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Continuing Education, Inc.
University at Sea®
5700 4th St. N.
St Petersburg, 
Florida 
33703
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Stress Free - Our Cruise Conferences provide a unique, relaxing learning environment.
Family Friendly - Our cruises are fun for the entire family. You will never run out of things to do!

Essential Topics in Cardiology and Pulmonology:
2019 Update

14-Night Japan, Korea & China
from Tokyo (Yokohama), Japan to Shanghai, China
October 12 - 26, 2019
<em>Celebrity Millennium</em>
Celebrity Millennium
16 AMA PRA Category 1 Credit(s)
16 (part II) MOC points in medical knowledge in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program
16 Contact Hours

Course Fees:

$995 for Physicians, Attorneys, Psychologists, Doctors of Pharmacy, & Dentists
$750 for Physician Assistants
$750 for Nurse Practitioners
$595 for Nurses, Residents, Students & Others

BIAS FREE CME - No Commercial Support was provided for this CME activity.

IMPORTANT NOTE: All conferees, their families, and guests must book their cruise within the CEI meeting group through Continuing Education, Inc./University at Sea® at 800-422-0711 or by registering online. This ensures our company can provide conference services and complimentary social amenities to all meeting participants and their guests. Thank you for your cooperation.

Target Audience

Physicians, Nurse Practitioners, Physician Assistants, Nurses, Nurse Practitioners, Physicians, Nurses, Nurse Practitioners, Physician Assistants,

Program Purpose

Topics:
  1. Atrial Fibrillation
    • Modern treatment for Atrial Bibrillation, when to treat rate , when to consider conversion
    • The role of Ablation
  2. Congestive Heart Failure-modern day treatment including role of device therapy
    • Learn the difference between Diastolic and Systolic Congestive Heart Failure
    • When to consider implantation of a cardiomems device
  3. Deep Venous Thrombosis (DVT) + Pulmonary Embolism (PE) modern drug treatment
    • When to consider catheter directed lgsvi for DVT or PE
    • Review strategies to treatPE
  4. Abdominal Aneurysms and EVAR
    • Learn minimally invasive techniques to treat AA in office
    • Learn how to screen for AA
  5. Peripheral Vascular Disease
    • Identify PAD risk factors
    • Learn interventional techniques to treat the disorder
  6. Pre-uperative testing
    • Which patients need pre-operative testing
    • How to lower risk for events
  7. Varicose Veins
    • Treat minimally invasive techniques including laser, phlebotomy to treat varicose veins
  8. Acute Coronary Syndromes
    • Learn difference between unstable angina, MI and NSTEMI
    • When to send someone for intervention
Additional topics under development
Conference Sessions generally take place on days at sea (as itinerary allows), giving you plenty of time to enjoy your meals, evenings and ports of call with your companion, family and friends.
Questions? Call us at 800-422-0711.
We can assist you with all your travel arrangements. We'd be happy to help you plan your flights, hotels or tours before and/or after your cruise conference.

Faculty

Arthur Andrews, MD, FCCP

Arthur Andrews, MD, FCCP

Associate Professor College of Medicine , Department of Internal Medicine at the University of South Florida Morsani College of Medicine in Tampa Florida.

Dr. Andrews attended Medical School at the University of Medicine and Dentistry of New Jersey - Robert Wood Johnson where he received his degree in Medicine in 1995. He completed an Internship and Residency in Internal Medicine at the Mayo Graduate School of Medicine in Jacksonville Florida. Dr. Andrews, completed Fellowship training in Pulmonary and Critical Care Medicine at the Mayo Graduate School of Medicine in Rochester Minnesota. He completed 2 years of research in the areas of cigarette smoke extract and its effects on epithelial cells and also idiopathic pulmonary fibrosis.
Dr. Andrews joined the staff at the University of South Florida subsequent to Fellowship training. He is Board certified in Pulmonary Medicine, Critical Care Medicine and Sleep Medicine. He has an outpatient clinic in Pulmonary Medicine, Sleep Medicine and a lung nodule clinic and also actc as Attending in the inpatient arena for Pulmonary Consultation Service and Critical Care service several months of the year and Bronchoscopy service several months per year. His current interests include interstitial lung diseases, bronchoscopy and sleep medicine. Bronchoscopy is currently his primary interest particularly the use of endo-bronchial ultrasound (EBUS) in the diagnosis and staging of lung cancer and other malignancies as well as sarcoidosis. Publications are in the areas of COPD and interstitial lung disease and impact on sleep and bronchoscopy.

