Cultural Insurance Services International
| Schedule of Benefits | |
| Benefits | Limits |
| Medical Expenses Limits: | |
| Lifetime/Annual Maximum | Unlimited |
| Per Accident or Sickness | $250,000 |
| Per Occurrence Deductibles: | |
| Emergency Room Deductible (waived if admitted) | $250 |
| Call-A-Doc | $0 |
| Physician/Outpatient/Dr. Visit | $100 |
| Urgent Care | $50 |
| Walk in Clinic | $25 |
| MRI/CAT Scan | $0 |
| Rx Copay | $0 |
| Pre-Existing Conditions-12 Month Look Back; thereafter up to policy max | Up to $500 |
| Coinsurance Percentage (%) | 100% Coinsurance |
| Prescription Drugs (inpatient/outpatient) | Inpatient: 100% of Covered Expenses Outpatient: 100% of Covered Expenses |
| Mental Health | Inpatient up to 30 days/Outpatient 30 visits |
| Pregnancy (conception must occur while covered under this plan) | Treated as any other illness |
| Physiotherapy | Covered |
| Chiropractic Care & Therapeutic Services | Up to $500 max, $50 per visit |
| Emergency Reunion | $15,000 (hospitalized 3 days) |
| Home Country (Incidental Trips) | $1,000 |
| Trip Delay (applies mid trip as well) 24-hour time | Up $1,500/daily limit $100 |
| Political Evacuation | $10,000 |
| Dental Injury Only | Up to policy max |
| Palliative Dental | $1,000max/$200 per tooth |
| 24/7 Assistant Services & In-house Crisis Team | Included |
| Medical Evacuation | $50,000 |
| Repatriation of Remains | $25,000 |
| Accidental Death & Dismemberment | $15,000 ($1M aggregate limit) |
| Schedule of Benefits | |
| Benefits | Limits |
| Medical Expenses Limits: | |
| Lifetime/Annual Maximum | Unlimited |
| Per Accident or Sickness | $2,000,000 |
| Per Occurrence Deductibles: | |
| Emergency Room (waived if admitted) | $250 |
| Call-A-Doc | $0 |
| Physician/Outpatient/Dr. Visit | $50 |
| Urgent Care | $50 |
| Walk in Clinic | $25 |
| MRI/CAT Scan | $0 |
| Rx Copay | $0 |
| Pre-Existing Conditions-12 Month Look Back; thereafter up to policy max | Up to $500 |
| Coinsurance Percentage (%) | 100% Coinsurance |
| Prescription Drugs (inpatient/outpatient) | Inpatient: 100% of Covered Expenses Outpatient: 100% of Covered Expenses |
| Mental Health | Inpatient up to 30 days/Outpatient 30 visits |
| Pregnancy (conception must occur while covered under this plan) | Treated as any other illness |
| Emergency Reunion | $15,000 (hospitalized 3 days) |
| Physiotherapy | Covered |
| Chiropractic Care & Therapeutic Services | Up to $500 max, $50 per visit |
| Home Country (Incidental Trips) | $1,000 |
| Trip Delay (applies mid trip as well) 24-hour time | Up $1,500/daily limit $100 |
| Political Evacuation | $10,000 |
| Dental Injury Only | Up to policy max |
| Palliative Dental | $1,000max/$200 per tooth |
| 24/7 Assistant Services & In-house Crisis Team | Included |
| Medical Evacuation | $50,000 |
| Repatriation of Remains | $25,000 |
| Accidental Death & Dismemberment | $15,000 ($1M aggregate limit) |
| Trip Interruption | $1,000 |
| Personal Liability | |
| Personal Liability Limit | $2,000,000 |
| Liability deductible | $100 |
| Medical Payments to Others | $25,000 | Additional Living Expenses | $10,000 |
| Payment of Homeowners Deductible | $1,000 |
| Personal Property | $1,500 |
You are now being directed to Travel Insured International. On this page, you will be able to review a quote for Trip Cancellation for Any Reason and Trip Interruption for Any Reason. Please keep in mind this plan is completely separate from the CISI AIFS Abroad Insurance Coverage. This plan can be purchased with a major credit card.
Click here to proceed: Trip Cancellation & Interruption Protection for Academic Travel (culturalinsurance.com)
Salvator Mundi International
Viale Mura Gianicolensi 67
00152 Roma
Tel: +39 06 588961
(Private Hospital)
Aventino Medical Group
Via Sant’Alberto Magno, 5, apt. 3,
00153 Rome, Italy
Tel: +39 06 5728-8349 or 06 578-0738
(Private Clinic)
*You do not need to contact TeamAssist before visiting this provider. Your ID Card is sufficient.
