Travel medical insurance

Diplomat America: how to choose the maximum, deductible and cover for visitors to the United States

Practical guide to Global Underwriters' Diplomat America: how to configure it by the visitor's age, maximum, deductible, coinsurance, pre-existing conditions, provider network and extensions.

🇪🇸 Leer esta guía en español

Diplomat America is Global Underwriters' plan for people visiting the United States. For a family welcoming parents, grandparents or in-laws, choosing this insurance well is one of the most important decisions of the trip. It's not enough to buy "insurance": you need to understand how the maximum, deductible, coinsurance and pre-existing conditions work, and how to use the provider network to avoid overpaying. This guide is practical and focuses on how to configure Diplomat America for each visitor profile.

The context: why the United States demands well-configured insurance

The United States has one of the most expensive health systems in the world. For a visitor without local insurance, an emergency can generate high bills even for common problems. That's why, with visitor insurance, configuration choices aren't details: they decide how much the insurance pays and how much the family pays if something happens.

Step 1: define the visitor's profile

Before getting a quote, answer these questions:

  • How old is the visitor?
  • Do they have known health conditions, such as hypertension, diabetes or heart problems?
  • How long will the visit last?
  • Which city will they be in, and are hospitals and clinics nearby?
  • How much could the family pay out of pocket in an emergency?

With those answers, configuring the plan becomes far more logical.

Step 2: choose the coverage maximum

The maximum is the total the insurance will pay. For the United States, a useful principle is to choose the highest maximum available for the visitor's age that the budget allows. The premium difference between a mid-level and a high maximum is usually smaller than it looks, while the difference in protection in a serious event is enormous. Keep in mind that at older ages the maximums available may be lower.

Step 3: choose the deductible

The deductible is what the visitor pays before the insurance starts to cover. A high deductible lowers the premium; a low one raises it but reduces the cost of each event. For an older adult, who is more likely to need care, a low or moderate deductible usually pays off. For a young, healthy visitor who only wants protection against something serious, a somewhat higher deductible may be reasonable.

Visitor profile Suggested maximum Suggested deductible
Young, healthy adult, short visit Mid-level or high Moderate
Healthy older adult High Low or moderate
Older adult with controlled conditions High Low
Long visit of several months High According to budget

These are general guidelines; the final choice depends on the maximums and deductibles available for the age in the quote tool.

Step 4: understand coinsurance

After the deductible, some plans share the cost with the insured through a coinsurance percentage up to a certain limit. Check in the description of benefits how Diplomat America's coinsurance works, if there is any, and how much it could represent in a hospital stay. That figure, together with the deductible, determines the family's real cost.

Step 5: review pre-existing conditions

This is the most delicate point. Visitor insurance generally doesn't cover pre-existing conditions, although some plans cover the sudden, unexpected worsening of a prior condition with limits and age requirements. Read carefully how Diplomat America treats them and, if the visitor has a known condition, consult an advisor before paying. It's better to know the limitation before the trip than to discover it in a claim.

Step 6: use the provider network

Visitor plans usually work with provider networks that make direct billing easier. Before the visitor arrives, look up in-network urgent care centers and hospitals near where they'll stay. For minor problems, an in-network urgent care center is far cheaper than an emergency room.

Step 7: prepare the visitor

Put together a folder with the insurance card, the assistance number, medications with generic names and doses, relevant medical history and a relative's contact details. Explain to the visitor when to go to urgent care and when to the emergency room, and that they must keep every invoice.

What to do if the visitor needs care

Minor problem: in-network urgent care or telemedicine if the plan includes it.

Emergency: emergency room or 911. Show the insurance card.

Afterwards: keep invoices and explanations of benefits, and file a claim if you paid out of pocket.

Extensions and changes

If the visit runs longer, check whether Diplomat America lets you extend cover before it expires. Extend in good time to avoid uncovered days. If you bought through a broker such as Insubuy, you can ask for help with the extension.

Diplomat America vs Atlas Travel

WorldTrips' Atlas Travel is the most common comparison. Both let you configure the maximum and deductible and are known to US providers. To compare them fairly, quote both with the same maximum, the same deductible and the same dates, then check differences in pre-existing conditions, evacuation and network. Comparison sites such as Insubuy and VisitorsCoverage let you do it on one screen.