Merrill A. Krolick, DO, FACC, FACP

Dr. Krolick is board certified in cardiology, interventional cardiology and internal medicine. After graduating Cum Laude, from Rensselaer Polytechnic Institute in Troy, New York, Dr. Krolick entered the study of medicine at the New York College of Osteopathic Medicine in Old Westbury, New York, where he earned his D.O. designation. After earning his cardiology fellowship from the University of South Florida in Tampa, Dr. Krolick became an attending physician in cardiology at Fairfax Hospital in Fairfax, Virginia.
Dr. Krolick has a special focus on peripheral vascular disease and interventional therapy. Currently, he is affiliated with Largo Medical Center, Morton Plant Hospital, Mease Dunedin and Countryside Hospitals. Dr. Krolick is the former president of the Pinellas County Chapter of The American Heart Association and is currently on the board of he Florida Medical Association of Pinellas County. He is director of the cardiac catheterization laboratory at Largo Medical Center and is Head of the Interventional Cardiology Fellowship at HCA Largo Medical Center. He is an Associate Professor in Cardiology at the University of South Florida and an Associate Professor at Nova Southeastern University. 
He and his wife, Dana, have two children, Alex and Matthew. His younger son Matthen is in the Army and recently returned form a tour in Afghanistan.

Accreditation

Accreditation: Continuing Education, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Designation: Continuing Education, Inc. designates this live activity for a maximum of 16 AMA PRA Category 1 Credits™. Each physician should claim only the credit commensurate with the extent of their participation in the activity.

Osteopathic Physicians: This program is eligible for Category 2 credit with the American Osteopathic Association (AOA).

Canadian Physicians: This activity is eligible for Section 1 credits in the Royal College's Maintenance of Certification (MOC) Program . Participants must log into MAINPORT to claim this activity.

US or Canadian Family Physicians: Please let us know if you require AAFP Prescribed Credits.

Nurse Practitioners: can claim either ANCC Contact Hours or AMA PRA Category 1 CreditsTM as needed.
Pharmacology credits are identified on individual activities.

Continuing Education, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

Accredited status does not imply endorsement by Continuing Education, Inc./University at Sea or ANCC of any commercial products displayed or used with an activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 16 (part II) MOC points in medical knowledge in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Questions? Call us at 800-422-0711.
We can assist you with all your travel arrangements. We'd be happy to help you plan your flights, hotels or tours before and/or after your cruise conference.

Cruise Itinerary

DATE PORT OF CALL ARRIVE DEPART
Sat Oct 12 Tokyo (Yokohama), Japan
- -
Sun Oct 13 Tokyo (Yokohama), Japan
Lectures: 1:00 - 5:00 pm
- 11:00 am
Mon Oct 14 Kobe, Japan
Lectures: 8:00-10:00 am
9:00 am 11:59 pm
Tue Oct 15 *At Sea - Cruising
- -
Wed Oct 16 Hiroshima, Japan
8:00 am 5:00 pm
Thu Oct 17 Kochi, Japan
10:00 am 6:00 pm
Fri Oct 18 Beppu, Japan
8:00 am 6:00 pm
Sat Oct 19 Kagoshima, Japan
12:00 pm -
Sun Oct 20 Kagoshima, Japan
- 5:00 pm
Mon Oct 21 Fukuoka, Japan
Lectures: 8:00-10:00 am
10:30 am 8:45 pm
Tue Oct 22 Busan (Pusan), South Korea
8:00 am 6:00 pm
Wed Oct 23 Jeju Island, South Korea
7:00 am 4:00 pm
Thu Oct 24 Seoul (Incheon), South Korea
9:00 am 7:00 pm
Fri Oct 25 *At Sea - Cruising
Lectures: 8:00 - 12 Noon; 1:00 - 5:00 pm
12:00 am 12:00 am
Sat Oct 26 Shanghai, China
7:00 am -
*Tentative course schedule, actual class times may differ.

