|
Traveling to the U.S.
| Monthly Premiums |
Plan A ($500,000) |
Plan
B ($1,000,000) |
Lite Accident:$100,000 Sickness: $5,000 |
| Age |
Annual Deductible Per
Certificate: |
|
$250 |
$500 |
$1,000 |
$2,500 |
$250 |
$500 |
$1,000 |
$2,500 |
$250 |
$500 |
$1,000 |
$2,500 |
| Under age 30 |
$74 |
$70 |
$62 |
$54 |
$87 |
$83 |
$74 |
$65 |
$46 |
$43 |
$41 |
$39 |
| 30 - 39 |
$98 |
$93 |
$83 |
$73 |
$117 |
$111 |
$99 |
$87 |
$61 |
$57 |
$55 |
$53 |
| 40 - 49 |
$132 |
$126 |
$112 |
$98 |
$159 |
$151 |
$134 |
$117 |
$82 |
$77 |
$74 |
$71 |
| 50 - 59 |
$184 |
$175 |
$156 |
$136 |
$220 |
$209 |
$186 |
$163 |
$114 |
$107 |
$103 |
$98 |
| 60 - 64 |
$307 |
$292 |
$260 |
$227 |
$350 |
$333 |
$296 |
$259 |
$191 |
$179 |
$172 |
$164 |
| 65 - 69 |
$340 |
$324 |
$288 |
$252 |
$387 |
$368 |
$327 |
$286 |
$212 |
$198 |
$190 |
$182 |
| 70 - 79 * |
$352 |
$335 |
$298 |
$261 |
N/A |
N/A |
N/A |
N/A |
$219 |
$205 |
$197 |
$189 |
| Age 80+ ** |
$405 |
$386 |
$343 |
$300 |
N/A |
N/A |
N/A |
N/A |
$252 |
$236 |
$226 |
$217 |
| Dependent Child |
$35 |
$33 |
$29 |
$26 |
$41 |
$39 |
$35 |
$31 |
$22 |
$21 |
$20 |
$19 |
* The Medical Expense Benefit
Limit for ages 70 - 79 is $100,000. ** The Medical Expense
Benefit Limit for ages 80+ is $15,000. |
| 15 Day or Less |
Plan A ($500,000) |
Plan
B ($1,000,000) |
Lite Accident:$100,000 Sickness: $5,000 |
| Age |
Annual Deductible Per
Certificate: |
|
$250 |
$500 |
$1,000 |
$2,500 |
$250 |
$500 |
$1,000 |
$2,500 |
$250 |
$500 |
$1,000 |
$2,500 |
| Under age 30 |
$40 |
$39 |
$35 |
$32 |
$48 |
$46 |
$42 |
$39 |
$24 |
$23 |
$22 |
$20 |
| 30 - 39 |
$54 |
$51 |
$47 |
$43 |
$64 |
$61 |
$56 |
$52 |
$32 |
$31 |
$30 |
$28 |
| 40 - 49 |
$73 |
$69 |
$63 |
$58 |
$87 |
$83 |
$76 |
$70 |
$46 |
$42 |
$41 |
$38 |
| 50 - 59 |
$101 |
$96 |
$88 |
$81 |
$121 |
$115 |
$105 |
$97 |
$63 |
$57 |
$54 |
$53 |
| 60 - 64 |
$169 |
$161 |
$147 |
$135 |
$192 |
$183 |
$168 |
$154 |
$102 |
$95 |
$93 |
$87 |
| 65 - 69 |
$187 |
$178 |
$163 |
$150 |
$213 |
$203 |
$185 |
$170 |
$114 |
$107 |
$102 |
$99 |
| 70 - 79 * |
$194 |
$184 |
$169 |
$155 |
N/A |
N/A |
N/A |
N/A |
$118 |
$111 |
$106 |
$101 |
| Age 80+ ** |
$223 |
$212 |
$194 |
$178 |
N/A |
N/A |
N/A |
N/A |
$135 |
$127 |
$122 |
$117 |
| Dependent Child |
$19 |
$18 |
$16 |
$15 |
$23 |
$21 |
$20 |
$18 |
$12 |
$11 |
$10 |
$9 |
* The Medical Expense Benefit
Limit for ages 70 - 79 is $100,000. ** The Medical Expense
Benefit Limit for ages 80+ is $15,000. |
Traveling Outside the U.S.
