|
Economy |
Standard |
Super |
Platinum |
Plan E Plus |
Patriot Exchange |
ACA Equivalent |
Student Secure |
Student Health
Advantage |
Liaison Student |
|
Starting at $61.53
$100K or $250K Medical
Maternity Coverage
Mental Health Coverage
Pre-Ex after
12 months
Dependent
Coverage
|
Starting at
$65.22
$100K or $250K Medical
Maternity Coverage
Mental Health Coverage
Pre-Ex after 12 months
Dependent
Coverage
|
Starting at $79.98
$100K or $250K Medical
Maternity Coverage
Mental Health Coverage
Pre-Ex after 12 months
Dependent
Coverage
|
Starting at $91.06
$100K or $250K Medical
Maternity Coverage
Mental Health Coverage
Pre-Ex after 6 months
Dependent
Coverage
|
Starting at $33.90
ANY VISA Accepted
$50K to $1 Million
No
Maternity
$100K or Higher meets J-visa requirements
Dependents are eligible to purchase individually
|
Starting at $48.62
$50K to
$500K
No coinsurance
Meets J-visa requirements
No
Maternity |
Starting at $74
Maternity Coverage
Preventive Care
Mental
Health Coverage
Pre-Ex after 6 months
or no waiting period
Dependent
Coverage
|
Starting at $84.63
$200K-$500K Medical
Maternity
Coverage
Mental Health Coverage
Pre-Ex after 6 months
Student Coverage only
|
Starting at $69
$300,000 Medical
Maternity Coverage
Mental Health
Coverage
Pre-Ex after 12 months
Dependent
Coverage |
Starting at $70.10
$250,000
Medical
Maternity Coverage
Mental Health Coverage
Pre-Ex after 12 months
Dependent
Coverage |
|
Not sure what Plan to purchase?
Call or
Email
VISIT® and we will recommend a
Plan that meets your needs! |
|
Plan EPLUS
Underwritten by certain
Underwriters at Lloyd's, London -
Lloyd's currently enjoys an
A rating from A.M. Best and A+ ratings from Fitch Ratings and Standard &
Poor's. |
Plan EPLUS Monthly Rates (standard
30-day month)
PRICES REMAIN THE SAME FOR
2017-2018!
Plan Rates are Based on the Age of each applicant
- rates are the SAME for dependents. ANY VISA Accepted!
|
| |
$50,000 Medical |
$100,000 Medical |
$250,000 Medical |
| AGE |
$500
Deductible |
$250
Deductible |
$100
Deductible |
$0
Deductible |
$500
Deductible |
$250
Deductible |
$100
Deductible |
$0
Deductible |
$500
Deductible |
$250
Deductible |
$100
Deductible |
$0
Deductible |
| 0-29 |
$33.90 |
$38.10 |
$41.70 |
$48.90 |
$42.30 |
$47.40 |
$52.20 |
$61.50 |
$48.00 |
$53.40 |
$59.10 |
$69.60 |
| 30-39 |
$45.30 |
$50.40 |
$55.20 |
$65.10 |
$56.70 |
$62.70 |
$69.00 |
$81.30 |
$63.90 |
$70.80 |
$78.00 |
$92.10 |
| 40-49 |
$71.10 |
$78.90 |
$87.30 |
$102.90 |
$89.10 |
$99.00 |
$108.90 |
$128.70 |
$100.50 |
$111.30 |
$122.40 |
$144.90 |
| 50-59 |
$107.10 |
$119.10 |
$130.80 |
$154.50 |
$133.50 |
$148.80 |
$163.50 |
$193.50 |
$151.20 |
$167.70 |
$184.20 |
$218.10 |
| 60-64 |
$133.80 |
$148.80 |
$163.50 |
$193.50 |
$167.40 |
$186.00 |
$204.60 |
$241.80 |
$188.70 |
$209.70 |
$230.70 |
$272.70 |
| 65-69 |
$166.50 |
$184.80 |
$203.70 |
$240.60 |
n/a |
n/a |
n/a |
n/a |
n/a |
n/a |
n/a |
n/a |
| 70-79* |
$210.00 |
$233.10 |
$256.80 |
$303.30 |
n/a |
n/a |
n/a |
n/a |
n/a |
n/a |
n/a |
n/a |
| |
|
| |
$500,000 Medical |
$1,000,000 Medical |
|
| AGE |
$500
Deductible |
$250
Deductible |
$100
Deductible |
$0
Deductible |
$500
Deductible |
$250
Deductible |
$100
Deductible |
$0
Deductible |
|
|
|
| 0-29 |
$52.80 |
$59.10 |
$64.80 |
