Individual Medical Insurance for 6 - 12 Months | Print |

Benefits

Global Medical Insurance offers you the choice of three plan options: Silver, Gold and Platinum. You also have the opportunity to select a coverage area: worldwide or worldwide excluding the U.S. and Canada. Simply choose the plan option and coverage area that best fits your needs. Each one offers a full range of benefits suited for individuals and families, provides coverage 24 hours a day, and you have the freedom to choose any doctor or hospital for treatment.

When you select Global Medical Insurance, you receive IMG’s commitment to deliver world class health benefits, medical assistance and Global Peace of Mind®.

Benefit Description
Subject to deductible and coinsurance unless otherwise noted

Silver

Gold

Platinum

Coverage Area

Two options: worldwide or worldwide excluding the U.S. and Canada

Two options: worldwide or worldwide excluding the U.S. and Canada

Two options: worldwide or worldwide excluding the U.S. and Canada

Policy Maximum $5,000,000
lifetime per individual
$5,000,000
lifetime per individual
$8,000,000
lifetime per individual
Deductible

Ranges from $250 to $10,000 per period of coverage, 50% reduction within PPO

Ranges from $250 to $10,000 per period of coverage, 50% reduction within PPO, Carry forward deductible - last 30 days of certificate year

Ranges from $100 to $10,000 per period of coverage, 50% reduction within PPO, Carry forward deductible - last 30 days of certificate year

Family Deductible

3x the single

3x the single

2x the single

Coinsurance within the U.S. and Canada

80% of the next $5,000 of eligible expenses after the deductible, then 100% to the overall maximum per period of coverage

80% of the next $5,000 of eligible expenses after the deductible, then 100% to the overall maximum per period of coverage

90% of the next $5,000 of eligible expenses after the deductible, then 100% to the overall maximum per period of coverage

Coinsurance within the PPO network and outside the U.S. and Canada

100%

100%

100%

Hospitalization / Room & Board

$600 per day (maximum of 240 consecutive days per covered event)

Average semi-private room rate

Private room rate

Intensive Care Unit

$1,500 per day (maximum of 180 consecutive days per covered event)

Usual, Reasonable and Customary (URC)

Usual, Reasonable and Customary (URC)

Surgery

URC

URC

URC

Anesthetist's Charges Associated with Surgery

20% of surgery benefit

URC

URC

Transplants

$250,000
per transplant

$1,000,000
lifetime maximum

$2,000,000
lifetime maximum

Outpatient

Visits/Exams - 25 visits per insured person per period of coverage to the maximum limit as outlined: physician $70; specialist $70; psychiatrist $60; chiropractor $50; surgical intervention consultation $500; X-rays - $250 per exam maximum limit; Lab Tests - $300 per exam maximum limit

URC

URC

Rx Coverage

URC

URC

URC

Emergency Room Illness

URC
subject to an additional $250 deductible if not admitted

URC
subject to an additional $250 deductible if not admitted

URC
subject to an additional $250 deductible if not admitted

Emergency Room Accident

URC

URC

URC

Local Ambulance

$1,500
per covered event - not subject to deductible or coinsurance

URC

URC

Emergency Evacuation

$50,000
per period of coverage - not subject to deductible or coinsurance

Limited to policy maximum - not subject to deductible or coinsurance

Limited to policy maximum - not subject to deductible or coinsurance

Emergency Reunion

NA
(Not Applicable)

$10,000
lifetime maximum

$10,000
lifetime maximum

Return of Mortal Remains

$25,000
lifetime maximum per insured - not subject to deductible or coinsurance

$25,000
lifetime maximum per insured -not subject to deductible or coinsurance

$50,000
lifetime maximum per insured -not subject to deductible or coinsurance

Maternity

Optional Rider - $50,000 lifetime maximum, maximum of $5,000 for normal delivery, $7,500 for C-section, $200 child wellness benefit for first 12 months - not subject to deductible or coinsurance. Available after 10 months of coverage benefits reduced by 50% for births that occur in11th or 12th month of continuous coverage

