$28.5 per month
Highlights
| Lifetime maximum | Unlimited |
| Annual maximum | $250,000 |
| Maximum per sickness/injury | $100,000 |
| Co-insurance in network | 100% |
| Co-insurance out-of-network | 80% |
| Deductible per sickness or injury | $100 |
| Out of pocket in network | Unlimited |
| Co-pay in ER (waived if admitted) | $250 |
| Co-pay in SHC | $0 |
| Co-pay hospitalization | $0 |
| Pre-existing condition waiting period | 6 months |
| Preventative care | Not applicable |
| Medical evacuation | 100% |
| Repatriation | 100% |