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Q:Visitors Insurance Queries My father, aged 78 years is going to visit me in the US and I am interested in choosing the right insurance for him. I am leaning towards Liaison INternational, Liaison Worldwide or Atlas. I would like some guidance based on some of the following criteria: 1. Direct Billing rather than reimbursement of expenses 2. Comprehensive coverage 3. Availability of in-network providers 4. Plans offered. The limit I am considering would be in the range of $50,000 to $60,000. Can you please help? Thanks!

A:
Thank you for your interest in purchasing visitors insurance. All three plans that you have specified are equivalent in terms of the first three items you mentioned. I am not sure what exactly you mean by item #4. Please clarify. Thanks for your response. Do all the plans I have previously enquired about support direct billing, rather than me having to pay all of the amount charged by the provider and then getting reimbursed? I have read somewhere in the brochures that they require the insured to verify that the we need to inform the administrator before seeking medical treatment ... would this be true even for in-network providers? It is best to ask the questions in the discussion forums as Reviews section is meant only for posting the experiences and therefore has a flat structure. As you can see, the questions and answers from different people get mixed up with one another's. Anyway, to answer your questions: You are mixing two different matters into one another. 1. All 3 plans you mentioned participate in a PPO network. Therefore, when you go to the providers in the network, they generally bill the insurance company directly. Therefore, you don't have to first pay and file for reimbursement. That is uniform across all three plans. 2. This is different in different plans. In Liaison Plans, before you take any treatment in the U.S., you have to call the phone number listed on your insurance card and let them know (prenotification). After that, visit the provider and show your insurance card and in-network providers can bill directly. In Atlas Plan, you have to first inform the insurance company (prenotification) only in case of major things such as surgery, MRI or scheduled hospitalization. In case of emergency hospitalization, you can call within 48 years hours. Again, you take the insurance card to the provider and in-network providers can bill directly. As you can see, from the above explanation, that #1 and #2 items are totally different from each other. In other words, just because you have to inform the insurance company (in some or all case, depending upon the insurance plan) does NOT mean that you have to first pay and then file for reimbursement. Informing the insurance company actually helps so that, if appropriate, can call the provider and provide the necessary information for your smooth experience. I hope that answers your questions. If you have any other questions, please feel free to contact us at any time. thanks for the explanation. If I've understood correctly, Liaison requires us to call the number on the card for any treatment, while Atlas requires it only for surgery, hospitalization, etc... and would not require us to inform the insurance for example, for a physician's visit. Is this correct? I was also looking at Patriot America and Protection America, especially since they also offer RX discount cards. Are there any other advantages to these plans over Atlas and Liaison? Thanks! 1. Correct. 2. Those are also similar plans. Prenotification/Precertification in IMG is similar to HCCMIS, for major things. All 3 major companies: IMG, Seven Corners and HCCMIS are practically equivalent in terms of customer service, network providers, ease of use etc. The main differences that you are see are the objective ones that you see while comparing the plans side by side on this web site. e.g., the coinsurance, out of pocket maximum, renewal and cancellation rules, the prices and other minor differences that you see in different plans. I hope that answers your questions. If you have any further questions, please feel free to post them here or contact us at any time.
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Q:Why ICICI Lomabrd is cheaper I am looking for Travel Insurance policy for my parents,aged 5657, who will be visiting us for 3 months. I was going thru ICICI Lombard's policy and it looks like it's not a limited coveraeg policy. e.g.g If I got for coverage of $50,000, the policy can pay upto that with $100 deducitble per illness. I am most concerned about having coverage for big expenses like hospitalization. I am not concenred about paying $100$200 for doctor visit for small things. So, with Lombard, they can pay almost all that amount upto 50K. whereas with &quotInbound USA&quot and &quotvisitors care&quot there are sublimits. e.g. $150 for prescription drugs, $200 for emergency room etc. I don't think ICICI lombard has sublimits like this. moreover, ICICI has Personal liability cover too, that means if my father starts driving car and have an accident, I have liability coverage. I understand there are bad experiences about ICICI lombard and it might be tedious to get the claim processed. But I am still not clear what is the catch here. Given a legitimate claim, they cannot deny it. I would appreciate your comments on this. Thanks.