Mistakes that make the trip more expensive

Choosing the lowest maximum to save money. A serious event can exceed it.

Too high a deductible for an older adult. The family pays more for each event.

Not checking pre-existing conditions. Risk of rejected claims.

Going to the ER for something minor. Much more expensive than urgent care.

Letting the policy lapse on a visit that runs longer.

A practical configuration example

A seventy-two-year-old father with controlled hypertension travels from his home country to visit his son in Atlanta for four months. The family quotes Diplomat America with the highest maximum available for his age and tries two deductibles. Before paying, they ask how the sudden worsening of a pre-existing condition is treated. With that information, they choose a low deductible and prepare the travel folder. If the visit is extended by a month, they request the extension before it expires.

How to read the card and the description of benefits

The insurance ID card usually includes the insured's name, policy number, group number if applicable, assistance phone numbers and billing information for providers. Show the visitor where each piece of information is and tell them to always present it at reception. The description of benefits is the document detailing what's covered, in what amounts and with what exclusions. Read it calmly before the trip and mark the key points: maximum, deductible, coinsurance, pre-existing conditions and evacuation.

Medication and check-ups before the trip

Visitor insurance isn't designed for routine check-ups or ongoing treatment of chronic illness. Ideally, the visitor should have a medical check-up at home before traveling, confirm their conditions are controlled and bring enough medication for the whole stay. That lowers the chance of needing care and avoids expenses the insurance probably wouldn't cover.

When to consider a higher-level plan

If the visitor is of advanced age, has several health conditions or will spend a long time in the United States, compare Diplomat America with higher-level plans from other insurers, such as WorldTrips' Atlas Premium. An advisor can help you see whether the price difference is justified by covers that really matter for that profile.

What typical care can cost and why the deductible matters

To understand the deductible's real effect, think of three common scenarios. A visit to urgent care for a respiratory infection may cost less than a high deductible, meaning the visitor pays everything out of pocket. An emergency room visit with tests for abdominal pain may exceed the deductible, and the insurance starts paying. A hospital stay with surgery makes the deductible a small fraction of the total, and what matters most is the policy maximum.

With these scenarios in mind, a low deductible is more valuable for someone likely to use the insurance for minor visits, such as an older adult, while a high deductible may suit a young visitor who only wants protection against something serious.

Telemedicine and after-hours care

Many health problems appear at night or on weekends. If the plan includes telemedicine, use it as a first filter for mild symptoms: a doctor can advise by video whether to go to urgent care, the emergency room or whether rest and an over-the-counter medicine are enough. If the plan doesn't include it, urgent care centers with extended hours are the next option before an emergency room.

What to do with bills that arrive later

In the United States, several bills often arrive for the same episode of care: from the hospital, the doctor, the lab and the radiologist. Don't pay any of them before comparing it with the insurer's explanations of benefits, which show how much the insurance covered and how much the patient owes. If something doesn't match, call the insurer or ask the broker for help before paying.

Traveling within the United States during the visit

Many visitors take the opportunity to see other cities. Diplomat America is designed for the visit to the United States as a whole, but check whether the provider network covers the places you'll visit and save details of clinics near each place you stay. If the trip includes a crossing into Canada or Mexico, check whether the plan covers those days or whether you need extra cover.

How to talk about insurance without worrying the visitor

Many older adults are uncomfortable talking about illness or accidents before a happy trip. A kind way to do it is to present insurance as part of the logistics, like the passport or tickets: "here's your insurance card, keep it with your passport; if you feel unwell, tell me and we'll decide together where to go." That way the visitor knows what to do without feeling that a problem is being anticipated.

When to buy the insurance

Ideally, buy Diplomat America before the visitor leaves their country, with the start date set to the day they arrive in the United States. That way cover starts from the first moment, including the journey from the airport. Buying early also gives you time to read the policy calmly and resolve doubts with an advisor. If for some reason the visitor has already arrived without insurance, ask whether it's possible to buy after arrival and whether a waiting period applies before cover becomes effective.

