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Canadian Insurance

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I posted this on another thread but have not seen any replies and maybe that thread is dead since it dealt with Evacuation insurance alone.

One of the companies I've looked at for a safari was Lion World and they offer insurance through a company called Manulife, a Canadian company. Is there any problem dealing with a non-US insurance company? Has anyone dealt with Manulife?

In general I've used US based companies for travel and this would be the first time not doing so.

From a practical standpoint, what would be a sensible minimum for Medical and Evacuation coverage?

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