- PLAN A or PLAN B - No Medical
Condition(s)
- Qualification Requirements: You qualify to purchase Plan A or Plan
B if, in the 12 consecutive month period prior to the date of Your Application for this
insurance, You were not diagnosed with symptoms of, or received Treatment or prescribed
medication for any of the medical conditions listed under Item #5 of the Eligibility
Requirements.
PLAN C - One (1) Medical
Condition
- Qualification Requirements: You qualify to purchase Plan C only,
if, in the 12 consecutive month period prior to the date of Your Application for this
insurance, You were diagnosed with symptoms of, or received Treatment or prescribed drugs
or medications for only One (1) of the medical conditions listed under Item #5 of the
Eligibility Requirements.
PLAN D - Maximum of Two
(2) Medical Conditions
Qualification Requirements: You qualify to purchase Plan D only,
if, in the 12 consecutive month period prior to the date of Your Application for this
insurance, You were diagnosed with symptoms of, or received Treatment or prescribed drugs
or medications for only Two (2) of the medical conditions listed under Item #5 of the
Eligibility Requirements.
IMPORTANT:
You do not qualify and cannot purchase this insurance if You do
not meet the Eligibility Requirements or if You have been diagnosed with or received
Treatment for Three (3) or more of the Medical Conditions listed under Item #5 of the
Eligibility Requirements.
In the event you have a claim and your medical records confirm
that you met the Eligibility Requirements for this insurance, but you selected a Plan and
paid a lower premium than you should have, based on your medical history, you will be
responsible for paying 50% of any Eligible Expenses incurred.
- The policy contains certain terms, conditions and
exclusions that will limit coverage. Please read your policy document carefully.
Annual Multi-Trip Plan: The Annual Multi-Trip Plan provides coverage
for an unlimited number of trips you take within a one year period, commencing from the
date you purchase the insurance. Coverage for each trip will not exceed the number of days
you selected and purchased at the time of Application.
Top-Up Coverage: When you purchase the Annual Multi-Trip
Plan, or if you have travel medical travel insurance with another company which does not
cover your entire trip, you may purchase Top-Up Coverage (minimum 7 days) to start the day
after your current coverage ends. You must specify the date you want the Top-Up Coverage
to begin and your Departure Date. (See Application on the reverse side)
Deductible Option: Coverage under each Plan includes a
Deductible Amount of $200.00 U.S. per claim. You may elect to waive the Deductible Amount
by paying an additional premium of $50.00 per Applicant. When submitting a joint
application, both Applicants must elect the waiver Option and the additional premium will
be twice the rate for a single Applicant.
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Click on the Plan You Qualified For
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