Product Type

Sum Insured

Start date of coverage Start Date
The date of the coverage start from.

End date of coverage End Date
This is the date when your coverage will expire.

Number of travellers (up to 8)

Birth date of the oldest traveller

Do you require Family Plan? For eligible to family plan must have atleast 2 person in plan, 1 person age should not be greater then 58 and above 21 and 1 person age should be 21 or below.

Any pre-existing medical condition? Pre-existing condition
Pre-existing condition is any condition for which the
patient has alrady received medical treatment or already
has symptoms of the illness and have not seen by the
doctor prior to enrollment in insurance plan.

Email address (required)

Features

Coverage Amount :-$15,000 / $25,000 /50,000 / $100,000 / $150,000 / 200,000
Hospitalization:- semi-private room when available or an intensive care unit
Medical Services:- Treatment by a physician or surgeon
Diagnostic Services:- X-rays and other diagnostic tests
Prescription Drugs:- maximum of 30 day supply
Ambulance:- Use of a licensed road ambulance in an emergency
Paramedical Services:- up to $1000 combined
Accidental Death and Dismemberment ..........up to $25,000
Health-care practitioner:-services provided by a health-care practitioner, up to a combined total of $1,000 for a covered emergency, when you have received prior written referral from a physician

Benefits

Maximum Benefits: -$15,000 / $25,000 /50,000 / $100,000 / $150,000 / 200,000

Hospital and medical expenses ..................... Up to Limit
Emergency Hospital ................................... up to sum insured
Accidental Dental ........................................................ $4,000
Dental Emergency .......................................................... $300
Ambulance Services ..........................Included
Health-care practitioner....................., up to $1,000 combined,
Cremation at Place of Death ........................................ $7,500
Prescription Medication .............................................. $500
Return Home ............................................................... Included
Accidental Death and Dismemberment ..........up to $25,000

Important note:-For complete benefits list please refer to policy wording

Eligibility

You are not eligible for coverage under this policy if: • you are travelling against the advice of a physician; • you have been diagnosed with a terminal illness with less than two (2) years to live; • you have been diagnosed with or received treatment within the last two (2) years for pancreatic, lung, brain, or liver cancer; or any type of cancer that has spread from one part or organ of the body to another (metastatic cancer); • you have had or are waiting for an organ or bone marrow transplant (excluding corneal transplant); • you have a kidney condition requiring dialysis; • you have used home oxygen during the 12 months prior to the date of application; and/or • you reside in a nursing home, other long term care or rehabilitation center. • you are age 86 or older.

Make a Claim

Claims must be reported within 30 days of occurrence. Written proof of claim must be submitted within 90 days of occurrence. To make a claim, you will need to complete a claim form and submit the following: a) policy number; b) proof of all travel dates (airline ticket, passport or visa); c) original itemized medical bills, receipts and invoices; d) proof of payment if you have paid the expense; e) complete medical and/or hospital records including diagnosis, X-ray, lab or other diagnostic testing results, which confirm that the treatment was medically necessary; and f) copy of police report (in the case of a motor vehicle accident); g) if a claim is made under Accidental Death and Dismemberment, we will need: a) police, autopsy or coroner's report; b) medical records; and c) death certificate, as applicable. Attach all documentation requested in the claim form, and send it to:


21st Century Visitors Claims c/o Active Care Management
P .O. Box 1237, Stn. A Windsor,
ON N9A 6P8 Canada

To enquire about the status of your claim call 1-855-297-4379 from 8:00AM to 8:00PM ET