A summary to decide quickly

High maximum, deductible suited to age, pre-existing conditions reviewed, network identified and expiry date noted: with those five points, Diplomat America is well configured.

Final checklist

  • Visitor profile defined.
  • High maximum for the age.
  • Deductible suited to the budget.
  • Coinsurance and pre-existing conditions reviewed.
  • Provider network identified.
  • Travel folder prepared.
  • Expiry date noted.

Common questions from first-time visitors

First-time visitors to the United States often ask similar questions about their insurance. Can I see any doctor? Usually yes, but using providers in the insurer's network can simplify billing and reduce costs. Do I need to pay upfront? Sometimes; some providers ask for payment and you then claim reimbursement, so keep a credit card available. Is a pharmacy prescription covered? It depends on the plan, so check the section on prescription drugs and keep every receipt. What if I extend my trip? Request an extension before the original end date, because a lapsed policy may not be renewable. What happens with a condition I already had? Most visitor plans limit or exclude pre-existing conditions, sometimes with a small allowance for sudden flare-ups; read that clause carefully. Answering these questions before you travel reduces stress if you do need care, and helps you choose a plan whose limits and deductible match your situation and budget.

To compare this plan with other travel insurers in one place, visit our comparison site at buy.globalinsurancemall.com, where we bring together travel and international health insurance from several providers.

Conclusion

Diplomat America is a useful tool to protect people visiting the United States, but its value depends on configuring it well. Choose a high maximum and a reasonable deductible, review pre-existing conditions and use the provider network. If you'd like us to set up the quote with you, message us on WhatsApp.

Frequently asked questions

Who is Diplomat America for?

For visitors arriving in the United States, such as parents, grandparents or other relatives of residents.

What maximum should I choose?

For the United States, the highest available for the visitor's age that the budget allows, because of the high cost of medical care.

What deductible suits an older adult?

A low or moderate one, because they're more likely to use the insurance.

Does Diplomat America cover pre-existing conditions?

Check the description of benefits; visitor insurance generally excludes them or only covers their sudden worsening with limits.

Can I extend the policy?

Check the plan's conditions and request the extension before it expires.

Diplomat America or Atlas Travel?

Compare them with the same maximum, deductible and dates, and check differences in pre-existing conditions, evacuation and network.

Keep reading

Our partners

Compare and buy directly from each partner. Using our links never changes the price.

Travel insurance

IATI Seguros

Travel insurance with 24/7 Spanish-language support and direct billing to hospitals.

  • Plans from Básico up to Estrella (unlimited medical expenses outside Europe)
  • Medical repatriation covered at 100% of the real cost
  • Backpacker plan covering 60+ adventure sports
Travel insurance

LUMA Travel

International travel insurance underwritten by Rock Mutual Insurance.

  • 100% online, instant purchase
  • Trips of up to 180 consecutive days
  • Entry ages from 4 weeks to 80 years
Health for nomads

Genki

Subscription health insurance for digital nomads and expats.

  • Genki Traveler with a €1,000,000 annual limit
  • Genki Native with up to €3,500,000 and lifelong cover
  • Monthly subscription you can buy while already abroad
Health for nomads

SafetyWing

Nomad Insurance: a monthly subscription built for long-term travelers.

  • Monthly renewal with no fixed return date
  • Can be bought while already abroad
  • One child under 10 included per adult on Essential
Travel medical insurance

WorldTrips (Atlas)

Atlas plans from Tokio Marine HCC for travelers, students and missionaries.

  • Emergency medical evacuation up to USD 1 million
  • Plans from roughly one dollar per day
  • MultiTrip (annual) and Group (5+ people) versions
Insurance marketplace

Insubuy

Texas-based broker comparing international medical insurance from several insurers.

  • Same price as buying directly from the insurer
  • Licensed agents who also speak Spanish
  • After-sale help with changes, cancellations and claims
Insurance marketplace

VisitorsCoverage

Travel insurance marketplace that has served over 1.5 million travelers.

  • Side-by-side comparison of several insurers
  • Licensed agency with US-based advisors
  • Travel Weekly Magellan Gold Awards 2025
Travel medical insurance

Global Underwriters

The Diplomat family of plans for visitors and international travelers.

