GeoBlue Expat U.S. Coverage Options

Recently GeoBlue announced the introduction of their BASIC Upgrade option.  This option was an answer to a problem that has existed for quite a while.  GeoBlue offers three versions of their Xplorer for Expats plan and up til now the only option one had for coverage while visiting the United States was their Flagship plan the Xplorer Premier.  However the Premier was designed for those who not only live abroad but spend part of each year also at home in the United States or her territories.  The introduction of the BASIC option now provides for a cost-effective way to provide coverage for those who currently live abroad but have need for coverage during short-term visits home.

GeoBlue Basic Upgrade Flier

Prior to the Basic Option if a GeoBlue member was living abroad without the U.S. Coverage option for the plan selected then any inbound trips to the U.S. went uninsured or they had to purchase a separate Travel Medical plan for that one inbound visit.  This post shares the comparison chart below showing the primary differences between the Flagship Xplorer Premier (includes U.S. Cover) and the Xplorer Essential (No U.S. Cover) with the BASIC upgrade option selected.  This new optional upgrade solves a problem we have all had to accept until now.

GeoBlue Expat U.S. Coverage Options

Comparison Highlights Comprehensive Coverage inside the U.S. Available with Xplorer Premier Plan Basic U.S. Benefits Upgrade Available with the Xplorer Essential Plan
U.S. Coverage Options Overview
Coverage Area Inside the U.S Inside the U.S.
Description of U.S. Coverage Options Major medical coverage allowing members freedom to seek care in the U.S. for up to 9 months per year. Comprehensive U.S. benefits for emergent, urgent, routine, preventive and elective care. Basic travel accident and sickness coverage
inside the U.S. for short trips to the U.S. Covers incidental illness and injury. Not designed to cover preventive, elective care or extended stays in the U.S.
Benefit Information
Medical Maximum Unlimited $1,000,000
U.S. In-Network Coinsurance 80% to coinsurance maximum
(100% thereafter)
80% to coinsurance maximum
(100% thereafter)
U.S. Out-of-Network Coinsurance 60% to coinsurance maximum
(100% thereafter)
60% to coinsurance maximum
(100% thereafter)
Coverage for U.S. Citizens Inside the U.S. Capped at 9 months 21 days per trip, three trips maximum per calendar year
Deductible Waiver Waived for all physician office visits and preventative care Waived for all physician office visits
Preventive Care Unlimited Not Covered
Patient Responsibility for In-Network Physician Office Visits $30 copay per visit $50 copay per day
Ability to Travel to the U.S. for Treatment YES NO
Elective Care In The U.S. Including Cancer
Treatment, Heart Surgery, Orthopedic
Surgery, and Other Elective Care
COVERED NOT COVERED
Mental Health Benefits Inpatient: 100% up to 60 days
Outpatient: 75% up to 40 visits
(60% thereafter)
NOT COVERED
Speech Therapy 12 visits per calendar year, deductible waived, up to $30 per visit NOT COVERED
Acupuncture In-Network: 80% up to $2,000
Out-of-Network: 60% up to $2,000
NOT COVERED
Chiropractic Care In-Network: 80% up to $2,000
Out-of-Network: 60% up to $2,000
NOT COVERED
Nursing Home Expenses As many as 50 days per calendar year under
skilled nursing services benefit
NOT COVERED
Substance Abuse Inpatient 100% up to 60 days detox /
Outpatient 75% up to 40 visits and 60%
thereafter
NOT COVERED
Inpatient Prescription Drugs Unlimited $1,000,000
Outpatient Prescription Drugs $1,000 Basic Prescription Benefit Enhanced Prescription Upgrade available: $25,000 $1,000
Injectables 70% to coinsurance maximum
(100% thereafter)
NOT COVERED
Birth Control Up to outpatient prescription drug limit NOT COVERED
AD&D $50,000 NOT COVERED
Newborn Care
Routine Nursey Care of a Newborn Child of a Covered Pregnancy UNLIMITED NOT COVERED
Neonatal Intensive Care Unit Newborn is automatically covered; Unlimited Covered due to complications
of pregnancy only
Pre-existing Conditions
Pre-existing Condition Exclusion Period 180 days
Exclusion waived with evidence
of prior health insurance
180 days
Any evidence of prior health insurance does
not apply to pre-existing condition wait period.
Pre-existing Condition Look Back Period 180 Days 2 Years
Pre-existing Annual Maximum Once Covered Unlimited $500

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