International Travel Health Insurance
Benefits | Exclusions | Premiums | Quote/ Apply Online
The table below outlines the policy benefits available per individual on the Atlas Travel plan. Coverage is available for both US and Non-US Citizens who are planning to travel, study or live abroad.
| Benefit | Limit |
| Policy Maximum: | $50,000, $100,000, $200,000, $500,000 and $1,000,000 |
| Deductibles: | $0, $100, $250, $500, $1,000 or $2,500 per Certificate Period |
| Coinsurance Claims incurred in US or Canada: |
For the Certificate Period, Underwriters will pay 80% of the next $5,000 of Eligible Expenses after the Deductible, then 100% to the Overall Maximum Limit. Coinsurance will be waived if expenses are incurred within the PPO and expenses are submitted to Underwriters for review and payment directly to the provider |
| Coinsurance Claims incurred outside US or Canada: |
For the Certificate Period, Underwriters will pay 100% of Eligible Expenses after the Deductible up to the Overall Maximum Limit |
| Provider Network in the USA | CMN Network |
| Hospital Room and Board: | Average Semi-private room rate, including nursing services |
| Local Ambulance: | Usual, Reasonable and Customary charges |
| Hospital Indemnity: | $100 per day (not subject to Deductible or Coinsurance) |
| Intensive Care Unit: | Usual, Reasonable and Customary charges |
| Outpatient Treatment: | Usual, Reasonable and Customary charges |
| Acute Onset of Pre-existing Condition: | $15,000 Lifetime Limit for Eligible Medical Expenses $25,000 Lifetime Limit for Emergency Medical Evacuation (Only available to Members under age 70) |
| Physical Therapy: | $50 Maximum per visit |
| All Other Eligible Medical Expenses: | Usual, Reasonable and Customary charges |
| Emergency Dental: | Accident – Overall Maximum Limit Acute Onset of Pain – $100 limit per Certificate Period (not subject to Deductible or Coinsurance) |
| Emergency Medical Evacuation: | $500,000 Maximum Lifetime Limit (not subject to Deductible or Coinsurance) |
| Emergency Reunion: | $15,000 limit per Certificate Period (not subject to Deductible or Coinsurance) |
| Return of Minor Children: | $5,000 limit per Certificate Period (not subject to Deductible or Coinsurance) |
| Political Evacuation: | $10,000 Maximum Lifetime Limit (not subject to Deductible or Coinsurance) |
| Terrorism: | $50,000 Maximum Lifetime Limit, Eligible Medical Expenses only |
| Accidental Death and Dismemberment: | Not subject to Deductible or Coinsurance Lifetime Maximum - $25,000 Principal Sum $25,000 Adults age 18-69 $12,500 Adults age 70-74 $ 6,250 Adults age 75 and above Lifetime Maximum - $5,000 $ 5,000 Children age 17 and below |
| Common Carrier Accidental Death: | Not subject to Deductible or Coinsurance $50,000 per adult, $25,000 children under age 18; $250,000 Maximum per family |
| Repatriation of Remains: | Overall Maximum Limit (not subject to Deductible or Coinsurance) |
| Natural Disaster Benefit: | Maximum $100 a day for 5 days (not subject to Deductible or Coinsurance) |
| Trip Interruption: | $5,000 limit per Certificate Period (not subject to Deductible or Coinsurance) |
| Lost Checked Luggage: | $250 limit per Certificate Period (not subject to Deductible or Coinsurance) |
| Hospital Pre-certification Penalty: | 50% of Eligible Medical Expenses |
| Optional Sports Rider: | Overall Maximum Limit |
| Maximum per Injury / Illness | Age 14 days to 69 - $50,000, $100,000, $200,000, $500,000 or $1,000,000; Age 70 to 79 - $50,000; Age 80 or older - $10,000 |
| Overall Maximum Limit per Certificate Period (includes all benefits except Accidental Death and Dismemberment, Emergency Medical Evacuation and Common Carrier Accidental Death): | Age 14 days to 69 - $50,000, $100,000, $200,000, $500,000 or $1,000,000; Age 70 to 79 - $50,000; Age 80 or older - $10,000 |
Please note - The benefit table listed above is a consolidated version of the full plan benefits. Please view the plan brochure for the full benefits and limitations of the plan.
