Contrary to any stipulations stated in the General Conditions, the plan subscribed to, under this Letter of Confirmation, covers exclusively the below-mentioned Benefits,
Limitations & Excesses are shown in the table hereafter.
The General Conditions form an integral part of this Letter of Confirmation.
BENEFITS SUM INSURED EXCESS
Emergency Medical expenses due to COVID-19 Up to $ 5000 25% co-insurance
Quarantine expenses due to COVID-19 Not Covered 0
Emergency Medical Evacuation & Repatriation due to COVID-19 Up to $ 5000