DIANins ESL
$29.0 per month
Highlights
| Annual maximum | $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 | Up to $25,000 for emergency care and stabilization only |
| Medical evacuation | 80% up to $50,000 |
| Repatriation | 80% up to $50,000 |