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Why
Buy Maritime Medical Insurance?
The
answer is easy.
If you are a US citizen living abroad, traditional sources of US private
health insurance may not meet your needs. Geographical exclusions and
provider limitations common to these policies will restrict or even
eliminate the coverage available to you while you are outside the US. At the
same time, you may not be eligible for participation in the
government-sponsored plans in the country where you reside, or you may wish
to have access to health care in other countries, including the US, in the
event you become seriously ill. If you are a non-US citizen, you may need an
international medical insurance policy to supplement the coverage available
to you through a plan sponsored by your government or to provide coverage
while you are outside your home country. If you travel or reside worldwide,
HCC Medical Insurance Services has designed The Maritime Citizen Series to meet
your needs.
Who is
the Plan Administrator?
HCC Medical Insurance Services, headquartered in Indianapolis, Indiana, is a
full service organization, offering a comprehensive portfolio of insurance
products designed specifically to address the insurance needs of Maritime
Citizens. HCCMIS is a subsidiary of HCC Insurance Holdings, Inc. (HCC), which
is a leading international specialty insurance group headquartered in
Houston, Texas. HCC has assets of more than $8.6 billion, shareholders’
equity in excess of $2.7 billion and is rated ‘AA’ (Very Strong) by Standard
& Poor’s, ‘AA’ (Very Strong) by Fitch Ratings and ‘A+’ (Superior) by A.M.
Best Company.
Who is
the Insurer?
The Maritime Citizen Series is insured by Lloyd’s.
Lloyd's is the largest and oldest insurance market in the world and is rated
‘A’ (Excellent) by A.M. Best Company and ‘A+’ (Strong) by Standard and
Poor’s. Lloyd’s provides financial strength and security that is
unparalleled in the worldwide insurance market. Lloyd’s is recognized as a
market leader in the accident and health insurance arena and is well-known
for its innovative products and services. Presently, Lloyd’s provides
accident and health insurance to millions of individuals in almost every
country of the world.
Which
Coverage Area is Right for Me?
The Maritime Citizen Series offers two coverage areas: including the US and
Canada and excluding the US and Canada. If you desire worldwide coverage,
select the “Including the US and Canada” option. If you do not need or
desire coverage in the US or Canada, you may obtain lower premiums by
selecting the “Excluding the US and Canada” option.
Am I
Eligible for The Maritime Citizen Series?
The Maritime Citizen Series is available to citizens of most countries of
the world who are at least age 14 days and not over age 74. If you are a US
citizen, you must reside outside the US or be departing the US within 30
days of the effective date. If you are a US citizen, you must also reside
outside the US for at least 6 months within each Certificate Period.
Citizens of other countries may reside abroad, including the US or their
country of citizenship. Optional Term Life Insurance is not available to
residents of the US, regardless of citizenship.
Is
Coverage Under The Maritime Citizen Series Renewable?
Yes. The Maritime Citizen Series products are annually renewable. There are
no medical questions at renewal. Renewal is subject to your continued
eligibility and timely payment of premiums. Your renewal premium will be the
same as all persons of the same Certificate origination year, age and
gender. If you purchase coverage before you reach the age of 65, and
maintain coverage continuously for 10 years, subject to continued
eligibility, you will automatically be eligible to apply for the Maritime
Citizen Senior Plan, with no medical questions.
How Do
I Apply for The Maritime Citizen Series?
To
receive a quote and complete an application online, please
click here.
Within five business days of receipt of your Application, you will be
informed of whether your Application has been accepted or of any additional
information required for continuing the evaluation of your Application. If
your Application is accepted, you will be informed of the effective date of
coverage, and a fulfillment kit will be sent via mail containing your
Certificate of Coverage, an identification card, a Claimant’s Statement, and
instructions on how to use your insurance. In the event that your
Application is not accepted, HCC Medical Insurance Services will
promptly refund your premium.

