Visit USA-HealthCare™ |
|
Highlights | Details | Rates
Plan Rates
To determine your Visit USA-HealthCare™ rate, choose Plan A or Plan B and a deductible ($250, $500, $1,000) from the chart below.
| Monthly Premiums |
Plan A
|
Plan B
|
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| Age |
Deductible Per Policy Period:
|
|||||
|
$250
|
$500
|
$1000
|
$250
|
$500
|
$1000
|
|
| Under age 19 |
$48
|
$43
|
$38
|
$72
|
$65
|
$58
|
| 19 – 29 |
$50
|
$45
|
$40
|
$76
|
$68
|
$60
|
| 30 – 39 |
$70
|
$63
|
$56
|
$106
|
$95
|
$85
|
| 40 – 49 |
$97
|
$87
|
$78
|
$146
|
$132
|
$117
|
| 50 – 59 |
$137
|
$123
|
$110
|
$207
|
$186
|
$165
|
| 60 – 64 |
$160
|
$144
|
$128
|
$242
|
$217
|
$193
|
| 65 – 69 |
$210
|
$189
|
$168
|
$317
|
$285
|
$254
|
| 70 – 79 |
$350
|
$315
|
$280
|
N/A
|
N/A
|
N/A
|
| Age 80+ * |
$450
|
$405
|
$360
|
N/A
|
N/A
|
N/A
|
| * The Medical Expense Benefit Limit for ages 80+ is $10,000. | ||||||
| 15 Day Premiums |
Plan A
|
Plan B
|
||||
| Age |
Deductible Per Policy Period:
|
|||||
|
$250
|
$500
|
$1000
|
$250
|
$500
|
$1000
|
|
| Under age 19 |
$27
|
$24
|
$21
|
$40
|
$36
|
$32
|
| 19 – 29 |
$28
|
$25
|
$22
|
$42
|
$38
|
$33
|
| 30 – 39 |
$39
|
$35
|
$31
|
$59
|
$53
|
$47
|
| 40 – 49 |
$54
|
$48
|
$43
|
$81
|
$73
|
$65
|
| 50 – 59 |
$76
|
$68
|
$61
|
$114
|
$103
|
$91
|
| 60 – 64 |
$88
|
$80
|
$71
|
$134
|
$120
|
$107
|
| 65 – 69 |
$116
|
$104
|
$93
|
$175
|
$157
|
$140
|
| 70 – 79 |
$193
|
$174
|
$154
|
N/A
|
N/A
|
N/A
|
| Age 80+ * |
$248
|
$223
|
$198
|
N/A
|
N/A
|
N/A
|
| * The Medical Expense Benefit Limit for ages 80+ is $10,000. | ||||||
Optional Benefits Rates
- Additional Accidental Death & Dismemberment Coverage
- Hazardous Activity Coverage
This will increase your Basic Plan Premium as follows:
Add ONE Optional Benefit – Multiply Basic Plan Premium by 1.20
Add TWO Optional Benefits – Multiply Basic Plan Premium by 1.30
