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Travel Insurance
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Travel
Trip Insurance Center
Student Travel
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Unofficial Traveler's Insurance Glossary
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Accidental
Death and Dismemberment
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Benefits
paid in large lump sums to the insured
or the insured’s beneficiary
in the event that the insured suffers the loss of a
major body part or is killed.
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Annual/Multi-Trip
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Annual
or multi-trip plans cover all trips taken within a year
(often with a maximum duration of 30-120 days per trip).
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Benefits
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The
amount payable by the insurance provider to a claimant,
assignee or beneficiary
under each policy.
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Beneficiary
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The
person or persons designated by the insured
to receive the proceeds of an insurance policy upon the
death of the insured.
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Claimant
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A
person that makes a claim.
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Co-Insurance
or Co-pay
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This
is the percentage or amount of expenses
that the insured pays (if any)
after the deductible is paid.
Example:
"Co-Insurance = 20% or co-pay is 80/20" means
that the insurance company pays 80% of the charges, the
insured pays 20%. Often there is a maximum co-pay
amount, i.e., a limit or ceiling above which the
insurance provider pays 100%. Example: "Deductible
= $250 and 80/20 co-pay up to $5000, then 100% up to
policy maximum." This means the insured is required
to pay the deductible of $250 plus 20% of expenses up to
$5,000, and the insurance provider pays 100% of covered
expenses that exceed $5000 up to the maximum policy
coverage limit. Thus, if total expenses exceed $5000
(e.g. $20,000 in total medical expenses) then the
insured pays $250 (deductible) plus the co-pay maximum
of $1000 (20% of the first $5000) for a total out of
pocket cost to the insured of $1250, and the insurer
pays the remaining $18,750 of expenses. Where total
expenses are only $3000, then the insured pays $250
(deductible) plus $600 co-pay (20% of $3000) for a total
out of pocket cost of $850, and the insurer pays the
remaining $2150 of expenses.
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Deductible
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(Also
known as excess in UK, NZ, AU) This is the amount
that the insured must pay before the insurance provider
starts paying. This may be an annual amount, an amount
for the duration of the policy, or an amount for each
incident.
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Emergency
Medical Evacuation
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This
means covering the expenses for sending an injured or
ill person home or transporting him/her to a place where
appropriate medical care can be obtained.
Emergency
Medical Evacuation, Emergency Reunion, and Repatriation
Benefits are often bundled together and included in
international medical insurance and travel protection
plans.
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Emergency
Reunion
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Emergency
reunion means covering the expenses for having a family
member brought to the injured or ill insured during a
medical emergency.
Emergency
Medical Evacuation, Emergency Reunion, and Repatriation
Benefits are often bundled together and included in
international medical insurance and travel protection
plans.
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Exclusions
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These
are the expenses that the insurance company or travel
protection provider will not pay.
Examples
include: expenses resulting from illegal drug use,
conditions which existed prior to the purchase of the
insurance (see pre-existing conditions), participation
in various dangerous activities, participation in
certain types of sports (see hazardous sports and
activities coverage), etc. Most insurance contracts have
many of these exclusions. It is important to read
brochures carefully.
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Expenses
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These
are the expenses an insurance provider will consider for
payment. These normally include expenses for surgery,
hospitalization, doctors’ services, x-rays, laboratory
tests, prescription drugs and other treatments. Some of
these expenses may be limited by the insurance contract.
See exclusions.
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Family
Plans
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Family
plans are designed to cover all members in a family
traveling together, and premiums
are usually priced at a discount compared to the rate
for a single person. Some family plans include relations
beyond the immediate family, such as grandparents and
in-laws.
Primary Coverage: Primary
coverage plans provide coverage without regard to any
other insurance or coverage the plan holder may have.
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Hazardous
Sports & Activities Coverage
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Coverage
for medical expenses resulting from engaging in certain
hazardous, high risk sports and activities such as scuba
and sky diving, rock climbing and bungee jumping (to
name a few), is often explicitly excluded by
international medical insurance and travel protection
plans; however, some plans offer special hazardous
sports and activities coverage that is optional and
usually results in a only a modest increase in premium.
