Rates Without Pre-Conditions:
Age/Rate Per Day Individual Family
0-25 $1.91 $3.82
26-40 $2.22 $4.44
41-60 $2.81 $5.62
61-64 $3.73 $7.46
65-69 $4.14 $8.28
70-74 $6.93 N/A
75-79 $8.06 N/A
80-85 $11.17 N/A
Rates With Pre-Conditions:
Age/Rate Per Day Individual Family
0-25 $2.78 $5.56
26-40 $3.02 $6.04
41-60 $3.75 $7.50
61-64 $5.44 $10.88
65-69 $6.04 $12.08
70-74 $10.12 N/A
75-79 $11.77 N/A
Deductibles
Deductible Age Type Value
0.00 0-150 Saving 0.0%
250.00 0-85 Saving 10.0%
500.00 0-150 Saving 15.0%
1,000.00 0-85 Saving 20.0%
2,500.00 0-85 Saving 30.0%
5,000.00 0-85 Saving 35.0%
10,000.00 0-85 Saving 40.0%
Coverage Benefits:

COVID 19 COVERAGE

COVID 19 COVERAGE -


Emergency Hospital Services

In-Patient Hospital Accommodation -

Hospital Services and Supplies -

Out-Patient Hospital Services -

Hospital Stay Allowance -


Emergency Medical Coverage

Services of physician, surgeon, anesthetist -

Rental/Cost of Medical Appliances -

Laboratory Diagnostics and Tests (X-ray, MRI, etc) -

Prescription Medications -

Follow Up Treatment -

Services of a Private Duty Nurse / Medical Attendant -

Recreational Sports Injuries Coverage -


Paramedical Services

Chiropractor -

Osteopath -

Chiropodist -

Podiatrist -

Physiotherapist -

Acupuncturist -

Acupressurist -

Naturopath -

Holistic -


Ambulance Transportation to the nearest hospital

Ground Local Ambulance -

Air Ambulance / Emergency Air Transportation -

Sea Ambulance -

Mountain Evacuation -


Emergency Dental Services

Emergency Dental Repair -

Dental Pain Relief -


Life Insurance Coverage

Return of Deceased Body / Remains -

Cremation / Burial -

Accidental Death -

Double Dismemberment -

Single Dismemberment -

Flight Accident -


Companion and Dependents Coverage

Transportation of Family or Friend -

Meals and Accommodation -

Attendant for Dependents / Child Care -

Out-of-Pocket Expenses of Travelling Companion -

Return of Dependent Children / Travelling Companion -


Travel Coverage and Repatriation

Side-Trips Benefit -

Trip-Break Benefit -

Travel Coverage -

Emergency Return Home / Repatriation -


Maternity Benefits

Pregnancy related benefits -


Non-Medical Benefits

Return of Vehicle -

Return of Baggage and Personal Effects -


Non-Emergency Benefits

Physical and Eye Examination -

PSYCHIATRIC / PSYCHOLOGICAL -


Waiting period (Due to purchasing insurance after

Sickness-related medical treatment -

Physical injury treatment -


Stable Pre-existing Medical Conditions Coverage

Stable Pre-existing Medical Conditions Coverage -

Stability Period -


Deductible Type

Deductible Type -


Customer Care

24-HOUR EMERGENCY ASSISTANCE CALL CENTER -

Underwritten by -

Policy Wording -

CLAIM MNGT. COMP. -

CLAIM PHONE# -

ONLINE CLAIM PORTAL -

CLAIM FORM -

Summary of Benefits -