|
Premium Rate
| HOSPITALIZATION
PREMIUM RATES |
|
|
AREA1
|
EXECUTIVE
|
MAJOR
|
PRIMARY
|
| AGE RANGE |
US$
|
US$
|
US$
|
|
0
|
-
|
4
|
|
5
|
-
|
17 |
|
18
|
-
|
29
|
|
30
|
-
|
39
|
|
40
|
-
|
49
|
|
50
|
-
|
59
|
|
60
|
-
|
64
|
|
65
|
-
|
69
(renewal only)
|
|
70
|
-
|
74
(renewal only)
|
|
75
|
-
|
79
(renewal only)
|
|
|
525
|
|
525
|
|
768
|
|
1,001
|
|
1,456
|
|
2,168
|
|
2,955
|
|
4,464
|
|
7,081
|
|
12,355
|
|
|
471
|
|
471
|
|
628
|
|
830
|
|
1,236
|
|
1,875
|
|
2,579
|
|
3,094
|
|
3,897
|
|
5,400
|
|
|
299
|
|
299
|
|
324
|
|
454
|
|
713
|
|
1,116
|
|
1,562
|
|
1,947
|
|
2,548
|
|
3,669
|
|
|
AREA2
|
|
|
|
| AGE RANGE |
US$
|
US$
|
US$
|
|
0
|
-
|
4
|
|
5
|
-
|
17 |
|
18
|
-
|
29
|
|
30
|
-
|
39
|
|
40
|
-
|
49
|
|
50
|
-
|
59
|
|
60
|
-
|
64
|
|
65
|
-
|
69
(renewal only)
|
|
70
|
-
|
74
(renewal only)
|
|
75
|
-
|
79
(renewal only)
|
|
|
601
|
|
601
|
|
851
|
|
1,120
|
|
1,642
|
|
2,459
|
|
3,364
|
|
5,132
|
|
8,221
|
|
14,485
|
|
|
539
|
|
539
|
|
694
|
|
936
|
|
1,404
|
|
2,139
|
|
2,950
|
|
3,543
|
|
4,468
|
|
6,198
|
|
|
343
|
|
343
|
|
372
|
|
524
|
|
821
|
|
1,284
|
|
1,795
|
|
2,239
|
|
2,932
|
|
4,225
|
|
| |
| OUT-PATIENT PREMIUM RATES |
| |
EXECUTIVE
|
MAJOR
|
PRIMARY
|
| AGE RANGE |
US$
|
US$
|
US$
|
|
0
|
-
|
4
|
|
5
|
-
|
17 |
|
18
|
-
|
29
|
|
30
|
-
|
39
|
|
40
|
-
|
49
|
|
50
|
-
|
59
|
|
60
|
-
|
64
|
|
65
|
-
|
69
(renewal only)
|
|
70
|
-
|
74
(renewal only)
|
|
75
|
-
|
79
(renewal only)
|
|
|
1,063
|
|
925
|
|
734
|
|
877
|
|
950
|
|
1,189
|
|
1,558
|
|
1,947
|
|
2,372
|
|
2,890
|
|
|
975
|
|
848
|
|
673
|
|
805
|
|
870
|
|
1,089
|
|
1,429
|
|
1,785
|
|
2,096
|
|
2,375
|
|
|
497
|
|
432
|
|
391
|
|
473
|
|
589
|
|
763
|
|
973
|
|
1,218
|
|
1,485
|
|
1,811
|
|
| Area 1: Worldwide excluding USA/Canada. | | Area 2: Worldwide including USA/Canada. |
|
|
 |