Optional Rider - $50,000 lifetime maximum, maximum of $5,000 for normal delivery, $7,500 for C-section, $200 child wellness benefit for first 12 months - not subject to deductible or coinsurance. Available after 10 months of coverage benefits reduced by 50% for births that occur in 11th or 12th month of continuous coverage

Same As Any Illness (SAAI) $1,000 additional deductible, $50,000 lifetime maximum, $200 child wellness benefit for first 12 months. Available after 10 months of coverage

Supplemental Accident

NA

$300
per occurrence - not subject to deductible or coinsurance

$500
per occurrence - not subject to deductible or coinsurance

Mental/Nervous

Outpatient only - (see Outpatient) Available after 12 months of continuous coverage

$10,000
per period of coverage up to a $50,000 lifetime maximum. Available after 12 months of continuous coverage

SAAI
$50,000 lifetime maximum. Available after 12 months of continuous coverage

Adult Wellness

NA

$250 per period of coverage - not subject to deductible or coinsurance Available for those 30 years of age and over after 12 months of continuous coverage

$500 per period of coverage - not subject to deductible or coinsurance Available for those 18 years of age and over after 12 months of continuous coverage

Child Wellness

Three visits per period of coverage -maximum $70 per visit. Available for children under 18 years of age after 12 months of continuous coverage

$200 maximum per period of coverage -not subject to deductible or coinsurance Available for children under 18 years of age after 12 months of continuous coverage

$400 maximum per period of coverage - not subject to deductible or coinsurance Available for children under 18 years of age after 12 months of continuous coverage

Other Services

Extended Care - limited to first 30 days of confinement
Radiation Treatment - URC
Home Nursing Care - limited 30 days per covered event
Hospice Care - limited 30 days per covered event
Prosthetic Devices - all URC

URC

URC

Physical Therapy

Maximum $40 per visit 30 visit maximum per period of coverage

Maximum $50 per visit

Maximum $50 per visit

High School Sports Injury

NA

NA

Up to $5,000 maximum

Recreational SCUBA

NA

URC

URC

Remote Transportation

NA

NA

Limited to $5,000 per certificate period up to a $20,000 lifetime maximum

Political Evacuation and Repatriationz

NA

NA

Limited to $10,000 lifetime maximum

Complementary Medicine

NA

Acupuncture $150
Aroma Therapy $50
Herbal Therapy $50
Magnetic Therapy $75
Massage Therapy $150
Vitamin Therapy $100
Each per period of coverage

Acupuncture $150
Aroma Therapy $50
Herbal Therapy $50
Magnetic Therapy $75
Massage Therapy $150
Vitamin Therapy $100
Each per period of coverage

Non-emergency Dental

NA

NA

Calendar year maximum - $750
Individual deductible - $50
Schedule of benefits -
Class I: 90% Class II: 70%
Class III: 50% Ortho 0%
(6 month waiting period)

Emergency Dental due to Accident

$1,000 per period of coverage

URC

URC

Emergency Dental due to Sudden Unexpected Pain

NA

$100 per period of coverage

See non-emergency dental benefits

Vision

NA

NA

Exams - up to $100 per 24 months
Materials - up to $150 per 24 months

Global Concierge & Assistance Services

NA

NA

Included

Pre-existing Conditions

$5,000 per period of coverage up to a $50,000 lifetime maximum. Available after 24 months of continuous coverage

$5,000 per period of coverage up to a $50,000 lifetime maximum. Available after 24 months of continuous coverage

SAAI

NA (Not Applicable) / URC (Usual, Reasonable and Customary) / SAAI (Same As Any Illness)

This website contains only a consolidated and summary description of some of the current Global Medical Insurance benefits,conditions, limitations and exclusions. A certificate containing the complete Certificate Wording with all terms, conditions and exclusions will be included in the fulfillment kit. IMG reserves the right to issue the most current Certificate Wording for this insurance plan in the event this application and/or brochure has expired, is modified, or is replaced with a newer version. Current Certificate Wordings are available upon request.