What
Should I Expect During the Underwriting Process?
The Maritime Citizen Series is a medically underwritten plan, which means that
your family’s medical status and history will be used to determine your
eligibility for coverage. When Underwriting reviews your Application, they will
evaluate the medical information that you provide and determine whether coverage
can be issued and if Riders are necessary. These Riders allow Underwriting to
issue a Certificate by excluding coverage for specified conditions.
Additionally, your premium may be impacted by certain factors. If additional premium is due, you will be
notified after a medical underwriter has reviewed the application.
Preferred
Provider Network (PPO)
Coinsurance will be waived for expenses incurred in the US within our direct-pay
PPO. Simply present your identification card at the provider’s office so that
they may contact us to verify benefits and billing information. For your
convenience, HCC Medical Insurance Services also offers an international
network. Both networks are searchable through Client Zone, which is accessible
with your Certificate number and date of birth once coverage has been approved.
How Do I File a Claim?
Filing a claim is easy. Once your Application is accepted, you will receive a
kit which contains Claimant's Statement and Authorization forms. Complete this
Claimant's Statement and Authorization form, attach original, itemized bills,
and forward them to HCC Medical Insurance Services. Be sure to complete your
Claimant's Statement entirely and sign it. If you have already paid certain
expenses, attach copies of your payment receipts. You will be reimbursed for
eligible medical or dental expenses. In many cases, HCC Medical Insurance Services
will make payments directly to the hospital or physician that treated you.
Remember, you are responsible for the deductible, coinsurance, and any
ineligible charges.
Pre-Certification
The Maritime Citizen Series plans require Pre-certification, which simply means
that you must contact HCC Medical Insurance Services as soon as possible
before a planned hospitalization or surgical procedure, within 48 hours of an
emergency hospital admission, or within the first 90 days of pregnancy.
Pre-certification allows us to establish contact and make payment arrangements
with your providers, negotiate discounts which will benefit both you and us,
pre-arrange future care, and plan for your claim. Pre-certification helps us
help you.

Maritime Citizen Senior Plan
Eligibility for the standard Maritime Citizen plans ends at age 75, but for
those members who joined before age 65 and have maintained coverage for at least
10 years, the Maritime Citizen Senior Plan is available with no medical
questions. The Maritime Citizen Senior Plan offers many of the same benefits and
limits as the standard Maritime Citizen plan. The Senior plan deductibles
available are $5,000, $7,500, and $10,000. On the Maritime Senior Platinum plan,
the Overall Maximum Limit is reduced to $1 million. Additionally, the Human
Organ Transplant and Emergency Medical Evacuation benefits are deleted.
What Are the Plan Features?
Pre-existing Conditions:
If your
Pre-existing Conditions have been fully disclosed on your Application and
not excluded or restricted by a Rider or any other provision of your
Certificate, your Pre-existing Conditions are covered the same as any other
Illness or Injury as of your effective date. Pre-existing Conditions include
any Injury, Illness or Mental Health Disorder that existed at or prior to
your initial effective date, including chronic or recurring conditions.
What Are the Exclusions and Limitations?
The following charges,
treatments, care, services, supplies and/or conditions are excluded from
coverage:
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Charges not
Incurred during the Certificate Period
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Services or
treatment payable by another insurance or government
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Substance
Abuse
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Charges which
exceed Usual, Reasonable and Customary
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Investigational or experimental Surgeries or treatment
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Custodial,
Educational or Rehabilitative Care
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Weight
modification
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Cosmetic
surgery, unless reconstructive surgery is directly related to a covered
Injury or Illness
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Charges for
use of Emergency Room for treatment of Illness unless the patient is
directly admitted to the Hospital as Inpatient for further treatment of
that Illness
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Individuals
HIV+ at effective date
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Charges
relating to congenital conditions
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Drugs or
treatment for sexual dysfunction
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Drugs or
treatment to promote or prevent conception
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Devices or
procedures to correct sight or hearing
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Self-inflicted
Injury or Illness
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Foot care,
unless related to a covered accidental Injury
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Treatment or
supplies not ordered by a Physician or not Medically Necessary, except
for Wellness benefits provided under the plan
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Organ
transplants, except for Covered Transplants
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Speech,
acupuncture, occupational or sleep therapy
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Acts of
Terrorism, war, insurrection, riot or any variation thereof
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Dental
Treatment, except emergency treatment following a covered Accident, or
unless Dental Rider is purchased
The following are
excluded from the Optional Dental Rider:
This is a summary of the exclusions contained in the Certificate of
Insurance. See the Certificate of Insurance for a complete list of
exclusions.
Special Illness
Exclusion:
The
following conditions which manifest themselves within the first 180 days of
coverage are excluded: Any condition of the breast, prostate, reproductive
system, tonsils, adenoids, hemorrhoids, hernia, gallstones, kidney stones,
glaucoma, cataracts, disk disease, varicose veins, all types of cysts,
arthritis, and repetitive motion disorders, and any disorder or disease of
the skin.
Wellness:
After 12
months of continuous coverage, you may be eligible for Wellness benefits
that are not subject to the Deductible. If you are at least 30 years of age,
you will be entitled to the following Wellness benefit: $250 per Certificate
Period for a Routine Physical Exam, including OB/GYN visits for females.
Additionally, females who are at least 40 years of age will be entitled to
the following benefit: $100 per Certificate Period for a screening
mammogram. If you are under the age of 19, you will be entitled to the
following Wellness benefit: $50 per visit (including immunizations) with a
maximum of three visits per Certificate Period.
Emergency Medical Evacuation:
The
Maritime Citizen Series provides coverage for Emergency Medical Evacuation
to the nearest medical facility qualified to treat your life-threatening
condition or potential loss of limb. All Emergency Medical Evacuations must
be approved in advance and coordinated by HCC Medical Insurance Services.
Emergency Medical Evacuations provide you with access to care when you need
it most. HCC Medical Insurance Services is available 24 hours a day, 7 days a
week, to approve and coordinate Emergency Medical Evacuations.
Emergency Reunion:
In the
event of a covered Emergency Medical Evacuation, The Maritime Citizen Series
will provide the following benefits: the cost of an economy round-trip air
and/or ground ticket for one of your Relatives (parent, spouse, sibling or
child age 18 or above) for travel to the area where you are hospitalized
following an Emergency Medical Evacuation and reasonable expenses for
lodging and meals for your Relative for a period not to exceed 15 days.
Repatriation of Remains:
In the
event of a covered Injury or Illness resulting in your death, the plan will
provide the following benefit: air and/or ground transportation of bodily
remains or ashes to the area of your principal residence and reasonable cost
of preparation of the remains necessary for transportation.

