Monthly Premiums (Education Sector)
*Includes Emergency TravelHealth WiseHealth Wise PlusTotal 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)SingleCoupleFamily
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 AOption BOption C
Single$64.50$52.75$39.50
Couple$129.25$105.00$79.00
Family$154.00$121.75$94.50

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