Cultural Vistas
Buy or
Call to Apply
A J2 spouse is welcome to add their dependent children to this application and will need to click the box on the first page stating “Yes, I need dependent coverage. If only dependent children need insurance, a separate application will need to be completed for each child.
The Patriot Travel Medical Insurance plan is designed to provide you with coverage while you are traveling outside of your home country. You can also purchase the plan for as little as 5 days up to 12 months, with the ability to renew for a second year of coverage.
To meet the Department of State requirements for both the J1 and J2 visa, this plan allows you to choose your Overall Coverage Amount from $100,000 up to $8,000,000. depending on the level of coverage that you choose. The plan comes in two policy levels, the Standard offering up to $1,000,000 in coverage and the Platinum up to $8,000,000.
Highlights of the Patriot Travel plan include:
- Up to $8 Million in Coverage
- Hospitalization/ Doctors Visits
- Prescription Medication
- Evacuation/ Repatriation
- Skiing / Snowboarding Included
- Lost Luggage
- Trip Interruption
- Online Instant Application
- Plan Management Online
- and much more…
Need your documents now? If you need your insurance documents quickly, you can Buy your coverage and receive all your insurance documents online and to your email address in PDF format immediately. Simply download and print these documents for instant proof of coverage.
Patriot Travel | Benefits
| Worldwide, including the USA | ||
| America Plus | America Platinum | |
|---|---|---|
| Period of Coverage | 5 days up to 12 months | |
| Extensions | Up to 24 continuous months | Up to 36 continuous months |
| Period of Coverage Limit | $50,000 to $1,000,000 | $2,000,000 to $8,000,000 |
| Area of Coverage | Worldwide, excluding Country of Residence | |
| Deductible for Eligible Medical Expenses | ||
| Deductible Per Certificate Period | $0, $100, $250, $500, $1,000 or $2,500 | $0, $100, $250, $500, $1,000 or $2,500, $5,000, $10,000 or $25,000 |
| Coinsurance for Eligible Medical Expenses | ||
| Coinsurance In addition to deductible |
USA In-Network: Plan pays 100% USA Out-of-Network: Plan pays 80%, $1,000 out of pocket max International: Plan pays 100% |
USA In-Network: Plan pays 100% USA Out-of-Network: Plan pays 90%, $500 out of pocket max International: Plan pays 100% |
| Pre-Certification Requirements | ||
| Pre-certification |
|
|
| Pre-Existing Conditions | ||
| Pre-Existing Conditions | Charges resulting directly or indirectly from or relating to any Pre-existing Condition are excluded from coverage under this insurance. | |
|
Acute Onset of Pre-existing Conditions
Subject to Deductible and Coinsurance unless otherwise noted Eligible Medical Expenses are limited to Usual, Reasonable and Customary Limits per Period of Coverage unless stated as Maximum Limit |
||
| Acute Onset of Pre-existing Conditions Insured Person must be under 70 years of age | Up to the Period of Coverage Limit |
United States citizens: Age 64 and under without a Primary Health Plan: Maximum Limit: $20,000 Age 64 and under with a Primary Health Plan: Maximum Limit: $1,000,000 Age 65 through age 69: Maximum Limit: $2,500 Non-United States citizens: Age 69 and under: Maximum Limit: $1,000,000 |
| Emergency Medical Evacuation | Maximum Limit: $25,000 | |
| Arises or results directly from a covered Acute Onset of a Pre-existing Condition. Insured Person must be under 70 years of age | ||
|
Inpatient or Outpatient Services
Subject to Deductible and Coinsurance unless otherwise noted Eligible Medical Expenses are limited to Usual, Reasonable and Customary Limits per Period of Coverage unless stated as Maximum Limit |
||
| Eligible Medical Expenses | Up to the Period of Coverage Limit | |
| Physician Visits / Services | Up to the Period of Coverage Limit | |
| Telemedicine Services | Reimbursable Telehealth visits can be submitted for reimbursement | Included Access to Teladoc is included. Not subject to Deductible or coinsurance. |
| **Coverage for a Teladoc Consultation is not a determination that any specific condition discussed, raised or identified during such consultation is covered under this insurance. The Company reserves the right to decline future claims relating to or arising from any condition discussed, raised or identified during a Teladoc Consultation where the Illness or Injury is directly or indirectly related to any Pre-existing Condition or is otherwise excluded under this Certificate of Insurance | ||
| Urgent Care Clinic | Copayment: $25 — Not subject to Deductible. Copayment is not applicable if the Declaration states $0 Deductible | |
| Walk-in Clinic | Copayment: $15 — Not subject to Deductible. Copayment is not applicable if the Declaration states $0 Deductible | |
| Hospital Emergency Room |
Injury: Not subject to Emergency Room Deductible Illness in the USA: Subject to a $250 Deductible for each Emergency Room visit for Treatment that does not result in a direct Hospital admission Illness outside USA: Not subject to Emergency Room Deductible |
|
| Hospitalization / Room & Board | Up to the Period of Coverage Limit Average semi-private room rate Includes nursing, miscellaneous and Ancillary Services | |
| Intensive Care | Up to the Period of Coverage Limit | |
| Bedside Visit | $1,500 Maximum Limit Not subject to Deductible. Hospitalized in an Intensive Care Unit | |
| Outpatient Surgical/ Hospital Facility | Up to the Period of Coverage Limit | |
| Laboratory | Up to the Period of Coverage Limit | |
| Radiology/XRay | Up to the Period of Coverage Limit | |
| Chemotherapy/ Radiation Therapy | Up to the Period of Coverage Limit | |
| Pre-admission Testing | Up to the Period of Coverage Limit | |
| Surgery | Up to the Period of Coverage Limit | |
| Reconstructive Surgery | Up to the Period of Coverage Limit Surgery is incidental to and follows Surgery that was covered under the plan | |
| Assistant Surgeon | 20% of the primary surgeon’s eligible fee | |
| Anesthesia | Up to the Period of Coverage Limit | |
| Durable Medical Equipment | Up to the Period of Coverage Limit | |
| Chiropractic Care | Up to the Period of Coverage Limit Medical order or Treatment plan required | |
| Physical Therapy | Up to the Period of Coverage Limit Medical order or Treatment plan required | |
| Extended Care Facility | Up to the Period of Coverage Limit Upon direct transfer from acute care Hospital | |
| Home Nursing Care |
Up to the Period of Coverage Limit
Provided by a Home Health Care Agency Upon direct transfer from acute care Hospital |
|
|
Prescription Drugs and Medication
Subject to Deductible and Coinsurance unless otherwise noted Eligible Medical Expenses are limited to Usual, Reasonable and Customary Limits per Period of Coverage unless stated as Maximum Limit |
||
| Prescription Drugs and Medication Obtained through Retail Pharmacy, Inpatient and Outpatient Surgery, Emergency Room and Outpatient Office Visits |
In the USA: 80% International: 100% |
In the USA: 90% International: 100% |
|
