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Up to Age 69 Inbound Guest Medical coverage
for non-US Citizen visitors to the United States

What Makes this Plan Unique?

  • Any non-US Citizen up to age 69 can get this policy
  • Scheduled Benefits – Pays a set amount per incident
  • You can get this if you have been in the US for up to 180 days
  • Per incident deductible of $0, $50 or $100
  • Per incident maximum benefit limits are $25,000 , $45,000 , $65,000 , $85,000 and $120,000
  • Policyholders can use the expanded network of providers inside the U.S.

** Note: This plan does not cover pre-existing conditions **

A pre-existing condition means any medical condition, sickness, injury, illness, disease, mental illness or mental nervous disorder, regardless of the cause, including any congenital, chronic, subsequent, or recurring complications or consequences related thereto or resulting therefrom that with reasonable medical certainty existed at the time of application or within the 180 days immediately prior to your effective date whether or not previously manifested, symptomatic, known, diagnosed, treated or disclosed. This specifically includes but is not limited to any medical condition, sickness, injury, illness, disease, mental illness or mental nervous disorder, for which medical advice, diagnosis, care or treatment was recommended or received or for which a reasonably prudent person would have sought treatment during the 180 days immediately preceding your effective date of coverage.

If you turn 70 years old during the purchased coverage period, the 70 and over benefit schedule becomes effective on the day you turn 70. If you have the $25,000 or $45,000 per injury / sickness maximum, you will receive the $40,000 maximum. If you have the $65,000 or $85,000 per injury/sickness maximum, you will receive the $60,000 maximum. If you have the $120,000 per injury / sickness policy maximum, you will receive the $100,000 per injury/sickness maximum.

A brief description is below, click here to download or read the Inbound Guest Plan Brochure and Certificate of Insurance.

 