Optional Sports Rider:
The Optional
Sports Rider provides additional coverage for your extreme sports lifestyle.
Whether your interests include mountaineering, skydiving, or whitewater rafting,
electing the Sports Rider option will add coverage up to a lifetime maximum of
$25,000 for these activities excluded by the standard plan. Coverage for Contact
Sports, such as soccer or hockey, is added up to a lifetime maximum of $5,000.
The Sports Rider adds coverage for sports and athletics except those activities
engaged in for wage, reward, or profit.

Optional Dental
Rider:
If you purchase
the Optional Dental Rider, children age 9 to 16 are covered for Preventative
Dental Benefits, including routine oral exams every 6 months, fluoride treatment
every 12 months and bitewing x-rays every 24 months. All covered family members
receive Basic and Major Dental Benefits. Basic Benefits include periodontics,
endodontics, extractions and fillings. Major Benefits include crowns, bridges
and dentures. The Maritime Citizen Series Optional Dental Rider is useful for
families as well as individuals. Coverage is provided in most countries of the
world at your choice
of dentists.

Optional
Term Life and AD&D Insurance:
If you reside outside
the US, you may be able to purchase the Optional Term Life and Accidental Death
and Dismemberment insurance to protect your family and provide cash benefits in
the event of your Death. The amount of coverage available under Option 1 ranges
from $5,000 to $50,000, depending on your age at the time of your death or
dismemberment. If you are at least 19, but not yet 65, you may purchase Option
2, which doubles the benefits available to you.

