Purdue University 2020-2021 International Travel Health Insurance Program Frequently Asked Questions

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Purdue University
            2020-2021 International Travel Health
                    Insurance Program
                Frequently Asked Questions
                                   Important Contact Information
Contact Gallagher Global Assistance 24/7
for:                                               1-866-693-6873 (Toll Free)
     - Emergency medical or security               GallagherGlobalAssistance@ajg.com
       assistance
     - To book a doctor’s appointment or
       locate a specialist provider
     - General travel assistance questions
Insurance Policy Number                            GLMN10876746
24/7 Travel Assistance Information Portal          Visit www.gallagherglobalassistance.com and
                                                   enter the following login information:

                                                   Username: gallagherglobalassistance@ajg.com
                                                   Password: ajgco

                                                   Click on the Sign In button to create your personal
                                                   account using an email and password of your
                                                   choice.
If you paid for a medical bill out of pocket and   Email (1) a copy of your doctors bill, (2) a copy of
need to be reimbursed                              your receipt or proof of payment, and completed
                                                   claim form to:
                                                   purdueclaims@hsri.com

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Enrollment/Eligibility
Who is eligible?
      You may be covered under this Plan if you are an outbound student, faculty,
       staff, scholar or other persons of similar description who are U.S. Citizens,
       permanent residents of the U.S., or Non-U.S. citizens traveling outside the U.S.
       with a current passport or visa to participate in studies, official business or
       research assignments sponsored by the University.

How do I enroll?
      For student travel, Departments have to submit a Form RM23 in order for
       participants to be enrolled for this coverage.
      For faculty & staff, they will be enrolled when they have submitted their Trip
       Request in the Concur Travel System.

How do I enroll my eligible dependents?
      Dependents are covered under this policy at no additional cost. There is no
       longer a need to purchase dependent coverage separately.
      In order to enroll your dependents, please e-mail the Risk Mgmt. Dept.
       (RiskMgmt@purdue.edu) that you are traveling with dependents and they will
       work with you to sign-up your dependents on the same plan.

How do I print my ID card Online?
      The blanket ID card for all travelers can be printed by accessing the following
       link: www.gallagherstudent.com/purdue and by clicking the ID card link. This will
       take you to the My Benefits and Plan Information page. This page allows you
       access to the plan brochure, FAQ, and ID card for the International Travel plan. If
       you choose not to print an ID card, Purdue University’s Risk Management
       Department will provide you with one prior to your travels abroad.

Insurance Plan Benefits
What is covered under the Purdue University International Travel Health
Insurance Program?
      The plan offers comprehensive benefits that include hospital room and board,
       inpatient and outpatient surgical procedures, labs and x-rays, inpatient and
       outpatient mental health services, physician office visits, ambulance, and
       emergency care and prescription drugs.
      The maximum benefit allowed for each accident or sickness is $500,000, unless
       otherwise specified in the brochure.

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   Please refer to the plan brochure at www.gallagherstudent.com/Purdue for full
       benefit information. Click on “My Benefits and Plan Information” for complete
       details about coverage, limitations, and exclusions.

How do I get my prescriptions filled?
      Prescription drugs are covered at 100% of the actual charges up to the plan
       maximum benefit.
      You will have to pay out of pocket for any prescriptions received while abroad
       and submit the itemized receipt from the pharmacy (including name of drug and
       dosage) to the claims company, Health Special Risk, Inc., for reimbursement of
       Covered Expenses as defined in the policy.

What if I have a pre-existing condition, am I covered?
      Yes. Pre-existing conditions are covered as any other condition.

Does this plan have a deductible?
      No, the 2020-2021 Purdue University International Travel Health Insurance
       Program does not have a deductible.

What is covered under Worldwide Travel
Assistance Services?
Worldwide Travel Assistance services are covered by Gallagher Global
Assistance. Gallagher Global Assistance offers 24-hour emergency travel assistance
services including Medical Evacuation and Repatriation of Remains.

Please note that in order for these services to be covered, arrangements must be
scheduled and approved through Gallagher Global Assistance prior to receiving
services.

      Emergency Medical Evacuation Benefit – This benefit will pay 100% of the
       covered expenses incurred up to $100,000, if any covered Injury or Sickness
       results in the Emergency Medical Evacuation of the Insured Person.
      Repatriation of Remains Benefit – In the event of the death of an Insured Person,
       We will pay 100% of the Covered Expenses up to $100,000 for the preparation
       and transportation of the Insured Person’s remains to his or her Home Country or
       home residence.
      Emergency Reunion Benefit – When an Insured Person is hospitalized for more
       than 6 days, they may select one individual to travel to where the Insured Person
       is hospitalized. Benefits include airfare, hotel and meals at $100 per day, to a
       maximum of $3,000.
      Political/ Security Evacuation – We will pay up to $100,000 for Covered
       Expenses, including transportation to the nearest place of safety or to your

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Home, if, while on your trip, a state of emergency is declared and it is determined
       that you should be evacuated from the area.

This document is only a summary of the benefits available. Please refer to the
Plan Brochure for a description of the benefits available and exclusions and
limitations of the plan.

Claims Processing

If I receive a bill for services I received or need to be reimbursed, what should I
do?
      When outside of the United States, you will likely be asked to pay for your
       medical care first and then will need to seek reimbursement. When you submit
       claims for reimbursement, you will need to have the itemized bill(s) and the
       completed claim form (in English.) You can find the “International Studies Claim
       Form” under “Claims Company” at www.gallagherstudent.com/Purdue

Please be sure to take copies of all paperwork for your files and send to:

Health Special Risk, Inc.
HSR Plaza II
4100 Medical Parkway
Carrollton, Texas 75007
purdueclaims@hsri.com
1-866-345-0973
Is any other information needed in order to pay a claim?
      If the treatment you received was a result of an accident, you will receive a letter
       from the claims administrator asking for information about the accident, i.e. was it
       the result of a car accident, from playing sports, etc. Your claim cannot be
       processed without this information, so please respond to the letter promptly.

Are there any additional products available?
      The following product, which is optional, is available to you for an additional cost.

PERSONAL PROPERTY PROTECTOR PLUS ®
      Personal Property Protector PLUS ® is an insurance plan that offers coverage for
       all types of property including; computer hardware, software, books, clothes, and
       electronics. This all risk policy covers fire, theft, water damage, flood,
       earthquake, riot, accidental damage, and vandalism. Any university property in
       the care, custody or control of the insured is also covered under this policy. This
       plan is available to students, faculty and staff.

Plan highlights include:

      Replacement Cost coverage

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   Low deductibles - $0, $50 or $100
   Attractive pricing
   Worldwide protection - covers US students studying abroad and International
    Students studying in the US
   Full twelve month policy period, including between semesters
   Thirty day money back guarantee if not satisfied
   To learn more about the product and the associated cost, please go to
    www.gallagherstudent.com/Purdue , click on “Additional Products”.

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