$76.50 |
$57.60 |
$63.90 |
$69.90 |
$83.10 |
|
|
| 30-39 |
$70.50 |
$78.00 |
$85.50 |
$101.40 |
$76.20 |
$84.90 |
$93.60 |
$110.40 |
|
|
|
|
| 40-49 |
$110.40 |
$122.40 |
$135.00 |
$159.30 |
$120.90 |
$133.80 |
$147.30 |
$174.30 |
|
|
|
|
| 50-59 |
$165.90 |
$184.20 |
$202.50 |
$239.70 |
$180.90 |
$201.00 |
$221.40 |
$261.60 |
|
|
|
|
| 60-64 |
$207.30 |
$230.70 |
$253.80 |
$299.70 |
$226.20 |
$251.40 |
$276.30 |
$326.70 |
|
|
|
|
| 65-69 |
n/a |
n/a |
n/a |
n/a |
n/a |
n/a |
n/a |
n/a |
|
|
|
|
| 70-79* |
n/a |
n/a |
n/a |
n/a |
n/a |
n/a |
n/a |
n/a |
|
|
|
|
Please Note:
J Exchange Visitor MININIUM Medical Insurance requirements
is $100,000 effective
May 15, 2015 |
|
*Maximum
Medical coverage is $50,000 for Age 65-79.
Optional
Hazardous Sports coverage available for an additional fee.
|
|
|
| Plan EPLUS Coverages |
| Coverages |
EPLUS |
EPLUS
with
Hazardous Sport Coverage |
Accident & Sickness
Medical
Routine physical exams and vaccinations are
not covered |
Choose
$50,000, $100,000, $250,000, $500,000
OR $1,000,000 Medical Maximum
per injury or illness
Age 0-64
$50,000 Age 65-79 |
Choose $50,000,
$100,000, $250,000, $500,000
OR $1,000,000
Medical Maximum
per injury or illness
Age 0-64
$50,000 Age 65-79 |
Annual Deductible
For a covered
medical expense, the Deductible is the portion of your medical
bill that is your responsibility. |
Choose
$0, $100,
$250 or $500 Deductible per
policy period
Students: please check if
your school allows higher
deductibles |
Choose $0, $100,
$250 or $500 Deductible per
policy period
Students: please check if
your school allows higher
deductibles |
Co-insurance
Co-insurance: Your share of the costs of
a covered health care service, calculated as a percent (20%) of
the allowed amount for the service. |
After You pay the Deductible, the plan pays 80%
of the next $5,000 of eligible expenses, then 100% to the
selected Medical maximum
|
After You pay the Deductible, the plan pays 80% of the next
$5,000 of eligible expenses, then 100% to the selected Medical
maximum |
| Emergency Medical
Evacuation |
up to $100,000 |
up to $100,000 |
| Repatriation of mortal
remains |
up to $25,000 |
up to $25,000 |
| Pre-existing condition
coverage |
no coverage |
no coverage |
| AD&D - Accidental Death
& Dismemberment |
$25,000 per
Insured/Spouse $5000 per Dependent Child |
$25,000 per
Insured/Spouse $5000 per Dependent Child |
| Maternity coverage |
no coverage |
no coverage |
| Home Country coverage |
60 days per 12 months
of coverage up to $50,000 |
60 days per 12 months
of coverage up to $50,000 |
|
Dental (Accident Coverage only) |
To a maximum
of $500 (available only if purchased for 1 month or more) |
|
| Personal
Liability |
$100,000 /
$25,000 Property Damage |
$100,000 / $25,000 Property Damage |
Hazardous Sports
coverage
(Includes: Hang gliding, parachuting,
bungee jumping, snowmobiling, jet skiing, water skiing, snow
skiing, spelunking, parasailing, and snowboarding.) |
no coverage |
included |
| Trip Interruption |
up to $5000 |
up to $5000 |
| Return of minor child |
up to $10,000 |
up to $10,000 |
| Lost baggage |
up to $250 |
up to $250 |
| Assistance
Services |
Included |
Included |
| View Policy
Details |
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