LRFA

Latvian Relief Fund of America


LRFA is a professionally managed, non-profit, mutual assistance organization, designed to provide our members with affordable health care plans and financial assistance in emergencies. We support other Latvian-American organizations and education in the U.S. and abroad.
Membership Benefit Plans About Us Forms Contact Us
Medicare Supplemental
Health Supplemental
Prescription Drug Plan
Hospital Supplemental
Visitors from Abroad
Travel Medical Plan
Mortuary Benefit Plan

Travel Medical Plan benefits

What is covered?

Medical Expenses
If injury or illness occurs during the period of coverage and you or your covered dependents require medical and surgical treatment, the Plan will pay (subject to co-insurance and deductible) reasonable and customary charges for the following covered expenses, up to the selected Plan's maximum. The covered charges shall in no event include any amount, which is in excess of reasonable and customary charges for the geographical area where the services are rendered, as determined by LRFA. Benefits payable under this plan may not be assigned. Charges must be from a licensed physician or an accredited medical facility to be eligible for benefits. LRFA may require documentation of medical necessity or other documentation prior to payment.

BENEFITS

Choice of two plans:

Plan A - Maximum benefit amount $50,000.00*

Plan B - Maximum benefit amount $100,000.00*

Plan A Benefits: Plan B Benefits:
Accident and Sickness  Medical - $50,000 Max Accident and Sickness  Medical - $100,000 Max
Emergency Medical Evacuation - $10,000 Max Emergency Medical Evacuation - $15,000 Max
Deductible - $200 Deductible - $250
Accidental Death and Dismemberment - Adult - $10,000 Max Accidental Death and Dismemberment - Adult - $15,000 Max
Child/Children - $5000 Max Child/Children - $7500 Max
Repatriation of Remains - $5,000 Max Repatriation of Remains - $10,000 Max
*Ages 80+ are limited to a $15,000 maximum benefit for Plan A and $20,000 for Plan B

These pages are designed to provide general descriptions of our benefit plans and further restrictions may apply or may have changed. For further information, please contact the LRFA office or refer to specific plan Regulations.

© 2017 LRFA   -   P.O. Box 8857, Elkins Park, PA 19027-0857   -   info @ lrfa.org

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