Global Concierge and Assistance ServicesSM

DEDICATED SERVICE LINE
An international toll-free number accessible worldwide 24/7.

DEDICATED CLAIMS TEAM
Provides members with expedited claims processing.

BAG TRACKING
Assistance in locating lost checked baggage and arranging the delivery of it to you anywhere in the world.

DRUG TRANSLATION SERVICES
24/7 online access that provides country specific brand names of common prescription and over-the-counter medications.

EMBASSY & CONSULATE REFERRALS
Provides the location and contact information of the nearest U.S. Embassy or Consulate.

EMERGENCY CASH TRANSFERS
Assists in arranging and obtaining cash transfers anywhere in the world.

EMERGENCY MESSAGE RELAY
Relay messages to your family, friends and co-workers, helping you maintain contact during an emergency.

EMERGENCY TRAVEL ARRANGEMENTS
Assists in making the appropriate travel arrangements in the event you must interrupt your travel and return home.

LEGAL REFERRALS
Provides the contact information for an attorney located in your country of travel.

LOST PASSPORT/TRAVEL DOCUMENTS ASSISTANCE
Assists in reporting, retrieval or replacement of lost or stolen travel documents.

PRESCRIPTION DRUG REPLACEMENT ASSISTANCE
Assists in the replacement and shipment of lost or damaged medication.

PRE-TRIP HEALTH AND SAFETY ADVISORIES
24/7 online access to information concerning current passport and visa requirements; information regarding inoculations and vaccinations; and up-to-date travel safety advisories.

SECURITY UPDATES AND COUNTRY PROFILES
24/7 online access to the latest advisories and travel warnings.

Global Concierge and Assistance Services are additional services offered under the Platinum plan option. They are not insurance benefits.

Exclusions

Pre-existing conditions and exclusions


Silver and Gold:
After coverage has been in effect for 24 continuous months, the Silver and Gold plan options provide a US$50,000 lifetime benefit for eligible pre-existing conditions that existed at or prior to the effective date, subject to a maximum of US$5,000 per period of coverage. This benefit is payable whether or not you have received consultation or treatment for the condition(s) during the 24-month period. The Silver and Gold plan options do not rider or charge additional premium for pre-existing conditions. If you properly disclose a pre-existing condition at the time of application and are accepted into the plan, you will be covered for eligible medical expenses after 24 months of continuous coverage, subject to the foregoing limits and the other terms of the plan.*

The following illnesses which exist, manifest themselves or are treated or have treatment recommended prior to or during the first 180 days of coverage from the initial effective date are considered pre-existing conditions and are subject to the waiting period and other limitations of coverage described above: asthma, allergies, tonsillectomy, back conditions,
adenoidectomy, hemorrhoids or hemorrhoidectomy, disorders of the reproductive system, hysterectomy, hernia, gall stones or kidney stones, any condition of the breast, and any condition of the prostate.

Platinum:
On the Platinum plan option, conditions that are fully disclosed on the application and have not been excluded or restricted by a rider will be covered the same as any illness. Conditions, including any complications therefrom, that are not fully disclosed on the application will not be covered.

