Page 7 - AtlasGroup_Specimen
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SPECIMENEmergency Eye Exam for a CoveredUp to $150. $50 deductible per occurrence (plan deductible is
Loss waived).
Acute Onset of Pre-existing Condition Age 70 to 79: Up to the overall maximum limit or $100,000,
(excludes chronic and congenital whichever is lower
conditions) (only available to members Under age 70: Up to the overall maximum limit
under age 80)
Up to $25,000 lifetime maximum for Emergency Medical
Terrorism Evacuation
All Other Eligible Medical Expenses Up to $50,000 lifetime maximum, eligible medical expenses only
Up to the overall maximum limit
Emergency Travel Benefits
Limit
Emergency Medical Evacuation
Up to $1,000,000 lifetime maximum, except as provided under
Repatriation of Remains Acute Onset of Pre-existing Condition
Local Burial or Cremation - not subject to deductible or overall maximum limit
Crisis Response - Ransom, Personal Up to the overall maximum limit - not subject to deductible
Belongings, and Crisis Response Fees Up to $5,000 lifetime maximum - not subject to deductible
and Expenses Up to $10,000 - not subject to deductible or overall maximum limit
Optional Crisis Response Rider with
Natural Disaster Evacuation Up to $90,000 per certificate period, with $10,000 maximum for
Natural Disaster Evacuation
Emergency Reunion - not subject to deductible or overall maximum limit
Up to $100,000, subject to a maximum of 15 days - not subject to
Bedside Visit deductible
Return of Minor Children Up to $1,500 - not subject to deductible
Pet Return Up to $50,000 - not subject to deductible
Political Evacuation Up to $1,000 - not subject to deductible
Up to $100,000 lifetime maximum
Trip Interruption - not subject to deductible
Common Carrier Accidental Death Up to $10,000 - not subject to deductible

Ages 18 through 69 $50,000
Under age 18 $25,000
Ages 70 through 74 $12,500
Ages 75 and older $6,250
Subject to a maximum of $250,000 any one family or group.
- not subject to deductible or overall maximum limit

7 Atlas Group Description of Coverage | Tokio Marine HCC - MIS Group
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