Ports of Call

Tokyo (Yokohama), Japan - Even though Tokyo is among the largest, most frenetic cities in the world, it's still able to maintain a great deal of efficiency and charm. Amid the endless buzzing neon signs and the overhead cable webs, Tokyo is home to some of the world's most impressive architecture, stylish shops and 4-star restaurants. But just a short distance outside the clamor of the city is a whole different world. In the surrounding small towns and villages you'll get a glimpse into Japan's rich culture and traditions. Here you'll discover scores of wooden residential homes, ancient temples, shrines and imperial gardens. From the frenzy-filled metropolis to the tranquil bonsai-tree-lined neighborhoods, Tokyo is truly a study in delightful contrasts.

Kobe, Japan - Perched on a hillside overlooking the sea, Kobe is one of Japan's most attractive and cosmopolitan cities. Home of the heralded Kobe beef, this small city is easily navigated. Visit the Hatsukura Sake Brewery Museum for a tour or dine in one of the area's incredible restaurants.

At Sea - Cruising - Cruising

Hiroshima, Japan -  

Kochi, Japan - Kochi is the capital of Kochi Prefecture on the southern coast of Shikoku. The city is small and friendly, with a casual atmosphere and a dose of southern flair.
Kochi boasts several attractions of interest to travelers. A well preserved, original hilltop castle from the feudal period marks Kochi's downtown

Beppu, Japan - Beppu is a city and spa resort on the southern Japanese island of Kyushu. Set between Beppu Bay and volcanic mountains, it's home to more than 2,000 onsen (hot springs). 

Kagoshima, Japan - Kagoshima is the capital city of Kagoshima Prefecture at the south western tip of the island of Kyushu in Japan, and the largest city in the prefecture by some margin. It has been nicknamed the "Naples of the Eastern world" for its bay location (Aira Caldera), hot climate, and emblematic stratovolcano, Sakurajima. The city was officially founded on April 1, 1889.

Fukuoka, Japan - Fukuoka City is the main port of access from Korea into Japan by sea and is regarded by many as the cultural hub of Japan.

Busan (Pusan), South Korea - Find stillness at some of the largest Korean Buddhist temples, including Beomeo-sa, first constructed in the year 678 and home to over one thousand monks-it also contains seven different registered national and cultural treasures. Near the port, explore the famous Jagalchi fish market or the city's renowned beach resorts. Journey to the Dongnae area to soak in the city's healing hot springs.

Jeju Island, South Korea - Jeju is the capital of Jeju Province in South Korea and the largest city on Jeju Island. The city is served by Jeju International Airport. Located on an island off the Korean Peninsula, Jeju has mild, warm weather during much of the year. The city is a well-known resort, with prestigious hotels and public casino facilities

Seoul (Incheon), South Korea - Seoul is one of Asia's major centers of culture, entertainment, and research, with additional strengths in the arts, commerce, education, finance, media, services, and tourism. Seoul forms the heart of the Seoul Capital Area, the 5th most populous in the world, which is also one of the most populous urban agglomerations and includes the surrounding Incheon metropolis and Gyeonggi province, altogether home to roughly half of the country's population.

Shanghai, China - Once a quaint fishing village, Shanghai has netted over 11 million people. Join the masses for morning tai chi on The Bund, or stroll through the Yu Yuan Gardens, inspiration for the famous " willow pattern" chinaware.

Our staff can assist you with all your travel arrangements.

Questions? Call us at 800-422-0711.
We can assist you with all your travel arrangements. We'd be happy to help you plan your flights, hotels or tours before and/or after your cruise conference.

Celebrity Millennium

IMPORTANT NOTE: All conferees, their families, and guests must book their cruise within the CEI meeting group through Continuing Education, Inc./University at Sea® at 800-422-0711 or by registering online. This ensures our company can provide conference services and complimentary social amenities to all meeting participants and their guests. Thank you for your cooperation.