OTHER EXCLUSIONS & LIMITATIONS*

  • Treatment not ordered or received by a physician
  • Treatment or supplies not medically necessary
  • Investigational, experimental or research procedures
  • Custodial care
  • Weight modification
  • Elective cosmetic or plastic surgery
  • Treatment of impotency
  • Contraceptive medication or treatment
  • Drug and alcohol abuse treatment
  • Organ transplants not specifically listed
  • Routine foot care
  • Treatment by a relative or family member
  • Treatment as a result of war or riot
  • Treatment resulting from illegal activities
  • Speech therapy
  • Persons HIV+ at effective date
  • Organized amateur or professional sports
  • Maternity and newborn care (unless the maternity rider or Platinum plan option is purchased - see Summary Schedule of Benefits)
  • Services and treatment eligible for payment by any government or other insurance
  • Adult routine physical examinations are excluded under the Silver plan option and for the first 12 months for the Gold and Platinum plan options
  • Devices to correct sight or hearing are excluded under the Silver and Gold plan options
  • Inpatient mental and nervous is excluded under the Silver plan option and for the first 12 months for the Gold and Platinum plan options
  • Outpatient mental and nervous for the first 12 months on all plan options


  • *This website contains only a consolidated and summary description of some of the current Global Medical Insurance benefits, conditions, limitations and exclusions. A certificate containing the complete Certificate Wording with all terms, conditions and exclusions will be included in the fulfillment kit. IMG reserves the right to issue the most current Certificate Wording for this insurance plan in the event this application and/or brochure has expired, is modified, or is replaced with a newer version. Current Certificate Wordings are available upon request.

     

    Global Medical Insurance is a surplus lines product underwritten by Sirius International Insurance Corporation (publ) (the "Company"). Distributed, managed and administered, as agent for and on behalf of the Company, by International Medical Group®, Inc. ("IMG®").

    Global Medical Insurance® New Business Rates

    New Business Rates through 31-Oct-2008 (Includes 2.5% surplus lines tax where applicable)

    SILVER WORLDWIDE COVERAGE - ANNUAL PREMIUMS
      $250.00
    deductible
    $500.00
    deductible
    $1,000.00
    deductible
    $2,500.00
    deductible
    $5,000.00
    deductible
    $10,000.00
    deductible
     
    Age M F M F M F M F M F M F
     
    14 Days-9** First 2 Free*, Then 310 First 2 Free*, Then 270 First 2 Free*, Then 210 First 2 Free*, Then 184 First 2 Free*, Then 169 First 2 Free*, Then 150
     
    10-18** 317 282 233 217 204 180
    * The first two Dependent Children between the ages of 14 days to 9 years are free only when both parents or guardians are insured under the Global Medical Insurance plan. **Dependent child rates are only available when at least one parent or guardian is insured under the Global Medical Insurance plan. Children applying with no parent or guardian insured by Global Medical Insurance must use the Male 19-24 rates.
     
    19-24 718 895 622 881 484 675 422 588 331 473 294 407
     
    25-29 758 1,020 662 991 515 764 449 663 352 551 313 433
     
    30-34 848 1,128 730 1,063 566 823 496 718 389 576 345 490
     
    35-39 950 1,333 770 1,182 596 918 522 793 408 661 364 516
     
    40-44 1,202 1,463 976 1,273 647 997 567 873 542 676 482 602
     
    45-49 1,339 1,614 1,098 1,373 850 1,062 741 925 605 730 538 650
     
    50-54 1,635 1,796 1,386 1,548 1,071 1,201 935 1,068 794 886 706 789
     
    55-59 1,976 1,976 1,718 1,718 1,330 1,328 1,159 1,159 976 984 868 876
     
    60-64 2,909 2,738 2,651 2,480 2,235 1,973 2,024 1,816 1,691 1,502 1,505 1,337
     
    65-69 6,075 5,271 5,814 5,041 5,439 4,591 4,181 3,412 3,656 3,274 3,254 2,914
     
    70 - 74 Please contact IMG or your agent for premium information concerning this age bracket
    Rates expire on 31-Oct-2008


    New Business Rates through 31-Oct-2008 (Includes 2.5% surplus lines tax where applicable)

    SILVER WORLDWIDE COVERAGE EXCLUDING U.S/CANADA - ANNUAL PREMIUMS
      $250.00
    deductible
    $500.00
    deductible
    $1,000.00
    deductible
    $2,500.00
    deductible
    $5,000.00
    deductible
    $10,000.00
    deductible
     
