GeoBlue Voyager Choice and Essential Single Trip Travel Insurance

• For trips up to 6 months for ages 84 or younger.
• Covers pre-existing conditions for medical services and medical evacuation.
• Requires a primary health plan or Medicare Part A, however, the primary plan does not need to be a Blue Cross and/or Blue Shield medical plan in order to be eligible.
  A Primary Health Plan is a Group Health Benefit Plan, an individual health benefit plan or a governmental health plan (e.g. Medicare). Note: Medicaid and V.A. health plans do not constitute primary health insurance
• Coverage starts once outside the U.S.
• GeoBlue Voyager Choice is available in all 50 states and DC.

Maximum Benefit per Insured Person per policy period:
Options include $50,000; $100,000; $500,000; $1,000,000

Deductible per Insured Person per policy period:
Options include $0; $100; $250; $500

Eligibility Requirements:

• Home Country is the U.S.; and
• You must be under Age 85 and;
• Enrolled in a Primary Plan*; and
• For Children under age 6, must be enrolled with a parent and;
• Initial purchase must be made in home country prior to departing on trip

Family Members included in your Plan (if applicable) must be:

• Your spouse; civil union partner or domestic partner age 84 or younger, and/or
• Your eligible child(ren) or other eligible dependent(s)—see Eligible Dependents.
• Resident(s) of the United States.

More about benefits:

• Any coverage for maintenance medical care and maintenance Rx is not covered.
• Maintenance medical care also includes medications prescribed for chronic and/or long-term medical conditions or Rx taken on an ongoing basis.
• Any drugs, medications, or other substances except as specifically stated in this Plan are excluded. This includes, but is not limited to, items dispensed by a Physician.
• Rx Examples: birth control, heartburn/acid reflux medication or anti-depressants.
• Medical maintenance examples: Needing blood transfusions on a continual basis for diabetes.
• Any ongoing medical condition or past medical condition that needs to be monitored and/or checked on a regular basis.
• Treatment of mental disorders or functional nervous disorders are not covered under the policy
• Policy holder cannot be disabled at the time of travel and cannot be on a waiting list for any treatment
• Policy holder cannot travel against the advice of a physician / medical facility.
• Complications of pregnancy are covered
• Hazardous Activities (After Deductible is Met):
  Benefits for claims resulting from downhill (alpine) skiing and scuba diving (certification by the Professional Association of Diving Instructors (PADI) or the National Association of Underwater Instructors (NAUI) required or diving under the supervision of a certified instructor).
  Maximum Benefit up to $10,000

• For trips up to 6 months for ages 74 or younger.
• Does not require a primary health plan.
• Coverage starts once outside the United States
• Must be U.S. resident to apply
• Ongoing pre-existing medical conditions are not covered under this plan
  Does covers pre-existing conditions for medical evacuation.
• GeoBlue Voyager Essential is available in all 50 states and DC.
• Complications of pregnancy are covered
• Hazardous Activities (After deductible is met):
  Benefits for claims resulting from downhill (alpine) skiing and scuba diving (certification by the Professional Association of Diving Instructors (PADI) or the National Association of Underwater Instructors (NAUI) required or diving under the supervision of a certified instructor).

Maximum Benefit per Insured Person per policy period:
Choose from $50,000; $100,000; $500,000; $1,000,000

Deductible per Insured Person per policy period:
Options include $0; $100; $250; $500

Eligibility Requirements:

• Home Country is the U.S.; and
• You must be under Age 75 and;
• For Children under age 6, must be enrolled with a parent and;
• Initial purchase must be made in home country (U.S.) prior to departing on trip

Family Members included in your Plan (if applicable) must be:

• Your spouse; civil union partner or domestic partner age 74 or younger, and/or
• Your eligible child(ren) or other eligible dependent(s)—see Eligible Dependents.
• Resident(s) of the United States.
• Traveling outside the U.S. and scheduled to spend at least 24 hours away from his/her home.