International Student Insurance, OPT Insurance, AT Health Insurance, Visiting Faculty Insurance, Scholar Insurance

VISIT^® Travel & Medical Insurance Program
for International Students, Scholars, Spouses, Families and Visitors

Call Us Today 1-800-247-5575 or 1-703-660-9062 or

The Trusted Name in International Health and Travel Medical Insurance for over 30 Years!

VISIT^® International Student Plans Are Ideal For:

International Students & Scholars (F1, J1, H, M or Q)
OPT/AT Students

ESL or High School Students
Visiting Faculty

Any Study/Research in USA & Canada
Includes Maternity

Choose from 9 different International Student Insurance Plans:

Choose $100K or $250K Medical
Maternity included up to $10,000
$100 deductible per illness/injury
(reduced to $50 if Student Health)
80/20 co-insurance to $10,000
Medical Lifetime Maximum -
$1 million
As low as $44 per month

Choose $100K or $250K Medical
Maternity included up to $10,000
$100 deductible per illness/injury
(reduced to $50 if Student Health)
80/20 co-insurance to $5000
Medical Lifetime Maximum -
$1 million
As low as $46 per month

Choose $100K or $250K Medical
Maternity covered to policy max
$100 deductible per illness/injury
(reduced to $50 if Student Health)
80/20 co-insurance to $5000
Medical Lifetime Maximum -
$1 million
As low as $51 per month

Choose $100K or $250K Medical
Maternity covered as any other illness
Unlimited Medical Evacuation
$100 deductible per illness/injury
(reduced to $50 if Student Health)
80/20 co-insurance to $5000
Pre-existing conditions covered after 6 months
Medical Lifetime Maximum -
$1 million
As low as $50 per month

Choose $100K Medical
No maternity coverage
$100 deductible per policy period
80/20 co-insurance to $5000
As low as $43 per month

Economy, Standard, Super & Platinum Plan Benefits
Underwritten by Virginia Surety Company, Inc. (VSC), rated A- “Excellent” by A.M. Best. The VSC Master Policies are filed under form numbers IN/OUT-EOC (01/2004) and Liability AIFS LIAB (IL 09/98R)

Economy, Standard and Super plans meet or exceed U.S. State Department DS2019 requirements
Choose your own doctor or hospital; you are not required to use doctors within a specific network
Deductible reduced to $50 per occurrence if the university student health center is used first
Maternity coverage included - limits vary by plan
Pre-existing conditions covered after 12 months of continuous coverage (6 months for Platinum)
Sports & hazardous sports coverage included

VISIT STUDENT Plans (Economy, Standard, Super & Platinum) are open to International Students, visiting Faculty, Scholars, or other persons over the age of twelve (12) up to and including age sixty-four (64), who are temporarily residing outside their Home Country. The Insured must remain engaged in educational or research activities outside their Home Country during the Period of Coverage. Education or research activities shall mean the Insured: 1) is enrolled and participating in an educational, vocational, cultural exchange, or training program; and 2) has a valid J-1, H-3, F, M, or Q Visa.

ECONOMY International Student Insurance Plans
Choose $100K or $250K (maternity included)

ECONOMY Plan Monthly Rates

Rates effective July 1, 2011

Age	Economy $100K	Economy $250K
12-18	$44	$48
19-23	$55	$58
24-30	$119	$128
31-40	$191	$203
41-49	$276	$292
50-64	$376	$399
VISIT STUDENT Plans (Economy, Standard, Super & Platinum) are open to International Students, visiting Faculty, Scholars, or other persons over the age of twelve (12) up to and including age sixty-four (64), who are temporarily residing outside their Home Country. The Insured must remain engaged in educational or research activities outside their Home Country during the Period of Coverage. Education or research activities shall mean the Insured: 1) is enrolled and participating in an educational, vocational, cultural exchange, or training program; and 2) has a valid J-1, H-3, F, M, or Q Visa.

ECONOMY Plan Coverages
Coverage	Economy $100K	Economy $250K
Accident & Sickness Medical Routine physical exams and vaccinations are not covered	$100,000 per injury or illness maximum Student - $50,000 (Age 50-64)	$250,000 per injury or illness maximum Student - $100,000 (Age 50-64)
Deductible	$50 Student Health / $100 non-Student Health per injury or illness	$50 Student Health / $100 non-Student Health per injury or illness
Co-insurance	80% to $10,000, 100% thereafter to policy maximum	80% to $10,000, 100% thereafter to policy maximum
Medical Lifetime Maximum	$1,000,000	$1,000,000
Emergency Medical Evacuation	$100,000	$100,000
Repatriation of mortal remains	$25,000	$25,000
Pre-existing condition coverage	Pre-existing Conditions 12 months prior to Effective Date, waived after 12 consecutive months of coverage	Pre-existing Conditions 12 months prior to Effective Date, waived after 12 consecutive months of coverage
AD&D - Accidental Death & Dismemberment	$10,000	$10,000
Maternity Coverage	up to $10,000 (must be insured for a minimum of 30 days prior to conception to receive maternity benefits)	up to $10,000 (must be insured for a minimum of 30 days prior to conception to receive maternity benefits)
Home Country Coverage	30 days of coverage up to a max. of $25,000 per policy period	30 days of coverage up to a max. of $25,000 per policy period
Sports Coverage (non-interscholastic sports)	$10,000 per policy period	$10,000 per policy period
Hazardous sports coverage	$10,000 per policy period	$10,000 per policy period
View Policy Details

STANDARD International Student Insurance Plans
Choose $100K or $250K (maternity included)

STANDARD Plan Monthly Rates

Rates effective July 1, 2011

Age	Standard $100K	Standard $250K
12-18	$46	$49
19-23	$57	$60
24-30	$122	$128
31-40	$200	$212
41-49	$297	$313
50-64	$405	$426
VISIT STUDENT Plans (Economy, Standard, Super & Platinum) are open to International Students, visiting Faculty, Scholars, or other persons over the age of twelve (12) up to and including age sixty-four (64), who are temporarily residing outside their Home Country. The Insured must remain engaged in educational or research activities outside their Home Country during the Period of Coverage. Education or research activities shall mean the Insured: 1) is enrolled and participating in an educational, vocational, cultural exchange, or training program; and 2) has a valid J-1, H-3, F, M, or Q Visa.

STANDARD Plan Coverages

Coverage	Standard $100K	Standard $250K
Accident & Sickness Medical Routine physical exams and vaccinations are not covered	$100,000 per injury or illness maximum Student - $50,000 (Age 50-64)	$250,000 per injury or illness maximum Student - $100,000 (Age 50-64)
Deductible	$50 Student Health / $100 non-Student Health per injury or illness	$50 Student Health / $100 non-Student Health per injury or illness
Co-insurance	80% to $5000, 100% thereafter to policy maximum	80% to $5000, 100% thereafter to policy maximum
Medical Lifetime Maximum	$1,000,000	$1,000,000
Emergency Medical Evacuation	$100,000	$100,000
Repatriation of mortal remains	$25,000	$25,000
Pre-existing condition coverage	Pre-existing Conditions 12 months prior to Effective Date, waived after 12 consecutive months of coverage	Pre-existing Conditions 12 months prior to Effective Date, waived after 12 consecutive months of coverage
AD&D - Accidental Death & Dismemberment	$10,000	$10,000
Maternity Coverage	up to $10,000 (must be insured for a minimum of 30 days prior to conception to receive maternity benefits)	up to $10,000 (must be insured for a minimum of 30 days prior to conception to receive maternity benefits)
Home Country coverage	30 days of coverage up to a max. of $25,000 per policy period	30 days of coverage up to a max. of $25,000 per policy period
Sports Coverage (non-interscholastic sports)	$10,000 per policy period	$10,000 per policy period
Hazardous sports coverage	$10,000 per policy period	$10,000 per policy period
View Policy Details

SUPER International Student Insurance Plans
Choose $100K or $250K (maternity included)

SUPER Plan Monthly Rates

Rates effective July 1, 2011

Age	Super $100K	Super $250K
12-18	$51	$55
19-23	$62	$70
24-30	$143	$158
31-40	$252	$276
41-49	$298	$324
50-64	$405	$441
VISIT STUDENT Plans (Economy, Standard, Super & Platinum) are open to International Students, visiting Faculty, Scholars, or other persons over the age of twelve (12) up to and including age sixty-four (64), who are temporarily residing outside their Home Country. The Insured must remain engaged in educational or research activities outside their Home Country during the Period of Coverage. Education or research activities shall mean the Insured: 1) is enrolled and participating in an educational, vocational, cultural exchange, or training program; and 2) has a valid J-1, H-3, F, M, or Q Visa.

SUPER Plan Coverages

Coverages	Super $100K	Super $250K
Accident & Sickness Medical Routine physical exams and vaccinations are not covered	$100,000 per injury or illness medical maximum Student - $50,000 (Age 50-64)	$250,000 per injury or illness maximum Student - $100,000 (Age 50-64)
Deductible	$50 Student Health / $100 non-Student Health per injury or illness	$50 Student Health / $100 non-Student Health per injury or illness
Co-insurance	80% to $5000, 100% thereafter to policy maximum	80% to $5000, 100% thereafter to policy maximum
Medical Lifetime Maximum	$1,000,000	$1,000,000
Emergency Medical Evacuation	$100,000	$100,000
Repatriation of mortal remains	$25,000	$25,000
Pre-existing condition coverage	Pre-existing Conditions 12 months prior to Effective Date, waived after 12 consecutive months of coverage	Pre-existing Conditions 12 months prior to Effective Date, waived after 12 consecutive months of coverage
AD&D - Accidental Death & Dismemberment	$10,000	$10,000
Maternity coverage	up to policy maximum (must be insured for a minimum of 30 days prior to conception to receive maternity benefits)	up to policy maximum (must be insured for a minimum of 30 days prior to conception to receive maternity benefits)
Home Country coverage	30 days of coverage up to a max. of $25,000 per policy period	30 days of coverage up to a max. of $25,000 per policy period
Sports Coverage (non-interscholastic sports)	$10,000 per policy period	$10,000 per policy period
Hazardous sports coverage	$10,000 per policy period	$10,000 per policy period
View Policy Details