    Age M F M F M F M F M F M F
     
    14 Days-9** First 2 Free*, Then 232 First 2 Free*, Then 203 First 2 Free*, Then 158 First 2 Free*, Then 138 First 2 Free*, Then 127 First 2 Free*, Then 112
     
    10-18** 238 212 175 163 153 134
    * The first two Dependent Children between the ages of 14 days to 9 years are free only when both parents or guardians are insured under the Global Medical Insurance plan. **Dependent child rates are only available when at least one parent or guardian is insured under the Global Medical Insurance plan. Children applying with no parent or guardian insured by Global Medical Insurance must use the Male 19-24 rates.
     
    19-24 539 671 466 660 363 506 317 441 248 355 221 306
     
    25-29 569 766 497 744 385 572 336 498 264 413 234 326
     
    30-34 636 846 548 798 424 618 372 538 291 432 259 369
     
    35-39 714 1,000 578 888 447 689 392 595 307 496 273 387
     
    40-44 901 1,098 731 955 486 748 425 655 407 510 362 451
     
    45-49 1,004 1,211 823 1,030 638 797 556 694 453 548 404 487
     
    50-54 1,226 1,347 1,040 1,161 803 901 702 801 595 665 530 592
     
    55-59 1,482 1,482 1,288 1,288 997 996 869 869 731 738 651 657
     
    60-64 2,182 2,054 1,988 1,860 1,676 1,480 1,518 1,363 1,268 1,127 1,129 1,003
     
    65-69 4,556 3,953 4,361 3,781 4,080 3,443 3,136 2,559 2,742 2,456 2,441 2,185
     
    70 - 74 Please contact IMG or your agent for premium information concerning this age bracket
    Rates expire on 31-Oct-2008



    New Business Rates through 31-Oct-2008 (Includes 2.5% surplus lines tax where applicable)

    GOLD WORLDWIDE COVERAGE - ANNUAL PREMIUMS
      $250.00
    deductible
    $500.00
    deductible
    $1,000.00
    deductible
    $2,500.00
    deductible
    $5,000.00
    deductible
    $10,000.00
    deductible
     
    Age M F M F M F M F M F M F
     
    14 Days-9** First 2 Free*, Then 501 First 2 Free*, Then 423 First 2 Free*, Then 322 First 2 Free*, Then 290 First 2 Free*, Then 260 First 2 Free*, Then 235
     
    10-18** 545 445 345 312 280 252
    * The first two Dependent Children between the ages of 14 days to 9 years are free only when both parents or guardians are insured under the Global Medical Insurance plan. **Dependent child rates are only available when at least one parent or guardian is insured under the Global Medical Insurance plan. Children applying with no parent or guardian insured by Global Medical Insurance must use the Male 19-24 rates.
     
    19-24 1,171 1,543 1,008 1,468 784 1,048 691 928 567 786 447 593
     
    25-29 1,212 1,722 1,058 1,626 820 1,167 721 1,026 593 894 464 614
     
    30-34 1,339 1,927 1,176 1,807 915 1,343 811 1,188 664 1,002 523 749
     
    35-39 1,388 2,135 1,234 1,941 954 1,492 845 1,308 691 1,117 543 770
     
    40-44 1,791 2,340 1,583 2,091 1,226 1,622 1,089 1,441 887 1,145 702 899
     
    45-49 2,015 2,434 1,800 2,196 1,395 1,708 1,237 1,511 1,010 1,166 796 916
     
    50-54 2,449 2,642 2,204 2,403 1,715 1,875 1,562 1,701 1,280 1,392 1,004 1,094
     
    55-59 3,101 3,014 2,843 2,762 2,219 2,157 1,957 1,902 1,648 1,601 1,286 1,249
     
    60-64 4,359 4,109 4,031 3,781 3,375 3,125 3,080 2,850 2,556 2,262 2,098 1,868
     
    65-69 9,001 7,849 8,672 7,521 8,018 6,863 6,235 5,633 5,409 4,869 4,457 4,014
     
    70 - 74 Please contact IMG or your agent for premium information concerning this age bracket
    Rates expire on 31-Oct-2008