Prices below are for the full cruise including meals and evening entertainment

STATEROOM DETAILS
PRICING PER PERSON

Suite/Deluxe

Sky Suite, S2 Sky Suite (S2)
When you stay in a Sky Suite, you'll enjoy the luxury of private butler service. This includes assistance with unpacking and packing. In-suite lunch and dinner service. Afternoon tea. Evening hors d'oeuvres and complimentary in-suite espresso and cappuccino from Café al Bacio.  Stateroom: 251 sq. ft. Veranda: 57 sq. ft. 
$6,049.00
Concierge Class, C3 Concierge Class (C3)
Concierge Class staterooms are well-appointed, personal retreats located in some of the most-desirable locations on the ship. As a Concierge Class guest, your team of dedicated professionals will take care of all your vacation needs. From Priority Check-In — when you're greeted by your Concierge — to the moment you head back home, we're there to assist you. Stateroom: 194 sq. ft. Veranda: 54 sq. ft. 
$3,179.00
AquaClass, A1 Suite/Deluxe AquaClass (A1)
Celebrity's AquaClass veranda staterooms are perfectly suited for those with a focus on wellness and pure relaxation. Enjoy luxurious spa elements infused into the stateroom experience, savor clean cuisine with priority seating at Blu restaurant, and escape to the Relaxation Room and Persian garden for stunning sea views. Relax with AquaSpa treatments arranged by your personal spa concierge and feel rejuvenated with wellness classes such as meditation and yoga. Stateroom: 194 sq. ft. Veranda: 54 sq. ft.
Call
800-422-0711
for Pricing
AquaClass, A2 Suite/Deluxe AquaClass (A2)
Celebrity's AquaClass veranda staterooms are perfectly suited for those with a focus on wellness and pure relaxation. Enjoy luxurious spa elements infused into the stateroom experience, savor clean cuisine with priority seating at Blu restaurant, and escape to the Relaxation Room and Persian garden for stunning sea views. Relax with AquaSpa treatments arranged by your personal spa concierge and feel rejuvenated with wellness classes such as meditation and yoga. Stateroom: 194 sq. ft. Veranda: 54 sq. ft.
Call
800-422-0711
for Pricing
Concierge Class, C1 Suite/Deluxe Concierge Class (C1)
Concierge Class staterooms are well-appointed, personal retreats located in some of the most-desirable locations on the ship. As a Concierge Class guest, your team of dedicated professionals will take care of all your vacation needs. From Priority Check-In — when you're greeted by your Concierge — to the moment you head back home, we're there to assist you. Stateroom: 194 sq. ft. Veranda: 54 sq. ft.
Call
800-422-0711
for Pricing
Concierge Class, C2 Suite/Deluxe Concierge Class (C2)
Concierge Class staterooms are well-appointed, personal retreats located in some of the most-desirable locations on the ship. As a Concierge Class guest, your team of dedicated professionals will take care of all your vacation needs. From Priority Check-In — when you're greeted by your Concierge — to the moment you head back home, we're there to assist you. Stateroom: 194 sq. ft. Veranda: 54 sq. ft.
Call
800-422-0711
for Pricing
Celebrity Suite, CS Suite/Deluxe Celebrity Suite (CS)
When you stay in a Celebrity Suite, you'll enjoy the luxury of European-style butler service. This includes assistance with unpacking and packing. In-suite lunch and dinner service. Afternoon tea. Evening hors d'oeuvres and complimentary in-suite espresso and cappuccino from Cafe al Bacio. Stateroom: 467 sq. ft. Veranda: 85 sq. ft.
Call
800-422-0711
for Pricing
Penthouse Suite, PS Suite/Deluxe Penthouse Suite (PS)
Master bedroom features: two lower beds convertible to queen-size bed, extra dressing room with vanity, powder room with shower, master marble bath with whirlpool tub and separate shower, separate whirlpool bathtub, and one complimentary dinner for all guests in suite (cruise of 6 or 7 nights) and two complimentary dinners for all guests in suite (cruise of 8 nights or more) in a specialty restaurant. Stateroom: 1,432 sq. ft. Veranda: 1,098 sq. ft.
Call
800-422-0711
for Pricing
Royal Suite, RS Suite/Deluxe Royal Suite (RS)
With spaces fit for a king or queen, our Royal Suites deliver on style and comfort. Separate living, dining, and sleeping areas provide all the room you need to relax in modern luxury. Enjoy VIP treatment in the exclusive lounge bar serving complimentary cocktails, craft beers and tapas, and savor mouthwatering meals in a private Luminae restaurant. Stateroom: 538 sq. ft. Veranda: 195 sq. ft.
Call
800-422-0711
for Pricing
Sky Suite, S1 Suite/Deluxe Sky Suite (S1)
When you stay in a Sky Suite, you'll enjoy the luxury of private butler service. This includes assistance with unpacking and packing. In-suite lunch and dinner service. Afternoon tea. Evening hors d'oeuvres and complimentary in-suite espresso and cappuccino from Café al Bacio.  Stateroom: 251 sq. ft. Veranda: 57 sq. ft.
Call
800-422-0711
for Pricing

