1.

All Schengen insurance policies cover an amount of 30,000 Euros for

any medical, hospitalization & repatriation costs during any single
trip into the Schengen states.
2. Pre-existing medical conditions and any treatment related to cancer
& pregnancy is not covered.
3. Change in policy date is only acceptable before starting date of policy.

TRAVEL INSURANCE
Direct Settlement of Medical Claims in Schengen States
Worldwide Travel and Medical Assistance Services
24/7 international SOS Hotline 00971 4601 8823
 GOSECURE - TRAVEL INSURANCE BENEFITS & SUM INSURED TABLE
PREMIUM TABLE FOR TAX FILERS (All Amounts In Pak Rupees) Schengen Insurance Policies
Individual Rates Family Rates Description of Cover Elite Bliss Schengen Delight Schengen Basic Care
Schengen Insurance Policies Schengen Insurance Policies
Duration upto Section 1 - Medical Benets
Care Care
Schengen Schengen Schengen Schengen
Elite Bliss Elite Bliss
Delight Basic Delight Basic Emergency Medical Expenses - Accident & Sickness * $150,000 $100,000 $50,000 $50,000 $10,000
7 Days 3,300 2,900 2,500 1,400 675 5,800 5,100 3,800 2,300 1,350
Emergency Dental Care* $1,000 $500 $300 $300 -
10 Days 4,750 3,800 3,100 1,850 800 7,100 6,600 5,000 2,550 2,000
*Deductible on Medical & Dental $100 $100 $100 $100 $100
15 Days 5,600 4,900 4,300 2,000 1,150 9,900 8,600 6,400 2,700 2,300

21 Days 7,700 6,750 5,800 2,500 1,550 13,550 11,800 8,900 3,700 3,100 Emergency Medical Evacuation Included Included Included Included Included

31 Days 9,900 8,700 6,500 3,200 1,950 17,200 14,950 10,800 4,450 3,900 Compassionate Visit Included Included - - -

62 Days 18,000 16,000 12,500 4,300 3,800 33,500 23,000 16,500 5,550 7,700
Repatriation of Mortal Remains Included Included Included Included Included
92 Days 25,700 23,000 16,600 5,300 5,200 50,500 30,300 21,500 6,700 11,000
Return of Dependent Child Included Included Included - Included
122 Days 34,500 30,000 23,000 6,400 6,800 67,000 36,000 26,950 7,600 14,000
Delivery of Medicines Included Included Included Included Included
152 Days 43,000 37,500 29,500 7,300 8,400 83,000 42,000 32,500 8,150 17,500

180 Days 58,000 44,500 34,000 8,800 10,100 N/A 48,200 38,000 9,500 21,000 24/7 Worldwide Assistance Services Included Included Included Included Included

Annual Multi-Trip 24,000 22,500 15,000 11,600 9,000 39,000 33,000 26,000 15,500 13,000
Section 2 - Personal Accident Benets
Senior Age Extension 100% 100% 100% 100%
N/A N/A N/A N/A N/A N/A Accidental Death $30,000 $20,000 $15,000 $5,000 $10,000
for those aged 65-85 increase increase increase increase

Accidental Death (Common Carrier) $30,000 $20,000 $15,000 $5,000 -

Permanent Total Disability As per the compensation table limits

GOSECURE - TRAVEL INSURANCE
PREMIUM TABLE FOR NON TAX FILERS (All Amounts In Pak Rupees)
Individual Rates Family Rates Section 3 - Travel Inconvenience Benets
Schengen Insurance Policies Schengen Insurance Policies
Duration upto Baggage Loss - Checked In (Limit of 10% per item) $1,000 $1,000 $500 - $200
Care Care
Schengen Schengen Schengen Schengen
Elite Bliss Elite Bliss
Delight Basic Delight Basic
Baggage Delay - Checked In (Excess First 8 Hours) $400 $150 $75 - $50
7 Days 3,414 3,000 2,586 1,447 697 6,002 5,277 3,932 2,379 1,396
Flight Delay (Excess First 12 Hours) $500 $300 $200 - $100
10 Days 4,915 3,932 3,207 1,913 826 7,347 6,830 5,174 2,638 2,068

15 Days 5,795 5,070 4,449 2,068 1,189 10,246 8,900 6,623 2,793 2,379 Passport Loss (Excess $25 EEL*) $400 $300 $200 - $100

21 Days 7,968 6,985 6,002 2,586 1,603 14,024 12,212 9,211 3,828 3,207 Credit Card Loss - Cash Advance $600 $500 $300 - -

31 Days 10,246 9,004 6,726 3,311 2,017 17,802 15,473 11,177 4,604 4,035
Trip Cancellation & Curtailment $500 $400 $300 - -
62 Days 18,630 16,560 12,937 4,449 3,932 34,674 23,805 17,077 5,743 7,968
Personal Liability (Excess $1,000 for TPPD $200,000 $100,000 $25,000 - $15,000
92 Days 26,600 23,805 17,181 5,484 5,381 52,270 31,361 22,253 6,933 11,384

122 Days 35,709 31,051 23,805 6,623 7,037 69,349 37,261 27,894 7,865 14,489 * Maximum 90 days trip is coved in annual multi trip plans of Elite, Bliss & Schengen delight
* Maximum 60 days trip is coved in annual multi trip plans of Schengen Basic & Care.
152 Days 44,507 38,814 30,533 7,554 8,693 85,911 43,472 33,639 8,434 18,112

180 Days 60,033 46,060 35,191 9,107 10,453 0 49,889 39,332 9,832 21,735 -Medical treatment related to any pre-existing condition, cancer or pregnancy fall under exclusion and is not covered.
- Family policy includes on insured person, spouse aged upto 65 their in birthday and unlimited children below the age of 18
Annual Multi-Trip 24,840 23,288 15,525 12,005 9,314 40,367 34,156 26,911 16,042 13,454
their in birthday
Senior Age Extension 100% 100% 100% 100% - Please refer to the terms & condition for details provided in the policy wording
N/A N/A N/A N/A N/A N/A
for those aged 65-85 increase increase increase increase
- Premium amount are inculsive of all applicable taxes and stamp duty
- For Policy wording Please visit: http://www.adamjeeinsurance.com/product_portfolio/download_centre_travel.aspx