If The MEMBER has a medical or travel problem, call Global Emergency Travel Services for assistance. An English-speaking assistance coordinator will ask for The MEMBER name, The MEMBER company or group name, and a description of The MEMBER situation. Then WE will immediately begin assisting The MEMBER.
If the condition is an emergency, The MEMBER should go immediately to the nearest physician or hospital without delay and then contact Global Emergency Travel Services. WE will then take the appropriate action to assist The MEMBER and monitor The MEMBER’s care until the situation is resolved.
Global Emergency Travel Services provides The MEMBER with:
The services below are covered services up to a combined single limit of $250,000 ($100,000 for theShort-Term Plan).
Claim reimbursements are not provided under the Emergency Medical Travel Assistance Services. All Services must be arranged and provided by Global Emergency Travel Services; otherwise, the MEMBER costs are the MEMBER’s sole responsibility.
If The MEMBER suffers an INJURY or ILLNESS and in the professional opinion of both Global Emergency Travel Services’ Medical Director and the attending physician, the INJURED or ILL party is:
Global Emergency Travel Services will provide an emergency evacuation (under medical supervision, if necessary) by whatever means necessary to the nearest facility capable of providing adequate care.
Services include that Global Emergency Travel Services will:
Global Emergency Travel Services will transfer The MEMBER, by whatever means necessary, to a medical facility near HOME or directly to HOME for continuing care provided:
1) Arrangement and payment for the transportation;
2) Arrangement and payment of the cost of a medical escort if necessary.
In the event of The MEMBER’S death, Global Emergency Travel Services will render assistance and provide for the return of mortal remains.
Services include arranging and paying for:
Other services that might be performed in conjunction with those listed above include:
The services below are subject to certain sub-limits:
If The MEMBER is hospitalized or expected to be hospitalized for more than seven (7) days and The MEMBER are travelling with The MEMBER DEPENDENT Children or Grandchildren who are under eighteen (18) years of age and are left unattended as the result of The MEMBER INJURY or ILLNESS, Global Emergency Travel Services will arrange and pay for the return of The MEMBER minor children or grandchildren to their home, and if necessary, accompany them with a travelling attendant up to a maximum of $5,000.
If The MEMBER is hospitalized or expected to be hospitalized for more than seven (7) days and are travelling alone, Global Emergency Travel Services will arrange and pay for one (1) economy class round-trip ticket for a family member or friend of The MEMBER choice to join The MEMBER up to a maximum of $5,000.
Global Emergency Travel Services will arrange suitable hotel arrangements for that individual and provide an allowance for that individual of up to $100 a day to a maximum of ten (10) days for boarding and meals.
The services below are covered services up to a combined single limit of $250,000 ($100,000 for theShort-Term Plan).
Claim reimbursements are not provided under the Emergency Medical Travel Assistance Services. All Services must be arranged and provided by Global Emergency Travel Services; otherwise, the MEMBER costs are the MEMBER’s sole responsibility.
“Coverage” means the period of time for which The MEMBER is validly enrolled for Global Emergency Travel Services and for whom WE have received the appropriate enrollment fee.
The services described are available to the MEMBER only during the MEMBER Coverage Period, and medical assistance services are available only when the MEMBER is Travelling Away From Home.
Expenses for the WHILE The MEMBER IS AWAY BENEFITS will only be covered if WE have given OUR prior approval or if those services are coordinated by US.
Global Emergency Travel Services has sole discretion in making the coverage determination for the MEMBER TRANSPORTATION AFTER STABILIZATION. OUR determination will be based on The MEMBER’s medical inability to return in The MEMBER’s vehicle or previously booked transportation. WE will not return The MEMBER to The MEMBER’s PERMANENT PRIMARY RESIDENCE for the sole sake of The MEMBER’s convenience. In the event WE are arranging transportation by commercial air under the EMERGENCY MEDICAL EVACUATION benefit, and The MEMBER holds an original return airline ticket, WE may use that ticket and are only responsible for any applicable change fees. Global Emergency Travel Services has sole discretion in making the determination as to whether WE will cover the cost of EMERGENCY MEDICAL EVACUATIONS and RV/VEHICLE RETURNS. OUR decision will be based on medical considerations, including the recommendations of the treating physicians, OUR ASSISTANCE COMPANY PHYSICIANS, and OUR Medical Director with respect to The MEMBER condition and ability to travel. WE will determine the appropriate method, destination, and timing of any evacuation. The destination will be the nearest facility capable of providing appropriate care as determined by US.
