Overview
WorldMed is a comprehensive coverage plan for persons traveling outside their home country. You can obtain an instant quote and/or purchase online on this web site. The insurance coverage can start as early as the next day or any future date you specify. As soon as you make a purchase, you will receive a virtual id card in your email.
What is covered and not covered?
The insurance company will generally pay for new medical conditions, injuries (caused either by accidents or otherwise) or sicknesses that may occur after the effective date of the policy. It does not cover any expenses related to pre-existing conditions, preventive check ups, immunizations or maternity.
For visits to Urgent Care facilities in the U.S., there is a $25 copay and your deductible is waived; if you choose a $0 deductible then your copayment is waived. After this, your coinsurance will apply.
Prescription drugs are covered just like any other eligible medical expenses. More information.
Dental pain is practically not covered.
WorldMed provides coverage anywhere outside of your home country including travel time as well. It also covers loss of checked luggage.
How do I use the insurance?
Please look at the detailed description.
How much is covered?
First, you will have to pay your chosen deductible once per policy period (varies from $0 to $2,500) before the insurance company starts paying for covered expenses, even for doctor visits. You will need to continue to pay all the money yourself until you have completely satisfied the deductible. The deductible is not just for hospitalization.
After that, within the PPO network, the plan pays 100% of covered expenses. For outside the PPO network, you pay the usual, reasonable, and customary; you would be responsible for charges exceeding the payable amount. Policy maximums ranging from $500,000 to $2,000,000 are available.
Example:
Let's assume that you have purchased a $1,000,000 policy maximum with a $250 deductible for 3 months.
Let's assume that the doctor charges you $150/visit and you need to visit several times.
The first time you visit the doctor, you will have to pay all of that $150 yourself. You still have $100 left towards the unsatisfied deductible.
When you visit the doctor the next time, and he charges you $150, you will have to pay $100 yourself. You have now completely satisfied your deductible once per policy period. The plan pays the remaining $50.
For any subsequent treatment (whether for the same condition or a different condition), you don't have to pay the deductible again. The insurance company will continue to pay 100% for covered medical expenses, up to $1,000,000.
Let's assume that you were in an accident and are hospitalized for 2 days. The hospital charges $12,000 per day for a total bill of $24,000. Assuming this is the first instance of your needing to use the insurance, you pay your $250 deductible and the insurance company will pay the rest.
Benefits Updated: 02/26/2020