A:
Dear Mr. Shah, For the persons above the age of 55 years old, ICICI is definitely a fixed coverage plan. They have not mentioned it in their brochure. However, please look into the policy wording on page 3 in the section called 'Special Conditions' and read #2. It clearly mentions that. You will see the sublimits just like Visitors Care and Inbound USA. Comparing ICICI with comprehensive coverage plans would not be apples to apples comparison. If some product is significantly cheaper than many others, there is usually more than what you readily see. That is why you have to examine everything more carefully. Anyway, it is always better to buy the insurance from the U.S. based company. Please read /visitors-insurance-usa-india-comparison/ to find out more details about buying from US v India. Please examine each aspect and verify it yourself and rather than just taking someone's word for it. Please trust that companies that offer comprehensive plans in the U.S. would not charge 3 times more money for no reason because no one would buy them if that were really the case. I hope that answers your questions. If you have any further questions, please feel free to contact us at any time. Thanks much for prompt reply and advise. Sorry, I didn't attend to it sooner as I was busy. I udnerstand that ICICI's plan is no way comprehensive plan. They have sub-limits. And my parents are also 56+. Still, here is the comparision I made between Visitors care plan with USD 50,000 limit and ICICI lombard's plan for someone who is 56+. Benefit Vi.Ca. ICICI Which is better? ------------------------------------------------------ Room: 1400 1600 ICICI ICU: 2K 3K ICICI surgical: 3300 12K ICICI Anaesthetist: 25% 25% SAME Pre-admission test: 1100 750 Visitors Private Duty nurse: 550 --- ?? Physicial visit: 55*30 75*10 ICICI (Provided 10+ visits are not required) Diagnostic xray: 800 prescriptions: 250 --- ICICI Ambulance: 450 500 ICICI Moreover, 1. They say there is not specific limit on prescription. If true, this is a big plus point, compare to mere $250 prescription benefit with Visitors Care. 2. There is a PERSONAL LIABILITY coverage with ICICI. This can be used as a liablity insurance for driving car. I am no way an ICICI agent/broker or any way affiliated to ICICI. I am just intrested in buying insurance for my parents who are coming here next week. It seems that ICICI offers (or promise to offer) a lot. But from the past experiences of other customers, I still feel to go for Visitors Care insurance, mostly because I don't want to send documents to India and wait for them to process. I would prefer cashless payment. I have these questions about - Visitors care 1. How to claim - Is it cashless? 2. Is there any network discount / or network at all ? 3. Will I get ID cards? What document can traveler carry to show at POE (just in case officer ask abt insurance)? 4. I am plannign to buy policy for my father and mother. Are both the policy completely independent or grouped together in anyway? 5. I am planning to go for plan A, with 25000 max benefit. Is the limit of 25,000 per person? Can you please give your contact number, or call me at 908-671-1112? Dear Mr. Shah, There is really no apples to apples comparison, when you buy the insurance from India. Please read /visitors-insurance-usa-india-comparison/ to understand more details about the differences in buying from US vs India. Simply comparing the benefit limits is not the right comparison as there are many other things beyond that. 1 & 2. Read /international-medical-ppo-network/ 3. Yes, you will get the ID cards, both by email and by postal mail. Additionally, you can download the documents at any time from our current clients section at /myaccount/ 4. Everything is per person. 5. Yes, it is per person. My phone number is (866) INSU-BUY. You can talk to anyone in our office. Everyone that answers the phone call is a licensed insurance representative. Specifically, my extension is 112. If you have any other questions, please feel free to contact us at any time.
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Q:LiasonMajestic Vs PatriotPlatinumAmerica for age 70 Dear Insubuy Manager, My father is visiting for 2 months, he is 70, no major ailments history. But he has BP which is under control with medication. (he is bringing enough medication, he has also visited US ealier when age was < 70 ) I see very few options for persons for 70+. I need a policy that will cover for something like a heart attack (no prior history). Is it a foregone conclusion that heart attack / stroke will always be tagged as a preexisting condition of BP? Or is it dependent on the attending physicians comments on a per incident basis? There is not much coverage in LiaisonMajestic for pre-existing conditions for 70+. Is it advisable to buy PatriotPlatinumAmerica instead ? What do you recommend for someone 70, with mild BP condition under medication. Thanks for your time, sm_inplano.

