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Global Medical Insurance®
Global Medical Insurance®

The following is a summary schedule of benefits for eligible medical expenses. Benefits are subject to maximums, deductible and coinsurance unless otherwise noted. NA (Not Applicable).

Summary of Benefits Subject to deductible and coinsurance unless otherwise noted
Lifetime Maximum Limit
Deductible (Per Period of Coverage)
Deductible Carry Forward
Treatment Outside the U.S.
Treatment inside the U.S. using Medical Concierge
Treatment inside the U.S. - PPO Network
Treatment inside the U.S. - Non-PPO Network
Coinsurance
Outpatient
Mental/Nervous
Hospital Emergency Room Injury
Hospital Emergency Room Illness
Hospitalization / Room & Board
Intensive Care Unit
CAT Scans, MRI, Echocardiography, Endoscopy, Gastroscopy, Cystoscopy
Surgery
Assistant Surgeon
Chemotherapy or Radiation Therapy
Maternity
Delivery, wellness, new born care & congenital disorders, Family Matters Maternity Program (available after 10 months of coverage)
Podiatry Care
Physical Therapy
Transplants
Prescription Coverage
Adult Preventative Care (Age 19 or older)
Child Preventative Care (Through age 18)
Vision
Local Ambulance due to Injury or Illness resulting in Hospitalization
Emergency Evacuation
Emergency Reunion
Interfacility Ambulance Transfer (Transfer from one licensed health care Facility to another licensed health care Facility)
Political Evacuation and Repatriation
Remote Transportation
Return of Mortal Remains
Complementary Medicine
Traumatic Dental Injury Treatment at a hospital facility
Treatment Due to Unexpected Pain to Sound, Natural Teeth
Non-Emergency Treatment at a Dental Provider due to an Accident
Non-emergency Dental
Hospital Indemnity (Outside the U.S. only)
Supplemental Accident
Pre-Existing Conditions Limitation

* This Web page contains only a consolidated and summary description of all current benefits, conditions, limitations and exclusions. A certificate containing the complete Certificate Wording with all terms, conditions and exclusions will be included in the fulfillment kit. IMG reserves the right to issue the most current Certificate Wording for this insurance plan in the event this Web page, application, and/or brochure has expired, is modified, or is replaced with a newer version. Current Certificate Wordings are available upon request.