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TRAVEL INSURANCE
BY SPECIALTY RISK INTERNATIONAL


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RESIDE Prime Brochure

SCHEDULE OF BENEFITS

Lifetime Medical Maximum $5,000,000 per Insured Person.
Policy Period Deductible Options $500, $1000, $2500, $5000
Maximum of 3 deductible payments for families enrolling on one application. Any eligible charges incurred and applied to your policy period deductible in the last 30 days prior to your renewal date will carry over and be applied to the next policy period deductible.
Outside of the United States After the Deductible, the Policy pays 100% of eligible expenses to the Policy Maximum. Hospital Admissions must be Pre-Notified with SRI Assist.
Inside of the United States After the Deductible, the Policy pays 80% of the next $5,000 of eligible expenses, then 100% up to the Policy Maximum. Expenses incurred inside the United States must be Pre-Notified with SRI Assist and SRI's U.S. Provider Network must be utilized.
Hospital Expenses Average Semi-Private room and board, Usual, Reasonable, and Customary Physician Charges, Prescription Medications, Durable Medical Equipment, Nursing Services and X-Rays up to the Policy Maximum.
Intensive Care Intensive Care room and board, Usual, Reasonable, and Customary Physician Charges, Prescription Medications, Durable Medical Equipment, Nursing Services and X-rays up to the Policy Maximum.
Surgery Usual, Reasonable, and Customary Charges for Surgery, Physician and Anesthetics up to the Policy Maximum.
Outpatient Treatment Usual, Reasonable, and Customary Charges for Emergency Treatment, Surgery, Prescription Medication up to the Policy Maximum.
Physiotherapy Usual, Reasonable, and Customary Charges up to the Policy Maximum, when referred by a Physician.
Medical Supplies Usual, Reasonable, and Customary Charges up to Policy Maximum.
Ambulance Usual, Reasonable, and Customary Charges up to Policy Maximum.
Well Child Care Usual, Reasonable, and Customary Charges up to Policy Maximum are Covered, limited to 3 visits per Policy Period.
Maternity Usual, Reasonable, and Customary Charges up to $7500 per Pregnancy, must be Pre-Notified within the first 90 days of Pregnancy.
Mental & Nervous Usual, Reasonable, and Customary Charges up to a Maximum of $10,000 per Policy Period.
Dental Usual, Reasonable, and Customary Charges for repair and replacement of sound, natural teeth damaged as a result of an accident, limited to $500 per Policy Period.
Chiropractic Usual, Reasonable, and Customary Charges up to a $5,000 Lifetime Max. when referred by a Physician.
Emergency Medical Evacuation $50,000 Limit - when adequate medical facilities and/or treatment is not available. (pre-approval required).
Repatriation of Remains $20,000 Limit - when traveling outside your current Country of Residence. (Pre-approval required).
Emergency Medical Reunion $10,000 Limit - when traveling outside your current Country of Residence. (Pre-approval required).
Preventive Benefits $50 Policy Period Maximum for checkups and routine visits after 6 month waiting period.
Accidental Death & Dismemberment (AD&D) Principal Sum: $10,000 Insured and Spouse, $2,000 Dependent Children.
For Common Carrier, Principal Sum: $40,000 Insured and Spouse, $8,000 Dependent Children.

 

WHO NEEDS THIS PLAN?

US Citizens
For US citizens relocating or spending an extended amount of time overseas, security and flexibility are two essential ingredients of their medical program. There are thousands of medical insurance programs offered throughout the world, but there are just as many differences in the quality of both the programs and the insurance companies offering them. As US citizens, we are accustomed to a certain degree of stability. RESIDE Prime is underwritten by an A-"Excellent" rated insurance entity. Great care was taken to offer a program that gives insured's the same level of security abroad that they experience at home.

Foreign Nationals
A comprehensive plan providing protection in your home country as well as the freedom to travel abroad is hard to find. Finding a program with these qualities offered by a secure company is next to impossible. The RESIDE Prime Worldwide Medical Plan combines the stability and financial strength of a superior underwriter with the flexibility of a universal policy.

ELIGIBILITY

The Reside Prime program is available to persons of any country who are at least 15 days of age and who are not older then age 74. Non-US citizens may reside anywhere in the world, including their Home Country. US citizens must either reside outside the United States, or expect their departure from the United States within 30 days of the plan's effective date. In addition, insured persons must continue to reside outside the United States for at least 6 months during any given policy year in order to remain eligible.

APPLYING FOR COVERAGE

To apply, all you need to do is complete the application in full and pay the appropriate premium, given your age category and desired deductible amount. Be sure to answer all sections and questions as completely, accurately, and as legible as possible. The application you complete becomes part of your certificate of coverage should you be accepted. Once the underwriters have had an opportunity to review the application, SRI may request additional information from the applicant. If you are accepted, you will receive an ID Card confirming your effective date and conditions of acceptance, as well as a claim form and a certificate of coverage, which describes the program in complete detail and describes how the insurance can be utilized. If you are ultimately not accepted, SRI will return your premium without delay.

WORLDWIDE COVERAGE

RESIDE Prime is designed to cover Insured Persons 24 hours a day, seven days a week, regardless of where in the world they may be located. As an international citizen, you will no longer need to purchase multiple insurance programs in order to have seamless protection. Coverage in the United States is limited to 6 months during any 12 month Policy Period.