The address being requested on the application needs to be in the USA. We suggest you use Seven Corner’s address: 303 Congressional Blvd. Carmel, Indiana 46032
Secure online order form Plan A Plan B Plan C Plan D Plan E
Age 14 days to Age 69 $25,000 Max per Injury / Sickness $45,000 Max per Injury / Sickness $65,000 Max per Injury / Sickness $85,000 Max per Injury / Sickness $120,000 Max per Injury / Sickness
INPATIENT
Hospital Room & Board Including Laboratory Tests, X-Rays, Prescription Medical and other miscellaneous Up to $910/day, 30 day max Up to $1,260/day, 30 day max Up to $1,565/day, 30 day max Up to $1,785/day, 30 day max Up to $2,340/day, 30 day max
Hospital Intensive Care Unit Additional $430/day, 8 day max Additional $595/day, 8 day max Additional $720/day, 8 day max Additional $790/day, 8 day max Additional $1020/day, 8 day max
Surgical Treatment Up to $2,150 Up to $2,970 Up to $3,960 Up to $4,840 Up to $6,600
Anesthetist Up to $500 Up to $740 Up to $990 Up to $1,210 Up to $1,650
Assistant Surgeon Up to $500 Up to $740 Up to $990 Up to $1,210 Up to $1,650
Physician’s Non-Surgical Visits Up to $60 per visit, 1 per day, 30 visits max Up to $75 per visit, 1 per day, 30 visits max Up to $65 per visit,1 per day, 30 visits max Up to $115 per visit, 1 per day, 30 visits max Up to $100 per visit, 1 per day, 30 visits max
A Consulting Physician, when requested by attending Physician Up to $350 Up to $405 Up to $465 Up to $485 Up to $600
Private Duty Nurse Up to $400 Up to $495 Up to $550 Up to $550 Up to $660
Pre-Admission Tests within 7 days before Hospital admission Up to $750 Up to $990 Up to $1,100 Up to $1,100 Up to $1,100
OUTPATIENT
Surgical Treatment Up to $2,150 Up to $2,970 Up to $3,960 Up to $4,840 Up to $6,600
Anesthetist Up to $500 Up to $740 Up to $990 Up to $1,210 Up to $1,650
Assistant Surgeon Up to $500 Up to $740 Up to $990 Up to $1,210 Up to $1,650
Physician’s Non-Surgical / Urgent Care Visits Up to $50 per visit, 1 per day, 30 visits max Up to $60 per visit, 1 per day, 10 visits max Up to $65 per visit, 1 per day, 10 visits max Up to $75 per visit, 1 per day, 10 visits max Up to $100 per visit, 1 per day, 10 visits max
Diagnostic X-rays & Lab Services Up to $295 – Additional $250- One Cat scan, PET scan or MRI Up to $405 – Additional $250- One Cat scan, PET scan or MRI Up to $465 – additional $375- One Cat scan, PET scan or MRI Up to $485 – Additional $450- One Cat scan, PET scan or MRI Up to $600 – Additional $500- One Cat scan, PET scan or MRI
Hospital Emergency Room (all expenses incurred therein) Up to $215 Up to $295 Up to $395 Up to $465 Up to $660
Prescription Drugs Up to $250 Up to $250 Up to $250 Up to $200 Up to $180
Outpatient Surgical Facility Up to $750 Up to $900 Up to $1,030 Up to $1,070 Up to $1,320
OTHER TREATMENT & SERVICES
Ambulance Services Up to $295 Up to $450 Up to $450 Up to $475 Up to $475
Initial Orthopedic Prosthesis / brace Up to $715 Up to $990 Up to $1,160 Up to $1,240 Up to $1,560
Chemotherapy and / or radiation therapy Up to $715 Up to $990 Up to $1,175 Up to $1,275 Up to $1,620
Dental Treatment for Injury to Sound, Natural Teeth Up to $360 Up to $550 Up to $550 Up to $550 Up to $550
Mental & Nervous Disorder & Substance Abuse Same as any Sickness Same as any Sickness Same as any Sickness Same as any Sickness Same as any Sickness
Physiotherapy Up to $30 / visit, 1 / day, 12 visits max Up to $40 / visit, 1 / day, 12 visits max Up to $40 / visit, 1 / day, 12 visits max Up to $40 / visit, 1 / day, 12 visits max Up to $40 / visit, 1 / day, 12 visits max
Emergency Evacuation $50,000 $50,000 $50,000 $50,000 $50,000
Repatriation of Remains $25,000 $25,000 $25,000 $25,000 $25,000
AD&D Principal Sum $25,000 Common Carrier $25,000 Common Carrier $25,000 Common Carrier $25,000 Common Carrier $25,000 Common Carrier
Acute Onset of Pre-existing Condition(s) $25,000 per policy period for Medical Expense Benefits (subject to the sublimits for each benefit shown above) & $25,000 per policy period for Emergency Medical Evacuation. $45,000 per policy period
for Medical Expense Benefits (subject to the sublimits for each benefit shown above) & $25,000 per policy period for Emergency Medical Evacuation.		 $65,000 per policy period for Medical Expense Benefits (subject to the sublimits for each benefit shown above) & $25,000 per policy period for Emergency Medical Evacuation. $85,000 per policy period for Medical Expense Benefits (subject to the sublimits for each benefit shown above) & $25,000 per policy period for Emergency Medical Evacuation. $120,000 per policy period
for Medical Expense Benefits (subject to the sublimits for each benefit shown above) & $25,000 per policy period for Emergency Medical Evacuation.
Secure online order form Buy Plan A Buy Plan B Buy Plan C Buy Plan D Buy Plan E

 

Here are the Daily Rates:

(there’s also a $0 and $50 deductible)

$100 Per Injury / Sickness Deductible Per Person
Policy Maximum Options
Age $25,000 Daily Rate $45,000 Daily Rate $65,000 Daily Rate $85,000 Daily Rate $120,000 Daily Rate
19 to 29 $0.77 $1.36 $1.35 $1.54 $1.96
30 to 39 $0.84 $1.26 $1.50 $1.60 $2.20
40 to 49 $0.87 $1.31 $1.60 $1.73 $2.41
50 – 59 $1.23 $1.83 $2.18 $2.35 $3.20
60 – 69 $1.47 $2.01 $2.43 $2.64 $3.60

Questions? Call Deanna, Becky, Kim or Steve at: 1-888-407-3854 (toll free) or 816-282-6858

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