1 Travelsafe Travel Insurance that gives you peace of mind whether you are traveling for business or pleasure For your travel needs, you trust only a professiol. For your travel insurance, trust Blue Cross. We make sure professiol also means persol. Reliable. Helpful. Trusted.
2 Whether you re traveling for business or for pleasure, you need peace of mind. The Blue Cross Travel Insurance Plans offer you the following benefits: MEDICAL TREATMENT This covers your hospitalization, surgery, visits to registered physicians or specialists, prescribed medicines, emergency ambulance and emergency care due to a covered illness or injury occurring during your travel. This benefit also provides in-patient coverage for pre-existing conditions up to the specified limit. The hospital daily room rate should not exceed US$350, or its Peso equivalent as determined by the Company for Dollar and Peso Plans, and 225 for Euro Plans. HOSPITAL INCOME This provides a daily income up to ten (10) consecutive days of your hospitalization in excess of 24 hours from the time of your admission. Your medical and surgical treatment are also covered under this plan. PERSONAL ACCIDENT This covers you when an accident occurs while traveling resulting in death or total permanent disability, including loss of one or both eyes or limbs. The maximum payable amount to a child from six (6) to 15 years old or a person above years old shall be Php,000 for Peso Plans, US$5,000 for Dollar Plans and for the Euro Plan. PERSONAL LIABILITY This covers expenses you might incur if you have caused another person s accidental death, bodily injury or damage to property, because of situations beyond your control while you are traveling. BAGGAGE DELAY This covers you when your checked-in baggage has been delayed, misdirected, or temporarily misplaced in delivery for more than 12 hours from the time you arrived at your destition. BAGGAGE LOSS OR DAMAGE This covers your baggage including clothing, prescribed medicines, bags, footwear and other persol effects, if they have been lost or damaged during your travel. Items inside your bag are covered per item, pair or set of up to Php5,000 for Peso Plans, US$150 for Dollar Plans and 95 for the Euro Plan. For damaged or lost baggage, Blue Cross will cover up to the actual cost of repair, or cost of the lost baggage, subject to depreciation, but not to exceed the maximum benefit. We will not make payment for articles that are more than five (5) years old. LOSS OF TRAVEL DOCUMENTS This covers only the replacement fee of your passport, and the re-issuance of your travel tickets of the same class. This benefit does not cover transportation, communication and other related incremental charges you might incur in the process of getting your new passport or tickets. TRIP CANCELLATION This provides reimbursement for the unused and non-refundable portion of your travel and accommodation expenses which have been paid in advance, if your trip is cancelled within 30 days prior to the scheduled departure date or on the scheduled departure date. The cancellation must be due to death, life threatening condition or sickness of the Insured, or his immediate family member which require emergency medical attention, or due to tural catastrophe or unexpected outbreak of strike, riot or civil commotion at the planned destition. TRIP TERMINATION This provides reimbursement for the unused and non-refundable portion of your travel and accommodation expenses which have been paid in advance, if you need to cut short your trip and return to your place of origin after your coverage has begun. The termition must be due to death, life threatening condition or sickness of the Insured, or his immediate family member which require emergency medical attention, or due to tural catastrophe or unexpected outbreak of strike, riot or civil commotion at the planned destition. FLIGHT DELAY This reimburses your incurred expenses if your flight is delayed by more than 12 hours due to severe weather conditions. Delays of chartered flights are not covered. MISSED CONNECTING FLIGHT This covers you if you missed your onward connecting flight