$64.7 per month
Highlights
| Lifetime maximum | Unlimited |
| Maximum per sickness/injury | $250,000 |
| Co-insurance in network | 100% |
| Co-insurance out-of-network | 80% |
| Out of pocket in network | Unlimited |
| Co-pay in ER (waived if admitted) | $250 |
| Co-pay in SHC | $5 |
| Co-pay hospitalization | $0 |
| Pre-existing condition waiting period | 12 months |
| Preventative care | 100% up to $250, in network or SHC |
| Medical evacuation & repatriation | $50,000 |
| Medical evacuation | $50,000 |
| Repatriation | $25,000 |