The following Prescription Drugs and Medication Maximum Limit accumulates toward the plan Maximum Limit per Period of Coverage. If the Certificate of Insurance Maximum Limit is $10,000, $50,000 or $100,000, the Prescription Drugs and Medications limit is up to the plan Maximum Limit. If the Certificate of Insurance Maximum Limit is $500,000 or $1,000,000, the Prescription Drugs and Medications Maximum Limit is up to $250,000 per Period of Coverage. Dispensing maximum for Retail Pharmacy: 90 days per prescription |
||
|
Emergency Services
NOT Subject to Deductible and Coinsurance unless otherwise noted Eligible Medical Expenses are limited to Usual, Reasonable and Customary Limits per Period of Coverage unless stated as Maximum Limit |
||
| Emergency Local Ambulance |
Up to the Period of Coverage Limit Injury Illness: must result in an inpatient hospital admission Subject to Deductible and Coinsurance |
|
| Emergency Medical Evacuation | $1,000,000 | Up to Period of Coverage limit |
| Must be approved in advance and coordinated by the Company | ||
| Emergency Reunion |
$100,000 Maximum Limit Maximum Days: 15 Meal Maximum per day: $25 Reasonable and necessary travel costs and accommodations Must be approved in advance by the Company |
|
| Interfacility Ambulance Transfer | Up to the Period of Coverage Limit Transfer must be a result of an Inpatient Hospital admission | |
| Natural Disaster Evacuation | $25,000 Maximum Limit Must be approved in advance by the Company | |
| Non-Emergency Medical Evacuation | No Coverage | $50,000 |
| Political Evacuation and Repatriation | $100,000 Maximum Limit Must be approved in advance by the Company | |
| Remote Transport | $5,000 limit, $20,000 Maximum Limit Must be approved in advance by the Company | |
| Return of Minor Children | $100,000 Maximum Limit Must be approved in advance by the Company | |
| Return of Mortal Remains |
Up to the Period of Coverage Limit Local Burial/ Cremation Maximum Limit: $5,000 Return of Insured Person’s Mortal Remains to Country of Residence Must be approved in advance by the Company |
|
|
Other Services
NOT subject to Deductible and Coinsurance unless otherwise noted Eligible Medical Expenses are limited to Usual, Reasonable and Customary Limits per Period of Coverage unless stated as Maximum Limit |
||
| Accidental Death & Dismemberment |
$50,000 Maximum Limit Accidental Death: 100% of Principal Sum Dismemberment:
|
|
| Common Carrier Accidental Death |
$100,000 Maximum Limit per Adult $25,000 Maximum Limit per Child $250,000 Maximum Limit per Family |
|
| Dental Treatment Unexpected pain or Treatment due to an Accident |
In the USA: 80% International: 100% |
In the USA: 90% International: 100% |
| $300 Maximum Limit Subject to Deductible and Coinsurance | ||
| Traumatic Dental Injury |
Up to the Period of Coverage Limit
Subject to Deductible and Coinsurance Treatment at a Hospital due to an Accident Additional Treatment for the same Injury rendered by a Dental Provider will be paid at 100% |
|
| Emergency Eye Exam |
In the USA: 80% International: 100% |
In the USA: 90% International: 100% |
|
$150 Maximum Limit, $50 deductible per occurrence
Subject to Coinsurance (plan Deductible waived) Loss or damage to prescription corrective lenses due to Accident |
||
| Hospital Indemnity |
$250 overnight limit Maximum Nights: 10 Outside Insured Person’s Country of Residence and the United States Inpatient Hospitalization only |
|
| Identity Theft | $500 Maximum Limit | |
| Incidental Trip | 14 days Maximum Insured Person’s Country of Residence is not the United States | |
| Lost Luggage | $50 per item, $500 maximum limit | |
| Natural Disaster | $250 per day and maximum limit of 5 days for accommodations | |
| Personal Liability Secondary to any other insurance |
Combined Limit: $25,000 Injury to third person: Per Injury Deductible $100 Damage to third person’s property: Per damage Deductible $100 No coverage for Injury to a related third party or damage to related third person’s property |
|
| Pet Return | $1,000 Maximum Limit For a pet cat or dog traveling with the insured Person | |
| Small Pet Common Air Carrier Accidental Death Benefit | $500 Maximum Limit For a pet cat or dog up to 30 pounds traveling with the Insured Person | |
| Supplemental Accident Benefit | $300 Maximum Limit | |
| Terrorism | $50,000 Maximum Limit | |
| Return Travel | $10,000 Maximum Limit | |
| Worldwide, excluding the USA | ||
| International Lite | International Platinum | |
|---|---|---|
| Period of Coverage | 5 days up to 12 months | |
| Extensions | Up 24 continuous months | Up to 36 continuous months |
| Period of Coverage Limit | $50,000 to $1,000,000 | $2,000,000 to $8,000,000 |
| Area of Coverage | Worldwide, excluding Country of Residence and the United States | |
| Deductible for Eligible Medical Expenses | ||
| Deductible Per Certificate Period | $0, $100, $250, $500, $1,000 or $2,500 | $0, $100, $250, $500, $1,000 or $2,500, $5,000, $10,000 or $25,000 |
| Coinsurance for Eligible Medical Expenses | ||
| Coinsurance In addition to deductible | Plan pays 100% | |
| Pre-Certification Requirements | ||
| Pre-certification |
|
|
| Pre-Existing Conditions | ||
| Pre-Existing Conditions | Charges resulting directly or indirectly from or relating to any Pre-existing Condition are excluded from coverage under this insurance. | |
|
Acute Onset of Pre-existing Conditions
Subject to Deductible and Coinsurance unless otherwise noted Eligible Medical Expenses are limited to Usual, Reasonable and Customary Limits per Period of Coverage unless stated as Maximum Limit |
||
| Acute Onset of Pre-existing Conditions Insured Person must be under 70 years of age |
United States citizens: Age 64 and under without a Primary Health Plan: Maximum Limit: $20,000 Age 64 and under with a Primary Health Plan: Up to the Period of Coverage limit Age 65 through age 69: Maximum Limit: $2,500 Non-United States citizens: Age 69 and under: Maximum Limit: Up to Period of Coverage limit or $1,000,000 (whichever is lower) |
United States citizens: Age 64 and under without a Primary Health Plan: Maximum Limit: $20,000 Age 64 and under with a Primary Health Plan: Maximum Limit: $1,000,000 Age 65 through age 69: Maximum Limit: $2,500 Non-United States citizens: Age 69 and under: Maximum Limit: $1,000,000 |
| Emergency Medical Evacuation | Maximum Limit: $25,000 | |
| Arises or results directly from a covered Acute Onset of a Pre-existing Condition. Insured Person must be under 70 years of age | ||
|
Inpatient or Outpatient Services
Subject to Deductible and Coinsurance unless otherwise noted Eligible Medical Expenses are limited to Usual, Reasonable and Customary Limits per Period of Coverage unless stated as Maximum Limit |
||
| Eligible Medical Expenses | Up to the Period of Coverage Limit | |
| Physician Visits / Services | Up to the Period of Coverage Limit | |
| Telemedicine Services | Reimbursable Telehealth visits can be submitted for reimbursement | Included Access to Teladoc is included. Not subject to Deductible or coinsurance. |
