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.
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.
How It’s Used
The Basic Upgrade is a new tool for those who are living or planning to live abroad but do not have the need for comprehensive U.S. Coverage. When you select an health plan for living abroad GeoBlue offers two primary options, one the Premier Plan includes coverage over the entire globe including the United States and her territories. Or secondly you can select the Essential plan which provide global coverage minus the United States and her territories.
With the BASIC Upgrade option you can now visit home here in the states without the high cost of the Premier plan or the added headache of obtaining a separate inbound travel medical plan when you decide to come home a visit for a few weeks. Simple add this upgrade at the time of application or if you are already an Essential plan member add it at the time your plan renews for the upcoming year.
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.
|U.S. In-Network Coinsurance||80% to coinsurance maximum
|80% to coinsurance maximum
|U.S. Out-of-Network Coinsurance||60% to coinsurance maximum
|60% to coinsurance maximum
|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
|Mental Health Benefits||Inpatient: 100% up to 60 days
Outpatient: 75% up to 40 visits
|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
|Chiropractic Care||In-Network: 80% up to $2,000
Out-of-Network: 60% up to $2,000
|Nursing Home Expenses||As many as 50 days per calendar year under
skilled nursing services benefit
|Substance Abuse||Inpatient 100% up to 60 days detox /
Outpatient 75% up to 40 visits and 60%
|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
|Birth Control||Up to outpatient prescription drug limit||NOT COVERED|
|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 Condition Exclusion Period||180 days
Exclusion waived with evidence
of prior health insurance
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|