Unless indicated otherwise, all benefits are subject to the Deductible and Coinsurance, and are per Certificate Period.
Medical:
- Inpatient and Outpatient charges made by a Hospital
- Charges made by a Physician, surgeon, radiologist, anesthesiologist, and any other medical specialist to whom the Physician has referred the case
- Charges made for dressings, sutures, casts or other supplies prescribed by the attending Physician or specialist, but excluding nebulizers, oxygen tanks, diabetic supplies and all devices for repeat use at home
- Charges for diagnostic testing using radiology, ultrasonographic or laboratory services
- Charges for oxygen and other gases and anesthetics and their administration
- Charges for prescription drugs for treatment of a covered Injury or Illness, but not for the replacement of lost, stolen, damaged, expired or otherwise compromised drugs
- Charges made by a licensed Extended Care Facility upon direct transfer from an acute care Hospital
- Emergency local ambulance transport incurred in connection with Injury or Illness resulting in inpatient hospitalization
Complications of Pregnancy:
Treatment of Complications of Pregnancy during the first 26 weeks of Pregnancy is covered under this insurance. Complications of Pregnancy is defined as: Illnesses whose diagnoses are distinct from Pregnancy, but are adversely affected by Pregnancy or caused by Pregnancy, and not associated with a normal Pregnancy. This includes: ectopic Pregnancy, spontaneous abortion, hyperemesis gravidarum, pre-eclampsia, eclampsia, missed abortion and conditions of comparable severity.
Hospital Indemnity:
If you are hospitalized as an Inpatient for treatment of a covered Illness or Injury, the Atlas Series will provide $100 for each night you spend in the hospital. This benefit is in addition to payments for other covered expenses and is not subject to Deductible or Coinsurance.
Acute Onset of a Pre-Existing Condition:
If you are under age 70, you are covered for an Acute Onset of a Pre-existing Condition. Coverage is available up to $15,000 Lifetime Maximum for Eligible Medical Expenses and up to $25,000 Lifetime for Emergency Medical Evacuation. An Acute Onset of a Pre-existing Condition is a sudden and unexpected outbreak or recurrence of a Pre-existing Condition which occurs spontaneously and without advance warning either in the form of Physician recommendations or symptoms. Treatment must be obtained within 24 hours of the sudden and unexpected outbreak or recurrence.
Emergency Dental:
The following Emergency Dental expenses are covered: Emergency Dental treatment and Dental surgery necessary to restore or replace sound natural teeth lost or damaged in an Accident that is covered under this insurance subject to the Overall Maximum Limit; and Emergency Dental Treatment necessary to resolve acute, spontaneous and unexpected onset of pain subject to a maximum benefit of $100.
Political Evacuation:
If the United States government issues a travel warning that becomes effective after your arrival in your destination country, the plan will provide for transportation to the nearest place of safety or for return to your Home Country. You must contact HCCMIS within 10 days of the date the travel warning is issued and the evacuation must be approved in advance and coordinated by HCCMIS.
Emergency Medical Evacuation:
If recommended by your attending Physician, who certifies that Evacuation is necessary to safeguard your life and that Medically Necessary treatment is not available locally, and if approved in advance and coordinated by HCCMIS, the Atlas Series will provide the following benefits: Emergency air and/or ground transportation to the nearest Hospital that is qualified to provide the Medically Necessary treatment.
Emergency Reunion:
In the event of a covered Emergency Medical Evacuation, the Atlas Series will provide the following benefits: The cost of an economy round-trip air and/or ground transportation ticket for one of your Relatives (parent, spouse, sibling or child age 18 or older) for travel to the area where you are hospitalized following Emergency Medical Evacuation and reasonable expenses for lodging and meals for your relative, for a period not to exceed 15 days.
Return of Minor Children:
If you are the only person age 18 or older, traveling with one or more children under the age of 18, who are also covered by the Atlas Series, and you are Hospitalized for treatment of a covered Illness or Injury resulting in the children being left unattended for a period of time expected to exceed 36 hours, the Atlas Series will provide the following benefit: The cost of a one-way economy air and/or ground transportation ticket for each covered child to the terminal serving the area of Principal Residence of each covered child.
