Home | About us | Services | Associate Companies | Tips for Traveller’s | Contact us  


Insurance

  
Kindly check the benefits offered below in the Gold, Platinum, Annual Multi Trip & Family Guard Plans & the cost as stated, in order to select your Insurance Policy.

 

Personal details
Full Name of Insurer :
Permanent Address :
Date of Birth : DD   MM   YY
Phone (Office)
Mobile
Phone (Residence)
Email Address
Passport No :
Final Destination :
Purpose of Visit :
Departure from Sri Lanka :  
Arrival to Sri Lanka :  
Name(s) and age(s) of accompanying person(s)
Name Date Of Birth                Passport no                Beneficiary     
Selected Policy / Plan
Mode of payment
Send Information To

Travel Guard

Global Travel Protection
Benefits Plan Plan Plan Plan
 

Gold

(Including & Excluding the Americas)

Platinum

(Including & Excluding the Americas)

Annual Multi Trip

Worldwide

Family Guard
(Including & Excluding the Americas)
Benefits pre family member

Accidental Death and Dismemberment Benefit (24 Hrs)

 $10,000 $15,000 $15,000 $10,000

Accidental Death and Dismemberment Benefit (Common Carrier)

 N/A $5,000 $5,000 N/A

Accidental & Sickness Medical Expense Benefit
Deductible

 $50,000
$100		 $100,000
$100		 $100,000
$100		 $50,000
$100

Sickness Dental Relief
Deductible

 $300
$150		 $400
$150		 $400
$150		 $300
$150

The following Maximum eligible expenses for Sickness  or Disease are applicable to insured person Aged 56-85 regardless of the plan/option purchased

* Hospital Room and Board and Hospital
* miscellaneous
* Intensive care Unit
* Surgical Treatments
* Anesthetic Services
* Physician’s Visit
* Diagnostic and Pre-Admission Testing
* Ambulance Service

  

Maximum 1,500 per day upto 30 days
Maximum 3,000 per day upto 7 days
Maximum 10,000
Upto 25% of Surgical Treatments
Maximum 75 per day upto 10 visits
Maximum 500
Maximum 400

Assistance

 Included Included Included Included

Baggage Delay Benefit
Deductible

 $50
12 Hours 		$100
12 Hours 		$100
12 Hours 		$50
12 Hours

Baggage Loss Benefit-Checked

 $500 $1,000 $1,000 $500
Emergency Medical Evacuation Benefit Included* Included* Included* Included*

Hijacking Benefit
Deductible
Maximum

 N/A
N/A
N/A		 $100 per day
1 day
$500		 $100 per day
1 day
$500		 N/A
N/A
N/A

In-hospital indemnity Benefit
Deductible
Maximum

 N/A
N/A
N/A		 N/A
N/A
N/A		 $15 per day
1 day
$150		 N/A
N/A
N/A

Loss of passport Benefit
Deductible

 $250
$30		 $250
$30		 $250
$30		 $250
$30

Personal Liability Benefit
Deductible

 $100,000
$200		 $200,000
$200		 $200,000
$200		 $100,000
$200

Automatic extension of Policy upto 7 days

 Available Available Available Available

Repatriation of Remains Benefits

 Included* Included* Included* Included*

Emergency Cash Advance

 $500 $1,000 $1,000 $500

Trip delay Benefits
Deductible
Maximum

 N/A
N/A
N/A		 $10 12 Hours
12 Hours
$100		 $10 12 Hours
12 Hours
$100		 N/A
N/A
N/A
 Gold Plan

Price per insured person with taxes in RS

Geographical zone

Excluding USA/CANADA

Age of the insured person

Travel duration (in days)

