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All Outreach Travel premium rates below are based on a $250 deductible
and include 2.5% surplus lines tax. Rates will change based on
deductible chosen. If you are traveling for six (6) months or
more, please review the ExOutreach Plus® plan,
which offers a 10% discount on rates and is renewable. (Go
there) Fifteen (15) day premium is 50% of the monthly
rate.
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.
We recommend running our secure on-line quote system for most
accurate calculation:
Outreach Internationalsm Quote
On-line,
Outreach Americansm Quote
On-line, or
ExOutreach Plus® Quote On-line
Patriot Executivesm Quote
On-Line
Global Medical Mission Insurancesm Quote
On-Line
Outreach Travel Medical Insurance Plans
Outreach International provides
coverage for US citizens traveling abroad for a minimum of 15
days up to a maximum of one year. Although the Outreach 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. A new
application also must be completed.
OUTREACH INTERNATIONAL POLICY PREMIUMS
|
$50,000
MAX
|
$100,000
MAX
|
$500,000
MAX
|
$1,000,000
MAX
|
$2,000,000
MAX
|
|
AGE
|
One Month
|
One Month
|
One Month
|
One Month
|
One Month
|
|
18-29
|
$36.00
|
$42.00
|
$48.00
|
$54.00
|
$60.00
|
|
30-39
|
$42.00
|
$48.00
|
$64.00
|
$70.00
|
$80.00
|
|
40-49
|
$66.00
|
$74.00
|
$82.00
|
$90.00
|
$110.00
|
|
50-59
|
$106.00
|
$122.00
|
$136.00
|
$152.00
|
$170.00
|
|
60-64
|
$122.00
|
$144.00
|
$170.00
|
$200.00
|
$224.00
|
|
65-69
|
$144.00
|
$154.00
|
$176.00
|
$210.00
|
$270.00
|
|
70-79
|
$210.00
|
N/A
|
N/A
|
N/A
|
N/A
|
|
80 PLUS*
|
$420.00
|
N/A
|
N/A
|
N/A
|
N/A
|
|
DEP CHILD
|
$20.00
|
$26.00
|
$30.00
|
$32.00
|
$38.00
|
|
CHILD ALONE
|
$36.00
|
$40.00
|
$46.00
|
$50.00
|
$58.00
|
|
*US$10,000
limit
|
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Outreach America provides
coverage for non-US citizens traveling outside their country
of citizenship for a minimum of 15 days up to a maximum of one
year. Although the Outreach 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. If you or other family members applying for coverage
are age 65 or older, please see the Eligibility section in the
Outreach brochure for additional information.
If you are traveling for six (6) months
or more, please review the ExOutreach Plus® plan, which
offers a 10% discount on rates and is renewable.
OUTREACH AMERICA POLICY PREMIUMS
|
$50,000
MAX
|
$100,000
MAX
|
$500,000
MAX
|
$1,000,000
MAX
|
|
AGE
|
One Month
|
One Month
|
One Month
|
One Month
|
|
18-29
|
$48.00
|
$56.00
|
$72.00
|
$84.00
|
|
30-39
|
$62.00
|
$74.00
|
$94.00
|
$108.00
|
|
40-49
|
$94.00
|
$106.00
|
$140.00
|
$158.00
|
|
50-59
|
$134.00
|
$164.00
|
$198.00
|
$228.00
|
|
60-64
|
$158.00
|
$194.00
|
$230.00
|
$276.00
|
|
65-69
|
$180.00
|
$232.00
|
$252.00
|
$300.00
|
|
70-79
|
$244.00
|
N/A
|
N/A
|
N/A
|
|
80 PLUS*
|
$424.00
|
N/A
|
N/A
|
N/A
|
|
DEP CHILD
|
$28.00
|
$32.00
|
$40.00
|
$44.00
|
|
CHILD ALONE
|
$44.00
|
$52.00
|
$66.00
|
$74.00
|
|
*US$10,000
limit
|
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Outreach Plus provides
coverage for US citizens AND non-US citizens traveling outside
their country of citizenship for a minimum of six months up to
a maximum of three years. Outreach Plus must be purchased for
a minimum initial period of six months, and is renewable for
a total of three years by those traveling outside the US. For
non-US citizens traveling within the US, Outreach Plus may be
renewed for up to one year of total coverage. A new Deductible
and Coinsurance will apply for each Period of Coverage.
Outreach Plus Monthly Premiums for Citizens
traveling outside their country of citizenship.
OUTREACH PLUS POLICY PREMIUMS
|
$500,000
MAX
|
$1,000,000
MAX
|
$2,000,000
MAX
|
$500,000
MAX
|
$1,000,000
MAX
|
|
US CITIZEN
|
US CITIZEN
|
US CITIZEN
|
NON-US CITIZEN
|
NON-US CITIZEN
|
|
AGE
|
One Month
|
One Month
|
One Month
|
One Month
|
One Month
|
|
18-29
|
$43.00
|
$48.00
|
$54.00
|
$64.00
|
$75.00
|
|
30-39
|
$57.00
|
$63.00
|
$72.00
|
$84.00
|
$97.00
|
|
40-49
|
$73.00
|
$81.00
|
$99.00
|
$126.00
|
$142.00
|
|
50-59
|
$122.00
|
$136.00
|
$153.00
|
$178.00
|
$205.00
|
|
60-64
|
$153.00
|
$180.00
|
$201.00
|
$207.00
|
$248.00
|
|
65-69
|
$158.00
|
$189.00
|
$243.00
|
$226.00
|
$270.00
|
|
70-79
|
$210.00
|
N/A
|
N/A
|
N/A
|
N/A
|
|
DEP CHILD
|
$27.00
|
$28.00
|
$34.00
|
$28.00
|
$39.00
|
|
DEP ALONE
|
$41.00
|
$45.00
|
$52.00
|
$49.00
|
$66.00
|
All premium rates are in US dollars and are effective through
12/31/03. 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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