eGlobalHealth Insurers Agency, LLC
Exclusive International Health, Life & Travel Insurance
GMMI:  Schedule of Benefits
Back to Overview

GMMI covers the Usual, Reasonable and Customary (URC) charges for eligible expenses in the area where you receive treatment. Each person will only need to satisfy their deductible once per policy period (12 months) with a maximum of three deductibles per family.  For eligible expenses incurred in the U.S. and Canada: once the deductible is met, GMMI pays 80% of the next US$5000 in eligible expenses then 100% of eligible expenses up to the policy maximum. For eligible expenses incurred outside the U.S. and Canada: once the deductible is met, GMMI will pay 100% of eligible expenses up to the policy maximum.

MEDICAL INSURANCE
BENEFIT
Subject to deductible and
coinsurance
Coverage Area
Worldwide

Policy Maximum Per Individual US$5,000,000 lifetime
  
Hospitalization
Semi-private room and board • Nursing services • Prescription medication • Physician charges • Diagnostic and laboratory testing • X-rays • Chemotherapy and radiation • Durable medical equipment • Treatment, services and supplies routinely provided
URC
  
Intensive Care Unit URC
  
Surgery
Surgical care • Second surgical opinion • Anesthetics • Physician charges for surgery • Treatment, services and supplies routinely provided
URC
  
Transplants
Limited to certain transplants and covered only within designated transplant facilities that are members of IMG's independently-contracted PPO network
US$1,000,000 lifetime
  
Outpatient
Emergency treatment of illness or injury • Surgery • Rehabilitative treatment • Treatment, services or supplies routinely provided • Prescription medication
URC
  
Emergency
Surgery or dental treatment following an accident • Emergency room following an accident • Charges incurred for the use of the Emergency Room for treatment of an illness are subject to an additional (extra) US$250 deductible if treatment does not require admittance to the hospital.
URC
  
Emergency Transportation by
Ground Ambulance
URC
  
Emergency Medical Evacuation
Included with Emergency Medical Evacuation is an Emergency Reunion benefit of US$10,000 lifetime
Up to policy maximum
  
Repatriation US$25,000
  
Supplemental Accident
The first $300 will be covered for each accidental injury
US$300 per occurrence (not subject to the deductible or coinsurance)
  
Maternity
Available after 12 months of continuous coverage • Pre and Post-natal care • Normal delivery or C-section • Well baby care and treatment of newborn for first 31 days
US$50,000 lifetime
maximum of US$5,000 for normal delivery for each pregnancy; maximum of US$7,500 for C-Section delivery for each pregnancy
  
Newborns
Eligible newborn children may be added without evidence of insurability under certain circumstances • An application form must be submitted within 31 days of child's birth
URC
  
Child Wellness
Available for eligible children from 14 days to 18 years of age after 12 months of continuous coverage
US$50 maximum per visit; US$200 per policy period (not subject to deductible or coinsurance)
  
Pre-existing Conditions
After 24 months of continuous coverage
US$50,000 lifetime (maximum of US$5,000 per period of coverage)
  
Mental/Nervous Care
Available after 12 months of continuous coverage • Inpatient and outpatient care by a licensed psychiatrist
US$10,000 per period of coverage,
US$25,000 lifetime
  
Wellness
Females age 30 and over, after 12 months of continuous coverage • Routine physicals • Mammogram, ob/gyn visit, etc. (exams must be separated by 12 months)

Males age 30 and over, after 12 months of continuous coverage • Routine physicals (exams must be separated by 12 months)

US$250 per policy period
(not subject to deductible or coinsurance)
  
Dental Emergency
Necessary treatment of sudden, unexpected pain to sound natural teeth
US$100 per period of coverage
  
Complementary Medicine (Each per policy period)
Acupuncture US$150
Aroma Therapy US$50
Herbal Therapy US$50
Magnetic Therapy US$75
Massage Therapy US$150
Vitamin Therapy US$100
  
Recreational SCUBA Coverage
Illness or injury while using safe diving practices as laid down by an Authoritative Diving Body
URC
  
Other
Chiropractor when referred by a physician • Radiation treatment • Home nursing care • Hospice care • Physical therapy (maximum US$50 per visit) • Prosthetic devices
URC


The foregoing list is only a summary of available benefits and coverages, and is subject to the specific terms and conditions of the plan concerning eligible benefits, limitations, eligibility and exclusions. Please refer to the certificate wording for a complete description, which is available upon request.


 

CHOOSE YOUR CATEGORY :
1.417.882.1413