Patriot Adventure: Rates

Patriot Adventure InternationalSM provides US citizens with medical insurance abroad for a minimum of 30 days up to a maximum of 6 months. Although the Patriot Adventure International plan is not renewable, it can be rewritten for succeeding or subsequent coverage periods. New Deductible, Coinsurance, Eligibility, Conditions of Coverage and Pre-Existing Condition Exclusions apply to any succeeding or subsequent Period of Coverage along with the completion of a new medical insurance application.


ONE MONTH RATES
US$50,000 POLICY MAXIMUM
 
Age One Month
17 or younger $54
18-39 $64
40-49 $100


EACH ADDITIONAL 15 DAYS
US$50,000 POLICY MAXIMUM
 
Age 15 Days
17 or younger $27
18-39 $32
40-49 $50

All premium rates are in US dollars. Rates include 2.5% surplus lines tax. A dependent child is your child shown on the Enrollment Form over 14 days and under 18 years of age, traveling with you, and for whom premium has been paid.


Patriot Adventure America provides coverage for non-US citizens traveling outside their country of citizenship for a minimum of 30 days up to a maximum of three months. Although the Patriot Adventure America plan is not renewable, it can be rewritten for succeeding or subsequent coverage periods. New Deductible, Coinsurance, Eligibility, Conditions of Coverage and Pre-Existing Condition Exclusions apply to any succeeding or subsequent Period of Coverage. A new application also must be completed.


ONE MONTH RATES
US$50,000 POLICY MAXIMUM
 
Age One Month
17 or younger $72
18-39 $94
40-49 $142


EACH ADDITIONAL 15 DAYS
US$50,000 POLICY MAXIMUM
 
Age 15 Days
17 or younger $36
18-39 $47
40-49 $71

All premium rates are in US dollars. Rates include 2.5% surplus lines tax. A dependent child is your child shown on the Enrollment Form over 14 days and under 18 years of age, traveling with you, and for whom premium has been paid.

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New York International Group
The Empire State Building
350 Fifth Avenue, 59th Floor
New York, NY 10118
Tel: 212.268-8520 800.804.5763
Fax: 212.268-8524
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