Liaison Silver Travel Medical Insurance

Schedule of Benefits

All amounts listed are in U.S. dollars. Click the titles to see further information.

SCHEDULE of COVERAGE All coverages and plan costs listed in this brochure are in U.S. Dollar amounts.
Deductible $0; $100; $250; $500; $1000; $2500
Deductible is per person per Policy Period, maximum of 3 Policy Period deductibles per family. The selected Deductible and Coinsurance amount must be met for each Policy Period (see Continuing Coverage)
Medical maximum $60,000; $125,000; $600,000; $1,000,000 (ages 80+, maximum limited to $25,000)
Coinsurance More information
Outside the United States and Canada: After you pay the deductible, the program pays 100% to the selected Medical Maximum.
Hospital indemnity $300/night, up to a maximum of thirty (30) days. In addition to any other Covered Expense.
Dental (emergency) $100 ($500 for accidents) Only available to programs purchased for one (1) month or more.
Emergency medical evacuation/repatriation $300,000 (in addition to the Medical Maximum)
Home country coverage Incidental Trips to The Home Country: $50,000
Follow me Home country coverage $5,000
Return of Mortal Remains $50,000
Political Evacuation and Repatriation $50,000
Emergency Reunion $50,000
Return of Minor Children and/or grandchild(ren) $50,000
Interruption of Trip $5,000
Loss of Checked Luggage $250
Local Ambulance Expense $5,000
Accidental Death & Dismemberment $50,000 principal sum per Adult
  • $5,000 for Dependent Child(ren) and/or Grandchild(ren)
Common Carrier Accidental Death $100,000 Principal Sum for Insured or Insured Spouse
$25,000 per Dependent child(ren) and/or grandchild(ren) under age of 18
$250,000 Maximum per family
Coma Benefit $50,000
Felonious Assault Benefit $10,000
Hospital Room and Board Usual, reasonable and customary to the selected Medical Maximum
Intensive Care Usual, reasonable and customary to the selected Medical Maximum
Outpatient Medical Expenses Usual, reasonable and customary to the selected Medical Maximum
Terrorism Usual, reasonable and customary to the selected Medical Maximum
Optional Hazardous Sport Coverage Rider More Information
The following are covered if the required premium has been paid:
  • motorcycle/motor scooter riding (whether as a driver or passenger)
  • hang gliding
  • parachuting
  • bungee jumping
  • water skiing
  • snow skiing
  • snowmobiling
  • snowboarding
Parachuting shall mean an activity involving the breaking of a free fall from an airplane using a parachute.
Waiver of Pre-Existing Conditions More Information
  • Up to $20,000 for U.S. citizens traveling outside the United States & Canada (refer to exclusion #1 for details)
Benefit Period 6 Months

* This Web page contains only a consolidated and summary description of all current benefits, conditions, limitations and exclusions. A certificate containing the complete Certificate Wording with all terms, conditions and exclusions will be included in the fulfillment kit. IMG reserves the right to issue the most current Certificate Wording for this insurance plan in the event this Web page, application, and/or brochure has expired, is modified, or is replaced with a newer version. Current Certificate Wordings are available upon request.