Read the one star reviews! This company is based in Nevis, a small volcanic island in the Caribbean. If that isn't a red flag, I don't know what is. You will never see a human being from this company face to face. There is no office you can go to, hardly an address to be found. Your only way of communicating is through their main email address. If you have a claim, you will not be assigned a person to communicate with, only a generic email with no individual person to message back and forth. They approved small claims, doctors visits and what not quickly and efficiently. no issues there, actually great experience. Any sort of large claim they made me jump through endless hoops like getting medical records from completely unrelated things, some from 10+ years prior in another country. Then they delayed as much as possible and suggested if I needed to $50k USD procedure sooner then I should pay for it myself and submit a receipt. They wanted to avoid paying the premium fees as they know we would chose the cheapest option if we had to pay for it out of pocket. As if anyone has that much money laying around. After many months, we showed up at the hospital, only to find out they hadn't approved it. Started the process over again and finally 3 months later was able to get it covered; they approved it while under anesthesia! If only the idiots had waited 1 more day they could have paid half as much for the generic hospital costs instead of single room fees. Anyways, that was bad enough, but now I was stuck with them as I had a pre-existing condition. At that point, they doubled my premiums, the advertised rate is just what you pay if there are less than 125% claims. So factor that in when you make a decision based on this being the cheapest coverage. Now, after I renewed the policy and paid for the entire year in advance to get the discount, then they informed me anything to do with my procedure (with implant) was no longer covered as it was considered a "chronic condition". Yet it would be a pre-existing condition if I went to any other company. So basically I'm screwed for the rest of my life with ongoing pain. Take home point: read the chronic conditions exclusion. Basically, once something a condition is diagnosed, it is not covered beyond the initial bit. the wording makes it such that anything requiring ongoing care is not covered beyond the amount listed. So, they advertise a price which is 50% less than the actual price if you make any claims. Then, they make anything with ongoing treatment not covered. Then, if you have any issues, they just cut off communication and there is nothing you can do about it. Good luck hiring a lawyer in Nevis to hold them accountable. Stay away from this company at all costs.