$250,000 Accident and Sickness Expense Benefit
After the $100 deductible, the Company will pay up to the benefit limit for those medical expenses incurred within the USA during the Period of Insurance which are the direct result of each covered injury or sickness which first manifests itself during the Period of Insurance. Covered expenses include, but are not limited to; the necessary medical or surgical treatment, services and supplies, hospital services, local ambulance, x-rays, laboratory fees, and visits to a physician’s office.
Benefits for claims resulting from: (1) downhill (alpine) skiing; and (2) cardiovascular/circulatory related conditions are limited to $10,000.
If medical expenses are expected to exceed $500, the Assistance Center must be notified immediately.
If a covered injury or sickness occurs during the Period of Insurance and requires your medical evacuation, the Company with your concurrence and that of the attending physician, may evacuate you to a more suitable hospital or to your home location in the event you are hospitalized more than five consecutive days. An evacuation to your home location will terminate coverage under the policy.
Repatriation of Remains Benefit
If a covered injury or sickness results in the loss of your life during the Period of Insurance, the Company will pay the expenses for the preparation and transportation of the body back to your home.
All medical evacuations and repatriations of remains must be approved (in advance) and coordinated by the Assistance Center.
Dental Expense Benefit
This benefit covers the expenses incurred for dental treatment resulting from a covered accident. The limitation is $200 per natural tooth with a maximum benefit of $1,000.
|This is a descriptive brochure containing a summary of the coverages provided by the Master Policy. Once insured you will receive a Certificate of Insurance which contains details of the coverage. This Insurance is underwritten by Pan-American Life Insurance Company, 601 Poydras Street, New Orleans, Louisiana 70130.