| **Coverage for a Teladoc Consultation is not a determination that any specific condition discussed, raised or identified during such consultation is covered under this insurance. The Company reserves the right to decline future claims relating to or arising from any condition discussed, raised or identified during a Teladoc Consultation where the Illness or Injury is directly or indirectly related to any Pre-existing Condition or is otherwise excluded under this Certificate of Insurance | ||
| Urgent Care Clinic | Copayment: $25 — Not subject to Deductible. Copayment is not applicable if the Declaration states $0 Deductible | |
| Walk-in Clinic | Copayment: $15 — Not subject to Deductible. Copayment is not applicable if the Declaration states $0 Deductible | |
| Hospital Emergency Room |
Injury: Not subject to Emergency Room Deductible Illness in the USA: Subject to a $250 Deductible for each Emergency Room visit for Treatment that does not result in a direct Hospital admission Illness outside USA: Not subject to Emergency Room Deductible |
|
| Hospitalization / Room & Board | Up to the Period of Coverage Limit Average semi-private room rate Includes nursing, miscellaneous and Ancillary Services | |
| Intensive Care | Up to the Period of Coverage Limit | |
| Bedside Visit | $1,500 Maximum Limit Not subject to Deductible. Hospitalized in an Intensive Care Unit | |
| Outpatient Surgical/ Hospital Facility | Up to the Period of Coverage Limit | |
| Laboratory | Up to the Period of Coverage Limit | |
| Radiology/XRay | Up to the Period of Coverage Limit | |
| Chemotherapy/ Radiation Therapy | Up to the Period of Coverage Limit | |
| Pre-admission Testing | Up to the Period of Coverage Limit | |
| Surgery | Up to the Period of Coverage Limit | |
| Reconstructive Surgery | Up to the Period of Coverage Limit Surgery is incidental to and follows Surgery that was covered under the plan | |
| Assistant Surgeon | 20% of the primary surgeon’s eligible fee | |
| Anesthesia | Up to the Period of Coverage Limit | |
| Durable Medical Equipment | Up to the Period of Coverage Limit | |
| Chiropractic Care | Up to the Period of Coverage Limit Medical order or Treatment plan required | |
| Physical Therapy | Up to the Period of Coverage Limit Medical order or Treatment plan required | |
| Extended Care Facility | Up to the Period of Coverage Limit Upon direct transfer from acute care Hospital | |
| Home Nursing Care |
Up to the Period of Coverage Limit
Provided by a Home Health Care Agency Upon direct transfer from acute care Hospital |
|
|
Prescription Drugs and Medication
Subject to Deductible and Coinsurance unless otherwise noted Eligible Medical Expenses are limited to Usual, Reasonable and Customary Limits per Period of Coverage unless stated as Maximum Limit |
||
| Prescription Drugs and Medication Obtained through Retail Pharmacy, Inpatient and Outpatient Surgery, Emergency Room and Outpatient Office Visits | 100% | 100% |
|
The following Prescription Drugs and Medication Maximum Limit accumulates toward the plan Maximum Limit per Period of Coverage. If the Certificate of Insurance Maximum Limit is $10,000, $50,000 or $100,000, the Prescription Drugs and Medications limit is up to the plan Maximum Limit. If the Certificate of Insurance Maximum Limit is $500,000 or $1,000,000, the Prescription Drugs and Medications Maximum Limit is up to $250,000 per Period of Coverage. Dispensing maximum for Retail Pharmacy: 90 days per prescription |
||
|
Emergency Services
NOT Subject to Deductible and Coinsurance unless otherwise noted Eligible Medical Expenses are limited to Usual, Reasonable and Customary Limits per Period of Coverage unless stated as Maximum Limit |
||
| Emergency Local Ambulance |
Up to the Period of Coverage Limit Injury Illness: must result in an inpatient hospital admission Subject to Deductible and Coinsurance |
|
| Emergency Medical Evacuation | $1,000,000 | Up to Period of Coverage limit |
| Must be approved in advance and coordinated by the Company | ||
| Emergency Reunion |
$100,000 Maximum Limit Maximum Days: 15 Meal Maximum per day: $25 Reasonable and necessary travel costs and accommodations Must be approved in advance by the Company |
|
| Interfacility Ambulance Transfer | Up to the Period of Coverage Limit Transfer must be a result of an Inpatient Hospital admission | |
| Natural Disaster Evacuation | $25,000 Maximum Limit Must be approved in advance by the Company | |
| Non-Emergency Medical Evacuation | No Coverage | $50,000 |
| Political Evacuation and Repatriation | $100,000 Maximum Limit Must be approved in advance by the Company | |
| Remote Transport | $5,000 limit, $20,000 Maximum Limit Must be approved in advance by the Company | |
| Return of Minor Children | $100,000 Maximum Limit Must be approved in advance by the Company | |
| Return of Mortal Remains |
Up to the Period of Coverage Limit Local Burial/ Cremation Maximum Limit: $5,000 Return of Insured Person’s Mortal Remains to Country of Residence Must be approved in advance by the Company |
|
|
Other Services
NOT subject to Deductible and Coinsurance unless otherwise noted Eligible Medical Expenses are limited to Usual, Reasonable and Customary Limits per Period of Coverage unless stated as Maximum Limit |
||
| Accidental Death & Dismemberment |
$50,000 Maximum Limit Accidental Death: 100% of Principal Sum Dismemberment:
|
|
| Common Carrier Accidental Death |
$100,000 Maximum Limit per Adult $25,000 Maximum Limit per Child $250,000 Maximum Limit per Family |
|
| Dental Treatment Unexpected pain or Treatment due to an Accident | 100% | 100% |
| $300 Maximum Limit Subject to Deductible and Coinsurance | ||
| Traumatic Dental Injury |
Up to the Period of Coverage Limit
Subject to Deductible and Coinsurance Treatment at a Hospital due to an Accident Additional Treatment for the same Injury rendered by a Dental Provider will be paid at 100% |
|
| Emergency Eye Exam | 100% | 100% |
|
$150 Maximum Limit, $50 deductible per occurrence
Subject to Coinsurance (plan Deductible waived) Loss or damage to prescription corrective lenses due to Accident |
||
| Hospital Indemnity |
$250 overnight limit Maximum Nights: 10 Outside Insured Person’s Country of Residence and the United States Inpatient Hospitalization only |
|
| Identity Theft | $500 Maximum Limit | |
| Incidental Trip | No Coverage | |
| Lost Luggage | $50 per item, $500 maximum limit | |
| Natural Disaster | $250 per day and maximum limit of 5 days for accommodations | |
| Personal Liability Secondary to any other insurance |
Combined Limit: $25,000 Injury to third person: Per Injury Deductible $100 Damage to third person’s property: Per damage Deductible $100 No coverage for Injury to a related third party or damage to related third person’s property |
|
| Pet Return | $1,000 Maximum Limit For a pet cat or dog traveling with the insured Person | |
| Small Pet Common Air Carrier Accidental Death Benefit | $500 Maximum Limit For a pet cat or dog up to 30 pounds traveling with the Insured Person | |
| Supplemental Accident Benefit | $300 Maximum Limit | |
| Terrorism | $50,000 Maximum Limit | |
| Return Travel | $10,000 Maximum Limit | |
Please note: The benefit table listed above is a consolidated version of the full plan benefits.
