Global Citizen EXP Health Plan Benefits

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Features Benefits
Preventive and Office Visits Insurer Waives Deductible
Physician Office Visits (Adult) All except a $10 copay per visit1
Physician Office Visits (Children 0-18) 100%
Child Immunizations, Lab work & X-rays 100%
Women: (25 and Older)
Routine Pap Smears, annual mammogram		 100%
PSA for Men 100%
One Routine Physical Per Year 100%
Professional Services Insurer Pays After Deductible is Met
Surgery, anesthesia, radiation therapy, in-hospital doctor visits, diagnostic X-ray and lab work. 100%
Inpatient Hospital Services Insurer Pays After Deductible is Met
Surgery, X-rays, in-hospital doctor visits, Organ/Tissue Transplant 100%
In-patient medical emergency2 100%
In-patient drugs 100%
Ambulatory and Therapeutic Services Insurer Pays After Deductible is Met
Ambulatory Surgical Center 100%
Ambulance Service 100%
Accidental Dental $1,000 per year, $200 per tooth
Acupuncture and Chiropractic Services 100% up to $2,000
Durable Medical Equipment 100%
Infusion Therapy 100%
Physical/Occupational Therapy $30/visit, 12 visits per year
Basic Prescription Drug Benefit 50% of actual charges up to $500
Optional Prescription Drug Benefit Insurer Waives Deductible
Subject to $3,000 Maximum Benefit per Insured Person per Policy Period 80% of actual charges
Global Travel Benefits Insurer Pays Without a Deductible
Medical Evacuation Up to $100,000
Repatriation of Remains Up to $25,000
Accidental Death and Dismemberment $50,000
Other Inpatient Benefit Outpatient Benefit
Mental Health 100% up to 20 days per year 80% up to 30 visits per year
Substance Abuse 100% up to 12 days of detox 80% up to 30 visits per year
 
Global Citizen EXP Plan 1.2.3 Deductible
Elite $0
250 $250
500 $500
1,000 $1,000
2,500 $2,500
5,000 $5,000
10,000 $10,000
 
1. Copay waived when visiting an HTH Worldwide contracted provider.
2. Emergency room visits that do not result in inpatient admissions will be subject to a $50 penalty.
3. Out of Pocket Maximums exclude the Deductible.

Maternity Benefits

After 12 months of continuous coverage, Global Citizen members may renew their coverage or apply for a new plan that covers maternity costs in the same way as all other medical conditions.

To be eligible for the maternity benefit, a member must not be pregnant at the time of upgrade.
Services provided in addition to the benefits above
Ready access to quality care
  • Access to HTH Worldwide's global community of carefully selected, contracted hospitals, physicians, dentists and behavioral health professionals in over 180 countries.
  • Detailed provider profiles including medical training.
  • Personalized appointment scheduling and recruitment.
  • Direct payment to providers.
  • Fully profiled international treatment options.
  • Emergency evacuation.
  • View More Details
HTH Global Health and Safety Resources
  • Online assistance tools with full telephone support.
  • Daily email of health and security alerts
  • Detailed descriptions of health facilities and security issues by destination
  • Translation databases for brand name drugs and medical terms/phrases.
  • Web pages capturing key personalized HTH Resources by destination.
  • View More Details

For Exclusions and Limitations, and State to State variation in benefits, see Plan Description.

Ten Day Money Back Guarantee
YOUR SATISFACTION IS GUARANTEED. We are so confident in our products that we offer the best guarantee in the business! If you are not completely satisfied with our Global Citizen Product, simply return your Certificate of Insurance and your ID Card to HTH within 10 days of receipt and include a letter indicating your desire to cancel. If you have not already used your insurance benefits, you will receive a full refund.

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