    New Business Rates through 31-Oct-2008 (Includes 2.5% surplus lines tax where applicable)

    GOLD WORLDWIDE COVERAGE EXCLUDING U.S/CANADA - ANNUAL PREMIUMS
      $250.00
    deductible
    $500.00
    deductible
    $1,000.00
    deductible
    $2,500.00
    deductible
    $5,000.00
    deductible
    $10,000.00
    deductible
     
    Age M F M F M F M F M F M F
     
    14 Days-9** First 2 Free*, Then 376 First 2 Free*, Then 317 First 2 Free*, Then 242 First 2 Free*, Then 217 First 2 Free*, Then 195 First 2 Free*, Then 176
     
    10-18** 408 334 259 234 210 189
    * The first two Dependent Children between the ages of 14 days to 9 years are free only when both parents or guardians are insured under the Global Medical Insurance plan. **Dependent child rates are only available when at least one parent or guardian is insured under the Global Medical Insurance plan. Children applying with no parent or guardian insured by Global Medical Insurance must use the Male 19-24 rates.
     
    19-24 878 1,157 756 1,101 588 786 519 696 425 590 336 445
     
    25-29 909 1,291 794 1,220 615 875 541 770 445 671 349 461
     
    30-34 1,004 1,446 882 1,355 686 1,008 608 892 498 752 393 562
     
    35-39 1,042 1,601 925 1,456 716 1,119 634 981 519 838 407 578
     
    40-44 1,343 1,755 1,187 1,569 920 1,216 816 1,081 666 859 526 675
     
    45-49 1,512 1,826 1,349 1,647 1,046 1,281 928 1,134 759 875 597 687
     
    50-54 1,837 1,982 1,654 1,803 1,286 1,406 1,172 1,276 960 1,044 753 821
     
    55-59 2,326 2,261 2,132 2,072 1,664 1,618 1,467 1,427 1,236 1,201 965 937
     
    60-64 3,269 3,083 3,024 2,836 2,531 2,344 2,311 2,137 1,917 1,696 1,574 1,402
     
    65-69 6,751 5,887 6,504 5,641 6,014 5,147 4,676 4,225 4,057 3,652 3,343 3,011
     
    70 - 74 Please contact IMG or your agent for premium information concerning this age bracket
    Rates expire on 31-Oct-2008


    New Business Rates through 31-Oct-2008 (Includes 2.5% surplus lines tax where applicable)

    PLATINUM WORLDWIDE COVERAGE - ANNUAL PREMIUMS
      $100.00
    deductible
    $250.00
    deductible
    $500.00
    deductible
    $1,000.00
    deductible
    $2,500.00
    deductible
    $5,000.00
    deductible
    $10,000.00
    deductible
     
    Age M F M F M F M F M F M F M F
     
    14 Days-9** First 2 Free*, Then 1,618 First 2 Free*, Then 1,471 First 2 Free*, Then 1,320 First 2 Free*, Then 1,125 First 2 Free*, Then 1,064 First 2 Free*, Then 1,006 First 2 Free*, Then 958
     
    10-18** 1,712 1,556 1,363 1,170 1,106 1,044 990
    * The first two Dependent Children between the ages of 14 days to 9 years are free only when both parents or guardians are insured under the Global Medical Insurance plan. **Dependent child rates are only available when at least one parent or guardian is insured under the Global Medical Insurance plan. Children applying with no parent or guardian insured by Global Medical Insurance must use the Male 19-24 rates.
     
