| Monthly Premiums (Education Sector) | ||||
|---|---|---|---|---|
| *Includes Emergency Travel | Health Wise | Health Wise Plus | Total Health* | Ultimate Health* |
| Direct pay drug coverage maximum of $1,200 per calendar year | ||||
| Single | $81.25 | $104.00 | $118.00 | $140.75 |
| Couple | $157.75 | $203.50 | $230.75 | $275.75 |
| Family | $187.25 | $242.25 | $275.00 | $329.75 |
| Direct pay drug coverage maximum of $2,000 per calendar year | ||||
| Single | $110.50 | $133.25 | $148.25 | $170.50 |
| Couple | $216.25 | $262.00 | $291.25 | $336.00 |
| Family | $257.25 | $312.25 | $348.00 | $401.50 |
| Annual Premiums (Education Sector) | |||
|---|---|---|---|
| Additional days for a single trip (over 92-day base travel included with the Total Health and Ultimate Health options) | Single | Couple | Family |
| 15 (total days: 107) | $229 | $458 | $506 |
| 30 (total days: 122) | $490 | $980 | $1,094 |
| 45 (total days: 137) | $686 | $1,372 | $1,534 |
| 60 (total days: 152) | $898 | $1,796 | $2,008 |
| 75 (total days: 167) | $1,126 | $2,252 | $2,514 |
| 90 (total days: 182) | $1,371 | $2,742 | $3,036 |
| 105 (total days:197) | $1,633 | $3,266 | $3,575 |
| 120 (total days: 212) | $1,914 | $3,828 | $4,132 |
| Monthly Premiums (Education Sector) | |||
|---|---|---|---|
| Option A | Option B | Option C | |
| Single | $64.50 | $52.75 | $39.50 |
| Couple | $129.25 | $105.00 | $79.00 |
| Family | $154.00 | $121.75 | $94.50 |
For More Information…
For Public and Private Sectors, please Click Here
