Understanding the Benefits and Differences of Travel Medical, Student Medical and Expatriate Medical Insurance. October 26, 2011, 3:00-3:50, Track 2

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2 Understanding the Benefits and Differences of Travel Medical, Student Medical and Expatriate Medical Insurance October 26, 2011, 3:00-3:50, Track 2

3 Jim Krampen Executive Officer Seven Corners, Inc. Jim Grace President & CEO InsureMyTrip.com IMT Services Corporation Chiranth Nataraj President & CEO International Services, Inc.

4 Types of International Medical Insurance Products This presentation will explore the similarities and differences in three international medical product categories: International Travel Medical Insurance International Student Medical Insurance Expatriate Medical Insurance

5 The Insured s Profile The insurance product's benefits and eligibility are designed and suited to the insured s profile and needs. It is imperative that we determine the insured s profile to select the best product they are eligible to purchase.

6 Leisure Travelers

7 Students

8 Expatriate Employees

9 Missions and NGOs

10 Mariners and Crew

11 Immigrants

12 Eligibility Factors Each of the three international medical insurance products offer similar benefits, but have definitive eligibility requirements, which distinctly divides them into submarkets. Eligibility for the products is most often represented by the following factors: Location(s) of the Insured(s) Access to treatment/coverage within insured s destination country and in their home country. Length of Coverage Needed Coverage Depth and Limit Required Socioeconomic Class of the insured Age of Insured(s) Visa Requirements Contract or Statutory Requirements

13 International Travel Medical: 4Ws Who are the Insured (Individuals & Groups) US Residents & Foreign tourists Short term work contracts/assignments Why is Coverage Required US Medicare and HMO limitations Medical evacuation or repatriation benefits Foreign citizens limited or no insurance Visa Requirements Schengen, UAE Where is Coverage Offered Abroad (limited home country coverage) OFAC & Travel Warnings What is covered Medical limits $25K to $1M (age limits apply) New sickness/injury (pre-ex exclusion) Medical Evacuation & Repatriation

14 International Student Medical: 4Ws Who are the Insured (Ind. & Groups) International Students & Scholars in US Study Abroad Programs Why is Coverage Required Domestic plan limitations: evac-repat, claims Foreign students limited or no insurance Visa Requirements J visa, F Visa US School Requirements Where is Coverage Offered Abroad (limited home country coverage) OFAC & Travel Warnings What is covered Medical limits $50K to $300K New sickness/injury (pre-ex wait) Evacuation, Repatriation, Mental, Substance Abuse

15 Expatriate Medical Insurance: 4Ws Who are the Insured (Individuals & Groups) Expats living/working long term overseas Foreign Employers, Govts. (worldwide coverage) High net-worth individuals liking US healthcare Marine Crew Why is Coverage Required Expats ineligible for domestic coverage in residing nation US is still the preferred place for medical treatment Global-workers seek worldwide coverage (home-country too) Where is Coverage Offered Worldwide (home country coverage offered) Length of stay in US complexities What is covered Medical limits $500K to $8M True Long Term Healthcare (pre-ex wait) Evac, Repat, Preventive Care, Pregnancy, Transplants

16 Selecting the Right Product Now that we have examined the various types of eligibility and insured profiles, let s take a look at the various products and the most common benefits of each. The following chart is an example of the more common benefits featured in each product and are by no means a definitive or absolute listing of benefits in each product category.

17 Benefits Expat Major Medical Plan Student Plan Travel Medical Plan Multiple Deductible Options Ranging from $0 to $10,000 Ranging from $0 to $1,000 Ranging from $0 to $5,000 Family Deductible Limit 2 or 3 times Individual Deductible Generally Not Provided 2 or 3 times Individual Deductible Coinsurance Varying % in and out of PPO Varying % in Campus Facilities Varying % in and out of PPO Maximum Benefit per Insured Person $5,000,000 $1,000,000 $1,000,000 AD&D $25,000 $25,000 $25,000 CT and MRI scans Incuded Incuded Incuded Dental, Accidental Damage to Teeth Incuded Incuded Incuded Emergency Medical Reunion Incuded Incuded Incuded Emergency Transporation Incuded Incuded Incuded Evacuation and Repatriation Incuded Incuded Incuded In-Patient Hospitalization Incuded Incuded Incuded Intensive Care/Coronary Unit Incuded Incuded Incuded Inpatient Drugs and Dressings, surgeon and anesthetist fees, operating room charges, pathology. Incuded Incuded Incuded Inpatient Surgery Incuded Incuded Incuded Return of Mortal Remains Incuded Incuded Incuded Oncology: Treatment given for cancer as inpatient, outpatient, or daypatient (chemotherapy, radiation therapy) Incuded Incuded Incuded Out-Patient Surgery Incuded Incuded Incuded Out-Patient Care Incuded Incuded Incuded Home Country Coverage (Limited if Home Country is U.S. or Canada. Otherwise fully covered), but with limited scope and benefits, but with limited scope and benefits Hospital Indemnity Incuded Incuded Prosthesis Incuded Incuded

