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Exchange Program Plan
| Exchange
Program Plan is designed for organizations who are actively
engaged or participating in an educational or cultural
exchange program in the country of assignment through a
sponsoring organization or school and traveling in a group
to a destination that is not the home country of any of the
participants. |
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Individual |
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Group |
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Quote / Buy online
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Download brochure & Application |
The Exchange Programs are designed for
those who are:
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actively engaged or
participating in an educational or cultural exchange program in
the country of assignment through a sponsoring organization or
school.
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traveling to a
destination that is not the home country of any of the traveling
members.
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Benefit Description |
| Deductible |
$100
per illness or injury |
| Coinsurance |
100% |
| Plan maximum |
$10,000 per illness or injury with a lifetime maximum of
$500,000 |
| Treatment period |
60
days per chronic illness |
| Hospital room & board |
Up to
semi-private room rate |
| Hospital intensive care |
URC* |
| Physical therapy |
URC*,
1 visit per day |
| Physician visit |
URC* |
| Eligible medical
expenses |
URC* |
Emergency Room
Charges incurred for the use of the Emergency Room for
treatment of an illness are subject to an additional $250
deductible if treatment does not require admittance to the
hospital |
URC* |
| Emergency medical
evacuation |
$25,000 lifetime maximum |
| Emergency reunion |
$5,000 lifetime maximum |
| Return of mortal remains |
$7,500 |
| Accidental death |
$5,000 |
| Dismemberment |
Dismemberment: $5,000 two limbs; $2,500 one limb |
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Benefit Description |
| Baggage |
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| •Loss/theft of Baggage |
$250 |
| •Loss/theft of
Valuables |
$250 |
| •Loss/theft of
Personal Papers |
$250 |
| Legal Assistance |
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| •Binder Fee |
$500 when served with summons |
| Personal liability |
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| •Injury to third party |
$2,000 limit after $100 deductible |
| •Damage to third
person property |
$500 limit after $100 deductible Secondary to
any other insurance in force |
| Limited high school
sports coverage |
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*Usual, Reasonable and Customary (URC) charges for eligible
expenses in the area where you receive treatment.
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Benefit Description |
| Deductible |
$100
per illness or injury |
| Coinsurance |
100% |
| Plan maximum |
Choice of $50,000, $250,000 or $500,000 per illness or
injury with a lifetime maximum of $500,000 |
| Treatment period |
60
days per chronic illness |
| Hospital room & board |
Up to
semi-private room rate |
| Hospital intensive care |
URC* |
| Physical therapy |
URC*,
1 visit per day |
| Physician visit |
URC* |
| Eligible medical
expenses |
URC* |
| Dental |
Sudden and unexpected pain, $85; Accident, $500 |
Emergency Room
Charges incurred for the use of the Emergency Room for
treatment of an illness are subject to an additional $250
deductible if treatment does not require admittance to the
hospital |
URC* |
| Emergency medical
evacuation |
$50,000 |
| Emergency reunion |
$15,000 |
| Return of mortal remains |
$25,000 |
| Accidental death |
$25,000 |
| Dismemberment |
Dismemberment: $25,000 two limbs; $12,500 one limb |
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Benefit Description |
| Baggage |
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| •Loss/theft of Baggage |
$250 |
| •Loss/theft of
Valuables |
$250 |
| •Loss/theft of
Personal Papers |
$250 |
| Legal Assistance |
|
| •Binder Fee |
$500 when served with summons |
| Personal liability |
|
| •Injury to third party |
$2,000 limit after $100 deductible |
| •Damage to third
person property |
$500 limit after $100 deductible Secondary to
any other insurance in force |
| Limited high school
sports coverage |
|
*Usual, Reasonable and Customary (URC) charges for eligible expenses
in the area where you receive treatment.
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LifeLine Plus, Inc.
Marketing Dept.
169 S. Main Street
Suite 422
New City, NY 10956
Email:insure@lifelineplus.com
Tel:
001-888-975-5888
Fax: 001-501-694-6176
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