Please view the plan certificate for the Patriot America plans
( Plus | Platinum) and Patriot International plans
( Lite | Platinum) for the full benefits and limitations of the plan. Limits apply to all benefits.
Optional Plan Riders
Available to add additional coverage to your plan.
-
Adventure Sports: If you’re a thrill-seeking traveler who enjoys life’s more adventurous activities, you may want to consider adding supplemental coverage to your plan. The Adventure Sports Rider provides coverage for injuries sustained during certain extreme sports that would otherwise be excluded from your travel insurance policy.
Lifetime Maximum- Age 0–49: $50,000
- Age 50–59: $30,000
- Age 60–64: $15,000
Patriot Travel | Exclusions
Charges for certain services, treatments and/or conditions, among others, are excluded from coverage under the Patriot plans and include but are not limited to:
- Economic Sanctions: The Company will not cover any person as an Insured Person if such cover would result in the Company being exposed to any sanction, prohibition or restriction under United Nations resolutions or the trade or economic sanctions, laws, or regulations of the European Union, United Kingdom or the United States of America.
-
War; Military Action: The Company shall not be liable for and will not provide coverage or benefits for any claim or Charges incurred with respect to any Illness, Injury, death and dismemberment, or other consequence, whether directly or indirectly, proximately or remotely occasioned by, contributed to by, or traceable to or arising or incurred in connection with or as a result of any of the following acts or occurrences:
- war, invasion, act of foreign enemy hostilities, warlike operations (whether war be declared or not), or civil war
- mutiny, riot, strike, military or popular uprising, insurrection, rebellion, revolution, military or usurped power
- any act of any person acting on behalf of or in connection with any organization with activities directed towards the overthrow by force of the Government de jure or de facto or to the influencing of it by violence of any type
- martial law or state of siege or any events or causes which determine the proclamation or maintenance of martial law or state of siege
- any use of radiological, chemical, nuclear or biological weapons or any other radiological, chemical, nuclear or biological events of any type (including in connection with an act of Terrorism).
-
Terrorism: The Company shall not be liable for and will not provide coverage or benefits for any claim or Charges, Illness, Injury or other consequence, whether directly or indirectly, proximately or remotely occasioned by, contributed to by, or traceable to or arising in connection with any act of Terrorism. Further, the Company shall not be liable for and will not provide any coverage or benefits for any claim, Charges, Illness, Injury or other consequence, whether directly or indirectly, proximately or remotely occasioned by, contributed to by, or traceable to or arising in connection with the following:
- the Insured Person’s active and voluntary planning or coordination of or participation in any act of Terrorism
- any act of Terrorism that takes place in a location, post, area, territory or country for which a Travel Warning or Emergency Travel Advisory was issued or in effect on or within six (6) months prior to the Insured Person’s date of arrival in said location, post, area, territory or country
- any act of Terrorism that takes place in a location, post, area, territory or country for which a Travel Warning or Emergency Travel Advisory becomes effective or is in effect on or after the Insured Person’s date of arrival in said location, post, area, territory or country, and the Insured Person unreasonably fails or refuses to heed such warning and thereafter remains in said location, post, area, territory or country.
- Pre-existing Conditions: Charges resulting directly or indirectly from or relating to any Pre-existing Condition are excluded from coverage under this insurance except and unless the Charges resulted directly from an Acute Onset of Pre-existing Condition in which case the Charges will be covered only according to the terms of the Acute Onset of Pre-Existing Condition definition of the specific plan; and
- Maternity and Newborn Care: Charges for pre-natal care, delivery, post-natal care, and care of Newborns, including complications of Pregnancy, miscarriage, complications of delivery and/or of Newborns are excluded from this insurance.
- Mental or Nervous Disorders: Charges for Treatment of Mental or Nervous Disorders are excluded from coverage under this insurance.
- Preventative Care: Charges for Routine Physical Examinations and immunizations are excluded from coverage under this insurance.
-
Charges for any Treatment or supplies that are:
- not incurred, obtained or received by an Insured Person during the Period of Coverage
- not presented to the Company for payment by way of a completed Proof of Claim within one hundred eighty (180) days from the date such Charges are incurred
- not administered or ordered by a Physician
- not Medically Necessary for the diagnosis, care or Treatment of the physical or mental condition involved. This also applies when and if they are prescribed, recommended or approved by the attending Physician
- provided at no cost to the Insured Person or for which the Insured Person is not otherwise liable
- in excess of Usual, Reasonable, and Customary
- related to Hospice care
- incurred by an Insured Person who was HIV + on or before the Initial Effective Date of this insurance, whether or not the Insured Person had knowledge of his/her HIV status prior to the Effective Date, and whether or not the Charges are incurred in relation to or as a result of said status. This exclusion includes Charges for any Treatment or supplies relating to or arising or resulting directly or indirectly from HIV, AIDS virus, AIDS related Illness, ARC Syndrome, AIDS and/or any other Illness arising or resulting from any complications or consequences of any of the foregoing conditions
- provided by or at the direction or recommendation of a chiropractor, unless ordered in advance by a Physician
- performed or provided by a Relative of the Insured Person
- not expressly included in the ELIGIBLE MEDICAL EXPENSES provision
- provided by a person who resides or has resided with the Insured Person or in the Insured Person's home
- required or recommended as a result of complications or consequences arising from or related to any Treatment, Illness, Injury, or supply excluded from coverage or which is otherwise not covered under this insurance
- for Congenital Disorders and conditions arising out of or resulting therefrom
- Charges incurred for failure to keep a scheduled appointment
- Charges incurred due to fluctuations in exchange rates or for any bank charges the Insured Person incurs when a check, bank transfer, or payment is received from the Company
- Charges incurred for Surgeries, Treatment or supplies which are Investigational, Experimental and for research purposes
- Charges incurred related to genetic medicine, genetic testing, surveillance testing and/or wellness screening procedures for genetically predisposed conditions indicated by genetic medicine or genetic testing, including, but not limited to amniocentesis, genetic screening, risk assessment, preventive and prophylactic surgeries recommended by genetic testing, and/or any procedures used to determine genetic pre-disposition, provide genetic counseling, or administration of gene therapy
- Charges incurred for testing that attempts to measure aspects of an Insured Person’s mental ability, intelligence, aptitude, personality and stress management. Such testing may include but is not limited to psychometric, behavioral and educational testing
- Charges incurred for Custodial Care
