Included in Emergency Medical
$60,000 per person
Medical Evacuation can provide coverage for transportation of a traveler to the nearest adequate medical facility in the event of a medical emergency during their trip. Repatriation can transport a traveler’s remains back home.
32.1 Emergency Medical Evacuation — The Scheme Administrator will arrange Emergency Medical Evacuation only to the nearest Hospital that is qualified to provide the Medically Necessary Treatment to prevent the Participating Member’s loss of life. The Scheme Administrator will use its best efforts to arrange with independent, third-party contractors any Emergency Medical Evacuation within the least amount of time reasonably possible. The Participating Member understands and agrees that the timeliness, duration and outcome of an Emergency Medical Evacuation can be affected by events and/or circumstances that are not within the direct control of the Scheme Administrator, which would include, but not limited to, availability and performance of competent transportation equipment and staff; delays or restrictions on flights or other modes of transportation caused by mechanical problems, government officials, telecommunications problems, and/or geographical and weather conditions. The Participating Member agrees to hold the Scheme Administrator, its agents and representatives harmless from, and agrees that the Scheme Administrator, its agents and representatives shall not be held liable for, any delays, losses, damages or other claims that arise from or are caused by the acts or omissions of such independent third-party contractors, or that arise from or are caused by any acts, omissions, events or circumstances that are not within the direct and immediate control of the Scheme Administrator and/or its authorized agents and representatives, which would include, without limitation, the events and circumstances set forth above. The Scheme Administrator will reimburse the Participating Member for the following Expenses Incurred by the Participating Member arising out of or in connection with an Emergency Medical Evacuation occurring while the Evidence of Insurance is in effect. Subject to the Maximum Limit set forth in the Schedule of Benefits/Limits and the other Terms of this insurance, which would include the Conditions and Restrictions set forth below:
32.1.1 Emergency air transportation to a suitable airport nearest to the Hospital where the
32.1.2 Emergency ground transportation necessarily preceding Emergency air transportation Participating Member will receive treatment; and and from the destination airport to the Hospital where the Participating Member will receive treatment; and
32.1.3 The Participating Member must be in compliance with all Terms of this insurance; and
32.1.4 The Scheme Administrator will provide Emergency Medical Evacuation Benefits only
32.1.5 Medically Necessary Treatment cannot be provided locally to prevent Participating
32.1.6 Transportation by any other method would result in loss of the Participating Member’s
32.1.7 Emergency Medical Evacuation is recommended by the attending Physician who
32.1.8 Emergency Medical Evacuation is agreed to by the Participating Member or
32.1.9 Emergency Medical Evacuation is approved in advance and all arrangements are
32.1.10 The Illness or Injury giving rise to the Emergency Medical Evacuation occurred suddenly when the Illness or Injury giving rise to the Emergency Medical Evacuation is covered under the Terms of this insurance, except when provided under the Sudden Onset of Pre-existing condition; and Member(s) loss of life; and life; and certifies to the matters in subsections 32.1.5 and 32.1.6 above; and a Relative of the Participating Member; and coordinated by the Scheme Administrator; and and/or spontaneously, and without: (i) advance warning, (ii) advance treatment, diagnosis or recommendation for treatment by a Physician, or (iii) prior manifestation of symptoms or conditions that would have caused a prudent person to seek medical attention prior to the onset of the Emergency; and
32.3 Emergency Reunion — Subject to the Terms of this insurance, Eligible Medical Expenses will be reimbursed up to $50,000 to the Participating Member as outlined in the Schedule of Benefits/Limits in cases where there has been an Emergency Medical Evacuation covered under the Terms of this insurance. Subject to the Deductible and Coinsurance and other limits as specified in the Schedule of Benefits/Limits, and subject to the Conditions and Restrictions set forth below the following Expenses Incurred in respect of travel by a Relative or friend of the Participating Member will be reimbursable to the Participating Member upon the recommendation and prior approval of the Scheme Administrator:
32.3.1 The cost of an economy air ticket for one Relative or friend to the airport serving the area where the Participating Member is Hospitalized as a result of the Emergency Evacuation or is to be Hospitalized as a result of the Emergency Medical Evacuation, and return from either of such locations to the point of their original departure; and
32.3.2 Reasonable and necessary travel, meals (Maximum of $25 per day), transportation, and accommodation Expenses Incurred in relation to the Emergency Reunion (but excluding entertainment).
32.4 Conditions and Restrictions:
32.4.1 The period of coverage for the Emergency Reunion shall not exceed fifteen (15) days, which would include travel days; and
32.4.2 The Emergency Reunion must be due to an Emergency Medical Evacuation covered under the Terms of this insurance; and
32.4.3 The attending Physician must deem the illness or injury as a threat to the Participating Members life and recommends the presence of a Relative or friend to either the location where the Participating Member is being evacuated from or the destination of the evacuation, whichever is considered by the attending Physician and the Scheme Administrator to be the more reasonable; and
32.4.4 All Emergency Reunion travel, transportation and accommodation arrangements, and Benefits must be coordinated and approved in advance by the Scheme Administrator in order to be eligible for coverage under this insurance.
32.5 Return Of Mortal Remains — In the event of the Death of the Participating Member as a result of an Illness or Injury covered under this insurance while the Participating Member is outside of his/her Home Country, the Scheme Administrator will reimburse the estate of the Participating Member up to $50,000 for the return of the Participating Member’s Mortal Remains to his/her Home Country (but not which would include any costs of burial); provided, however, that the Scheme Administrator must coordinate and approve all costs related to the return of the Participating Member’s Mortal Remains in advance as a condition to this benefit. The Scheme Administrator will use their best efforts to arrange the timely return of the Participating Member’s Mortal Remains. The Participating Member and his/her heirs understand that the timeliness of the Return of Mortal Remains can be affected by circumstances which are not within the control of the Scheme Administrator such as, but not limited to the availability of transportation equipment and staff, delays or restrictions on flights caused by mechanical problems, government officials, telecommunications problems or weather. The Participating Member, and his/her heirs, agree to hold the Scheme Administrator and Underwriters harmless and shall not be held liable for any delays, which are not within their direct and immediate control. The Scheme Administrator and Underwriters are held harmless and shall not be held liable for loss of or any damage or other impairment to bodily remains incurred during the transport process or otherwise.