due to the late arrival of your incoming flight and no altertive onward transportation is made available to you within twelve (12) consecutive hours after the arrival time of your incoming flight. The delay of the incoming flight must be due to severe weather conditions or organized industrial action/strike or hijack. STRIKES AND HIJACKS This provides a daily allowance for a maximum of ten (10) days for each full day your travel is delayed for more than 12 hours from reaching your scheduled destition due to organized industrial action, strike or hijack. FUNERAL AND BURIAL EXPENSES This covers the cost of funeral and burial expenses to be incurred at the point of origin if death occurs due to a covered disability or medical condition while you are traveling. EMERGENCY ASSISTANCE BENEFITS A. The following benefits are available to you only if they are arranged through our Emergency Assistance partner: Emergency Medical Evacuation We will arrange and pay for the provision of air and/or surface transportation, communication and all usual ancillary services required to move you to the nearest hospital where appropriate medical care is available. Emergency Medical Repatriation We will arrange and pay for a medically supervised repatriation to your Home Country or Usual Country of Residence after stabilizing your medical condition, to the satisfaction of our Emergency Assistance partner. Care of Minor Child(ren) We will arrange for the return of your minor children to your Home Country or Usual Country of Residence, if they are left uttended as a result of your death, illness, accident, or Emergency Medical Evacuation. Compassiote Visit We will arrange and pay for an economy roundtrip transportation for one of your immediate family members or a friend to join you, when you are traveling alone and are hospitalized for a covered condition for more than seven (7) consecutive days. Return of Mortal Remains We will arrange and pay for the transportation of your mortal remains to your Home Country or Usual Country of Residence. B. The following benefits are available to you subject to the terms and conditions as agreed upon by Blue Cross and our Emergency Assistance partner: Medical Consultation, Evaluation and Referral Hospital Admission Assistance following a Medical Evacuation Medical Monitoring Prescription Assistance Emergency Message Transmission Interpreter and Legal Referrals Lost Luggage or Document Assistance Emergency Cash Coordition Pre-trip Information V09.11_P04.13_MIN BCD
3 Travelsafe Tripguard Travel Insurance for business or pleasure with Benefits & Premiums on a per trip basis as of 1 September 2011 SCHEDULE OF BENEFITS Medical Treatment Treatment for Pre-existing Conditions * Hospital Income (per day up to 10 days) Persol Accident Persol Liability Baggage Delay Baggage Loss / Damage Loss of Travel Documents Trip Cancellation Trip Termition Flight Delay Missed Connecting Flight ** Strikes / Hijack (per day up to 10 days) Funeral & Burial Expenses Emergency Medical Evacuation Emergency Medical Repatriation Care of Minor Child(ren) Compassiote Visit Return of Mortal Remains Emergency Assistance * for in-patient medical treatment only ** per 12 consecutive hours, maximum of 96 hours Php 500, ,000 15,000 10,000 Php,000 1,500 1,500,000,000 25,000 PRIVILEGE Php 2,500,000 1,500 1,500,000,000 25,000 $ 25, ,000 40, PLAN $ 300 PRESTIGE EURO PLAN 30, ,000 30, PREMIUMS as of 1 SEPT 2011 Travel Including USA / Cada / HKG Up to 4 days Up to 8 days Up to 15 days Up to 24 days Up to 31 days Up to 45 days Up to days Each add l 10 days Php ,053 1,283 1,7 2, Php 882 1,405 2,019 2,642 3,245 4,505 5, Php ,177 1,430 1,683 2,189 2, Php 1,152 2,082 2,929 3,587 4,257 5,581 6, PRIVILEGE Php 6 1,263 1,786 2,614 3, 4,322 5, Php 1,729 3,119 4,450 6,562 8,098 11,019 13,611 1,352 $ $ PLAN $ $ PRESTIGE EURO PLAN Travel Excluding USA / Cada / HKG Up to 4 days Up to 8 days Up to 15 days Up to 24 days Up to 31 days Up to 45 days Up to days Each add l 10 days Php ,162 1,585 2, Php 741 1,255 1,807 2,369 2,939 4,043 5, Php ,063 1,290 1,518 1,961 2, Php 973 1,883 2,647 3,238 3,840 5,001 6, Php 610 1,135 1,8 2,353 2,880 3,889 4,809 6 Php 1,495 2,804 4,003 5,905 7,286 9,916 12,361 1,217 $ $ $ $ Philippine Travel Only Up to 4 days Up to 8 days Up to 15 days Up to 24 days Up to 31 days Up to 45 days Up to days Each add l 10 days Php ,029 1,408 1, Php 593 1,109 1,597 2,096 2,3 3,592 4,9 403 Php ,139 1,341 1,746 2, Php 878 1,661 2,334 2,858 3,392 4,452 5, Php 568 1,035 1,464 2,093 2,499 3,3 4,1 443 Php 1,389 2,556 3,647 5,254 6,324 8,7 10,727 1,109 NOTES: 1. Period covered for Tripguard Plans is up to 180 days per trip, subject to extension. 