- Charges incurred for Educational or Rehabilitative Care that specifically relates to training or retraining an Insured Person to function in a normal or near-normal manner. Such care may include but is not limited to job or vocational training, counseling, occupational therapy and speech therapy
- Charges for weight modification or any Inpatient, Outpatient, Surgical or other Treatment of obesity (including without limitation morbid obesity), including without limitation wiring of the teeth and all forms or procedures of bariatric Surgery by whatever name called, or reversal thereof, including without limitation intestinal bypass, gastric bypass, gastric banding, vertical banded gastroplasty, biliopancreatic diversion, duodenal switch, or stomach reduction or stapling
- Charges for modification of the physical body in order to change or improve or attempt to change or improve the physical appearance or psychological, mental or emotional well-being of the Insured Person (such as but not limited to sex-change Surgery or Surgery relating to sexual performance or enhancement thereof)
- Charges or Treatment for cosmetic or aesthetic reasons, except for reconstructive Surgery when such Surgery is Medically Necessary and is directly related to and follows a Surgery which was covered under this insurance
- elective Surgery or Treatment of any kind
- Charges incurred for any Treatment or supply that either promotes or prevents or attempts to promote or prevent conception, insemination (natural or otherwise) or birth, including but not limited to: artificial insemination; oral contraceptives; Treatment for infertility or impotency; vasectomy; reversal of vasectomy; sterilization; reversal of sterilization; surrogacy or abortion
- Charges incurred for any Treatment or supply that either promotes, enhances or corrects or attempts to promote, enhance or correct impotency or sexual dysfunction
- any Illness or Injury sustained while taking part in, practicing or training for: Amateur Athletics; Professional Athletics; or athletic activities that are sponsored by any Governing Body or Authority, including the National Collegiate Athletic Association, any other collegiate sanctioning or Governing Body or the International Olympic Committee
- any Illness or Injury sustained while taking part in activities designated as Adventure Sports, which are limited to the following: abseiling; BMX; bobsledding; bungee jumping; canyoning; caving; hot air ballooning; jungle zip lining; parachuting; paragliding; parascending; rappelling; skydiving; spelunking; wildlife safaris; and windsurfing
- any Illness or Injury sustained while taking part in activities designated as Extreme Sports, which include but are in no way limited to the following (and include any combination or derivative of the following): BASE jumping; cave diving; cliff diving; downhill mountain biking and racing; extreme skiing; freediving; free flying; free running; free skiing; freestyle scootering; gliding; heli-skiing; ice canoeing; ice climbing; kitesurfing; mixed martial arts; motocross; motorcycle racing; motor rally; mountaineering above elevation of 4500 meters from GROUND LEVEL, ground level: The lowest point at the bottom of a mountain; parkour; piloting a commercial or non-commercial aircraft; powerbocking; scuba diving or sub aqua pursuits below a depth of 50 meters; snowmobile racing; truck racing; whitewater kayaking or whitewater rafting Class VI and higher difficulty; and wingsuit flying
- any Illness or Injury sustained while taking part in snow skiing, snowboarding or snowmobiling where the Insured Person is in violation of applicable laws, rules or regulations of a ski resort, out of bounds or in unmarked or unpatrolled areas
- any Illness or Injury sustained while taking part in backcountry skiing
- any Illness or Injury sustained while taking part in skiing off-piste
- any Illness or Injury sustained while taking part in Collision Sports. Collision Sports: A sport in which the participants purposely hit or collide with each other or inanimate objects, including the ground, with great force and limited to the following (or other similar style) sports: American football, boxing, ice hockey, lacrosse, full contact martial arts, rodeo, rugby and wrestling.
- any Illness or Injury sustained while taking part in athletic or recreational activities where the Insured Person is not physically or medically fit or does not hold the necessary qualifications to engage in said activities
- any Illness or Injury sustained while participating in any sporting, recreational or adventure activity where such activity is undertaken against the advice or direction of any local authority or any qualified instructor or contrary to the rules, recommendations and procedures of a recognized Governing Body for the sport or activity
- any Illness or Injury sustained while participating in any activity where such activity is undertaken in disregard of or against the recommendations, Treatment programs, or medical advice of a Physician or other healthcare provider
- any Injury or Illness sustained as a result of being under the influence of or due wholly or partly to the effects of alcohol, liquor, intoxicating substance, narcotics or drugs other than drugs taken in accordance with Treatment prescribed and directed by a Physician but not for the Treatment of Substance Abuse
- any Injury or Illness sustained while operating a moving vehicle after consumption of intoxicating liquor or drugs in excess of the applicable blood/alcohol legal limit, other than drugs taken in accordance with Treatment prescribed and directed by a Physician. For purposes of this exclusion, “vehicle” shall include motorized devices regardless of whether or not a driver or operator license is required (including watercraft and aircraft) and non-motorized bicycles and scooters for which no permit or license is required
- any willfully Self-inflicted Injury or Illness
- any sexually transmitted or venereal disease
- any testing for the following when not Medically Necessary: HIV, seropositivity to the AIDS virus, AIDS-related Illnesses, ARC Syndrome, AIDS
- any Illness or Injury resulting from or occurring during the commission of a violation of law by the Insured Person, including, without limitation, the engaging in an illegal occupation or act, but excluding minor traffic violations
- any Substance Abuse
- biofeedback, acupuncture, music, occupational, recreational, sleep, speech, or vocational therapy
- orthoptics, visual therapy or visual eye training
- any non-surgical Illness or Treatment of the feet, including without limitation: orthopedic shoes; orthopedic prescription devices to be attached to or placed in shoes; Treatment of weak, strained, flat, unstable or unbalanced feet; metatarsalgia, bone spurs, hammer toes or bunions; and any Treatment or supplies for corns, calluses or toenails; except as otherwise expressly set forth
- hair loss, including without limitation wigs, hair transplants or any drug that promises to promote hair growth, whether or not prescribed by a Physician
- any sleep disorder, including without limitation sleep apnea
- any exercise and/or fitness program or equipment, whether or not prescribed or recommended by a Physician
- any exposure to any non-medical nuclear or atomic radiation, and/or radioactive material(s)
- any organ or tissue or other transplant or related services, Treatment or supplies
- any artificial or mechanical devices designed to replace human organs temporarily or permanently after termination of Inpatient status
- any efforts to keep a donor alive for a transplant procedure
-
any Illness or Injury incurred in the Destination Country, Affected Area or Country of Residence as a result of a Public Health Emergency of International Concern, Epidemic, Pandemic, other disease outbreak, or Natural Disaster, that may affect an Insured Person’s health, unless coverage is expressly provided under the PUBLIC HEALTH EMERGENCY provision of this insurance.
