US - Within PPO/Outside US: After deductible, pays 100% to policy maximum; or
After deductible, pays 80% to policy maximum.
Otherwise: After deductible, plan pays Usual, Reasonable and Customary to policy maximum.
Before effective date, full refund.
After effective date, pro-rated refund minus $25 cancellation fee as long as no claims have been filed since the effective date.
5 days up to 4 years
$0
Travel Delay of 12+ hours and unplanned overnight stay - $100/day, 2 days maximum.
Emergency Eye Exam - $50 per incident copay, $150 maximum (plan deductible waived).
Bedside Visit: $1,500
Pet Return: $1,000
Crisis Response: $10,000
Loss of Passport or Travel Documents: $100