:Global Secutive Booking System: German American Chamber of Commerce

Choose your insurance coverage

Travel Medical Insurance

Medical Maximum Benefit: USD 100.000

AGS021323-2151810 | 3750

2.45 USD per day

Details

Schedule of Benefits

ACCIDENT & SICKNESS MEDICAL EXPENSE BENEFITS

Benefits will be provided only for the coverages listed below and will be paid only up to the amounts shown. Benefits are not provided for coverages marked “NIL”.

Per Injury or Sickness Maximum for all Injury and Sickness Medical:	$100,000
Deductible (Outpatient Services Only) Per Injury or Sickness:	$0
Coinsurance:	100% of Usual, Reasonable & Customary (URC) Charges or Preferred Allowance, if a contracted Provider is used
Terms of Payment:	Full Excess
Pre-Existing Conditions: (subject to 36-month look back period, see definition)	12-month Waiting Period, then limited to $5,000 thereafter
Home Country Coverage	NIL

BENEFIT COVERAGE	COVERED BENEFIT
Hospital Room & Board Benefit: · Subject to Semi-private room rate	100% URC
Intensive Care/Cardiac Care Unit Benefit	100% URC
Hospital Miscellaneous Expense Benefit	100% URC
Surgeon (In or Outpatient) Benefits	100% URC
Assistant Surgeon Benefit	100% URC
Pre-Admission Testing Benefit	100% URC
Anesthesia Benefit	100% URC
Day Surgery Miscellaneous Benefit	100% URC
Diagnostic X-Ray and Lab Benefit	100% URC
Ambulance Benefit	100% URC
Physician Visit Benefit (Inpatient)	100% URC
Physician Visit Benefit (Outpatient)	100% URC
Consultant Physician Benefit	100% URC
Radiation/Chemotherapy Benefit	100% URC
Emergency Room Benefit · Triage is mandatory · Co-Payment only applies to services rendered in the USA	100% URC, subject to a $350 Co-Payment, waived if admitted
Emergency Dental Expense Benefit	100% URC
Palliative Dental	100% URC, up to $200 maximum benefit per tooth
Physiotherapy Expense Benefit - Inpatient	100% URC
Physiotherapy Expense Benefit - Outpatient	100% URC, up to $2,500 maximum
Durable Medical Equipment Expense Benefit	100% URC
Infants born following Complications of Pregnancy	100% URC up to $75,000 Maximum ($200,000 Maximum in the USA or Caribbean)
Emergency Medical Evacuation Expense Benefit	100% of actual expense
Emergency Medical Repatriation Expense Benefit	100% of actual expense
Emergency Reunion	100% of actual expense
Prescription Drug Benefit	100% URC
Return Ticket Benefit	100% URC, up to $5,000 per Policy Period

GACC - Virtual Care - Individual

Maximum Benefit: USD

129494|Y2 | 3853

0.41 USD per day

Details

Please Confirm:

I hereby confirm that I booked this insurance for the entire duration of my academic/intern program in the host country, starting on the date I leave my home country and ending on the date I arrive back in my home country. These enrollment dates do not exceed 30 days prior to the start of my academic/intern program or 30 days after the end of my academic/intern program. If I need to change my insurance dates after this booking is completed, I understand that I can cancel any days in the future and receive a pro-rated refund only if I have not submitted any claims. Premium refunds will not be considered if a claim has been filed during the Period of Insurance. If Global Secutive staff cancels my plan or changes my dates at my request, I will be charged a 25 USD / EUR fee. Once the policy period I purchase is complete, I cannot retroactively cancel any part of the policy for a full or pro-rated refund, even if no claims were submitted.

I am actively enrolled in a minimum of 9 credits or the equivalent in a college, university, language or trade school OR I am actively enrolled in a cultural exchange program holding a valid valid F, J, M, Q, or H2B visa. Services are only available in the USA. I am at least 18 years of age. I understand that eligibility may be checked at time of service. I understand that once the plan is purchased it cannot be cancelled and refunds are not issued. I understand this is NOT an insurance policy and I am enrolled in an active insurance policy for the duration of this virtual care service. I understand that I will not be able to use the virtual care services until up to 48 hours after my enrollment in the program.

I understand that if the coverage applied for in this application is approved and insurance coverage issued, the contract entered into will require the processing of sensitive personal information. Processing of such data is necessary for carrying out the obligation of providing benefits under this policy. In accordance with the General Data Protection Regulation (GDPR) of the European Union (EU), and other applicable laws and regulations, I hereby provide consent for this information to be collected, stored and shared the with insurance company and understand that the insurance company is committed to protecting sensitive personal information.

1		2		3		4
Choose your insurance coverage		Enter your personal & travel information		Review your insurance coverage		Process the order

First Name
Last Name
Date of Birth	/ /
Gender	Male Female
Start Date
End Date
Home Country
Travel Destination

Choose your insurance coverage

What's included in the individual Plan?

Please Confirm:

Enter your personal & travel information

Enter your Email Address:

Enter your Personal & Travel Information:

Person 1:

Review your insurance coverage

Insured(s) Information:

Coverage Information:

Please Confirm:

Process the order

Make Payment:

Select Payment Method:

PayPal:

Credit Card Information:

Policy Wording:

Withdrawal and the Cancellation Terms:

Cancellation Request Form

Selected insurance coverage	Travel Medical Insurance Medical Maximum Benefit: USD 100.000 [AGS021323-2151810] Rate per person / travel day: 2.45 USD GACC - Virtual Care - Individual Maximum Benefit: USD [129494\|Y2] Rate per person / travel day: 0.41 USD
Total Cost: