STUDENT

EXCHANGE HEALTH

BENEFITS

INDIVIDUAL APPLYGROUP APPLY

STUDENT EXCHANGE HEALTH BENEFITS

Gateway Patriot Exchange (US & Non-US) Highlights

Designed for students studying abroad or participants of cultural exchange programs. Coverage is designed to meet the U.S. J1 visa travel insurance requirements.

OVERVIEW

Two short-term travel medical plan designs
• Coverage for students, their spouses and unmarried dependent children traveling with them
• Plan Maximums up to $500,000
• Renewable up to 48 months if minimum of three months is purchased
• Freedom to seek treatment with hospital or doctor of your choice
• Universal Rx pharmacy discount savings
• 24 hour secure access from anywhere in the world to manage your account at any time
• Student Health Center $5 co-pay per visit
• No coinsurance
• Optional add-on coverage available for high school sports, personal sports and legal assistance
• Pre-existing conditions coverage available to U.S. and non-U.S. citizens – see specific plan design for benefit information

PLAN HIGHLIGHTS FOR STUDENTS OUTSIDE THE U.S.

Gateway Patriot Exchange Program is designed for those who are:
• Actively engaged or participating in an educational or cultural exchange program in the country of assignment.
• Traveling to a destination that is not their home country.

Obtaining coverage is as simple as:
• Filling out the Enrollment Form with the information requested.
• Mailing or faxing the above information to your independent agent or IMG

The Gateway Patriot Exchange Program Standard (Worldwide excluding USA) is designed for those who are:
• Actively engaged or participating in an educational or cultural exchange program in the country of assignment.
• Traveling to a destination that is not their home country.
• All premium rates are in U.S. dollars and are effective through March 1, 2012. Rates include surplus lines tax where applicable. A dependent child is your child shown on the Application Form over 14 days and under 18 years of age, traveling with you, and for whom premium has been paid.

PLAN HIGHLIGHTS FOR STUDENTS FROM THE U.S.

Gateway Patriot Exchange Program is designed for those who are:
• Actively engaged or participating in an educational or cultural exchange program in the country of assignment.
• Traveling to a destination that is not their home country.

Obtaining coverage is as simple as:
• Filling out the Enrollment Form with the information requested.
• Mailing or faxing the above information to your independent agent or IMG.

The Gateway Patriot Exchange Program Standard (Worldwide) is designed for those who are:
• Actively engaged or participating in an educational or cultural exchange program in the country of assignment.
• Traveling to a destination that is not their home country.
• All premium rates are in U.S. dollars and are effective through 1-Oct-2012. Rates include surplus lines tax where applicable. A dependent child is your child shown on the Application Form over 14 days and under 18 years of age, traveling with you, and for whom premium has been paid.

CONTACT US

If you have any questions regarding IMG or the products located on this website, please contact us. We are available to provide support to our producers and prospective clients. Our contact information is below. Additionally, you may use the online inquiry form. An IMG representative will review your questions or comments, and respond in a timely manner.

International Medical Group
2960 North Meridian Street
Indianapolis, IN USA 46208-4715

Telephone: 1.317.655.4500 or 1.877.808.7434
Fax:1.317.655.4505
Email: insurance@imglobal.com

For all claims correspondence, please use the following address:
International Medical Group
Claims Department
PO Box 88500
Indianapolis, IN 46208-0500

To submit applications, underwriting information or premium, please use the following address:
International Medical Group
PO Box 88509
Indianapolis, IN 46208-0509

FOR QUESTIONS CALL

ABOUT YOUR PLAN (INDIVIDUAL)

Download our brochure to learn more.

ABOUT YOUR PLAN (GROUP)

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ABOUT GATEWAY

Learn about our role in your insurance.

APPLICATION FOR INDIVIDUAL STUDENTS

APPLICATION FOR STUDENT GROUPS