Gold
| Plan: | Gold |
|---|---|
| ACA: | - |
| Repatriation: | $25,000 |
| Evacuation: | $50,000 |
| Deductible: | $50 |
| SHC Deductible: | $50 |
| ER: | $250 |
| CO - Payment Dr: | - |
| Annual Max: | $300,000 |
| Per Event Benefit: | $200,000 |
| CO Insurance: | 90% |
| Rating: | A- |
| US License: | No |
| Prescription Drugs: | 90% |
| Accidental: | $10,000 |
| Mental Health: | $500 |
| PEC: | 180days |
| Frequency: | Both |
| Club: | - |
| SHC Coverage: | - |
| Preventive: | - |
| Drugs and Alcohol: | - |
| Maternity: | - |