| Monthly Premiums |
Plan A ($500,000) |
Plan
B ($1,000,000) |
Lite Accident:$100,000 Sickness: $5,000 |
| Age |
Annual Deductible Per
Certificate: |
|
$250 |
$500 |
$1,000 |
$2,500 |
$250 |
$500 |
$1,000 |
$2,500 |
$250 |
$500 |
$1,000 |
$2,500 |
| Under age 30 |
$62 |
$59 |
$52 |
$46 |
$74 |
$71 |
$63 |
$55 |
$41 |
$38 |
$36 |
$35 |
| 30 - 39 |
$76 |
$72 |
$64 |
$56 |
$90 |
$86 |
$76 |
$67 |
$50 |
$46 |
$44 |
$43 |
| 40 - 49 |
$81 |
$77 |
$68 |
$60 |
$97 |
$92 |
$82 |
$72 |
$53 |
$50 |
$47 |
$46 |
| 50 - 59 |
$119 |
$113 |
$100 |
$88 |
$142 |
$135 |
$120 |
$105 |
$78 |
$73 |
$70 |
$67 |
| 60 - 64 |
$196 |
$187 |
$166 |
$145 |
$225 |
$214 |
$190 |
$166 |
$129 |
$121 |
$115 |
$111 |
| 65 - 69 |
$217 |
$207 |
$184 |
$161 |
$247 |
$235 |
$209 |
$183 |
$143 |
$134 |
$128 |
$123 |
| 70 - 79 * |
$293 |
$279 |
$248 |
$217 |
N/A |
N/A |
N/A |
N/A |
$192 |
$180 |
$172 |
$166 |
| Age 80+ ** |
$337 |
$321 |
$285 |
$250 |
N/A |
N/A |
N/A |
N/A |
$221 |
$207 |
$198 |
$191 |
| Dependent Child |
$34 |
$32 |
$28 |
$25 |
$40 |
$38 |
$34 |
$30 |
$22 |
$21 |
$20 |
$19 |
* The Medical Expense Benefit
Limit for ages 70 - 79 is $100,000. ** The Medical Expense
Benefit Limit for ages 80+ is $15,000. |
| 15 Day or Less |
Plan A ($500,000) |
Plan
B ($1,000,000) |
Lite Accident:$100,000 Sickness: $5,000 |
| Age |
Annual Deductible Per
Certificate: |
|
$250 |
$500 |
$1,000 |
$2,500 |
$250 |
$500 |
$1,000 |
$2,500 |
$250 |
$500 |
$1,000 |
$2,500 |
| Under age 30 |
$34 |
$32 |
$29 |
$27 |
$37 |
$35 |
$36 |
$33 |
$22 |
$21 |
$20 |
$18 |
| 30 - 39 |
$42 |
$40 |
$36 |
$33 |
$50 |
$47 |
$43 |
$40 |
$26 |
$25 |
$24 |
$23 |
| 40 - 49 |
$44 |
$42 |
$39 |
$36 |
$53 |
$51 |
$46 |
$43 |
$29 |
$27 |
$26 |
$24 |
| 50 - 59 |
$65 |
$62 |
$57 |
$52 |
$78 |
$74 |
$68 |
$62 |
$43 |
$39 |
$36 |
$35 |
| 60 - 64 |
$108 |
$103 |
$94 |
$86 |
$124 |
$118 |
$108 |
$99 |
$69 |
$64 |
$62 |
$58 |
| 65 - 69 |
$120 |
$114 |
$104 |
$96 |
$136 |
$129 |
$118 |
$109 |
$77 |
$72 |
$69 |
$67 |
| 70 - 79 * |
$161 |
$153 |
$140 |
$129 |
N/A |
N/A |
N/A |
N/A |
$103 |
$98 |
$93 |
$88 |
| Age 80+ ** |
$185 |
$177 |
$161 |
$149 |
N/A |
N/A |
N/A |
N/A |
$119 |
$111 |
$107 |
$102 |
| Dependent Child |
$19 |
$18 |
$16 |
$15 |
$22 |
$21 |
$19 |
$18 |
$12 |
$11 |
$10 |
$9 |
* The Medical Expense Benefit
Limit for ages 70 - 79 is $100,000. ** The Medical Expense
Benefit Limit for ages 80+ is $15,000. |
|