2. If you are 76 years old or older, please contact the Travel Sales Department at Tel. No. (632) or for more details about your coverage and premium. 3. Tripguard Benefits and Premiums as of 1 September $ $ $ $ V09.11_P04.13_NR
4 Travelsafe Annual Travel Insurance for the frequent traveler, with Premiums, Medical & PA on an annual basis as of 6 SCHEDULE OF BENEFITS Medical Treatment * Treatment for Pre-existing Conditions * 1 Hospital Income (per day up to 10 days) Persol Accident * Persol Liability Baggage Delay Baggage Loss / Damage Loss of Travel Documents Trip Cancellation Trip Termition Flight Delay Missed Connecting Flight (per 12 consecutive hrs max. of 96 hrs) Strikes / Hijack (per day up to 10 days) Funeral & Burial Expenses Emergency Medical Evacuation Emergency Medical Repatriation Care of Minor Child(ren) Compassiote Visit Return of Mortal Remains Emergency Assistance Php 500,000 1,500, ,000 * Only these benefits are on a per annum basis. Other benefits are on a per trip basis. 1 for in-patient medical treatment only Php,000 1,500,000,000 30,000 $ 25,000 40,000 $ ,000 PREMIUMS Travel Including USA / Cada / Hong Kong Php 6,404 Php 9,6 $ 283 $ 345 Travel Excluding USA / Cada / Hong Kong 5,765 8, Philippine Travel Only 5,124 7, V09.11_P04.13_NR NOTES: 1. Period covered for Annual Plans is for an unlimited number of trips per year, provided that each trip does not exceed days. 2. If you are 76 years old or older, please contact the Travel Sales Department at Tel. No. (632) or for more details about your coverage and premium. 3. Annual Benefits and Premiums as of 1 September 2011
5 Some terms defined and other important details: Place of origin is the place where your travel commenced. Immediate family members include your spouse, child, brother, sister or parent. Minor children are children six (6) weeks old to 17 years old. Travelsafe Insurance Plans ( Plans) cover persons six (6) weeks old to years old. If the Insured Person is covered for domestic travel (within the Philippines), only the following Emergency Medical and Travel Assistance Benefits are available: Medical Consultation, Evaluation and Referral, Medical Monitoring and Medical Evacuation. We will provide you assistance and advice for free through our Emergency Assistance Partner, but you will be responsible for any third party charges incurred as a result of such advice or assistance, unless covered in the Policy. In case of evacuation/repatriation, we will pay only if it is a result of a covered illness, accidental injury or death. Blue Cross retains the absolute right to decide whether your medical condition is sufficiently serious to warrant Emergency Medical Evacuation or Repatriation. If your condition does not merit an evacuation/repatriation as per Blue Cross assessment, but you request for such services anyway, Blue Cross, through our Emergency Assistance Partner, will carry out the request. However, expenses shall be your responsibility. Medical and ambulance transport costs for Medical Evacuation and Medical Repatriation form part of the Medical Treatment Benefit if services are not coursed through our Emergency Assistance Partner. Some things you need to know about our Plan: The plan is available if you plan to travel on the same departure and return trip with your family (unlimited number of children), and you are riding on the same conveyance. Also, you and your legal spouse must be 18 to 50 years old and your children s age must range from six (6) weeks to seventeen (17) years old. The spouse and children are entitled to the same benefits as you. One exception is when the children