PLATINUM International Student Insurance Plans
Choose $100K or $250K (maternity included)

PLATINUM Plan Monthly Rates

Rates effective July 1, 2011

Age	Platinum $100K	Platinum $250K
12-18	$50	$53
19-23	$68	$77
24-30	$159	$175
31-40	$277	$305
41-49	$328	$356
50-64	$445	$485
VISIT STUDENT Plans (Economy, Standard, Super & Platinum) are open to International Students, visiting Faculty, Scholars, or other persons over the age of twelve (12) up to and including age sixty-four (64), who are temporarily residing outside their Home Country. The Insured must remain engaged in educational or research activities outside their Home Country during the Period of Coverage. Education or research activities shall mean the Insured: 1) is enrolled and participating in an educational, vocational, cultural exchange, or training program; and 2) has a valid J-1, H-3, F, M, or Q Visa.

PLATINUM Plan Coverages

Coverages	Platinum $100K	Platinum $250K
Accident & Sickness Medical Routine physical exams and vaccinations are not covered	$100,000 per injury or illness medical maximum Student - $50,000 (Age 50-64)	$250,000 per injury or illness maximum Student - $100,000 (Age 50-64)
Deductible	$50 Student Health / $100 non-Student Health per injury or illness	$50 Student Health / $100 non-Student Health per injury or illness
Co-insurance	80% to $5000, 100% thereafter to policy maximum	80% to $5000, 100% thereafter to policy maximum
Medical Lifetime Maximum	$1,000,000	$1,000,000
Emergency Medical Evacuation	Unlimited	Unlimited
Repatriation of mortal remains	unlimited	unlimited
Pre-existing condition coverage	6 months prior to Effective Date, waived after 6 consecutive months of coverage	6 months prior to Effective Date, waived after 6 consecutive months of coverage
AD&D - Accidental Death & Dismemberment	$10,000	$10,000
Maternity coverage	Covered as any other Illness (must be insured for a minimum of 30 days prior to conception to receive maternity benefits)	Covered as any other Illness (must be insured for a minimum of 30 days prior to conception to receive maternity benefits)
Home Country coverage	30 days of coverage up to a max. of $25,000 per policy period	30 days of coverage up to a max. of $25,000 per policy period
Sports Coverage (non-interscholastic sports)	$10,000 per policy period	$10,000 per policy period
Hazardous sports coverage	$10,000 per policy period	$10,000 per policy period
View Policy Details

Plan E^PLUS
Underwritten by Virginia Surety Company, Inc. (VSC), rated A- “Excellent” by A.M. Best. The VSC Master Policies are filed under form numbers IN/OUT-EOC (01/2004) and Liability AIFS LIAB (IL 09/98R)

Plan E^PLUS Monthly Rates

EPLUS Plan Rates Remain the Same for 2011-2012!

Age	Plan E^PLUS	Plan E^PLUSHazardous Sports
0-29	$43	$50
30-39	$57	$66
40-49	$90	$95
50-59	$135	$155
60-64	$169	$195
65-69	$210	$242
70-79	$265	$305

Plan E^PLUS Coverages

Coverages	E^PLUS	E^PLUS Hazardous Sport Coverage
Accident & Sickness Medical Routine physical exams and vaccinations are not covered	$100,000 per injury or illness medical maximum	$100,000 per injury or illness medical maximum
Deductible	$100 per policy period	$100 per policy period
Co-insurance	80% to $5000, 100% thereafter to policy maximum	80% to $5000, 100% thereafter to policy maximum
Medical Lifetime Maximum	$100,000 Age 0-69 / $50,000 Age 70-79	$100,000 Age 0-69 / $50,000 Age 70-79
Emergency Medical Evacuation	up to $100,000	up to $100,000
Repatriation of mortal remains	up to $25,000	up to $25,000
Pre-existing condition coverage	no coverage	no coverage
AD&D - Accidental Death & Dismemberment	$25,000 per Insured/Spouse $5000 per Dependent Child	$25,000 per Insured/Spouse $5000 per Dependent Child
Maternity coverage	no coverage	no coverage
Home Country coverage	60 days per 12 months of coverage up to $50,000	60 days per 12 months of coverage up to $50,000
Sports Coverage (non-interscholastic sports)	up to policy maximum	up to policy maximum
Hazardous Sports coverage	no coverage	included
Trip Interruption	up to $5000	up to $5000
Return of minor child	up to $10,000	up to $10,000
Lost baggage	up to $250	up to $250
View Policy Details

CANCELLATION POLICY
All premiums are fully earned upon Application, and are Non-Refundable. Please apply only for the term of coverage you need, and re-apply as necessary as your plans may change.

VISIT Travel & Medical Insurance Program, an Insurance program of PENTECO, LLC
www.visitinsurance.com
Correspondence: P.O. Box 210, Mount Vernon, VA 22121 (703) 660-9062/ (800) 247-5575/ (703) 991-9164 fax
email: info@visitinsurance.com

Copyright ©2011. All Rights Reserved.