A:
Heart attack can be caused by a variety of reasons. Just because you have blood pressure, it does not mean that the heart attack is automatically considered as pre-existing condition. At that same time, just because the person never had the heart attack, it does not mean that heart attack will be covered automatically. It all depends upon the individual case. The claims department will determine based on the attending physician statement and the medical records, whether something is a pre-existing condition or not. Liaison Majestic provides a $200 per night for every night spent in the hospital due to heart attack or stroke that is due to pre-existing conditions, max $3,000. There are no network negotiated fees for the rest of the expenses, as $200/night is given just as indemnity and not processed as a claim. Other than that, Liaison Majestic has policy max of $60,000 while Patriot Platinum America has policy max of $100,000. After deductible, Liaison Majestic is 90/10 for first $5,000 then 100% up to policy max. Patriot Platinum America has 100% up to policy max after the deductible. Therefore, I believe that Patriot Platinum America overall provides much more coverage than Liaison Majestic for new medical conditions, based on the policy max and the coinsurance. Therefore, I would recommend you to buy Patriot Platinum America. However, as you now know the exact pros and cons of each plan, you make a better educated decision. If you have any further questions, please feel free to post them here or contact us at any time.
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Q:IMG Claim Filed - Pls Help Hello, My in-laws, my wife and myself were in a car crash earlier this month. I had purchased Visitor Insurance from IMG thru Insubuy. My mother in law was seriously injured and was in ICU for almost 4 days, there after she under general ward and now in Rehab for atleast next 10 days. My father in law under went a surgery in his hand and was in hospital for couple of days as well. All this is mounting into a huge medical expense. I had taken only a limited insurance with 50K max coverage. Though I have complete car insurance coverage, I am not sure together I will be covered for all the expenses. I spoke to IMG they mentioned of limited coverage and they mentioned that IMG will be secondary coverage for paying the bills. But the auto insurance claim adjuster mentioned that auto is secondary. Not I am not sure which one is, but all i want to make sure is that I am covered. I am clue less as whom to talk and make all this clear or what action to take. We are students here would not be able to make payments as big. If anyone has come across this situation then please guide. Thanks for your cooperation.

A:
What state are you located? Whose fault was it to cause the car crash? Accident took place in Ohio, my car is registered in MI. I have recently moved in Wisconsin and had got this policy. but my wife is still living in MI. So i am not sure which state rules will apply. We had lost control of the car, but we were within the speed limit. there was no other car involved in this accident. Was there any other vehicle involved? In other words, did you cause the accident or was there any other party involved? Who car insurance company are you talking to? Please provide complete information. As I said we lost control of the car, no there was no other car involved. I am currently talking to my auto insurance only. Since I am currently in WI my policy is written here, but my car was registered in MI. I want to understand wats the role of IMG would be. Will they be be primary insurance provider or secondary and on what basis will they be covering the expenses. Thanks so much! IMG insurance is secondary, for sure. Look at /visitors-care/visitor-medical-insurance/ Look under the 'Conditions of Coverage' section and read item #2. Therefore, I suggest that you first file a claim with your auto insurance and then for remaining amount, file a claim with IMG. Regarding how your auto insurance works, please contact them.
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Q:Fixed coverage plan - PPO network My Parents are coming for 3 months to visit us. Both are healthy, I wanted to take just fixed coverage plan. When I was checking options, I see Visitors Care and Inbound USA. In case of Visitors care it is mentioned - First Health PPO Network (No PPO Discount) -- what is meaning of that? It looks like In Bound USA - there is no PPO network. Will you suggest something for fixed coverage but having PPO network ? Thanks Abhay

