– Maximum Benefit: $5,000,000
  – Hospital & Medical Coverage: Semi-private hospital accommodation.
  – Physician, surgeon, anesthetist services.
  – Diagnostic Treatments: Lab tests and X-ray examinations ordered by a physician.
  – Drugs or Medications – up to 30-day supply when not hospitalized. The morning after pill is limited to one prescription per period of coverage.
  – Private duty services of a registered nurse. *
  – Ambulance Transportation: Local land or sea ambulance or up to $100 reimbursement for taxi, if an ambulance is necessary but is unavailable. *
  – Medical Appliance: Rental of crutches or hospital-type bed and the cost of splints, trusses, braces or other prosthetics, ** oxygen and rental of equipment for its administration, blood and blood plasma, except when donated. *
  – Follow-up visits related to reported emergency and recommended by the attending physician.
  – Professional Medical Services – up to $600 per profession in any consecutive 12-months for service of a legally licenced physiotherapist, naturopath, acupuncturist, chiropractor, osteopath, chiropodist or podiatrist.
  – Dental (Accident): Up to $5,000 for repair or replacement of whole or sound natural teeth damaged by an accidental blow to the face.
  – Dental (Emergency): Up to $600 for the immediate relief of acute dental pain.
  – Dental (Wisdom Teeth) – up to $100 per tooth for extraction of impacted wisdom teeth.
  – Emergency Transportation / Return Home: The cost for air ambulance, one-way economy airfare or stretcher (and/or a medical attendant) to transport you to the nearest appropriate medical facility or to your country of origin. **
  – Transportation of Family or Friend: Up to $5,000 for round-trip transportation to bring up to two bedside companions (your family members or close friends), and up to $1,500 for accommodation, meals, telephone calls and taxi fares, if you are hospitalized and the attendance is recommended by a physician or to identify your remains in the event of your death. **
  – Return of Deceased (Repatriation): up to $15,000 to prepare and return your remains to the country of origin, or up to $5,000 for cremation or burial at the place of death. The cost of a funeral service, coffin or urn is not covered.
  – Tutorial Services: up to $20 per hour to a maximum of $500 for the costs of a private tutorial service arranged by your school, if you will be hospitalized or confined to your home for 30 or more consecutive school days, as a result of a covered sickness or injury.
  – Accidental Death & Dismemberment: Up to $15,000 for accidental loss of life, limbs or sight.
  – Eye Examination – one routine annual examination by an optometrist when 12 months of consecutive coverage has been purchased.
  – Annual Physical Examination – up to $250 for one routine examination per year by a physician, including any related tests and laboratory fees when 12 months of consecutive coverage has been purchased.
  – Maternity – up to $1,000 for pre-natal care, miscarriage, or related complications. The expected delivery date must be more than 10 months after the effective date. For multiple AGA administered policies with no lapse in coverage, the expected delivery date must be more than 10 months after the effective date of the initial policy purchased.

* The total aggregate limit for all losses under Ambulance Transportation, Medical Appliance and Private Duty nurse is $10,000.
** Benefits are payable only when approved in advance by Allianz Global Assistance.