Diamond Membership Benefits, Rules and Regulations

Membership Eligibility

• Only residents of the United States, Canada, or Mexico are eligible to apply for Diamond Membership.
  
• Diamond members who want to cover their spouse must apply for Diamond Family Membership (spouse must be under the age of 75).
  
• A family membership shall include the named primary member, his or her spouse or domestic partner and up to five of their unmarried dependent children (including step, foster or legally adopted children) under the age of 19 or up to age 23if a full-time student in actual attendance at an accredited school or college and dependent on the primary member for support and maintenance. If a birth or legal adoption occurs during the year of a family membership, the new dependent is automatically covered upon notification. A dependent child, as used above, is one who lives regularly and permanently with the primary member in a parent-child relationship and is chiefly dependent upon the member for support.
  
• Diamond Membership benefits are available to otherwise eligible members who have reached age 75 since their last renewal, as well as non-members between the ages of 75 and 85 who wish to become MedjetAssist Diamond members.
  
• Members who have reached age 85 or older at the time of their enrollment are not eligible for membership benefits. All membership applications and/or enrollment forms must include accurate dates of birth in order to ensure eligibility for benefits
  
• The General Health Questionnaire and Medical Statement must be completed by the prospective member and their physician. Only the Medical Statement forms provided by MedjetAssist will be accepted for consideration.
  
• All Diamond Memberships, both new and renewal, are subject to approval by the MedjetAssist Membership Committee, whose decision is final.
  
• Membership is valid only if the appropriate membership fee is collected.

Air Medical Transport Criteria

• You must be hospitalized as an inpatient more than 150 miles from your primary residence as listed on your enrollment application and continue to meet inpatient criteria at the receiving hospital.
  
• Evacuation flights will be performed if an inpatient hospitalization is required and the remaining inpatient hospital stay can be completed at a hospital of the member’s choice and the member is unable to return via commercial airline without medical escort.
  
• Air medical services are limited to two separate flights per membership per year, except for repatriation flights involving enrolled multiple family members requiring simultaneous repatriation. Under these circumstances, each family member will receive one fully paid flight.
  
• Due to the limited medical facilities and testing available on cruise ships, in some cases the MedjetAssist Medical Director may require the member to be admitted to a hospital on shore before scheduling air medical transportation to another hospital.
  
• Aircraft used for the medical transport of MedjetAssist members are fully equipped intensive care aircraft staffed with specially trained medical teams. However, if the member’s condition permits, the member may be transported
  by scheduled commercial airline, while in the care of a MedjetAssist authorized medical escort.
  
• At MedjetAssist’s discretion, remote evacuation may be provided without hospitalization. Remote evacuation to the closest appropriate medical facility for initial stabilization and evaluation will only be performed in areas where MedjetAssist has authorized air medical evacuation affiliates capable of accessing remote air strips in the regions they serve. Members requiring remote evacuations will need to meet inpatient criteria as determined by MedjetAssist prior to evacuation.
  
• Members should note that a remote evacuation to the closest appropriate medical facility will constitute one member transport with regard to the number of allowable transports per year.  Continued transport to the member’s hospital of choice will be completed if the member continues to meet inpatient criteria, and has a remaining transport as part of their membership benefit.
  
• All arrangements for medical evacuation and repatriation must be made by MedjetAssist. Since MedjetAssist is a membership program and not an insurance plan, we will not reimburse members for expenses they incur on their own. Decisions regarding urgency of the case, the best timing and the most suitable means of transportation will be made by the MedjetAssist medical department after consultation with the local attending physician and the patient’s receiving physician.
  
• Transport benefits are not available to members for injuries, illnesses, or conditions existing at the time of enrollment where inpatient medical care has already been scheduled or recommended by a health care provider.
  
• To be eligible for MedjetAssist transport benefits, membership must be activated prior to initial departure from registered membership home address.
  
• If you are medically discharged from the hospital or leave against medical advice and are physically able to travel under your own power, you will no longer be eligible for air medical transport benefits.

Air Transport Restrictions/Exclusions

• Both the originating and receiving hospital must be reasonably accessible by ground ambulance to transport the member to and from an airfield capable of accommodating MedjetAssist authorized aircraft.
  
• Membership provides access to MedjetAssist authorized affiliates only.
  
• Due to the high risk of sending U.S. registered aircraft and personnel into countries where travel restrictions have been issued, membership services are subject to exclusion in these areas.
  
• A member with tuberculosis or other chronic airborne pathogens may not be transported.
  
