Expat Worldwide Medical Plans

Benefits

Benefit Maximums

Benefits

Lifetime Maximum per Insured Person Unlimited
Annual Maximum per Insured Person Unlimited
Preventative and Primary Care Insurer Waives Deductible
Preventative Care for Babies/Children: (Birth to Age 18)
Office Visits/examination
Immunizations, Lab work & X-rays
100%
Preventative Care for Adults: (Age 19 and Older)
Routine Pap Smears, annual mammogram
PSA For Men
Annual Physical Examination/Health Screening
Diagnostic lab work & X-rays
100%
Primary Care Office Visits All except a $10 copay per visit1
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, Unless Noted
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,
deductible is waived
$30/visit, 12 visits per year
Rehabilitation and Therapy Insurer Pays After Deductible is Met
a. Inpatient Mental Health 100% up to 60 days*
b. Outpatient Mental Health 75% up to 40 visits / 60% thereafter**
c. Inpatient Substance Abuse 100% up to 60 days detox
d. Outpatient Substance Abuse 75% up to 40 visits / 60% thereafter
Prescription Drug Benefit Options Insurer Waives Deductible
Basic Prescription Drug Benefit 100% of actual charges up to $500
Optional Rider. Subject to $25,000 Maximum per Insured Person per Policy Period 80% of actual charges
Global Travel Benefits Insurer Waives Deductible
Medical Evacuation Up to $250,000
Repatriation of Remains Up to $25,000
Accidental Death and Dismemberment $50,000

Plan Deductible Choices

GeoBlue Xplorer Essential1, 2

Deductible 3

Elite $0
1,000 $1,000
2,500 $2,500
5,000 $5,000
10,000 $10,000

GeoBlue Xplorer Select1, 2

Deductible 3

Elite $0
2,500 $2,500
5,000 $5,000

This is a summary benefit schedule and certain benefit levels may be higher based on your state of issuance. Visit state specific mandates for more information. Note, customers outside the United States are issued a Washington, DC policy.

  1. Copay waived when visiting an GeoBlue contracted provider.
  2. Emergency room visits that do not result in inpatient admissions will be subject to a $50 penalty.
  3. Deductibles are Per person per Calendar Year. A family is charged a maximum of 2.5 deductibles.

Other Benefits

Insurer Pays after Deductible is Met

Home Health Care 100% Covered Expenses, as many as 30 visits per year
Skilled Nursing Facilities 100% with a maximum Covered Expense of $250 per day, as many as 50 days per year
Hospice 100% with a maximum Covered Expense of $5,000 per lifetime.

* For residents of North Carolina - The insurer will pay 100% of the usual and customary fee.

** For residents of North Carolina - After a $10 copayment, the insurer will pay 100% of the usual and customary fee.

For Exclusions and Limitations 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 product, simply return your Certificate of insurance and your ID Card to GeoBlue within 10 days of your policy effective date. If you have not already used your insurance benefits, you will receive a full refund.