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Ray Battiston, Canadian Travel
Medical Insurance
Broker offers 45 day Multi Trip Annual Travel Medical Plan
with AXA (A.I.S.) for $112.00 annually
(Family Plan) (plus tax in Ontario). Limits of $1,000,0000
with 0 deductible & 90 day Stability!
This Multi Trip
Travel Insurance plan is
available to age 64, and will include dependents as defined in
the policy wording. For your convenience, I am enclosing the
whole policy wording which can be printed out. Don't hesitate
to contact me, mailto:raybattiston@on.aibn.com
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ELIGIBLE |
EXPENSES
I |
|
EMERGENCY EXCESS
HOSPITAL EXPENSES |
EMERGENCY AIR
TRANSPORTATION EXPENSES |
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You are reimbursed (direct settlement is provided
where |
Up to $20,000
for Emergency Evacuation |
|
possible) for
confined in-patient hospital expenses. Hospital |
Up to $50,000
to return home when medical attention is |
|
accommodation
is reimbursed up to and including semi- |
required,
including seats for a stretcher and |
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Private
accommodation. |
return
airfare for a medical attendant
Up to $1,500 for a
family member visitation |
|
EMERGENCY EXCESS
MEDICAL EXPENSES |
Up to $2,000
for the return home of children under 19 |
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Doctor's Care
emergency treatment, prescription drugs as defined in
the certificate, out-patient services, x-rays, |
HOTEL CONVALESCENCE
EXPENSES |
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oxygen, blood plasma, casts,
rental of a wheelchair, cane |
Up to $1,000
for hotel accommodation when discharged |
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brace,
crutches, splint or walker, including up to $5,000
for |
from hospital
and travel is prohibited by the |
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Private Duty
Nursing and up to three treatments by a |
attending
physician |
|
chiropractor
or physiotherapist |
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EMERGENCY DENTAL
EXPENSES |
RETURN OF AUTO
EXPENSES
Up to $1,000 for return home of
an owned automobile |
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Up to $2,500
for injury to sound teeth |
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TRIP INTERRUPTION
EXPENSES |
REPATRIATION
EXPENSES
Up to $3,000 for homeward return
of deceased, or |
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Up to $1,500
for non-refundable prepaid travel costs. |
Up to $1,500
for cremation or burial at place of
death |
AUTOMATIC
FAMILY PROTECTION
Your spouse and children are automatically covered at no
extra charge The policy covers your spouse under age 65 who is
living with you, unmarried children under age 21 residing with
their parents (or under 26 and attending a Canadian
post-secondary educational institution on a full-time
basis)
CLAIM
CO-ORDINATION
AXA wills co-ordinate settlements of
claims with provincial and other benefit plans.
MULTIPLE
TRIPS
Some medical insurance plans cover only single, short
trips and charge you for each trip GHIP+ Travel
Supplement covers you year-round, on trips of 45
days or less'
There's just one low annual premium to pay
24 HOUR
ASSISTANCE BENEFITS
In addition to insurance benefits, coverage includes
services offered 24 hours a day, 7 days a week by the
International AXA Assistance. Services include help
in finding the nearest appropriate physician or medical
facility, coordinating payments and arranging medical
transportation
WHO
QUALIFIES?
You must he a resident of Canada, insured under you
Provincial/Territorial Government Health Insurance Plan, under
age 65, and not attending school or employed outside of
Canada
AIS 2007 Policy Wording, Underwritten by AXA
GHIP + TRAVEL SUPPLEMENT CERTICATE OF INSURANCE –
EMERGENCY OUT OF PROVINCE HEALTH INSURANCE PROGRAM, CERTIFCATE
#___________________ EFFECT:______________
IMPORTANT
NOTICE- PLEASE READ CAREFULLY
Travel Insurance
is designed to cover losses arising from sudden and
unforeseeable circumstances. It is important that you read and
understand your policy before you travel as coverage may be
subject to certain limitations or exclusions.
A pre-existing
exclusion may apply to medical conditions and/or symptoms that
existed prior to your trip. Check to see how this applies in
your policy and how it relates to your departure date, date of
purchase or effective date.
In the event of
an accident, injury or sickness, your prior medical history
may be reviewed when a claim is reported.
If your policy
provides travel assistance, you may be required to notify the
designated assistance company prior to treatment. Your policy
will limit benefits should you not contact the assistance
company within a specified period.
PLEASE READ YOUR
POLICY CAREFULLY BEFORE YOU TRAVEL
If you need to call AXA Assistance, be prepared to give
the following information:
YOUR NAME
SOS ID number
- 427C Your
Policy Number – 9220553
Call the following 24-Hour Alarm Centres for help:
From Canada or USA 1 783 9473
Collect World wide 514 285 8195
GHIP +
Application Form
O Yes, please enroll me and my
eligible family members. My cheque of $112.00 is attached
(+Tax, 8% Ontario= $120.96). Your payment should be made to RAY
BATTISTON Insurance Broker-.
APPLICANT_________________________________________________________
LAST
NAME FIRST
NAME
HEALTH
CARD#
DATE OF BIRTH
ADDRESS_____________________________________POSTAL
CODE_________
FAMILY MEMBERS
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Signature of Applicant
X_________________________Date___________________
Email
Address:___________________Phone (res)_____________
Bus__________
Fax(res)_____________________
(bus)________________________
Effective Date_______________
Cert #_______________________
DISCLAIMER: THE ABOVE POLICY INFORMATION IS
FOR REFERENCE ONLY. COVERAGE IS NOT BOUND BY THE BROKER UNTIL
CONFIRMED
Insurance
Plans sold: "Per Trip" and multi trip Out of Canada Medical
Insurance, Visitors Medical Insurance Plans, Air Flight
Accident, 24 Hour Accidental Death & Dismemberment,
Baggage, Trip Cancellation and Interruption, Expatriate
Medical, Rental Vehicle Damage, Group, Dental, Extended
Health.
Contact me today for personal service on your
Travel Medical, Visitors and Expatriates Insurance
requirements
Ray Battiston, BA, CAIB,
CIP
Insurance Broker
151
Osprey Cres., Callander On P0H 1H0 Canada
1-800-526-7420 Toll Free North
America
Business: 1 -705-752-1723
FAX 1-705-752-5198
raybattiston@on.aibn.com Office
Hours: 9-5 PM Monday to Friday EST |