deductible and scheduled limits and sub-limits, and all other terms, conditions and exclusions of the Visitors Care plan as contained in the complete Policy Wording.
- Coverage under the plan is secondary to any other available coverage or benefits.
- Coverage and benefits are for medically necessary, and usual, reasonable and customary charges only.
- Treatment must be administered or ordered by a physician.
- Charges must be incurred during the Period of Coverage.
- Claims must be presented to IMG for payment within the Period of Coverage or during the three months immediately following the Period of Coverage.
- All Conditions and Exclusions apply to these coverages.
- All Emergency Medical Evacuation, Emergency Reunion and Repatriation expenses, including all costs arising from trips outside the country where the incident which gave rise to the claim occurred, must be approved and coordinated in advance by IMG to be eligible for coverage.
PLAN INFORMATION
Charges for the following services, treatments and/or conditions, among others, are expressly excluded from coverage under the Visitors Care plan:
- Pre-existing Conditions. Any Injury, Illness, sickness, disease, or other physical or medical disorder, condition or ailment that, with reasonable medical certainty, existed at the time of Application or at any time during the three years prior to the Effective Date of the Initial Period of Coverage, whether or not previously manifested or symptomatic, diagnosed, treated, or disclosed, including any subsequent, chronic or recurring complications or consequences related thereto or arising therefrom.
- Treatment or surgeries which are elective, investigational, experimental or for research purposes.
- War, political insurrection, protest, or any act thereof.
- Immunizations and routine physical exams.
- Treatment of Temporomandibular Joint or dental treatment, except
as otherwise expressly provided for in the Policy Wording.
- Venereal disease, AIDS virus, AIDS related illness, ARC Syndrome,
or AIDS, and the cost of testing for these conditions, and charges for
treatment or surgeries which are incurred by any Insured Person who
was HIV+ at time of enrollment into this insurance.
- Pregnancy, childbirth, birth control, artificial insemination,
treatment for infertility or impotency, sterilization or reversal there
of, or abortion.
- Any Injury or Illness sustained while taking part in mountaineering activities where specialized climbing equipment, ropes or guides are normally or reasonably should have been used, Amateur Athletics or professional athletics, aviation (except when traveling solely as a passenger in a commercial aircraft), hang gliding and parachuting, snow skiing except for recreational downhill and/or cross country snow skiing (no cover provided whilst skiing in violation of applicable laws, rules or regulations; away from prepared and marked inbound territories; and/or against the advice of the local ski school or local authoritative body), racing of any kind including by horse, motor vehicle (of any type) or motorcycle, spelunking, and subaqua pursuits involving underwater breathing apparatus.
- Vision or ear tests and the provision of visual or hearing aids.
- Vocational, recreational, speech or music therapy.
- Charges incurred for custodial care, educational or rehabilitative care, or nursing services.
- Charges, injuries, and/or illnesses resulting or arising or occurring during the commission or continuing perpetration of a violation of law by the Insured Person, including without limitation,
engaging in an illegal occupation or act, but excluding minor traffic
violations.
- Treatment for, and injuries and/or illnesses resulting or arising
from, substance abuse or drug addiction.
- Injury and/or illness resulting or arising from being under the influence of alcohol or drugs; and injury or illness resulting from operating of any type of vehicle after consuming any alcohol or drugs.
- Willful self-inflicted injury or illness.
- Treatment required as a result of or arising from complications
from a treatment or condition not covered under the Visitors Care
plan.
- Any services or supplies performed or provided by a relative of
the Insured Person or provided at no cost to the Insured Person.
- Treatment for mental and nervous disorders.
- Organ or tissue transplants, and all related services.
- Treatment incurred as a result of or arising from exposure to
nuclear radiation, and/or radioactive material(s).
PLEASE NOTE: This brochure contains only a consolidated and summary description of all current Visitors Care benefits, conditions, limitations and exclusions. A certificate of insurance containing the complete Policy Wording with all terms, conditions, limits and exclusions will be included with the fulfillment kit. Please review the Policy Wording carefully upon receipt and contact IMG if you have any questions concerning available coverages or benefits. The plan underwriter reserves the right to amend or modify the Policy Wording, and issue the most current Policy Wording for the Visitors Care plan, in the event an Application Form and/or this brochure has expired, is modified, or is replaced with a newer version. Current Policy Wordings are available upon request.
You may seek treatment with the hospital or doctor of your choice. You are not required to use a preferred provider network. However, if you need assistance in finding a provider in the U.S., you may use the independent Preferred Provider Organization (PPO), a separately-organized network of approximately 500,000 physicians and 4,700 privately owned and operated hospitals contracted by IMG (all PPO providers are contracted separately through First Health Group Corp.). IMG also provides an on-line International Provider Access
database that can be used to locate health care providers outside the U.S. as needed. (Note: Use of this service is subject
to the terms and conditions specified on-line. These terms
must be agreed to prior to using the service.) You may access these services by looking it up online
on
this web site.
Network providers are listed by location and specialty.
You may choose to download your fulfillment kit from the IMG website rather than having it mailed to you. To do this, you must check the appropriate box on the Application Form. IMG must have your correct email address to complete this process. Once IMG has received and processed your Application Form, you will receive an email from IMG that contains all of the hyperlinks to obtain the fulfillment information through the Internet.
Plan Administrator:
The plan is administered by International Medical Group
® (IMG
®), Inc. that is located at
2960 North Meridian Street,
Indianapolis, IN 46208 USA
Plan Underwriter:

Visitors Care is a surplus lines product underwritten by Sirius International Insurance Corporation (publ), rated A (excellent) by A.M. Best and A- by Standard & Poor’s (at the time of printing). Sirius International is a White Mountains Re company.
IMG, International Medical Group, the IMG block design logo, imglobal, Visitors Care, Coverage Without Boundaries, and Global Peace of Mind are the trademarks, service marks and/or registered marks of International Medical Group, Inc. Sirius,
Sirius International, and the Sirius design logo are the trademarks, service marks and/or registered marks of Sirius International Insurance Corporation (publ).