Academic Experiences Abroad

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World Class Coverage Plan Designed For
Academic Experiences Abroad

This plan is provided by Cultural Insurance Services International
and underwritten by Ace American Insurance Company

Coverage Summary for Policy # GLM N14286494


Coverages and Services Maximum Limits
Accidental Death & Dismemberment: $10,000 ($1M aggregate limit)
Medical Expense (per Accident or Sickness):  

Deductible

$-0- (zero)

Basic Medical

$100,000
Accidental Dental Up to $1500
Palliative Dental (relief of pain) Up to $500
Pre-existing Conditions Coverage Limit Up to policy max
Mental and Nervous Inpatient up to $5,000, Outpatient up to $1,500
Prescription Drugs (Inpatient/Outpatient) 100%
Physiotherapy If recommended by a Physician and administered by a licensed physiotherapist
Specified Therapies and Spinal Manipulation, including acupuncture and physiotherapy:
Outpatient Limit Max of $50/visit; maximum of 10 visits; $500 overall maximum
Emergency Medical Evacuation $100,000
Repatriation/Return of Mortal Remains $50,000
Security Evacuation Comprehensive $100,000 ($1M aggregate limit)
24/7 Team Assist Package & CISI Crisis Team Included
Trip Delay $500 (more than 12 hours, up to 5 days, $100/day)
Trip Cancellation Up to $3,000

Please contact the Team Assist line by phone at +1 312-935-1703 (collect calls accepted) or email medassist-usa@axa-assistance.us. The TeamAssist Emergency Assistance Provider is AXA Assistance.
Non-Emergency questions may be directed to CISI at 203-399-5130 (toll free 800-303-8120).

To seek recommendations for doctors or hospitals, please contact Team Assist at +1 312-935-1703 or email medassist-usa@axa-assistance.us. *We can make appointments for you.

CISI will make every effort to pay invoices directly to medical providers. Please notify CISI by contacting TeamAssist and we will make every effort to arrange to pay the doctor or hospital directly. If you prefer to pay yourself, then we will reimburse you (you may scan/email or fax the claim information to CISI and we will process it while you are still abroad, OR you may file the claim information after your trip). The average claim processing time at CISI is 2 weeks from receipt of claim information.


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