• Annual maximum: $250,000
  • Co-insurance in network: 80%
  • Co-insurance out-of-network: 70%
  • Deductible in network: $500
  • Deductible in non-network: $750
  • Out of pocket in network: $5000
  • Co-pay in ER (waived if admitted): $300
  • Co-pay in SHC: $0
  • Co-pay hospitalization: $200
  • Pre-existing condition waiting period: 6 months
  • Medical evacuation: $50,000
  • Repatriation: $25,000
  • Rating base: Monthly
  • Premium: $49.0/Month
  • Annual maximum: Unlimited
  • Co-insurance in network: 90%
  • Co-insurance out-of-network: 70%
  • Deductible in network: $100
  • Deductible in non-network: $200
  • Out of pocket in network: $2500
  • Co-pay in ER (waived if admitted): $300
  • Co-pay in SHC: $0
  • Co-pay hospitalization: $200
  • Pre-existing condition waiting period: No Waiting
  • Preventative care: 100%
  • Medical evacuation: $50,000
  • Repatriation: $25,000
  • Rating base: Monthly
  • Premium: $69.6/Month