Outgoing Schedule of Coverage

Plan	Coverage	Standard Plan	Super Plan

Benefit A	Medical Expenses outside the USA*	$100,000.00	$200,000.00
	Medical Evacuation, including Air Ambulance	included	included
	Extension of Medical Expense Benefits (for Accident ONLY) Upon return to USA, excluding Air Ambulance	$10,000.00	$10,000.00
	Dental -Emergency Dental treatment, outside the USA	$150.00	$200.00
	-Accidental Dental treatment	$250.00	$750.00

Benefit B	Accidental Death	$15,000.00	$25,000.00

Benefit C	Transportation costs in case of death	$15,000.00	$25,000.00

Benefit D	Permanent disablement as per sliding scale with a maximum of	$15,000.00	$25,000.00

Benefit E	Extra traveling Expenses	$5,000.00	$10,000.00

Benefit F	Loss of Deposits and Cancellation Charges	$500.00	$1,000.00

ISIS Health Insurance
www.isis-travelinsurance.com
Correspondence: P.O. Box 20069, Alexandria, VA 22320 (202) 347-7324/ (800) 247-5575/ (202) 296-0007 fax
email: info@isis-travelinsurance.com