This exclusion DOES NOT apply to Charges resulting from COVID-19/SARS-CoV-2. - Charges incurred for eyeglasses, contact lenses, hearing aids or hearing implants and Charges for any Treatment, supply, examination or fitting related to these devices, or for eye refraction for any reason, except as otherwise expressly provided for hereunder
- Charges incurred for eye Surgery, such as but not limited to radial keratotomy, when the primary purpose is to correct or attempt to correct nearsightedness, farsightedness, or astigmatism
- Charges incurred for Treatment or supplies for temporomandibular joint (TMJ) including but not limited to TMJ syndrome, craniomandibular syndrome, chronic TMJ pain, orthognathic Surgery, Le-Fort Surgery or splints
- Charges incurred in the Insured Person’s Country of Residence, except as otherwise expressly provided for in this insurance
- Charges incurred within the United States, except as otherwise expressly provided for hereunder (this exclusion does not apply if your plan was purchased to include coverage in the United States).
- Charges incurred for any travel, meals, transportation and/or accommodations, except as otherwise expressly provided for in this insurance
- Charges or expenses incurred for nonprescription drugs, medicines, vitamins, food extracts, or nutritional supplements; IV vitamin or herbal therapy; drugs or medicines not approved by the United States Food and Drug Administration or which are considered “off-label” drug use; and for drugs or medicines not prescribed by a Physician
- any Treatment for an Illness or Injury requring an unapproved U.S. Food and Drug Administration (FDA) medical product, services, Surgery, Surgical Procedure, prescription medication, drug, biological product, Durable Medical Equipment (DME) or device when an Emergency Use Authorization (EUA) is in place issued by the U.S. Food and Drug Administration (FDA)
- Charges incurred at a Hospital or Facility when the Insured Person checks himself or herself out Against Medical Advice of their Physician and leaves before reaching a Medically Necessary specified endpoint of Treatment
- Charges incurred for the Worsening of an Illness or Injury after the Insured Person left a Hospital or Facility Against Medical Advice or was a Discharge Against Medical Advice
- any infection of the urinary tract (including, without limitation, infection of the kidney, ureter, bladder, prostate or urethra) and any complication, medical condition or other Illness directly or indirectly arising therefrom, that occurs within ninety (90) days of the Effective Date of this Insurance and that requires Treatment of the Insured Person in a Hospital as an Inpatient
- Charges and all costs related to or arising from or in connection with all trips to the Destination Country undertaken for the purpose of securing medical Treatment or supplies
- Charges incurred for Dental Treatment, except as specifically provided for hereunder
- Wear and tear of teeth due to cavities and chewing or biting down on hard objects, such as but not limited to pencils, ice cubes, nuts, popcorn, and hard candies
- Dental Injury without associated face, skull, neck and/or jaws Injury or that can be evaluated and Treated in a dental office
- Dental Treatment for services which provide oral care maintenance including tooth repair by fillings, root canals, tooth removal and x-rays
- Charges for Treatment of an Illness or Injury for which payment is made or available through a workers' compensation law or a similar law
- Charges incurred for massage therapy
-
The Company will not provide cover for any legal responsibility, injury, loss or damage:
- to members of the Insured Person’s family, household, or a person the Insured Person employs
- that results from or is connected to the Insured Person’s trade, profession or business
- that results from the Insured Person owning, using or living on any land or in buildings (except temporarily for the trip)
- that results from the Insured Person owning or using mechanically propelled vehicles (including e-bikes and drones), watercraft or aircraft, animals (other than horses and pet cats or dogs), guns or weapons (other than guns that are used for sport
- that results from the Insured Person infecting any other person with any sexually transmitted disease or condition
- that results from punitive damages assessed against the Insured Person which is the result of intentionally inflicting bodily injury, damage to, or loss of personal property of somebody else’s property
-
Accidental Death or Dismemberment when the Insured Person’s death or dismemberment is caused directly or indirectly by, results from, or where there is a contribution from, any of the following:
- bodily or mental infirmity, Illness or disease
- infection, other than infection occurring simultaneously with, and as a direct result of, the accidental Injury.
Patriot Travel | FAQ
Underwriter
Eligibility
Application Help
Understanding Your Coverage
- What are the differences between the Patriot plans?
- Can I use Telemedicine with my plan?
- What is the Travel Intelligence Mobile App?
- Does this plan have dental or vision coverage?
- What does URC mean?
- What is pre-certification?
- What is a deductible?
- What is coinsurance?
- What does “in-network” mean?
- What is the Universal Rx Discount Card?
Underwriter
Who underwrites the Patriot Travel Series?
SiriusPoint Specialty Insurance Corporation is the underwriter for the Patriot International Lite, Patriot America Plus, and Patriot Platinum plans. The underwriter is rated A (excellent) by A.M. Best and A- by Standard & Poor'sEligibility
Am I eligible for the Patriot plans?
You are eligible for coverage under the Patriot International Lite, Patriot America Plus, and Patriot Platinum plans as long as you are outside your country of residence, not have established a Habitual Residency in the Destination Country, and as long as you are at least 14 days old. This includes international students (including those on OPT), visiting scholars, exchange students, dependents, travelers, chaperons, international business groups, etc.Where will this plan cover me?
You are eligible for coverage under the Patriot America Plus & America Platinum plans if you plan on traveling to the US, outside of your country of residence. The Patriot International Lite & International Platinum will cover you outside your country of residence outside the US. The country of residence is the country in which you maintain your current primary residence or usual place of abode and any country to which you pay income taxes based upon employment in that country.Application Help
When can I purchase my plan online?
You may purchase the Patriot plans at any time, up to 6 months in advance of your selected policy start date, and begin receiving coverage as soon as the next day. Please note that the full premium will be charged immediately at the time of the application.When does my coverage become effective?
Your coverage becomes effective on the start date that you select at the time of application (if you are applying online), the moment you depart your residence country, or at 12:01 am EST on the date you request on your paper application.When does my coverage end?
Your coverage ends on 12:01 am EST on the date you select at the time of application (if you are applying online), or the moment you depart your trip for your residence country.Will I get my documents immediately?
Yes! When you apply online, you will instantly receive a confirmation email with your policy documents that include links to both your ID card and Visa Letter. You may print these pages to show proof of coverage and will satisfy the requirements of most embassies and consulates.Will I get my ID card and documents in the mail?
Electronic fulfillment is the only option available for the Patriot Travel plans. You will receive your policy documents via email, after you purchase the plan. You may also access your documents online through your MyIMG account.How do I get a visa letter?
Your Visa Letter will be included in the confirmation email you receive upon purchase. You may also access your visa letter online through your MyIMG account.What forms of payment do you accept?
We accept Visa, MasterCard, American Express, and Discover cards. If you would prefer to use pay via echeck, please contact us for assistance.How can I manage my account?
Upon purchase, you’ll have access to your MyIMG account. Through this online portal, you’ll have immediate access to many important resources, including 24/7/365 service centers, plan document access, claims management tools, Explanations of Benefits, and much more.Understanding Your Coverage
What are the differences between the Patriot plans?
