medical/rx/dental/vision Coverage Outside the U.S. Coverage Outside the U.S. February 2, 2026

Coverage Outside the U.S.

Medical

Medical care while traveling or living outside of the continental U.S., including foreign assignments, is covered under the AG medical plans.

Outside the U.S. (for 6 months or less)

If you are traveling outside the U.S. for a period of 6 months or less and require medical care, the hospital or doctor may require payment up front and you will submit for reimbursement through your medical insurance carrier using a Foreign Travel Medical Claim Form. To expedite processing of your foreign claim please include the following:

  • The claim form, provider invoice and any documentation required to process the claim must be submitted in the English Language.
  • The charges for services must be converted into U.S. dollars.
  • A current published conversion chart, validating the conversion from the foreign country's currency into U.S. dollars, must be submitted with the claim.

Foreign Travel Medical Claim Forms are available on the Contacts/Forms page under Medical Claims Forms.

Outside the U.S. (6 months or more)

Benefits eligible American Greetings Corporation and Papyrus Recycled Greetings associates, living outside of the U.S. for over six (6) months, will be eligible for Cigna International (including medical/prescription drug, dental, $25,000 basic life insurance/AD&D), FSA, short-term disability, long-term disability, retirement savings plan (401(k)) and all other optional benefits. LTD, BTA and optional Life/AD&D require special approval for coverage to take effect.

Travel Assistance

Support Services for Safe Travel. While traveling you can feel confident that you're in safe hands should the unfortunate occur. The Travel Assistance program partners with International Medical Group (IMG®), to give you 24/7 access to medical and travel assistance services wherever your trip takes you. For assistance call, (866) 311-1559 (in the US) and (230) 330-1359 (outside the US).

Travel Assistance

  • Lost luggage assistance
  • Lost document assistance
  • Legal/ball bond referrals
  • Emergency cash assistance
  • Embassy and consulate information

Travel Intelligence App
The IMG* mobile app provides 24/7 support and includes:

  • Timely alerts about security and travel-related incidents nearby
  • Detailed country and city intelligence
  • In-app emergency hotline
  • Assistance locating hospitals, police stations, and other safe havens

Identity Theft Support Services for U.S.-based Employees

  • Assistance notifying all three major credit agencies and placing an alert on your records
  • Credit information review assistance
  • Indentity theft affidavit assistance
  • Assistance replacing credit, debit and membership cards
  • Help communicating with the local police to file a report of an identify theft incident

Download and Register

  • Before your next trip, search for "IMG Mobile" in the App Store™ or Google Play™ Store and download the app
  • Register with the code HIGBTA

For complete information on the Travel Assistance program please click here.

Business Travel Accident Insurance

Business Travel Accident (BTA) Insurance provides accidental life and dismemberment insurance benefits to eligible associates, their spouses and children, at no cost to the associate.

For information on our Business Travel Accident Program click here.