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GeoBlue Xplorer Premium - Individual International Health Insurance for Expatriates

Purchase

Please use this high level information as a guide only and do not make any decisions solely based on this comparison. If you have any concerns, doubts or questions, please refer to the individual policy details for complete information as it is not possible to accurately represent all the details in concise information such as follows. Please call us for further details. If there is any discrepancy between this comparison and the actual policy details, the policy details will override.

All the amounts are in U.S. dollars.

General

GeoBlue Xplorer Premier
Comprehensive
Worldwide
Unlimited
Outside U.S.: After deductible, 100% to policy maximum. Within U.S. PPO network: After deductible, 80% to co-insurance maximum, then 100% to policy maximum. Outside U.S. PPO network: After deductible, 60% to co-insurance maximum, then 100% to policy maximum. Co-insurance maximum depends on selected deductible.

Medical - Outpatient

Outside U.S.: $10 copay per visit, then to policy maximum. Within U.S. PPO network: $30 copay per visit, then to policy maximum. Not subject to deductible.
Outside U.S.: $10 copay per visit, then to policy maximum. Within U.S. PPO network: $30 copay per visit, then to policy maximum. Not subject to deductible.
$75 copay per visit
Outside U.S.: $10 copay per visit, then to policy maximum. Within U.S. PPO network: $30 copay per visit, then to policy maximum. Not subject to deductible.
$2,000 per year
To policy maximum $50 copay if not admitted into hospital.
$2,500
To policy maximum
To policy maximum
To policy maximum
To policy maximum

Medical - Inpatient

To policy maximum
To policy maximum
To policy maximum
To policy maximum
To policy maximum
To policy maximum

Medical - Other Treatment And Services

10 days
To policy maximum
To policy maximum
-
To policy maximum
Inpatient: To policy maximum Outpatient: $10 copay outside U.S., $30 copay within U.S. PPO network.
To policy maximum, 12 visits per year.
Yes
Covered with proof of prior creditable coverage.
Included
Included
-
6 months
To policy maximum
To policy maximum
-
$250 per day, maximum of 50 visits per year.
To policy maximum, maximum of 30 visits per year.
$5,000 lifetime maximum
Included

Maternity Coverage

Complications of pregnancy only
-
To policy maximum

Dental

Optional
$200 per tooth, maximum of $1,000 per year.

Wellness

To policy maximum
To policy maximum

Travel

Up to $2,500 per year for one economy round-trip air fare ticket, and hotel accommodations (plan deductible waived).
$250,000
$25,000
-

Life

$50,000
$50,000
-

Alternative Medicine

$2,000 per year
-
-
-
-
-

Other

-
Included

Plan Features

Full refund within 10 days of purchase as long as no claims have been filed and you have not departed on your trip.
$0
$0
Travel Vaccinations: maximum of $500 per year.
$1,000 Up to 74
$2,000 Up to 74
$5,000 Up to 74
$10,000 Up to 74
Worldwide Insurance Services LLC
4 Ever Life International

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  • URC - Usual, Reasonable and Customary Charges.
  • For medical benefits, to policy maximum, refer to the Usual, Reasonable and Customary Charges. Deductible and coinsurance apply, unless otherwise noted.
  • Whenever there is a difference in benefits levels within PPO network and outside PPO network, the benefits shown above are applicable when availing treatment within PPO network.
  • Coverages shown are per person unless noted otherwise.
  • The dash (-) in the fields above means Not Applicable (N/A).
DISCLAIMER: This is a high level description of the insurance plan meant to provide a quick overview. It may not describe all possible scenarios or coverages in all different cases. Please refer to the brochure and the certificate wording for complete details. Even though we have tried our best to accurately describe the plan, if there is any discrepancy between this description and the certificate wording, the certificate wording will prevail.

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