| $250 Deductible |
Outbound from U.S. - Daily Rates |
| |
Emergency Medical Expense Benefit |
| Age |
$50,000 |
$100,000 |
$250,000 |
$500,000 |
| Child
Alone (0-17) |
1.22 |
1.35 |
1.42 |
1.55 |
| 18
to 29 |
1.22 |
1.42 |
1.57 |
1.62 |
| 30
to 39 |
1.42 |
1.62 |
1.93 |
2.15 |
| 40
to 49 |
2.22 |
2.50 |
2.65 |
2.75 |
| 50
to 59 |
3.57 |
4.12 |
4.35 |
4.58 |
| 60
to 64 |
4.12 |
4.85 |
5.25 |
5.73 |
| 65
to 69 |
4.85 |
5.18 |
5.50 |
5.93 |
| 70
to 79 |
7.07 |
N/A |
N/A |
N/A |
| 80
plus * |
14.13 |
N/A |
N/A |
N/A |
| Dep.
Child (0-17) |
0.68 |
0.88 |
0.95 |
1.02 |
|
| $250 Deductible |
Inbound to U.S. - Daily Rates |
| |
Emergency Medical Expense Benefit |
| Age |
$50,000 |
$100,000 |
$250,000 |
$500,000 |
| Child
Alone (0-17) |
1.55 |
1.82 |
2.07 |
2.30 |
| 18
to 29 |
1.72 |
2.02 |
2.27 |
2.55 |
| 30
to 39 |
2.22 |
2.63 |
3.03 |
3.33 |
| 40
to 49 |
3.27 |
3.70 |
4.27 |
4.88 |
| 50
to 59 |
4.52 |
5.48 |
6.05 |
6.57 |
| 60
to 64 |
5.38 |
6.70 |
7.52 |
8.38 |
| 65
to 69 |
7.17 |
8.53 |
10.13 |
10.63 |
| 70
to 79 |
9.10 |
N/A |
N/A |
N/A |
| 80
plus * |
15.17 |
N/A |
N/A |
N/A |
| Dep.
Child (0-17) |
0.93 |
1.08 |
1.23 |
1.42 |
|
