0713 Please contact us BQ of New York, Inc Tel:718-886-5525 Agent ID 199621
nternational Medical Group IMG Patriot Exchange Program SM Cover Without Boundaries 24 J1 J2 / 48 9 48 9 1.
IMG Cover Without Boundaries IMG 1990 IMG Global Peace of Mind MyIMG SM $50,000 $250,000 $500,000 $5,000,000 $10,000 $5,000,000 $100 60 24 2.
*URC - - $5 $250 $500 $350 $50,000 $15,000 $25,000 $5,000 $10,000 3.
$25,000 $25,000 $12,500 $50,000 $5,000 $25,000 $500 $50,000 12 $250 $250 $250 $500 $100 $2,000 $100 $500 65 1.20 0-49 $50,000 50-59 $30,000 60-64 $15,000 34 11-13 4.
*URC - - $5 $250 $25,000 $50,000 $7,500 $5,000 $10,000 5.
$5,000 $5,000 $2,500 $5,000 $25,000 $250 $250 $250 $500 $100 $2,000 $100 $500 65 1.20 0-49 $50,000 50-59 $30,000 60-64 $15,000 34 11-13 6.
A $50,000 B $250,000 C $500,000 25 25-49 50-64 $48.62 $51.05 $63.37 $66.53 $135.70 $142.49 $60.36 $63.37 $78.59 $82.52 $168.27 $176.68 $63.66 $66.84 $82.90 $87.04 $177.53 $186.41 25 25-49 50-64 A $50,000 $34.46 $36.18 $39.88 $41.88 $103.43 $108.60 B $250,000 $42.72 $44.85 $49.44 $51.91 $128.27 $134.68 C $500,000 $45.08 $47.33 $52.16 $54.76 $135.35 $142.11 25 25-49 50-64 A $50,000 $28.62 $30.05 $33.10 $34.75 $85.85 $90.14 B $250,000 $35.52 $37.29 $41.06 $43.12 $106.44 $111.76 C $500,000 $37.47 $39.34 $43.31 $45.47 $112.29 $117.90 7.
BASIC SHORT-TERM TRAVEL PLAN RATES $10,000 25 $29.72 $31.20 25-49 $38.73 $40.66 50-64 $82.92 $87.06 $10,000 25 $21.06 $22.12 25-49 $24.36 $25.58 50-64 $63.19 $66.35 $10,000 25 $24.98 $26.23 25-49 $28.89 $30.34 50-64 $74.93 $78.68 Patriot Exchange Program2013-07-01IMG 1418 8.
1) 2Patriot Exchange Program 3 45 690 IMG Patriot Exchange Program 2J1 48 PPACA IMG MG 1 $502 IMG IMG 1418 1 IMG 23 Patriot Exchange Program 12 3 9.
IMG24 IMG IMGIMG IMG IMG 48 50% IMG : 1.800.628.4664 1.317.655.4500IMG 001.317.655.4500 ID MyIMGwww.imglobal.com IMG 10.
Patriot Exchange Program 1) 2) IMG www.imglobal.com International Medical Group, P.O. Box 88500, Indianapolis, IN 46208-0500 USA IMG IMG 1.317.655.4505 insurance@imglobal.com. Patriot Exchange Program $250 - - 14 $5,000 $25,000 11.
$10,000 1) 10 2 3 $5,000 IMG 1 2 303 12.
$25,000 2 $50,000 Patriot Exchange Program 65 4500 50 V 14 13.
Patriot Exchange Program 1. 2. 3. 4. 5. 6. ARC HIV 7. 8. 4500 50 V 4500 50 V 14.
Patriot Exchange Program Patriot Exchange Program PPACAPPACA 2014 1 1 PPACA PPACAPPACA PPACA PPACA 15.
MyIMG SM MyIMG MyIMG 24 7 24 MyIMG ID IMG Preferred Provider Organization PPO MyIMGIMGInternational Provider Access SM (IPA)17,000 Universal Rx Patriot Exchange Program 35,000 1 Universal Rx 2 Patriot Exchange Program Akeso Care Management (ACM ) IMG ACM URAC ACM ACM 16.
IMG 17.
TEAR HERE TEAR HERE TEAR HERE TEAR HERE Patriot Exchange Program 1. 2. IMG 3. International Medical Group, Inc. P.O. Box 88509, Indianapolis, Indiana 46208-0509 USA 1.317.655.4505 Email: insurance@imglobal.com. : : : : : : J2? : : : : : : 1) 2) 3) : IMG 0512 0713
1. 34 75 6 8 A B C A B C A B C 2. A 3. X = A # (A) 4. X = + = (A) $20 3 (A) 1.2 IMG IMG MasterCard Visa American Express Discover JCB ACH MG #
International Medical Group, Inc. P.O. Box 88509 2960 rth Meridian Street Indianapolis, IN 46208-0509 USA 1.866.368.3724 1.800.628.4664 or 1.317.655.4500 1.317.655.4505 insurance@imglobal.com www.imglobal.com Patriot Exchange ProgramSM IMG Sirius International Patriot Exchange Program Sirius International Insurance Corporation (publ) A.M. Best AA- Sirius International White Mountains Re IMG International Medical Group IMG imglobal Patriot Exchange Program ACM Akeso Akeso Care Management Coverage Without Boundaries International Medical Group, Inc. Sirius Sirius International SiriusSirius International Insurance Corporation (publ) 2007-2014 International Medical Group, Inc.