| Lifetime maximum | Unlimited |
| Maximum per sickness/injury | $100,000 |
| Co-insurance | 100% |
| Deductible per sickness or injury | $100 |
| Co-pay in ER (waived if admitted) | $250 |
| Co-pay in SHC | $5 |
| Pre-existing condition waiting period | 12 months |
| Medical evacuation | $50,000 |
| Repatriation | $25,000 |