Outside

Oceanview Stateroom, 7 Oceanview Stateroom (7)
Each oceanview stateroom on board Celebrity includes the following world-class amenities that all contribute to your modern luxury experience: personalized service, custom blended bath products, interactive Samsung flat-screen television, twice daily service (makeup and turndown), Celebrity eXhale™ bedding, private safe, 24-hour room service, private mini-bar, and complimentary tote bag. 170 sq. ft. 
$2,439.00
Oceanview Stateroom, 4 Outside Oceanview Stateroom (4)
Each oceanview stateroom on board Celebrity includes the following world-class amenities that all contribute to your modern luxury experience: personalized service, custom blended bath products, interactive Samsung flat-screen television, twice daily service (makeup and turndown), Celebrity eXhale™ bedding, private safe, 24-hour room service, private mini-bar, and complimentary tote bag. 170 sq. ft.
Call
800-422-0711
for Pricing
Oceanview Stateroom, 5 Outside Oceanview Stateroom (5)
Each oceanview stateroom on board Celebrity includes the following world-class amenities that all contribute to your modern luxury experience: personalized service, custom blended bath products, interactive Samsung flat-screen television, twice daily service (makeup and turndown), Celebrity eXhale™ bedding, private safe, 24-hour room service, private mini-bar, and complimentary tote bag. 170 sq. ft.
Call
800-422-0711
for Pricing
Oceanview Stateroom, 6 Outside Oceanview Stateroom (6)
Each oceanview stateroom on board Celebrity includes the following world-class amenities that all contribute to your modern luxury experience: personalized service, custom blended bath products, interactive Samsung flat-screen television, twice daily service (makeup and turndown), Celebrity eXhale™ bedding, private safe, 24-hour room service, private mini-bar, and complimentary tote bag. 170 sq. ft.
Call
800-422-0711
for Pricing
Oceanview Stateroom, 8 Outside Oceanview Stateroom (8)
Each oceanview stateroom on board Celebrity includes the following world-class amenities that all contribute to your modern luxury experience: personalized service, custom blended bath products, interactive Samsung flat-screen television, twice daily service (makeup and turndown), Celebrity eXhale™ bedding, private safe, 24-hour room service, private mini-bar, and complimentary tote bag. 170 sq. ft.
Call
800-422-0711
for Pricing

Inside

Inside Stateroom, 11 Inside Stateroom (11)
Inside Staterooms have been thoughtfully designed, with ample space to sleep, relax and enjoy your private space on board. Like all Celebrity Staterooms, you will find they have done all they can to ensure ease and comfort. Your room includes 100% Egyptian cotton linens, plush bedding and mattresses, and lots of finishing touches that will make your stateroom feel like a real home away from home. 170 sq. ft. 
$1,789.00
Inside Stateroom, 10 Inside Inside Stateroom (10)
Inside Staterooms have been thoughtfully designed, with ample space to sleep, relax and enjoy your private space on board. Like all Celebrity Staterooms, you will find they have done all they can to ensure ease and comfort. Your room includes 100% Egyptian cotton linens, plush bedding and mattresses, and lots of finishing touches that will make your stateroom feel like a real home away from home. 170 sq. ft.
Call
800-422-0711
for Pricing
Inside Stateroom, 12 Inside Inside Stateroom (12)
Inside Staterooms have been thoughtfully designed, with ample space to sleep, relax and enjoy your private space on board. Like all Celebrity Staterooms, you will find they have done all they can to ensure ease and comfort. Your room includes 100% Egyptian cotton linens, plush bedding and mattresses, and lots of finishing touches that will make your stateroom feel like a real home away from home. 170 sq. ft.
Call
800-422-0711
for Pricing
Inside Stateroom, 9 Inside Inside Stateroom (9)
Inside Staterooms have been thoughtfully designed, with ample space to sleep, relax and enjoy your private space on board. Like all Celebrity Staterooms, you will find they have done all they can to ensure ease and comfort. Your room includes 100% Egyptian cotton linens, plush bedding and mattresses, and lots of finishing touches that will make your stateroom feel like a real home away from home. 170 sq. ft.
Call
800-422-0711
for Pricing

