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 :-$10,000 / $25,000 / $100,000 / $150,000
Hospitalization :- Hospital room, up to standard-ward accommodations
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 $10,000

Benefits

Maximum Benefits: $10,000; $15,000; $25,000; $50,000, $100,000 and $150,000

Hospital and medical expenses ..................... Up to Limit
Accidental Dental ........................................................ $1,000
Ambulance Services ..........................Included
Health-care practitioner....................., up to $1,000 combined,
Cremation at Place of Death ........................................ $5,000
Dental Emergency .......................................................... $300
Emergency Hospital ................................... up to sum insured
Prescription Medication .............................................. $500
Return Home ............................................................... Included
Accidental Death and Dismemberment ..........up to $10,000

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

Eligibility

You are not eligible for coverage under this policy if:
• a physician has advised you not to travel you have been diagnosed with a terminal illness with less than two (2) years to live;
• you have a kidney condition requiring dialysis; and/or
• you have used home oxygen during the 12 months prior
to the date of application.

We will not reimburse you for insured services or pay an Accidental Death and Dismemberment claim and/or any other expenses arising after any applicable waiting period, from any sickness, disease, symptom, or injury:

i) for which medication has been taken, received or prescribed;
ii) for which treatment has been received or prescribed;
iii) which has either been newly diagnosed or has
presented with new symptoms or existed,
in the 180 days preceding the effective date

Make a Claim

You must call us prior to receiving medical treatment: If you do not contact the Assistance Centre within 24 hours of hospitalization, you will have to pay 20% of the medical expenses we would normally pay under this insurance. If it is medically impossible for you to call when the emergency happens, the 20% co-insurance will not apply. In
this case, we ask that you call as soon as you can or that someone call on your behalf

To make a claim, you will need to complete a claim form and submit the following:

policy number, proof of all travel dates (airline ticket, passport or visa) original itemized medical bills, receipts and invoices, proof of payment if you have paid the expense, 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 copy of police report (in the case of a motor vehicle
accident);

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