Claims while in the USA or Canada:
Emergencies worldwide and Claims outside the USA or Canada:
Aetna Student Health P.O. Box 14101 Lexington, KY 40512, USA Tel: (+1) 781 219 9100 (business hrs) 1 800 783 7447 (in USA/CA) Fax: (+1) 859 280 1269 Mail: erika@aetna.com
Falck Global Assistance Box 90322 120 25 Stockholm, Sweden Tel: (+46) 8 501 001 60 (24 hrs) 1 800 871 9211 (24 hrs in USA/CA) Fax: (+46) 8 587 717 62 Mail: erika@falck.com
To find a participating Aetna doctor and your Aetna ID number, go to:
www.aetna.com/docfind/erika
Participating doctors and hospitals are independent providers and are neither agents nor employees of Aetna.
EF Language Year Abroad P O L I C Y 300.250.R W S
PPO NAP G RO U P N O 884000 PAY O R I D 6 0 0 5 4
E F B O O K I N G N O.
FIRST NAME
LAST NAME
D AT E O F B I R T H
SPORT
PERIOD OF COVERAGE
2021
M A X I M U M C O M P E N S AT I O N ILLNESS AND ACCIDENT Medical Expenses Emergency Home Evacuation Family Member Reimbursement Home Repatriation Accidental Death Accidental Disability
DEDUCTIBLES
(USD) unlimited unlimited unlimited unlimited 10,000 50,000
PROGRAM INTERRUPTION Program Interruption unused part of program fee – flight cost unlimited – return to program 2,000 PERSONAL PROPERTY
Personal Belongings
Cash Valuable Documents
5,000 500 2,000
D E L AY
Baggage Delay
200 900
Personal Delay LIABILITY AND LEGAL
Third Party Liability
Legal Expenses
500,000 15,000
Limitations and exclusions apply to the above. This travel insurance group policy is underwritten by Erika Insurance Ltd., Reg. No. 516401-8581, P.O. Box 55569, 102 04 Stockholm, Sweden.
MEDICAL DEDUCTIBLES » The deductible is USD 30 per condition. For students in the USA » In-network (Aetna) benefits: No deductible. Expenses are paid at 100% of negotiated rates. » Out-of-network benefits: USD 30 per condition. Expenses are paid at 100% of the reasonable and customary charges. OTHER DEDUCTIBLES » Personal Property USD 30, Third Party Liability USD 150, Legal Expenses USD 50 + 10%.
HOW TO MAKE A CLAIM » »
Claim forms, general conditions and privacy rules are found at www.erikainsurance.com. Fill out a claim form and attach medical records, receipts, police reports etc.