EMERGENCY
MEDICAL
•
PLAN A
Coverage
0-25
26-34
35-39
40-54
55-59
60-64
65-69
70-74
75-79
80-85
SINGLE-TRIP
premium
per day

$15,000
$2.21
$2.25
$2.35
$2.70
$3.05
$3.50
$3.95
$5.60
$6.67
$8.95
$25,000
$2.28
$2.44
$2.57
$2.95
$3.10
$3.90
$4.76
$6.67
$8.47
$10.56
$50,000
$2.63
$2.82
$2.95
$3.26
$3.68
$4.57
$5.24
$7.90
$10.14
$11.43
$100,000
$3.35
$3.62
$3.79
$4.76
$5.14
$6.00
$6.82
$9.92
$12.87
$13.10
$150,000
$4.62
$4.93
$5.71
$6.67
$7.14
$7.62
$9.52
•
PLAN B
Coverage
0-25
26-34
35-39
40-54
55-59
60-64
65-69
70-74
75-79
80-85
SINGLE-TRIP
premium
per day

$15,000
$2.43
$2.48
$2.59
$2.97
$3.36
$3.85
$4.35
$6.16
$7.34
$9.85
$25,000
$2.51
$2.68
$2.83
$3.25
$3.41
$4.29
$5.24
$7.34
$9.32
$11.62
$50,000
$2.97
$3.10
$3.25
$3.59
$4.05
$5.03
$5.76
$8.69
$11.15
$12.57
$100,000
$3.69
$3.98
$4.17
$5.24
$5.65
$6.60
$7.50
$10.91
$14.16
$14.41
$150,000
$5.08
$5.42
$6.28
$7.34
$7.85
$8.38
$10.47
•
OPTIONAL INSURANCE
SINGLE-TRIP ONLY
Premium per day
Coverage
0-25
26-34
35-39
40-54
55-59
60-64
65-69
70-74
75-79
80-85
TRIP INTERRUPTION
$1,500
$0.57
$0.59
$0.61
$0.63
$0.64
$0.66
$0.68
$0.70
$0.72
$0.74