Within the United States - utilizing a Preferred Provider Organization (PPO). In order to assure the best medical care possible, SRI requires that the Insured Person or someone on the Insured Person's behalf call for certificaiton prior to all hospital admissions or any medical expenses above $1,000. The Pre-certification phone numbers will be listed on the Insured's identification card. They will also assist the Insured in locating the approved SRI (U.M.) medical care providers in the United States for care prior to, during, and subsequent to, hospital confinements. If certification is not made for hospital admissions and any medical expenses exceed $1,000 in the United States (or if the SRI U.M. providers are not used), there will be a 50% reduction in eligible benefits.

Worldwide - Outside the United States SRI requires that the Insured Person or someone on the Insured Person's behalf, call for certification prior to all hospital admissions worldwide. The Pre-certification phone numbers will be listed on the Insured's identification card. If certification is not made for hospital admissions worldwide (through the SRI U.M. program), there will be a 50% reduction in eligible benefits.

 

| ELIGIBILITY | SCHEDULE OF BENEFITS | RENEWABILITY | EMERGENCY EVAC/REPATRIATION | EMERGENCY REUNION BENEFITS | UTILIZATION MGMT PROGRAM | UNDERWRITING | EXCLUSIONS
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