WE will only direct-pay any transportation costs under the EMERGENCY MEDICAL EVACUATION, and RETURN OF MORTAL REMAINS to the transportation providers unless otherwise approved by US in advance. WE are not responsible for the availability, quality, results of, or failure to provide any medical, legal, or other care or service caused by conditions beyond OUR control. This includes The MEMBER’s failure to obtain care or service or where the rendering of such care or service is prohibited by U.S. law, local laws, or regulatory agencies.
The MEMBER legal representative shall have the right to act for The MEMBER and on The MEMBER’s behalf if The MEMBER is incapacitated or deceased.
All legal actions arising under this Agreement shall be barred unless written notice thereof is received by US within one (1) year from the date of the event giving rise to such legal action. MEMBER may be required to release US or any health care provider from liability during emergency evacuation and/or repatriation.
Without limiting the foregoing, OUR actions and obligations under this Agreement are ministerial in nature, and all medical care is provided by medical professionals ultimately selected by a MEMBER, and in no event is this the responsibility of Global Emergency Travel Services. Global Emergency Travel Services is not liable for any malpractice performed by a local doctor, healthcare provider, or attorney. Global Emergency Travel Services retains the medical discretion to limit one Medically Necessary Evacuation and/or Medically Necessary Repatriation attributable to any single medical condition of the MEMBER.
1. Hospital or medical expenses of any kind or nature;
2. Travel arrangements that were neither coordinated by nor approved by US in advance;
3. Anyone travelling against the advice of a physician, travelling with a life-threatening illness, chronic medical condition, travelling for the purpose of obtaining medical treatment or elective surgery;
4. Suicide, attempted suicide, or willful self-inflicted injury;
5. Taking part in military or police service operations or travelling in a country in which the US State Department has issued travel restrictions;
6. The commission of, or attempt to commit, an unlawful act;
7. Injury or illness caused by or contributed to by use of drugs or alcohol;
8. Pregnancies, Global does not provide services for complications due to pregnancy;
9. Mountaineering or rock climbing necessitating the use of guides or ropes, spelunking, skydiving, parachuting, ballooning, hang-gliding, deep-sea diving utilizing a hard helmet with an air hose attachment, flying in an experimental aircraft, racing of any kind other than on foot, bungee jumping, operating a
vehicle when not properly licensed, or participating in professional sports unless otherwise agreed in writing by US prior to YOUR Coverage Period;
10. Psychiatric, psychological, or emotional disorders;
11. Unless specifically listed herein, incidental expenses, including but not limited to accommodations, local transportation, meals, telephone, and facsimile charges;
12. Subsequent evacuations for the same or related medical condition, regardless of location;
13. Services covered by other valid and collectible insurance, including Medicare;
14. Services not otherwise shown as covered;
15. MEMBERS who enroll in this plan while hospitalized.
The services below are covered services up to a combined single limit of $250,000 ($100,000 for the Short-Term Plan).
Claim reimbursements are not provided under the Emergency Medical Travel Assistance Services. All Services must be arranged and provided by Global Emergency Travel Services; otherwise, the MEMBER costs are the MEMBER’s sole responsibility. If The MEMBER is travelling Away from Home and The MEMBER requires a “Medical Emergency Evacuation”, “Medically Necessary Repatriation” or “Repatriation of Mortal Remains” as outlined above.
If The MEMBER suffers an INJURY or ILLNESS and in the professional opinion of both Global Emergency Travel Services’ Medical Director and the attending physician, the INJURED or ILL party is:
Global Emergency Travel Services will provide an emergency evacuation (under medical supervision, if necessary) by whatever means necessary to the nearest facility capable of providing adequate care. Services include that Global Emergency Travel Services will:
If The MEMBER is hospitalized or expected to be hospitalized for more than seven (7) days and The MEMBER are travelling with The MEMBER DEPENDENT Children or Grandchildren who are under eighteen (18) years of age and are left unattended as the result of The MEMBER INJURY or ILLNESS, Global Emergency Travel Services will arrange and pay for the return of The MEMBER minor children or grandchildren to their home, and if necessary, accompany them with a travelling attendant up to a maximum of $5,000.