Some of the main differences between the plans are outlined below:
| America Plus | Platinum America | |
|---|---|---|
| Maximum Limits | $50,000 to $1,000,000 | $2,000,000 to $8,000,000 |
| Deductible Options | $0 to $2,500 | $0 to $25,000 |
| Maximum Coverage Period | Up to 24 continuous months | Up to 36 continuous months |
| Emergency Medical Evacuation | $1,000,000 | Up to maximum limit |
| Coinsurance (in-network) | 100% | 100% |
| Coinsurance (out-network) | 80% up to $5,000, then 100% | 90% up to $5,000, then 100% |
| Acute Onset of Pre-existing Conditions | Under 70 years of age, up to the maximum limit. $25,000 maximum limit for medical evacuation | Under 70 years of age, with varying limits by age up to $1,000,000. $25,000 maximum limit for medical evacuation |
| International Lite | International Platinum | |
|---|---|---|
| Maximum Limits | $50,000 to $1,000,000 | $2,000,000 to $8,000,000 |
| Deductible Options | $0 to $2,500 | $0 to $25,000 |
| Maximum Coverage Period | Up to 24 continuous months | Up to 36 continuous months |
| Emergency Medical Evacuation | $1,000,000 | Up to maximum limit |
| Coinsurance | 100% | 100% |
| Acute Onset of Pre-existing Conditions | Under 70 years of age, with varying limits by age up to the maximum limit. $25,000 maximum limit for medical evacuation. | Under 70 years of age, with varying limits by age up to $1,000,000. $25,000 maximum limit for medical evacuation. |
| Incidental emergency in the US | Up to 2 weeks | Up to 2 weeks |
Can I use Telemedicine with my plan?
If you’ve purchased the Patriot America Plus or Patriot International Lite plans, you are free to use any telemedicine service that you’d like. You will need to pay for this service directly, keep copies of all of your receipts, and file a claim to be reimbursed for any eligible expenses per the plan policy conditions and exclusions.
If you’ve purchased the Patriot America Platinum plan, your plan includes access to Teladoc Virtual Medicine at no additional cost. You can learn more about this service through our Teladoc page here.
If you’ve purchased the Patriot International Platinum plan, your plan includes access to CareClix Virtual Medicine at no additional cost. You can learn more about this service through our CareClix page here.
What is the Travel Intelligence Mobile App?
The Patriot America Platinum and International Platinum plans include access to IMG’s Travel Intelligence, giving you peace of mind before, during, and after your travel. This service provides location-specific insights about travel, safety, security, and health incidents before departure and while abroad. To access this, please login to your MyIMG account and select Travel Intelligence to utilize this service.Does this plan have dental or vision coverage?
The Patriot International Lite, America Plus, and Platinum plans do not provide coverage for routine or preventative care, like dental or vision exams. However, the plans provide coverage for dental treatment due to a covered accident or unexpected pain up to a $300 limit, as well as coverage up to the maximum limit for treatment due to a traumatic dental injury. The Patriot plans also include coverage for an emergency eye exam up to a $150 maximum limit for loss or damage to prescription corrective lenses due to a covered accident.What does URC mean?
URC stands for the Usual, Reasonable, and Customary amount. This amount is the average cost of a specific treatment or prescription in a specific geographic area. For example, if a particular procedure costs $5,000 on average in New York City, the insurance company will not pay your provider in New York City $10,000 for the same exact procedure. Instead, they will limit their payment to "Usual Reasonable and Customary" — in this example, $5,000 and you’d be responsible for paying the remaining amount.What is pre-certification?
Pre-certification is when you contact the insurance company prior to getting treatment for a specific procedure. Pre-certification must take place within forty-eight (48) hours after the admission, or as soon as is reasonably possible. If the following treatments are not pre-certified, there will be a 50% reduction in the coverage of eligible medical expenses.- Chemotherapy
- Extended Care Facility
- Home Nursing Care
- Inpatient Hospitalization
- Radiation Therapy
- Surgery or Surgical procedure
- Interfacility Ambulance Transfer
- Emergency Medical Evacuation
- Emergency Treatments new on International plans
- Inside the United States: +1.800.628.4664
- Outside the United States: +1.317.655.4500 (Collect if necessary)
- E-mail: acm@imglobal.com
- Online: www.imglobal.com/member/precertification
- Through your MyIMG account
What is a deductible?
The deductible is the dollar amount you must pay to your provider before the insurance company will cover a percentage of eligible expenses. Please note that the deductible is per person, and is only paid once per year. On the Patriot International Lite and America Plus plan, you can choose between the following deductibles: $0, $100, $250, $500, $1,000 or $2,500. On the Patriot Platinum plans, you can choose between the following deductibles: $0, $100, $250, $500, $1,000, $2,500, $5,000, $10,000, or $25,000.What is coinsurance?
Coinsurance is the “cost-sharing” between you and the insurance company. After you satisfy the deductible, the insurance company will pay a percentage of remaining eligible expenses. The coinsurance on this plan will depend on which level you choose, where you are traveling, and if you go to an in-network or out-of-network provider. You can search the network for providers online.
The coinsurance on the Patriot International Lite and International Platinum plans is as follows:
Outside the United States: 100% of eligible expenses, after the deductible is met, up to the policy maximum.
The coinsurance on the Patriot America Plus plan is as follows:
In-Network in the United States: 100% of eligible expenses, after the deductible is met, up to the policy maximum.
Out-of-Network in the United States: 80% of eligible expenses, after the deductible is met, for the first $5,000, and then 100% coverage up to the policy maximum.
The coinsurance on the Patriot America Platinum plan is as follows:
In-Network in the United States: 100% of eligible expenses, after the deductible is met, up to the policy maximum.
Out-of-Network in the United States: 90% of eligible expenses, after the deductible is met, for the first $5,000, and then 100% coverage up to the policy maximum.
What does “in-network” mean?
“In-network” is a list of providers (hospitals, physicians, clinics and urgent care centers) that have agreed to contract with the insurance company. This plan uses a PPO Network (or Preferred Provider Organization) which means that you can go to any provider you’d like, however those inside the network have agreed to accept payment directly from the insurance company at discounted rates. This will allow you to pay less out-of-pocket if you go to an in-network provider.What is the Universal Rx Discount Card?
The Universal Rx Discount Card is a discount savings program that allows you to purchase prescriptions from one of 35,000 participating pharmacies in the U.S. and receive the lower of 1) Universal Rx contract price or 2) the pharmacy regular retail price. This program is not insurance coverage; it provides reduced rates at participating pharmacies.Renewability, Extensions and Cancellations
Can I extend or renew my insurance plan?
Yes! You are able to extend your coverage. If you purchase this plan for less than 365 days, you may extend your Patriot International Lite, Patriot America Plus and Platinum plans up until you have fulfilled the full 365 days of coverage. From there, you may renew your plan up to one additional year on the Patriot International Lite and America Plus, and an additional two years on the Platinum levels in your MyIMG account.My plan has expired, how can I reinstate it?
Unfortunately, once a plan has expired, it cannot be reinstated. However, you may purchase a new Patriot plan. Please keep in mind that if you had coverage for a condition during your first plan or if any condition occurred during the lapse in coverage, it would not be covered on a new plan because it would now be considered a pre-existing condition.Can I cancel my Patriot plan?
