ESL
  • Maximum per sickness/injury: $100,000
  • Co-insurance in network: 80%
  • Co-insurance out-of-network: 60%
  • Deductible in network: $500
  • Deductible in non-network: $500
  • Out of pocket in network: Unlimited
  • Co-pay in ER (waived if admitted): $350
  • Co-pay in SHC: $5
  • Co-pay primary care: $50
  • Co-pay specialist visit: $50
  • Co-pay hospitalization: $0
  • Pre-existing condition waiting period: 80% UCR-Up to $25,000 for emergency care and stabilization only
  • Preventative care: N/A
  • Medical evacuation: 80% URC-Up to $50,000
  • Repatriation: 80% URC-Up to $25,000
  • Rating base: Daily
  • Premium: $29.5/Month
  • Maximum per sickness/injury: $500,000
  • Co-insurance in network: 90%
  • Co-insurance out-of-network: 70%
  • Deductible in network: $100
  • Deductible in non-network: $100
  • Out of pocket in network: Unlimited
  • Co-pay in ER (waived if admitted): $250
  • Co-pay in SHC: $5
  • Co-pay primary care: $50
  • Co-pay specialist visit: $50
  • Co-pay hospitalization: $0
  • Pre-existing condition waiting period: 90% UCR-Up to $25,000 for emergency care and stabilization only
  • Preventative care: N/A
  • Medical evacuation: 90% up to $50,000
  • Repatriation: 90% URC-Up to $25,000
  • Rating base: Daily
  • Premium: $56.9/Month