As a Medicare supplement member, you also receive a travel protection benefit for medically necessary treatment for an accidental injury or acute illness while you are traveling outside the United States. We have contracted with MEDEX Assistance Corporation and Coventry Health Care to provide you with this ancillary benefit. The benefit includes services not covered by Medicare.
Download the Travel Protection Benefit document for details. When all the provisions of this benefit are satisfied, the plan will provide the benefits listed below. The plan includes a $25,000 maximum per individual, per cause, as well as a $200,000 lifetime maximum per individual. Payment may be reduced by $500 if you do not contact MEDEX within 48 hours of being admitted to an inpatient facility, or within 48 hours before being evacuated.
| Benefit** | Additional Limitations and Explanations** |
|---|---|
| Medical Services in a Foreign Country | Medically necessary treatment received outside the United States for an acute illness or accidental injury during a covered trip. Benefits include inpatient or outpatient care. |
| Dental Services in a Foreign Country | Dental services received outside the United States after an accidental injury to teeth during a covered trip. This includes replacement of teeth and related x-rays. Hospital confinement expenses for dental services will be considered only if hospitalization is necessary to safeguard your health. |
| Visitor Travel Assistance | If you are hospitalized for seven days or longer during a covered trip, the plan will pay for round-trip transportation for one, using commercial transportation resources (rail, airfare, etc.). |
| Medical Evacuation | If you sustain an injury or suffer a sudden and unexpected illness and adequate medical treatment is not available in the current location, MEDEX will arrange for a medically supervised evacuation to the nearest medical facility MEDEX determines to be capable of providing appropriate medical treatment. Your medical condition and situation must be considered medically necessary by your treating health care provider and MEDEX. The plan will pay up to the travel benefit per cause maximum. |
| Transportation After Stabilization | Following emergency medical evacuation and stabilization, MEDEX will coordinate transportation to your point of origin. MEDEX will coordinate transportation to your home country if they determine that hospitalization or rehabilitation should occur there. The plan will pay airfare costs up to the per cause maximum. |
| Facilitation of Hospital Payment | Upon securing payment or a guarantee to reimburse, MEDEX will wire funds or guarantee required emergency hospital admittance deposits. You or the plan is ultimately reponsible for the cost of medical care and treatment, including hospital expenses. The plan will pay up to the travel benefit per cause maximum. |
**All benefits outlined above will (a) be paid by the plan at 100%, (b) are subject to the per cause and lifetime benefit maximums, as well as a deductible, (c) are limited to medically necessary treatment for an accidental injury or acute illness while traveling outside the United States, including services not covered by Medicare, and (d) will be denied for expenses for treatment required due to a non-covered trip, hazardous pursuit, pre-existing condition, or plan exclusion.
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