Terrorism
The Atlas Series provides Medical coverage for Injuries and Illnesses resulting from an Act of Terrorism, subject to a $50,000 Lifetime Maximum, provided all of the following conditions are met:
- The Injury or Illness does not result from chemical, nuclear or biological weapons or events.
- You have no direct or indirect involvement in the Act of Terrorism.
- The Act of Terrorism is not in a country or location where the United States government has issued a travel warning that has been in effect within the 6 months prior to your date of arrival.
- You have not unreasonably failed or refused to depart a country or location following the date a warning to leave that country or location is issued by the United States government.
An Act of Terrorism is defined as: an act, including but not limited to, the use of force or violence and/or the threat thereof, of any person or group(s) of persons, whether acting alone or on behalf of or in connection with any organization(s) or government(s) committed for political, religious, ideological or similar purposes including the intention to influence any government and/or to put the public, or any section of the public, in fear.
Accidental Death and Dismemberment:
In the event of your Accidental Death (except while traveling on a common carrier) or Dismemberment resulting from a covered Injury, the Atlas Series will provide the following benefit:
* Accidental Death – Principal Sum to the Beneficiary designated on your Application
* Loss of 2 eyes or 2 or more limbs – Principal Sum to you
* Loss of 1 eye or 1 limb – One-half of the Principal Sum to you
| Age | Principal Sum |
| 14 days to 17 years | $5,000 |
| 18 to 69 | $25,000 |
| 70 to 74 | $12,500 |
| 75+ | $6,250 |
The Accidental Death and Dismemberment benefit is not available for losses incurred during participation in a Hazardous Sport or in respect to losses resulting from an Act of Terrorism.
Common Carrier Accidental Death:
In the event of your Accidental Death while traveling on board a commercial common carrier, the Atlas Series will provide the following benefit: Principal Sum of $50,000 ($25,000 for children under age 18), subject to a maximum of $250,000 per family, to the Beneficiary designated on your Application. This benefit is not available in respect to losses resulting from an Act of Terrorism.
Repatriation of Remains:
In the event of a covered Injury or Illness resulting in your death, the Atlas Series will provide the following benefit: Air and/or ground transportation of bodily remains or ashes to the area of your Principal Residence, and reasonable costs of preparation of your remains necessary for transportation.
Natural Disaster:
In the event of natural disaster (hurricane, flood, tornado, tsunami, etc) the Atlas Series will provide you up to $100 a day for 5 days if you are Displaced from planned, paid accommodations due to evacuation from forecasted disaster or following a disaster strike. Displaced is defined as required to depart the destination due to an evacuation ordered by prevailing authorities. Proof of paid accommodations must be submitted at time of claim.
Trip Interruption:
- If, after you have departed, you learn of the death of a parent, spouse, sibling or child, or you learn of the substantial destruction of your Principal Residence by fire or weather, the Atlas Series will provide the following benefit: The cost of an economy, one way air and/or ground transportation ticket for your travel to the area of your Principal Residence; or
- If, following a covered Emergency Medical Evacuation, the attending Physician states that it is Medically Necessary for your return to your Home Country or to the area from which you were initially evacuated for continuing treatment, recuperation and recovery, the Atlas Series will provide the following benefit: The cost of an economy, one-way air and/or ground transportation ticket for your travel from the area where you were hospitalized following the Emergency Medical Evacuation to the area where you were initially evacuated from, or to the terminal serving the area of your Principal Residence.
Lost Checked Luggage:
In the event your checked luggage is permanently lost by the transportation provider, the Atlas Series will provide the following benefit: Up to $250 for replacement of clothes and personal hygiene items, not to exceed $50 for any one item. You must file a formal claim with the transportation provider and submit copies of all claim forms and proof that the transportation provider has paid you its normal reimbursement for the lost checked luggage
Travel Assistance
Travel Assistance Services are available to you 24 hours a day, 7 days a week while your Atlas plan is in effect. In addition to the services already described, the following services are included:
- Embassy and consulate referral
- Legal and accounting referrals
- Bail bond assistance
- Translation and interpretation assistance
Atlas Travel and Medical Assistance Services are not insurance benefits. Any Assistance Service provided is not a guarantee of any other benefit under the Atlas Series.
