Medical Insurance for Visitors to the U.S.

Low monthly rates

Coverage from 15 days to one year

Medical expense, evacuation, accidental death and more

Two plans to fit your needs and budget

Easy Online Enrollment with instant confirmation!(See Back Cover)

Visit USA-HealthCareTM

Visit USA-HealthCareTM

Doctor and hospital costs are very expensive in the United States.

If you are sick or injured during your visit... how will you pay?Every year, thousands of international visitors to the United States require emergency medical treatment, hospitalization or medical evacuation to their home country.

Most health care facilities in the United States are privately owned and medical care is very expensive.

Hospital costs can average $2,000 per day, and a major illness or injury could cost you as much as $100,000. Medical evacuation to your home country is also costly. For example, U.S. to Asia can easily cost $90,000.

An inexpensive solution!

Visit USA-HealthCare™ is designed for foreign nationals while in the United States, and is available for up to 12 months. It provides excellent illness and accident expense protection at a low cost.

Visit USA-HealthCare™ will help you find a doctor or hospital and pay for treatment. You pay the deductible and coinsurance.

After you pay the deductible per policy period and 20 percent of the first $5,000 covered medical expenses per incident, the insurance covers 100% of most other health care costs.

With Visit USA-HealthCare™ insurance, the possibility of a large, unexpected medical expense or even being denied medical attention can be avoided.

PLAN A PLAN B

Illness & Injury Medical Expense* $50,000 $100,000

Emergency Medical Evacuation $75,000 $150,000

Accidental Death & Dismemberment (AD&D)

$50,000 $100,000

Repatriation of Remains $20,000 $20,000

Family Travel Benefit $10,000 $10,000

Incidental Travel (To Canada, Mexico or U.S. Territories, Max. 14 days)

Included Included

Emergency Travelers Assistance Included Included

*Medical Expense benefit is reduced to $10,000 for ages 80+.

Monthly Premium Rates

PLAN A | PLAN B

$50,000 / incident $100,000 / incident Deductible* Per Policy Period

Age $50 $250 $500 $1000 $50 $250 $500 $1000

0-5 $225 $180 $162 $144 $315 $252 $227 $202

6-18 $48 $38 $34 $30 $67 $53 $48 $43

19-29 $50 $40 $36 $32 $70 $56 $50 $45

30-39 $66 $53 $48 $42 $93 $74 $67 $59

40-49 $101 $81 $73 $65 $142 $113 $102 $91

50-59 $171 $137 $123 $110 $240 $192 $173 $153

60-64 $200 $160 $144 $128 $280 $224 $202 $179

65-69 $325 $260 $234 $208 $455 $364 $328 $291

70-79 $547 $438 $394 $350 N/A N/A N/A N/A

80+** $563 $450 $405 $360 N/A N/A N/A N/A

*A $250 Emergency Room deductible will also apply, but will be waived if admitted to the hospital.**Medical Expense benefit is reduced to $10,000 for ages 80+.

Included Benefits

Additional AD&DFlight Insurance - $250,000 LimitAD&D Due to Other Accidents - $100,000 Limit

Hazardous Activity Coverage - Medical Expense coverage for activities normally excluded from coverage such as recreational motorcycling, scuba diving, skiing, and whitewater rafting.

Optional Upgrades

PLAN A | PLAN B

$50,000 / incident $100,000 / incident Deductible* Per Policy Period

Age $50 $250 $500 $1000 $50 $250 $500 $1000

0-5 $93 $74 $67 $59 $130 $104 $94 $83

6-18 $27 $21 $19 $17 $37 $30 $27 $24

19-29 $28 $22 $20 $18 $39 $31 $28 $25

30-39 $37 $30 $27 $24 $52 $41 $37 $33

40-49 $57 $45 $41 $36 $79 $64 $57 $51

50-59 $95 $76 $68 $61 $133 $106 $96 $85

60-64 $110 $88 $79 $70 $154 $123 $111 $99

65-69 $210 $168 $151 $135 $294 $235 $212 $188

70-79 $302 $241 $217 $193 N/A N/A N/A N/A

80+** $310 $248 $223 $198 N/A N/A N/A N/A

*A $250 Emergency Room deductible will also apply, but will be waived if admitted to the hospital.**Medical Expense benefit is reduced to $10,000 for ages 80+.

15-Day Premium Rates

1) Additional Accidental Death & Dismemberment Coverage

2) Hazardous Activity Coverage

This will increase your Basic Plan Premium as follows:Add One Optional Upgrade - Multiply Basic Plan Premium by 1.20Add Both Optional Upgrades - Multiply Basic Plan Premium by 1.30

Optional Upgrades Rates

Eligibility

Travel Insurance Services has designed and marketed

international travel/health insurance since 1973

Coverage is available for international visitors who come to the U.S. for pleasure, business or study and to new immigrants to the U.S.

ADmINISTereD By:

TrAveL INSurANCe ServICeS2950 Camino Diablo, Suite 300Walnut Creek, CA 94597-3991

PHoNe: 925-932-1387 or 800-937-1387e-mAIL: info@travelinsure.com

CA License # 0G11911

INSurANCe uNDerWrITTeN By:The Insurance Company of the State of Pennsylvania with its

principal place of business in New York, NY

12/10

ServICeS ProvIDeD By:Travel Assist

For a Quote or to Enroll Online

www.VisitorsHealthInsurance.com/visit-usa-insurance/