are six (6) to fifteen (15) years old, in which case the Persol Accident Benefit becomes Php,000, US$5,000 and for all Peso, Dollar and Euro plans, respectively. No Persol Accident Benefit is payable to a child under six (6) years old. The maximum limit of the Persol Accident Benefit for the entire family (including you) will not exceed % of your Persol Accident Benefit. For all other benefits, the maximum benefit limit of the entire family (including you) will not exceed 300% of your benefits. All benefits are subject to the inner limits of the plan. Exclusions The following are not covered under the Blue Cross Travelsafe Insurance Policy: Medical and physical conditions existing 180 days prior to the scheduled departure date, or any condition arising from, or contributed by such pre-existing conditions, whether known or unknown to you. Traveling contrary to doctor s advice or for the purpose of obtaining medical treatment. War and warlike risks, unlawful or crimil acts, willful exposure to danger except to save human life. Childbirth and sexually transmitted diseases. Intoxication, use of drugs not prescribed by registered physicians, self-injury, suicide or attempted suicide, psychological conditions, mental and nervous conditions. Traveling except as fare paying passenger on a fully licensed airline or sea vessel, engaging in any occupation or trade of a manual, hazardous, technical ture. Racing (other than foot), professiol sports, scuba diving, winter sports, or other hazardous sports or activities. Certain hazardous sports can be covered at additiol cost. Non-emergency treatment, routine care, convalescent or rehabilitation care, mental or nervous conditions. Lost cash, bank notes and traveler s checks. Baggage loss without the supporting Baggage Irregularity Report from the airline or police report if such loss occurred outside the custody of the Airline. Electronic devices including but not limited to laptops, Persol Digital Assistance (PDA), mobile phones and cameras. Delay, detention, confiscation by customs or authorities. Obesity, chronic dermatologic condition and any condition arising therefrom. Permanent artificial implants, prosthetic devices, graft, durable medical equipment and corrective devices. Confinement required wholly for executive check-ups or routine medical examitions or check-ups. V09.11_P04.13_MIN BCD
6 T The Name we live by... Blue Cross is excellence. We are committed to bringing nothing but the best to our clients. Our decisions are based on an intricate understanding of our clients needs, demands and expectations. We strive to create and innovate programs that will best serve our customers. Blue Cross is stability. We are one of the leading and most fincially stable companies in the industry today. Our Premiums Earned in recent years put us in the top 20 non-life insurance companies in the Philippines. Blue Cross is experience. We draw from more than fifty years of experience in the insurance industry. Our actions are guided by a deep insight brought about by the knowledge we have gained through the years. Blue Cross is customer service. We are rooted in a commitment to ever improving customer service. We aim to be continuously progressive and professiol. Our commendable track record and competent support staff ensure that you are given immediate and excellent service at all times. Blue Cross is a partnership of trust. We build and value enduring relationships. We consistently prove that we are worthy of the highest confidence---by our strict standards, the integrity of our promises and the results we deliver. In the event of a crisis, we assure you that Blue Cross will be your friend and ally. HEAD OFFICE Blue Cross Center, 8000 Makati Avenue, 1 Makati City, Metro Manila, Philippines Tel. No.: Fax. No. : ; Website: SUBIC Suite 64, West Gate Bldg., Sampson Road, Subic Bay Freeport Zone, Zambales Tel. No.: Telefax: CEBU Unit 3, G/F Zeraus Bldg., Gorordo Avenue, Brgy. Kamputhaw, Cebu City Tel. Nos.: ; ; Fax. No.: DAVAO 2 nd Floor, Left Wing, Door No. 6, Mati Town Square, Mac Arthur Highway, Mati, Davao City Tel. No.: Telefax: V09.11_P04.13_MIN BCD