RENEWABILITY

The initial Period of Coverage cannot exceed twelve (12) months. The Insured Person, however, may apply for renewal of coverage at the Renewal Rates in force at the time of renewal. The renewal Period of Coverage may not total more than twelve (12) months. Renewal(s) will be contingent upon the Insured Person submitting the applicable renewal premiums for their class, as determined by the Company. Renewal(s) will also be contingent upon the Insured Person declaring that they continue to meet the Eligibility Requirements. The Company can not cancel an Insured Person, unless that Insured Person is included in a class that is canceled in its entirety by the Company.

MATERNITY

RESIDE Prime provides maternity and newborn child benefits to eligible Insured Persons, who are the Primary Insured or Spouse, up to $7500 per pregnancy. A pregnancy must be Pre-Notified during the first 90 days of the pregnancy. Failure to Pre-Notify a pregnancy will result in a 100% reduction in eligible benefits. The plan does not pay expenses related to a pregnancy within the first 12 months of coverage.

INTERNATIONAL TRAVELER'S COVERAGE

When the Insured Person travels outside of their home country, in addition to the standard benefit, they will be covered for Repatriation of Mortal Remains and Emergency Medical Reunion coverage.

LIMITATIONS

Pre-existing Conditions:

If an existing condition is fully and accurately disclosed on the application, and the condition is not excluded or restricted by a rider, your preexisting condition will be covered up to a lifetime maximum of $50,000 ($5,000 limit per year) after you have been continuously insured for 24 months.

Preexisting conditions are any Injury or Illness which meets the following criteria: 1) A condition that would have caused a person to seek medical advice, diagnosis, care or treatment prior to the Effective Date of coverage under this Certificate; 2) A condition for which manifestation, medical advice, diagnosis, care or treatment (including medication) was recommended or received prior to the Effective Date of coverage under this Certificate; 3) Expenses for Pregnancy within twelve (12) months of the Effective Date of coverage under this Certificate.

The following conditions, treatments, supplies, services, and/or expenses are not covered:
(This is a Summary of the Exclusions contained in the Certificate of Coverage.)

  • Preexisting conditions as defined above.
  • Claims not presented to Company within ninety (90) days following incident.
  • Treatment not medically necessary, treatment which exceeds reasonable and customary charges, treatment provided at no cost to the Insured Person, or treatment performed by a relative or anyone who lives with the Insured Person.
  • Experimental treatment.
  • Suicide or any attempted suicide.
  • War or warlike operations.
  • Injury in organized, professional, amateur, or interscholastic athletics.
  • Routine physicals or procedures.
  • Treatment of Temporomandibular joint.
  • Vocational, Speech, Recreational or Music Therapy.
  • Cosmetic surgery except as a result of a covered accident.
  • Dental or eye treatment unless otherwise covered.
  • Injuries as a result of disablement due to liquor or drugs.
  • Telephone consultations.
  • Treatment or services relating to custodial, rehabilitative, or nursing home care.
  • Congenital conditions.
  • Non-medical expenses.
  • Self-inflicted injury or illness.
  • Expenses in connection with the commission or attempt of a criminal offense.
  • Injury while taking part in mountaineering, hang gliding, parachuting, bungee jumping, racing, scuba diving (unless PADI or NAUI certified).
  • Treatment of venereal or sexually transmitted disease.
  • Treatment due to HIV or AIDS.
  • Drug treatment relating to infertility.

This brochure is only a brief description of RESIDE Prime. A complete description of the Master Policy Provisions and Benefits is contained in the Certificate of Insurance, which will be mailed to you once your application and premium have been received and approved by SRI.

PRE-NOTIFICATION PROGRAM

So that you receive the best care possible, RESIDE Prime requires that the Insured Person (or someone on the Insured Person's behalf) contact SRI Assist for notification prior to all hospital admissions worldwide and any medical expenses incurred within the United States. The methods of contacting SRI Assist will appear on the back of your ID Card. SRI Assist will also be able to assist you in locating the approved SRI medical care providers in the United States. If the Pre-Notification Program is not followed, there will be a 50% reduction in eligible benefits.

THE ADMINISTRATOR

Since 1993, Specialty Risk International, Inc. (SRI) has provided international insurance plans to private citizens, governments, missionaries, students, and corporations of various nations around the globe. As a premier underwriter, SRI has had the opportunity to provide innovative solutions to unique and challenging situations.

Our claims professionals are experienced in the complexity of processing international medical expenses. As an insured of SRI, you can feel confident that there is someone ready to assist you with a medical situation 24 hours a day, 365 days a year.

Other services including proficient administration, responsive underwriting, and access to secure and stable insurance carriers and medical care providers worldwide.

SECURITY

Reside Prime is underwritten by Certain Underwriters at Lloyd's, London and is rated A "Excellent" by A.M. Best. In addition to being one of the largest insurance entities in the world, Lloyd's has over 300 years of experience in the international insurance business.

IMPORTANT INFORMATION

It is important to note that Reside Prime is a program for international citizens and Lloyd's is an international entity. Thus, Lloyd's operates as an unauthorized insurer in most US states. Coverage and benefits under Reside Prime are not regulated by any US state insurance department.

The information concerning Reside Prime is not intended to be an offer to sell Reside Prime or a solicitation by Specialty Risk International, Inc or Lloyd's, London in any jurisdiction where such an action would be unlawful or in which SRI or Lloyd's, London is not qualified to do so. Reside Prime may not be available in all situations or jurisdictions. For US citizens, Reside Prime is intended for persons living or traveling outside the United States.

 

Click Here for tavel insurance online quote
Get A Quote for Signature Worldwide Medical Plan

 

 

 

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