  • Diplomat America for visitors to the United States
  • Diplomat International for trips outside the US
  • Diplomat Long Term for extended stays
Travel assistance

Assist 365

Latin American travel assistance with plans of up to USD 1,000,000.

  • Million Cover plan with USD 1,000,000 in medical assistance
  • Pre-existing condition cover up to USD 50,000
  • Emotional support via telepsychology included
Travel assistance

Protege tu Viaje

Travel assistance with 10,000+ reviews and a 4.8/5 Trustpilot score.

  • Instant policy issuance
  • Fast WhatsApp support, also in English
  • Replies to almost every negative review
Travel assistance

GO! Assistance

25+ years of travel assistance and 30,000 direct providers.

  • In-house telemedicine with digital prescriptions
  • Pregnancy covered up to week 26
  • Plans covering declared, controlled pre-existing conditions
Assistance marketplace

Asegura tu Viaje

Travel assistance comparison site with hundreds of plans in one place.

  • 350+ plans from several assistance companies
  • Plans for cruises, students, seniors and pregnant travelers
  • Support via WhatsApp, chat and email
Travel insurance

Globely

Travel insurance from an ecosystem that also offers eSIM, visas and VIP lounges.

  • Online quotes for trips to 195 countries
  • Integrated with eSIM, visa processing and VIP lounges
  • Digital purchase with instant policy
USD life insurance

Olé Life

US-dollar life insurance for Latin Americans, with no medical exam.

  • Instant digital approval powered by AI
  • Coverage amounts up to USD 1 million
  • Reinsured by Swiss Re, Munich Re, RGA and PartnerRe
Travel insurance

TripInsurance.ru

Premium travel insurance for Russian-speaking travelers since 2012.

  • Coverage of up to €1,000,000
  • Free 24h online doctor consultation in the app
  • In-house assistance with clinic quality control
eSIM

Holafly

eSIM with unlimited data in 175+ destinations.

  • Unlimited data with QR-code activation
  • Holafly Plans: a monthly subscription you can pause
  • Automatic network switching between countries
eSIM

Yesim

eSIM for 185+ destinations managed from one app.

  • Local, regional, global and pay-as-you-go plans
  • Hotspot allowed at no extra cost
  • 24/7 support with fast replies
eSIM

Roamic

Budget eSIM for 194+ destinations with hotspot allowed.

  • Plans from €0.99 (1 GB for 7 days in several countries)
  • Local, regional and pay-as-you-go plans
  • Support via WhatsApp, email and chat
Airport VIP lounges

Salas VIP

Airport VIP lounge passes without needing a premium card.

  • Buy your pass online before the flight
  • Rest, food and wifi before boarding
  • Ideal for long layovers and overnight flights
Visa processing

Visagov

Barcelona-based platform for online tourist and business visas.

  • 168,000+ visas processed in 2023
  • Reported success rate of 99.7%
  • Direct connection to each government's systems
Car rental

DiscoverCars

Car rental comparison in 150+ countries.

  • Free cancellation up to 48 hours before on most bookings
  • Major brands and local agencies in one search
  • Optional reimbursement-based Full Coverage
Visas & immigration

CoVisas Colombia

Colombian immigration law specialists with 20+ years of experience.

  • End-to-end visa application management
  • Health insurance compliant with Resolution 5477 of 2022
  • Direct advice via WhatsApp
Visas & immigration

MiVisa Colombia

Professional directory of Colombian visa advisors.

  • Verifiable profile of advisor Francisco Viloria
  • A reference to compare immigration professionals
  • Direct contact with the advisor
Real estate & expats

Medellín Advisors

Full-service real estate for foreigners in Medellín since 2019.

  • Agents, lawyers, accountant and property managers in one team
  • Support to invest, visit and live in Medellín
  • Insurance specialists in the same team
Real estate & expats

Premium Propiedades

Medellín property inventory to buy, rent or invest.

  • Up-to-date inventory of Medellín properties
  • Legal and accounting backing from Medellín Advisors
  • Options to live, rent or invest
💬 Contacto / CotizarWhatsApp