One plan option selected for all family members.

Benefits Plan Option Limits Certificate-year Maximum Number of Covered Days
PLAN NAME 200 300 400 500 ALL PLANS
Benefit Waiting Period for Sickness 30-days  
Daily Hospital Confinement Benefit $200 $300 $400 $500 365
Daily Intensive Care/Coronary Care $200 $300 $400 $500 365
Paid in lieu of Hospital Yes Yes Yes Yes  
Daily Skilled Nursing $200 $300 $400 $500 30
Daily Emergency Room $200 $300 $400 $500 2
Ambulance $200 $300 $400 $500 2
 
Optional
Daily Surgical Benefit
Plan Options Certificate-year Maximum
Number of Covered Days
No Surgical Option   Inpatient Outpatient
$1,000 Surgical Option $1,000 1 1
$2,000 Surgical Option $2,000 1 1

Rates Per Month

Rates are based on age. Identify your plan and surgery option, then simply add Member rate by age, and/or Spouse rate by age (if applicable) and/or Children flat rate (if applicable) to determine your monthly premium. If you would like to compare plan costs, visit the Apply For Coverage and simply enter your state and dates of birth for you and each dependent.

PLAN OPTIONS
PLAN NAMES 200 300 400 500
MONTHLY RATE FOR MEMBER ONLY
Under age 40 $10.06 $15.09 $20.12 $25.15
With $1,000 Daily Surgical Benefit $12.33 $17.33 $22.33 $27.33
With $2,000 Daily Surgical Benefit $14.60 $19.57 $24.55 $29.53
 
Age 40-49 $15.09 $22.63 $30.17 $37.72
With $1,000 Daily Surgical Benefit $18.45 $25.92 $33.40 $40.87
With $2,000 Daily Surgical Benefit $21.78 $29.20 $36.63 $44.05
 
Age 50-64 $20.12 $30.17 $40.23 $50.29
With $1,000 Daily Surgical Benefit $25.20 $35.40 $45.62 $55.84
With $2,000 Daily Surgical Benefit $30.36 $40.69 $51.04 $61.39
 
Age 65-69 $21.18 $31.75 $42.34 $52.93
With $1,000 Daily Surgical Benefit $26.52 $37.25 $48.01 $58.76
With $2,000 Daily Surgical Benefit $31.94 $42.82 $53.71 $64.61
 
Age 70-79 $28.23 $42.32 $56.43 $70.55
With $1,000 Daily Surgical Benefit $34.46 $48.41 $62.38 $76.36
With $2,000 Daily Surgical Benefit $40.65 $54.49 $68.35 $82.21
 
ADDITIONAL MONTHLY RATE TO ENROLL SPOUSE
Under age 40 $11.09 $16.64 $22.18 $27.72
With $1,000 Daily Surgical Benefit $13.59 $19.19 $24.78 $30.37
With $2,000 Daily Surgical Benefit $16.12 $21.75 $27.39 $33.02
 
Age 40-49 $16.62 $24.93 $33.24 $41.55
With $1,000 Daily Surgical Benefit $20.14 $28.42 $36.71 $44.99
With $2,000 Daily Surgical Benefit $23.63 $31.90 $40.16 $48.42
 
Age 50-64 $22.14 $33.22 $44.30 $55.37
With $1,000 Daily Surgical Benefit $26.85 $37.91 $48.96 $60.01
With $2,000 Daily Surgical Benefit $31.57 $42.60 $53.64 $64.67
 
Age 65-69 $23.33 $35.01 $46.68 $58.34
With $1,000 Daily Surgical Benefit $28.28 $39.92 $51.56 $63.19
With $2,000 Daily Surgical Benefit $33.22 $44.84 $56.46 $68.06
 
Age 70-79 $28.11 $42.17 $56.23 $70.27
With $1,000 Daily Surgical Benefit $33.71 $47.59 $61.46 $75.32
With $2,000 Daily Surgical Benefit $39.22 $52.94 $66.65 $80.35
 
ADDITIONAL FLAT MONTHLY RATE TO ENROLL CHILDREN
Without Surgical $22.67 $34.00 $45.33 $56.60
With $1,000 Daily Surgical Benefit $26.13 $37.46 $48.79 $60.06
With $2,000 Daily Surgical Benefit $29.59 $40.92 $52.25 $63.52