Patriot America:Rates
Patriot America® Travel Medical Insurance
Patriot America® Travel Medical Insurance Premiums
Patriot America provides travel health insurance coverage for non-U.S. citizens traveling abroad for a minimum of five days up to a maximum of two years. If the plan is purchased for a minimum of three months, coverage may be renewed (without break in coverage) for a total of up to two years.
If you or other family members applying for coverage are age 65 or older, please see the Eligibility section in the brochure for additional information.
All premium rates are in U.S. dollars and are effective through 3/31/2011. Rates include surplus lines tax where applicable. A dependent child is your child shown on the Application Form over 14 days and under 18 years of age, traveling with you, and for whom premium has been paid.
The following rates are based upon a USD $250 annual deductible option. For all other deductible options, please see the application.
| ANNUAL DEDUCTIBLE | $250 | |||
| POLICY LIMIT | $50,000 | $100,000 | $500,000 | $1,000,000 |
| AGE | Monthly Rates | |||
| 18-29 | $39.00 | $46.00 | $59.00 | $71.00 |
| 30-39 | $52.00 | $62.00 | $78.00 | $91.00 |
| 40-49 | $78.00 | $90.00 | $119.00 | $133.00 |
| 50-59 | $113.00 | $138.00 | $169.00 | $194.00 |
| 60-64 | $142.00 | $174.00 | $207.00 | $248.00 |
| 65-69 | $162.00 | $208.00 | $226.00 | $270.00 |
| 70-79* | $219.00 | N/A | N/A | N/A |
| 80+** | $381.00 | N/A | N/A | N/A |
| DEP. CHILD | $35.00 | $41.00 | $53.00 | $59.00 |
| CHILD ALONE | $39.00 | $46.00 | $59.00 | $66.00 |
| Daily Rates (Minimum length of coverage is 5 days) | ||||
| 18-29 | $1.30 | $1.55 | $2.00 | $2.40 |
| 30-39 | $$1.75 | $2.10 | $2.60 | $3.05 |
| 40-49 | $2.60 | $3.00 | $4.00 | $4.45 |
| 50-59 | $3.80 | $4.60 | $5.65 | $6.50 |
| 60-64 | $4.80 | $5.85 | $6.95 | $8.35 |
| 65-69 | $5.45 | $7.00 | $7.60 | $9.05 |
| 70-79* | $7.35 | N/A | N/A | N/A |
| 80+** | $12.75 | N/A | N/A | N/A |
| DEP. CHILD | $1.20 | $1.40 | $1.80 | $2.00 |
| CHILD ALONE | $1.30 | $1.55 | $2.00 | $2.25 |
* $10,000 Maximum
This web page contains only a consolidated and summary description of all current Patriot Travel Medical Insurance benefits, conditions, limitations and exclusions. A certificate containing the complete Certificate Wording with all terms, conditions and exclusions will be included in the fulfillment kit. IMG reserves the right to issue the most current Certificate Wording for this insurance plan in the event this application and/or brochure has expired, is modified, or is replaced with a newer version. Current Certificate Wordings are available upon request.



