Patriot America Plus vs Safe Travels Elite PPO

Patriot America Plus and Safe Travels Elite PPO are both comprehensive options aimed at a similar profile — visiting parents in the 14–89 age band. The differences are narrower than the brochures suggest, and they show up in places most buyers don't look. Read on for the line-by-line scorecard.

IMG
IMGOverall winner
Comprehensive plan
ComprehensiveSenior-FriendlyDirect Billing
TW
Trawick
Comprehensive plan
Budget-FriendlyComprehensiveSenior-Friendly
Bottom line

Patriot America Plus edges out on age eligibility, taking 1 weighted points to Safe Travels Elite PPO's 0. Safe Travels Elite PPO still has the upper hand on a couple of secondary lines, so it stays the right call when those matter more than the headline coverage.

Patriot America Plus wins 1 weighted pointsSafe Travels Elite PPO wins 010 ties

Quick verdict

Best Overall
Both Are Strong Picks

Both deliver strong overall protection — pick on price or insurer preference.

Best Budget
Safe Travels Elite PPO

Lower starting premium (~$0/month) without giving up the essentials.

View Plan
Best for Seniors
Both Are Strong Picks

Both are senior-friendly — choice depends on PED needs and budget.

Side-by-side: who wins what

FeaturePatriot America PlusSafe Travels Elite PPOWinner
Coverage limit$1M$1M
Lowest deductible--
Pre-existing condition coverAcute-onsetAcute-onset
Direct billing at hospitalsYesYes
Hospital network sizeVery largeVery large
Typical premium band~$215-
Avg claim settlement30 days30 days
Age eligibility0-9914-89Patriot America Plus
COVID coveredYesYes
Emergency evacuation$1M$1M
24×7 supportYesYes

Who should choose which

Choose
Patriot America Plus if:
  • The trip is long — this plan covers up to 365 days.
  • The traveller is older — this plan accepts up to age 99.
Choose
Safe Travels Elite PPO if:
  • You want the lower monthly premium.

Real-life cost scenarios

What you'd pay out-of-pocket on a typical US medical bill, using each plan's mid-tier deductible and coinsurance.

$2k bill
ER visit
Sprain, infection, minor injury
Patriot America Plus$800
Safe Travels Elite PPO$500
How we calculated
Patriot America Plus: $500 deductible + 20% coinsurance on the rest
Safe Travels Elite PPO: $500 deductible
$10k bill
Hospitalization
Pneumonia, kidney stone, 2-day stay
Patriot America Plus$2.4k
Safe Travels Elite PPO$500
How we calculated
Patriot America Plus: $500 deductible + 20% coinsurance on the rest
Safe Travels Elite PPO: $500 deductible
$50k bill
Major emergency
Heart attack, surgery, ICU
Patriot America Plus$10.4k
Safe Travels Elite PPO$500
How we calculated
Patriot America Plus: $500 deductible + 20% coinsurance on the rest
Safe Travels Elite PPO: $500 deductible

Plan limitations side by side

Patriot America Plus — Cons
  • No major weak spots versus the other plan for typical visitor needs.
Safe Travels Elite PPO — Cons
  • No emergency dental cover.
  • Won't accept travellers above age 89.

Claims experience

MetricPatriot America PlusSafe Travels Elite PPO
Ease of claimsSlowerSlower
Typical claim time26–37 days26–37 days
Common issues
  • Claims involving prior conditions get extra scrutiny.
  • Claims involving prior conditions get extra scrutiny.

Typical experience — actual times vary by case complexity and documentation.

If something goes wrong: emergency flow

A simple, repeatable sequence so a stressed family member knows exactly what to do.

  1. 1
    Visit the hospital

    Go to the nearest ER. Don't delay over network checks in a true emergency.

  2. 2
    Show your insurance card

    Present your insurer ID and policy number at admission.

  3. 3
    Call the 24x7 helpline

    Notify the insurer within 24 hours so they can coordinate with the hospital.

  4. 4
    Cashless or reimbursement

    In-network: hospital bills the insurer directly. Out-of-network: collect every bill and receipt.

  5. 5
    Pay only your share

    You cover the deductible plus your coinsurance %; the insurer settles the rest.

Things most people miss

The fine print that decides whether a claim gets paid in full, partially, or not at all.

What a deductible actually costs you
Your deductible is the amount you pay out-of-pocket before insurance pays anything. A $250 deductible plan looks expensive — but on a $5,000 ER bill, you save $750+ versus a $1,000 deductible plan.
Coinsurance — the hidden second bill
After the deductible, most plans only pay 80% of the next slice (often the first $5,000–$10,000). On a $10,000 hospital stay, that 20% share is $2,000 on top of your deductible.
Pre-existing conditions — the small print
‘Acute-onset PED' only covers a sudden flare-up of a condition that was stable. Routine treatment for diabetes, BP, or heart disease usually isn't covered. Disclose everything at signup — undisclosed conditions are the #1 cause of US claim denials.
Network restrictions in real ERs
PPO networks save you the coinsurance hit, but in a true emergency you go to the nearest hospital, in-network or not. Direct-billing plans usually still pay; reimbursement plans mean you pay first and chase the money back.
Why claims get rejected
The top reasons: undisclosed pre-existing conditions, missing the 30-day claim filing window, no original bills/receipts, or treatment that's classified as ‘elective'. Keep every paper from the hospital.
What NRIs usually choose

NRI visitors split fairly evenly between these two.

Based on typical user preferences (age, coverage, cost). Not a popularity poll.

Where they're the same

  • IMG and Trawick both run direct-billing, so the family doesn't front the ER bill and chase reimbursement later.
  • COVID-19 treatment is in scope on both — handled like any other illness, not a separate rider.
  • 24×7 phone support sits behind both plans — useful when a hospital admits at 2am IST and you need pre-auth.
  • Both are true comprehensive plans — they pay actual hospital bills, not capped per-day or per-procedure amounts.
Watch out: Patriot America Plus

Acute-onset PED only up to age 70; 20% coinsurance on first $5k stings.

Watch out: Safe Travels Elite PPO

Slightly higher premium than the non-PPO Elite plan.

IMG
Patriot America Plus
TW
Safe Travels Elite PPO

Other comparisons you might want

This comparison reflects publicly available IMG and Trawick plan documents as of 2026. Sub-limits, exclusions and territorial rules can change between buy dates, so the official Patriot America Plus and Safe Travels Elite PPO certificates are the source of truth.