Prices are Per Person, Double Occupancy, Subject to change.
3rd/4th in Stateroom - Call for Pricing

Port Charges, Taxes & Fees $495.61 per person.
Deposit $450.00 per person

Course Fee Cancellation Policy: 30 days from sailing-None; 7-29 days-50%; Less than 7 days-100%

Cancellation Policies vary by cruise line, destination and sailing date. Please check with one of our cruise consultant for policies applicable to this cruise.

* COMPETITIVE PRICING PROMISE: While we are not a 'cruise discounter,' we will match any price offered by the cruise line, directly to the general public, at the time of booking. This offers includes many short-term, promotional rates. All cruise line rates can be withdrawn by the cruise line at any time and are capacity controlled.
PRICING SUBJECT TO CHANGE: Although subject to change at any time, the listed prices are generally available up to about 90 days before sailing; at that time they convert to typically higher, market rates. Rates offered directly by the cruise line and quoted by our agents are also subject to change at any time, can be withdrawn at any time and are capacity controlled.
CANCELLATION PENALTY POLICY WILL APPLY: Cancellation policies vary by cruise line, itinerary and length of cruise. When reserving your stateroom, please review the policy applicable to this cruise with our staff. We strongly recommend Travel Insurance to cover the unexpected.
FUEL SUPPLEMENT: Cruiselines may implement a fuel surcharge depending on the price of crude oil.
Questions? Call us at 800-422-0711.
We can assist you with all your travel arrangements. We'd be happy to help you plan your flights, hotels or tours before and/or after your cruise conference.

Please click here to visit TravelSafe.com to get a quote.

Cruise Line cancellation policies are strictly enforced. For that reason, we urge all of our travelers to carefully consider whether travel insurance is a good value for them.

Certainly, if you have reason to think that "something might come up" that might force you to cancel, travel insurance is worth the cost of the premium. Examples we've seen in the past include ill or frail family members and changes in employment causing relocation.

If travel insurance is the right choice for you, we recommend TravelSafe. To visit their site and explore your options click here or on the link above. The cruise lines also offer travel insurance and we'd be happy to help you go that route if you'd prefer.

Travel Insurance Plans

  • TravelSafe Basic Plan - A plan for those who want just the bare necessities.
  • TravelSafe Classic Plan - TravelSafe's most popular plan includes higher limits on all of the important benefits to expand your coverage. Add Cancel For Any Reason for even more coverage.

Below please find some examples of insurance coverage:

Coverage For Your Arrangements - Benefit Limits
PLAN CLASSIC BASIC
Trip Cancellation Trip Cost Trip Cost
Trip Interruption 150% of Trip Cost Trip Cost
Missed Connection $2,500 $500
Trip/Travel Delay $750 $500
Travel Delay
Per Day Maximum Limit $150 $100
Required minimum delay time 6 Hours 6 Hours
Cancel For Any Reason Not Included Not Included
Coverage For You - Benefit Limits
PLAN CLASSIC BASIC
Medical Expense / Emergency Assistance
Accident & Sickness Medical Expense $100,000 $35,000
Emergency Dental Expense $750 $750
Emergency Medical Evacuation &

Return of Remains
$1,000,000

Included
$100,000

Included
Non-Medical Emergency Evacuation $25,000 Not Included
Accidental Death & Dismemberment
24 Hour Coverage during Trip $25,000 Not Included
Coverage For Your Belongings - Benefit Limits
Plan Classic Basic
Baggage & Personal Effects $2,500 $500
Baggage Delay $250 $100
Required minimum delay time 12 Hours 12 Hours