Mater Dei
Via Bertoloni, 34
Tel: +39-068-22-01
(Private Hospital)
EuroSanita (Villa Stuart)
Via Trionfala, 5952
00136 Roma
(Private Clinic)
*You do not need to contact TeamAssist before visiting this provider. Your ID Card is sufficient.
Casi di Cura Santo Volta Hospital
Piazza del Tempio di Diana, 13 Roma
(Private Hospital)
*Student should contact Team Assist before admission.
Paideia
Via Vincenzo Tiberio, 46
Tel: +39-063-309-41
(Private Clinic)
Valle Giulia
Via de Notaris, 2/8
Tel: +39-063-247-91
(Private Clinic)
Dr. Julia Chabrera
Av. Reina Mercedes 29, Bajo, Ext. D.
41012 Sevilla
Tel: +34-954-61-26-40
clinicachabrera@gmail.com
Clinica Fatima
C/Fglorieta de Mexico No. 1
41012 Sevilla
Tel: +34-954-613-300
(General Practice Clinic)
Usp Clinica Sagrado Corazon
C/Rafael Salgado No. 3
41013 Sevilla
Tel: +34-954-937-676
(Multi specialty clinic)
Policlinica los Remedios
c/ Fernando IV 24, 41011
Seville, Spain
Tel: 34 954 279 786
esther.policlinica@hotmail.es
(General Practice Clinic)
*You do not need to contact TeamAssist before visiting this provider. Your ID Card is sufficient.
Centro Medico Nervion
Av. San Francisco Javier No. 18
41000 Sevilla
Tel: +34-954-659-955
(General Practice Clinic)
American Hospital of Paris
63 Boulevard Victor Hugo 92200 Neuilly-sur-Seine, France
Tel: 01 46 41 25 25
(Private Hostpital)
Clinique Ambroise Pare
7 Boulevard Victor Hugo 92200 Neuilly-sur-Seine
Tel: 08 26 20 03 00
(Private Clinic)
Centre Medical Europe
44 rue d’Amsterdam 75009
Tel: 01.42.81.93.33
(Private Clinic)
International Medical Center of Paris
29 av. General Leclerc 75014 Paris
Tel: +33(0)143950055
Email: j.duplessisnelson@gmail.com
(Private Clinic)
Dr. Anne Valerie Meyers
10, Rue Royale – Dorrway C, 4th Floor – 75008 Paris
Phone: +33 (0)1 42 66 47 82
Email: avm@prontomail.com
*You do not need to contact TeamAssist before visiting this provider. Your ID Card is sufficient.
(General Practicioner)
Dr. Nancy Salzman
1 avenue de Lowendal – 75007 Paris – France
Phone: +33 (0)1 45 63 18 43
Email: drsalzman@noos.fr
(General Practitioner & Gynecology)
Justine Du Plessis Nelson
11, Rue Bosio – 75016 Paris – France
Tel: +33 (0)1.6.17.92.62. 50
Email: j.duplessisnelson@gmail.com
*You do not need to contact TeamAssist before visiting this provider. Your ID Card is sufficient.
(Mental Health / Psychologist)
Dr. Suzanne Black
+33 (0)6 3206 5806,
Email: drsuzablack@gmail.com (Appointment location will depdend upon treatment needs)
*You do not need to contact TeamAssist before visiting this provider. Your ID Card is sufficient.
(Mental Health / Psychologist)
Sharon Korman, Psychotherapy
91 Rue du Theatre – 75015 Paris
Tel: +33 (0)6 50 02 30 66, korman.lmft@free.fr
*You do not need to contact TeamAssist before visiting this provider. Your ID Card is sufficient.
(Mental Health / Psychotherapy)
Marie Rose Richardson
66 Rue de Lisbonne 75008 Paris
*You do not need to contact TeamAssist before visiting this provider. Your ID Card is sufficient.
(Mental Health)
You are now being directed to Travel Insured International. On this page you will be able to review a quote for Trip Cancellation for Any Reason and Trip Interruption for Any Reason. Please keep in mind this plan is completely separate from the CISI Boston College Travel Abroad Insurance Coverage. This plan can be purchased with a major credit card.
Click here to proceed: Trip Cancellation & Interruption Protection for Academic Travel (culturalinsurance.com)