Always make sure you are aware of the exclusions
noted in the plan or policy you’re considering, and if
you plan to participate in any high risk activities,
look for plans with optional, supplementary hazardous
sports and activity coverage.
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Individual
Plans
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Individual
plans are designed and priced to cover one person.
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Insured
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The
word "Insured" is used to refer to the person
covered under an insurance policy, i.e., the person for
whom the policy was purchased.
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Maximum
Policy Coverage
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This is the maximum amount of money that the insurance
provider will pay for covered expenses. This may be an
overall maximum or an amount for each accident or
illness.
Deductible:
(Also known as excess in UK, NZ, AU) This
is the amount that the insured must pay before the
insurance provider starts paying. This may be an annual
amount, an amount for the duration of the policy, or an
amount for each incident.
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Pre-existing
Conditions
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Medical
conditions associated with the insured
(or a spouse, travel companion, or close relative in the
case of travel
protection plans where trip cancellation results
from the medical condition of someone other than the
insured ) that existed before the plan or policy took
effect are pre-existing conditions.
Many
plans and policies offer limited or no coverage for
medical expenses or trip
cancellation expenses resulting from pre-existing
medical conditions. These are known as pre-existing
conditions exclusions.
Most plans specify a maximum amount of time prior to the
effective date of the policy during which the
manifestation of any pre-existing conditions would
constitute exclusions. Example: Pre-existing conditions
exclusions are limited to "five years prior to the
effective date of the policy." This means any expenses
resulting from medical conditions that were manifested
or treated within the last five years would not be
covered. However, when purchasing some travel
protection plans, particularly on a per trip
basis, pre-existing conditions exclusions may be waived
if the plan is purchased within a certain number of days
after the initial trip deposit is paid (often 7-10
days).
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Premiums
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This
is the amount that you pay to purchase international
medical insurance coverage or travel protection plans.
Premiums may be paid in advance, on a per trip basis,
annually, monthly, quarterly, or by semester, depending
on the policy. Premiums for travel protection plans are
usually paid in advance, either annually or on a per
trip basis.
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Repatriation
Benefits
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The
repatriation benefit pays the cost of preparing the body
of a person who dies in a foreign country and returning
the body to the deceased's home country
Emergency
Medical Evacuation, Emergency Reunion, and Repatriation
Benefits are often bundled together and included in
international medical insurance and travel protection
plans.
However,
these benefits
can also be bundled together and offered as an
economical stand alone annual plan, with no
medical insurance or travel protection components, but
with virtually unlimited coverage for emergency medical
evacuation. For
frequent international travelers, this type of stand
alone plan is a prudent option to consider, especially
for those with adequate worldwide medical insurance.
This is so primarily because the emergency medical
evacuation coverage that is included with most
international medical insurance and travel protection
plans is limited to a pre-set maximum dollar amount,
usually $20,000 - $50,000. It is not uncommon for
emergency medical evacuation costs to exceed the common
pre-set limits by tens of thousands of dollars,
especially when evacuation is from a remote location.
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Secondary
Coverage
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Secondary
coverage plans require plan holders to have primary
coverage, and the secondary coverage only covers
those expenses
not already covered by the primary coverage plan.
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Single-Trip
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Single-trip
plans cover one trip.
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Travel
Assistance
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Travel Assistance services
may be bundled into an international medical insurance
or travel protection plan, but these services are not
considered insurance. The term travel assistance
covers a broad range of services, often including but
not limited to: toll-free multi-lingual 24-hour
emergency telephone numbers, local offices around the
world, web sites offering aid and advice to travelers in
need of travel, medical or legal help, translation
services, passport and visa assistance, assistance
filling prescriptions, and virtually any special
assistance useful to travelers in crisis who are far
from home.
Some credit cards and
international student identification cards and
associations offer complimentary travel assistance
benefits to their cardholders and members. However, keep
in mind that although travel assistance services can
provide instant help with a free phone call when needed
most, not all services are free of charge once rendered.
Many specific travel assistance services, such as legal
counsel or translation services, are provided without
question at the time of need, but with the clear
understanding that the traveler will subsequently
reimburse that service provider at a later date when the
traveler is in a more convenient position to pay for the service(s) rendered.
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