0.6–40

41–60

61–70

71–85

From 1 to 7 days

1200

1400

2200

6600

From 8 to 14 days

1800

1900

3000

8900

From 15 to 21 days

2000

2300

3800

11400

From 22 to 28 days

2300

2800

4600

13900

From 29 to 35 days

2800

3300

5600

16800

From 36 to 47 days

3300

4100

7200

21500

From 48 to 60 days

4000

4700

9000

27000

From 61 to 75 days

4800

6000

11800

35400

From 76 to 90 days

5500

7000

14800

44500

From 91 to 120 days

7600

9100

20300

60900

From 121 to 150 days

9900

12600

27900

83800

From 151 to 180 days

12000

14900

33600

100700

Price per insured person with taxes in RS

Geographical zone

Worldwide including USA/Canada

Age of the insured person

Travel duration (in days)

0.6–40

41–60

61–70

71–85

From 1 to 7 days

1800

2100

3200

9600

From 8 to 14 days

2600

2900

4500

13400

From 15 to 21 days

2700

3300

5800

17300

From 22 to 28 days

3300

3800

7200

21700

From 29 to 35 days

4100

4600

8800

26400

From 36 to 47 days

5000

6000

11400

34100

From 48 to 60 days

7000

9600

14100

42300

From 61 to 75 days

10300

14400

17300

51900

From 76 to 90 days

12300

15600

21500

64400

From 91 to 120 days

12800

15400

35000

105000

From 121 to 150 days

17000

21000

48600

145800

From 151 to 180 days

20500

24800

57800

173500

 Platinum Plan

Price per insured person with taxes in RS

Geographical zone

Excluding USA/CANADA

Age of the insured person

Travel duration (in days)

0.6–40

41–60

61–70

71–85

From 1 to 7 days

1700

1900

3100

9300

From 8 to 14 days

2200

2500

4400

13200

From 15 to 21 days

2600

3100

5800

17400

From 22 to 28 days

3000

3800

7100

21200

From 29 to 35 days

3600

4300

8800

26400

From 36 to 47 days

4200

5400

11000

32900

From 48 to 60 days

5000

6900

13400

40300

From 61 to 75 days

6400

8100

16900

50700

From 76 to 90 days

7500

10500

20300

60900

From 91 to 120 days

11100

14300

29600

88700

From 121 to 150 days

13600

18800

41600

124700

From 151 to 180 days

16900

22000

49400

148100

Price per insured person with taxes in RS

Geographical zone

Worldwide including USA/Canada

Age of the insured person

Travel duration (in days)

0.6–40

41–60

61–70

71–85

From 1 to 7 days

2400

2700

4300

12800

From 8 to 14 days

3100

3800

6200

18500

From 15 to 21 days

3600

4400

8300

24800

From 22 to 28 days

4200

5300

9900

29700

From 29 to 35 days

5000

6400

12600

37800

From 36 to 47 days

6300

8200

16300

48800

From 48 to 60 days

8200

11600

20200

60600

From 61 to 75 days

11500

16900

25900

77800

From 76 to 90 days

13800

17000

32400

97000

From 91 to 120 days

17000

21200

48900

146600

From 121 to 150 days

23500

29800

70700

212000

From 151 to 180 days

28700

35500

82600

247800

 Family Guard

Price per policy with taxes in RS

Passenger age

 6 months to 65

Geographical zone

Excluding USA/CANADA

Travel duration (in Days)

 

From 1 to 7 days

2700

From 8 to 14 days

3900

From 15 to 21 days

4500

From 22 to 28 days

5600

From 29 to 35 days

6500

Price per policy with taxes in RS

Passenger age

6 months to 65

Geographical zone

Worldwide including USA/Canada

Travel duration (in Days)

 

From 1 to 7 days

4100

From 8 to 14 days

5700

From 15 to 21 days

6600

From 22 to 28 days

7600

From 29 to 35 days

9300

 Annual Multi Trip

Age of the insured person

Price per insured person with taxes in RS

18 – 40

9800

41 – 60

10700


ALL INFORMATION / FARES/ PRICES & TAXES ARE SUBJECT TO CHANGE WITHOUT PRIOR NOTICE

Home|About us |Associate Companies|Tips for Traveller’s|Contact us               
 Proud to be Sri Lankan  Accredited Agent
Copyright © 2006 Sparklink Travels Ltd. All rights reserved
Concept and Design by Ingenious In-Group