Maritime Citizen Assistance
Services:
Assistance Services
are available to you 24 hours a day, 7 days a week while your Maritime Citizen
Plan is in effect.
»Pre-Trip Health and
Safety Advisories
(available after your purchase of the Maritime Citizen Series and before your
departure)
–
Call us for
current passport, visa, inoculation and vaccine requirements, as well as
up-to-date travel safety advisories.
»Livetravel®
Services
–
We will make emergency travel and itinerary changes for you including rebooking
flights, hotel reservations and ground transportation arrangements.
»BagTrak®
–
We are the
industry leaders in tracking lost checked baggage. We will help you locate your
lost checked baggage, and deliver it to you.
»Emergency Message
Relay
–
We will relay
messages to your family, friends and co-workers, helping you to maintain contact
during an emergency.
»Emergency Cash
Transfers
–
We will assist
you in arranging and obtaining cash transfers in various countries around the
world.
Maritime Citizen Assistance Services also include:
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Medical referrals
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Up-to-the-minute
travel medical advisories
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Assistance with
prescription drug replacement
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Dispatch of a
doctor or specialist
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Emergency travel
arrangements for family members
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Lost passport or
travel documents assistance
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Embassy and
consulate referrals
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Legal and
accounting referrals
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Bail bond
assistance
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Translation and
interpretation assistance
Maritime Citizen
Assistance Services are provided by AIG Travel Assist and are not insurance
benefits. Any assistance service provided by AIG Travel Assist is not a
guarantee of any insurance benefit under the Maritime Citizen Series.
HCCMIS’
Client Zone and World Service Center
Whether you have misplaced your ID card or benefit booklet, need assistance with
a claim, or have a question about benefits, HCCMIS is ready to respond. Frequently,
these and other issues can be addressed with a short visit to Client Zone.
Client Zone is an online account management and resource tool that allows you
to:
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Change personal information
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Renew coverage and reprint ID cards
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Obtain details about claim filing, including downloading necessary forms
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Pre-certify for certain medical procedures and hospitalizations
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Locate providers within the PPO Network
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Study destination, weather and travel security information using our Travel
Intelligence and Planning System (TIPS)
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Access health and wellness information
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View and download brochures, obtain policy information, or get quotes for
other products offered by HCC Medical Insurance Services
You may access Client Zone by logging in at
https://zone.hccmis.com/clientzone/.
At times, there is simply no substitute for human intervention. HCCMIS’ World
Service Center is available 24 hours a day, 7 days a week to answer your
questions and may be reached at no cost through our worldwide toll-free numbers.
Immediate support is available in several languages and can be provided in many
others with the assistance of a translator. If a translator is needed, a World
Service Center representative will arrange one. You may contact the World
Service Center by e-mail via
insurance@hccmis.com
or by phoning 800-605-2282 or 317-262-2132 (collect calls accepted).
HCC Medical Insurance Services - International Insurance Solutions
HCC Medical Insurance Services (HCCMIS)
is a leading innovator in the international medical insurance industry. HCCMIS
has designed a complete portfolio of quality international medical, life, and
disability insurance products to protect individuals, corporations,
missionaries, students, and organizations during their international activities.
HCCMIS is backed by the solid financial security of our parent company, HCC
Insurance Holdings, Inc. (HCC).
You have choices when buying
international medical insurance and travel assistance services for your next
trip abroad. Doesn’t it make sense to work with a company with proven integrity
and resilience? We are committed to providing exceptional service and innovative
insurance products to our consumers worldwide. HCCMIS has a strong foundation,
built around a loyal customer-base and worldwide network of distributors, which
has not only withstood during tumultuous times, but has gotten stronger.
Other Products Provided by HCC Medical Insurance Services
»Atlas
Travel Series:
Travel
medical insurance for individuals and families traveling internationally.
»Atlas
Group Travel:
The same quality coverage as the Atlas Travel Series product at a discount group
rate making it appropriate for student groups, missionary organizations and
corporations.
»Atlas
Professional:
Coverage
similar to the Atlas Travel Series tailored to meet the needs of professionals
traveling abroad several times throughout the year.
»StudentSecureSM:
A medical insurance plan designed specifically to meet the needs of students
studying abroad.
»GroupSecureSM:
Dependable,
high quality medical insurance for US-based organizations with employees
overseas or non-US organizations employing expatriates, third-country nationals,
or key local nationals.
»MultiNational
Accident Plan:
Coverage for accidents that result in disability or death, including Acts of War
and Terrorism.
»IC+
International Term Life:
Term life insurance for individuals requiring personal and business protections.
Privacy Policy
HCC Medical Insurance Services respects individual privacy and values the confidence
of its customers, employees, consumers, business associates and others. Please
contact us or visit our website to obtain a full version of our Privacy Policy.
Apply online
24/7 at www.nauticalhealth.com
e-mail us at
info@nauticalhealth.com
or call (239) 591-1199

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