A:
How old are they? Dad 62 & Mom 55 Even for the healthy persons, it is always better to buy the comprehensive coverage plans. That is because in most plans, what is covered is essentially the same, but how much is covered is the difference. Please read /visitors-insurance/ to understand the difference between fixed vs comprehensive coverage. If you would still like to buy the fixed coverage plan, coming back to your original question: In all the visitors insurance plans, you can always go to any doctor or hospital you like as there is no restriction. However, for the plans that participate in the PPO network, there is a list of doctors and the hospitals that readily recognize the PPO network. Therefore, if you visit them, they are much more likely to bill the insurance company directly. Additionally, when you go to the providers in the PPO network, they would charge you the network negotiated fees, rather than their full fees. That is called "PPO discount". This normally happens in the most comprehensive coverage plans. However, in case of fixed coverage plan Visitors Care, as the insurance company pays only a fixed maximum amount and not based on the actual charges, there is no incentive for them to negotiate the charges. Therefore, in Visitors Care, there are no network negotiated fees. In other words, whether you go in network or out of network, the coverage is the same. The only advantage you get within PPO network is that they are more likely to bill directly. In case of Inbound USA, there is no PPO network and therefore there is no question of network negotiated fees. You get a health insurance card that has all the information that the providers will need to bill directly. However, there is no directory specifying who is doing it and who is not doing it. Therefore, it is up to the individual provider whether to bill directly or not. I hope that answers your questions. If you have any further questions, please feel free to post them here or contact us at any time.
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Q:Visitors Insurance for my Dad Hi, My dad is 68 yrs old and he will be visiting US for 6 months. He has some preexisting conditions like asthma, allergy , diabetes. I am planning to buy the insurance plan "$15,000 acute onset pre-existing conditions coverage: Age<70" from Atlas America. I wanted to know if certain scenarios will be covered with this plan like 1. If he is suddenly unable to breathe due to his pre-existing asthma problem. 2. If he has severe congestion problem because of his pre-existing allergy problem. 3. Sudden increase in sugar level resulting in extreme dizziness. Please let me know what do they mean by acute onset pre-existing coverage?? and which plan would you suggest for him. Thanks, Aarti

A:
Atlas America: If you are under age 70, you are covered for an Acute Onset of a Pre-existing Condition. Coverage is available up to $15,000 lifetime maximum for eligible medical expenses and up to $25,000 lifetime maximum for Emergency Medical Evacuation. An Acute Onset of a Pre-existing Condition is a sudden and unexpected outbreak or recurrence of a Pre-existing Condition which occurs spontaneously and without advance warning either in the form of physician recommendations or symptoms. Treatment must be obtained within 24 hours of the sudden and unexpected outbreak or recurrence. So will the scenarios mentioned above be covered as part of the pre-existing conditions in this plan? Whether a particular condition is an acute onset of pre-existing condition or not can be answered in advance of it happening. That is because it all depends upon the specifics of the case and it is determined based on the medical records and the attending physician's report. Those documents will only be available after it has already happened. Therefore, in two very similar looking cases, the outcome may be totally different. Therefore, it is not possible for anyone to say yes or no for hypothetical scenarios.
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DISCLAIMER: Information presented in our Questions and Answers section is generic and was deemed to be accurate at the time of response. Please use the answers as a guide and do not make decisions based on the answers. The answers presented may be outdated and altogether inaccurate currently or not relevant as the details provided such as the insurance terms and conditions, plan benefits, eligibility and coverage may have changed. Insubuy assumes no responsibility for relying on such answers. You should review the latest certificate wording of the insurance policy (available on this website) for the product you are considering for the latest and complete details. If there is any conflict between the answers provided here and the certificate wording, the details of the certificate wording will prevail.

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