18 Benefits Expat Major Medical Plan Student Plan Travel Medical Plan Complications of Pregnancy Incuded Incuded In-Patient Psychiatric Treatment Outpatient Psychiatric Rehabilitation Maternity Newborn Care Unexpected Recurrence of a Pre-existing Condition Chronic Conditions Pre-existing Conditions (Covered after 12-month waiting period) (Limited dollar and time period) Not covered if existed prior to effective date; limited coverage after 24 months continuous cover if disclosed on application & not ridered. Limited coverage after 24 months of continuous cover if disclosed on application and not excluded by a rider Incuded (Limited to routine inpatient neonatal testing & inpatient postpartum stay covered under maternity benefit. Otherwise, no cover. ) (Generaly limited to U.S. citizens only) Initially not covered if existed prior to effective date. Covered after 24 months continuous coverage. Covered. Time limit for pre-ex varies. (Generaly limited to U.S. citizens only) 1) Not covered except under unexpected recurrence of pre-existing condition or acute onset of a pre-existing condition 2) Time limit for pre-ex period varies Well-Child Care Vaccinations and Inoculations Dental, Routine Organ Transplant Durable Medical Equipment (covered if rider purchased) Limited: bone marrow, liver, heart, pancreas, heart/lung,kidney/pancreas, lung Limited to specific items; otherwise covered for inpatient only

19 Benefits Expat Major Medical Plan Student Plan Travel Medical Plan Preventive Benefits (limited benefit) Home Nursing (limited benefit) Hospice (limited benefit) Infertility Treatment Congenital Conditions TMJ Vision AIDS/HIV/ARC & Related Illnesses

20 Benefits at a Glance Benefits Expat Major Medical Plan Student Plan Travel Medical Plan Multiple Deductible Options Ranging from $0 to $10,000 Ranging from $0 to $1,000 Ranging from $0 to $5,000 Family Deductible Limit 2 or 3 times Individual Deductible Generally Not Provided 2 or 3 times Individual Deductible Coinsurance Varying % in and out of PPO Varying % in Campus Facilities Varying % in and out of PPO Maximum Benefit per Insured Person $5,000,000 $1,000,000 $1,000,000 AD&D $25,000 $25,000 $25,000 CT and MRI scans Incuded Incuded Incuded Dental, Accidental Damage to Teeth Incuded Incuded Incuded Emergency Medical Reunion Incuded Incuded Incuded Emergency Transporation Incuded Incuded Incuded Evacuation and Repatriation Incuded Incuded Incuded In-Patient Hospitalization Incuded Incuded Incuded Intensive Care/Coronary Unit Incuded Incuded Incuded Inpatient Drugs and Dressings, surgeon and anesthetist fees, operating room charges, pathology. Incuded Incuded Incuded Inpatient Surgery Incuded Incuded Incuded Return of Mortal Remains Incuded Incuded Incuded Oncology: Treatment given for cancer as inpatient, outpatient, or daypatient (chemotherapy, radiation therapy) Incuded Incuded Incuded Out-Patient Surgery Incuded Incuded Incuded Out-Patient Care Incuded Incuded Incuded Home Country Coverage (Limited if Home Country is U.S. or Canada. Otherwise fully covered), but with limited scope and benefits, but with limited scope and benefits Hospital Indemnity Incuded Incuded Prosthesis Incuded Incuded Complications of Pregnancy Incuded Incuded In-Patient Psychiatric Treatment Outpatient Psychiatric Rehabilitation Maternity Newborn Care Unexpected Recurrence of a Pre-existing Condition Chronic Conditions Pre-existing Conditions (Covered after 12-month waiting period) (Limited dollar and time period) Not covered if existed prior to effective date; limited coverage after 24 months continuous cover if disclosed on application & not ridered. Limited coverage after 24 months of continuous cover if disclosed on application and not excluded by a rider Incuded (Limited to routine inpatient neonatal testing & inpatient postpartum stay covered under maternity benefit. Otherwise, no cover. ) (Generaly limited to U.S. citizens only) Initially not covered if existed prior to effective date. Covered after 24 months continuous coverage. Covered. Time limit for pre-ex varies. (Generaly limited to U.S. citizens only) 1) Not covered except under unexpected recurrence of pre-existing condition or acute onset of a pre-existing condition 2) Time limit for pre-ex period varies Well-Child Care Vaccinations and Inoculations Dental, Routine (covered if rider purchased) Organ Transplant Limited: bone marrow, liver, heart, pancreas, heart/lung,kidney/pancreas, lung Durable Medical Equipment Limited to specific items; otherwise covered for inpatient only Preventive Benefits (limited benefit) Home Nursing (limited benefit) Hospice (limited benefit) Infertility Treatment Congenital Conditions TMJ Vision AIDS/HIV/ARC & Related Illnesses

21 Premiums at a Glance Average Monthly Premium Expatriate Major Medical Plan Student Plan Travel Medical Plan $100 to $200 $30 to $45 $50 to $100

22 Thank You! Jim Krampen Executive Officer Seven Corners, Inc Jim Grace President & CEO IMT Services Corporation Chiranth Nataraj President & CEO International Services, Inc

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