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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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The Exchange Programs are designed for those who are:

  • actively engaged or participating in an educational or cultural exchange program in the country of assignment through a sponsoring organization or school.
     

  • traveling to a destination that is not the home country of any of the traveling members.

BASIC SHORT-TERM TRAVEL PLAN
Schedule of Benefits 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
Optional Add-on Plan
Schedule of Benefits Benefit Description
Baggage  
•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.

 

Standard Short-Term Travel Plan
Schedule of Benefits 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
Optional Add-on Plan
Schedule of Benefits Benefit Description
Baggage  
•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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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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