• A member with mild lesions, simple injuries such as sprains, simple fractures or mild illnesses which can be treated by local doctors and does not prevent the member from continuing his or her trip or returning home without medical attention does not qualify for air medical transport.
  
• Air medical transport services will not be provided in cases where the member’s primary admitting diagnosis is an inpatient psychiatric disorder.
  
• A member traveling outside the United States for the sole purpose of seeking medical treatment, whether inpatient or outpatient, experimental or otherwise, will not be eligible for air medical transport benefits for that specific trip.
  
• A member traveling or living outside the United States, Canada, or Mexico for an uninterrupted period in excess of 90 days is not eligible for membership benefits under the regular membership. Extended Stay (Expatriate) packages are available upon request.
  
• Up to two (2) family members, business associates and/or traveling companions may accompany the patient, at no additional cost, on a MedjetAssist authorized aircraft during transport, provided space is available and the patient care is not compromised. One family member or traveling companion may accompany patients being transported via scheduled commercial airline at no additional cost via economy class. Payment of membership fee entitles the member to the membership services as published at no additional cost to the member.
  
• While MedjetAssist makes every effort to accommodate its members, the patient and an accompanying passenger are limited to one small carry-on bag each due to limited space available on medical aircraft. MedjetAssist will assist with additional luggage to be forwarded at the member’s expense. Members will not be entitled to air medical transport benefits if their illness or injury is a result of or is contributed to by the following:
  
  • War, invasion or civil war;
    
  • Suicide or attempted suicide or intentional self injury;
    
  • A member’s own criminal or felonious act, or sustained while the member is in a state of insanity;
    
  • A member who is hospitalized at the time of enrollment will not be eligible for transport benefits for that hospitalization and may not be accepted for membership entirely;
    
  • A member with an infectious disease under treatment at the time of enrollment will not be transported for any condition related to that infection;
    
  • A member on an organ transplant list prior to enrollment will not be entitled to a transport for that transplant;
• MedjetAssist reserves the right to change or amend these rules and regulations without prior notice. MedjetAssist is solely responsible for the interpretation and application of the rules and regulations communicated in this publication. All determinations by MedjetAssist shall be final and conclusive in each case. Memberships are non-transferable and non-refundable. By enrolling as a member you accept and agree to the terms and conditions of membership.

The following pre-existing medical condition limitation applies to all Diamond members:

Membership benefits will not be provided for any pre-existing defect, infirmity, or condition for which an enrolled member is receiving medical treatment, advice, or consultation where there has been any (1) changes in the dosage or usage of prescribed medication for that condition, or (2) changes or modifications to an existing prescribed plan of treatment for the condition, or (3) internal or external treatment or therapy for that condition, either as an inpatient or outpatient during the six months (180 days) immediately prior to the effective date of the membership. If, however, there are no changes or treatments during this six month period as described above, benefits will be provided to the member for sudden and unexpected illness or injury.

MedjetAssist reserves the right to change or amend these rules and regulations without prior notice. MedjetAssist is solely responsible for the interpretation and application of the rules and regulations communicated in this publication. All determinations by
MedjetAssist shall be final and conclusive in each case. Memberships are non-transferable and non-refundable. By enrolling as a member you accept and agree to the terms and conditions of membership.

If you have questions or need additional information, you may contact us at: P.O. Box 43099, 3500 Colonnade Parkway, Suite 500, Birmingham, Alabama 35243, USA
(phone) 1-800-527-7478.

HOW TO CONTACT US

MedjetAssist members may call for assistance 24 hours a day, 365 days a year from around the world through MedjetAssist toll-free telephone numbers, or if necessary, collect from anywhere in the world. For a directory of special USA direct access numbers visit the AT&T website at www.business.att.com/bt/dial_guide.jsp. Medical, Legal and Special Services are available whenever a MedjetAssist member is traveling 150 miles or more from his or her permanent residence as listed on the enrollment form. Travel assistance information or referrals are available prior to departure or during a trip. The MedjetAssist Corporate Office and Assistance Center is located at 3500 Colonnade Parkway, Suite 500, Birmingham, Alabama 35243-0099, USA

If hospitalized while traveling, have the following information available when you call us:

1. Your name and telephone number where we can contact you.
   
2. Member’s name.
   
3. Location (City, Country).
   
4. Brief description of medical condition.
   
5. Hospital telephone number.
   
6. Attending physician or medical professional and telephone number.
   We’ll do the rest!

Toll Free (USA & CANADA)
1-800-5-ASSIST
(1-800-527-7478)
Collect (Around the world)
(205) 595-6626