You will have three days from the initial effective date of coverage, called the Review Period, in which you can review the benefits, conditions, limitations, exclusions, and all other terms of the plan. If you are not completely satisfied, you can cancel the plan for a full refund. After the Review Period, the following conditions will apply:- If any claims have been filed with the Company, the Premium is fully earned and is non-refundable.
-
If no claims have been filed with the Company:
- a cancellation fee of $50.00 USD will be charged regardless of the reason for cancellation
- only Premium covering time periods after cancellation are refundable
Seeking Treatment
Which doctors or hospitals can I go to?
You may visit any doctor or hospital and receive coverage under your Patriot plan. However, when in the United States, it is always best to choose a provider that accepts the contracted Preferred Provider Network (PPO).
If you’ve purchased your plan after May 1st, 2019, you’ll want to find a provider in your area that accepts the UnitedHealthcare Network, as you will have less out of pocket expenses. You can find providers through the UnitedHealthcare search tool.
If you’ve purchased your plan prior to May 1st, 2019, you’ll want to find a provider in your area that accepts the First Health Network. You can find providers that accept the First Health Network.
When outside of the United States, IMG offers their International Provider Access search tool to make it easier for you to find providers in the area that you are located. You can find providers in your area through our online provider search tool.
If you are unsure of where to seek treatment, please feel free to contact us and we’d be happy to help you locate the correct doctor to visit.
How are claims paid?
Claims will be paid depending on where you are located and where you seek treatment:
- In-network while inside the USA
- When you visit a provider that is part of the plan network your insurance bill is typically paid directly, so you would just need to pay your deductible at the time of treatment. To confirm direct billing, it is important to check with the provider before you seek treatment.
- Out-of-network while inside the USA
- Generally, when you visit a provider that is outside the network, you will need to pay for all services up front and then submit a claim form, along with any bills and receipts from your visit, for reimbursement.
- Outside the USA
- When visiting a provider around the world, please pay for the services up front and then submit a claim form for reimbursement.
If you're hospitalized for an emergency or planned hospitalization, you'll need to call the 24-hour emergency assistance number located on the back of your insurance ID card, and they'll assist you further with settling the hospital bills.
No matter where you seek treatment, you'll want to complete a claim and/or accident form within 180 days of the illness/accident and email it to CustomerCare@imglobal.com. If you were required to pay anything out of pocket at the time of treatment, make sure to send your itemized receipts and any bills so that your claim is processed as quickly as possible. You can access the claim and accident form and submit your claims through your MyIMG account. Tip: Please ask for all your medical documents at the time of treatment, including your medical records, in case they are requested at a later date.Patriot Travel | Premiums
Patriot America Plus Rates
The Patriot America Plus plan is available for those needing coverage in the US, and allows you to choose your coverage and deductible.
Price indicated is the rate per day.
| Age | $50,000$50k | $100,000$100k | $500,000$500k | $1,000,000$1M |
|---|---|---|---|---|
| 0–17 | $1.41/day | $1.81/day | $2.51/day | $2.79/day |
| 18–29 | $1.41/day | $1.81/day | $2.55/day | $2.79/day |
| 30–39 | $1.81 / day | $2.49 / day | $3.17 / day | $3.36 / day |
| 40–49 | $2.54 / day | $3.19 / day | $4.33 / day | $4.76 / day |
| 50–59 | $4.19 / day | $5.27 / day | $7.49 / day | $7.86 / day |
| 60–64 | $4.87 / day | $6.38 / day | $9.47 / day | $9.90 / day |
| 65–69 | $5.58 / day | $7.15 / day | N/A | N/A |
| 70–79 | $8.32 / day | $13.29 | N/A | N/A |
| 80+* | $24.57 / day | N/A | N/A | N/A |
| * $10,000 Maximum Limit | ||||
Patriot America Platinum Rates
The Patriot America Platinum plan is available for those needing coverage in the US, and allows you to choose your coverage and deductible.
Price indicated is the rate per day.
| Age | $2,000,000$2M | $5,000,000$5M | $8,000,000$8M |
|---|---|---|---|
| 0–17 | $3.30 / day | $4.17 / day | $5.69 / day |
| 18–29 | $3.31 / day | $4.18 / day | $5.79 / day |
| 30–39 | $4.38 / day | $6.06 / day | $7.54 / day |
| 40–49 | $5.72 / day | $7.24 / day | $9.62 / day |
| 50–59 | $9.25 / day | $11.83 / day | $16.47 / day |
| 60–64 | $10.96 / day | $14.27 / day | $20.78 / day |
| 65–69* | $12.24 / day | N/A | N/A |
| 70–79** | $18.11 / day | N/A | N/A |
| 80+*** | $47.64 / day | N/A | N/A |
| * $1,000,000 limit ** $100,000 limit *** $20,000 limit | |||
Patriot International Lite Rates
The Patriot International Lite plan is available for those needing coverage outside the US, and allows you to choose your coverage and deductible.
Price indicated is the rate per day.
| Age | $50,000$50k | $100,000$100k | $500,000$500k | $1,000,000$1M |
|---|---|---|---|---|
| 0–17 | $0.89 / day | $1.09 / day | $1.28 / day | $1.39 / day |
| 18–29 | $0.93 / day | $1.13 / day | $1.32 / day | $1.46 / day |
| 30–39 | $1.06 / day | $1.28 / day | $1.62 / day | $1.69 / day |
| 40–49 | $1.79 / day | $2.09 / day | $2.38 / day | $2.40 / day |
| 50–59 | $3.05 / day | $3.51 / day | $3.72 / day | $3.79 / day |
| 60–64 | $3.90 / day | $4.26 / day | $4.60 / day | $4.66 / day |
| 65–69 | $4.63 / day | $5.02 / day | N/A | N/A |
| 70–79 | $6.91 / day | N/A | N/A | N/A |
| 80+* | $12.23 / day | N/A | N/A | N/A |
| * $10,000 Maximum Limit | ||||
Patriot International Platinum Rates
The Patriot International Platinum plan is available for those needing coverage outside the US, and allows you to choose your coverage and deductible.
Price indicated is the rate per day.
| Age | $2,000,000$2M | $5,000,000$5M | $8,000,000$8M |
|---|---|---|---|
| 0–17 | $1.82 / day | $2.29 / day | $2.62 / day |
| 18–29 | $1.92 / day | $2.40 / day | $2.74 / day |
| 30–39 | $2.25 / day | $2.79 / day | $3.46 / day |
| 40–49 | $3.75 / day | $4.54 / day | $5.10 / day |
| 50–59 | $6.36 / day | $7.52 / day | $7.83 / day |
| 60–64 | $7.96 / day | $8.92 / day | $9.50 / day |
| 65–69 | $9.34 / day | N/A | N/A |
| 70–79* | $13.93 / day | N/A | N/A |
| 80+** | $24.70 / day | N/A | N/A |
| *$100,000 limit **$20,000 limit | |||
Optional Plan Riders
Available to add additional coverage to your plan.
-
Adventure Sports Rider:
- 20% increase in base premium