    19-24 3,040 5,173 2,764 4,670 2,449 4,468 2,017 3,334 1,838 3,010 1,598 2,626 1,367 2,105
     
    25-29 3,127 5,668 2,843 5,153 2,546 4,894 2,087 3,655 1,896 3,274 1,648 2,918 1,400 2,162
     
    30-34 3,397 6,278 3,088 5,707 2,774 5,383 2,270 4,130 2,069 3,712 1,786 3,209 1,513 2,526
     
    35-39 3,501 6,896 3,183 6,269 2,886 5,745 2,345 4,532 2,135 4,036 1,838 3,520 1,552 2,583
     
    40-44 4,357 7,504 3,961 6,822 3,559 6,150 2,870 4,883 2,606 4,395 2,216 3,596 1,859 2,931
     
    45-49 4,832 5,722 4,393 5,202 3,978 4,393 3,196 3,800 2,891 3,420 2,453 2,754 2,040 2,272
     
    50-54 5,330 6,163 4,845 5,603 4,758 5,142 3,814 4,123 3,519 3,787 2,974 3,191 2,442 2,615
     
    55-59 7,138 6,953 6,489 6,321 5,991 5,835 4,787 4,667 4,281 4,175 3,685 3,594 2,986 2,915
     
    60-64 9,809 9,277 8,917 8,434 8,284 7,801 7,018 6,535 6,448 6,005 5,437 4,870 4,553 4,109
     
    65-69 19,664 17,218 17,876 15,653 17,241 15,020 15,979 13,750 12,538 11,376 10,943 9,901 9,106 8,251
     
    70 - 74 Please contact IMG or your agent for premium information concerning this age bracket
    Rates expire on 31-Oct-2008
     

    New Business Rates through 31-Oct-2008 (Includes 2.5% surplus lines tax where applicable)

    PLATINUM WORLDWIDE COVERAGE EXCLUDING U.S/CANADA - ANNUAL PREMIUMS
      $100.00
    deductible
    $250.00
    deductible
    $500.00
    deductible
    $1,000.00
    deductible
    $2,500.00
    deductible
    $5,000.00
    deductible
    $10,000.00
    deductible
     
    Age M F M F M F M F M F M F M F
     
    14 Days-9** First 2 Free*, Then 1,353 First 2 Free*, Then 1,230 First 2 Free*, Then 1,116 First 2 Free*, Then 971 First 2 Free*, Then 923 First 2 Free*, Then 880 First 2 Free*, Then 844
     
    10-18** 1,420 1,291 1,149 1,004 956 909 869
    * The first two Dependent Children between the ages of 14 days to 9 years are free only when both parents or guardians are insured under the Global Medical Insurance plan. **Dependent child rates are only available when at least one parent or guardian is insured under the Global Medical Insurance plan. Children applying with no parent or guardian insured by Global Medical Insurance must use the Male 19-24 rates.
     
    19-24 2,419 3,991 2,199 3,628 1,963 3,477 1,639 2,626 1,506 2,383 1,324 2,097 1,152 1,706
     
    25-29 2,484 4,388 2,258 3,989 2,036 3,798 1,691 2,867 1,548 2,583 1,363 2,316 1,178 1,749
     
    30-34 2,686 4,849 2,442 4,408 2,206 4,163 1,828 3,226 1,677 2,912 1,465 2,534 1,262 2,021
     
    35-39 2,767 5,310 2,515 4,827 2,289 4,435 1,886 3,525 1,728 3,153 1,506 2,767 1,290 2,065
     
    40-44 3,406 5,767 3,096 5,243 2,795 4,740 2,280 3,787 2,079 3,423 1,789 2,823 1,519 2,327
     
    45-49 3,764 4,431 3,422 4,028 3,108 3,683 2,523 2,976 2,295 2,693 1,969 2,193 1,656 1,830
     
    50-54 4,454 4,763 4,049 4,330 3,696 3,984 2,986 3,218 2,766 2,967 2,357 2,519 1,957 2,089
     
    55-59 5,492 5,355 4,993 4,868 4,619 4,503 3,716 3,627 3,335 3,258 2,889 2,828 2,366 2,312
     
    60-64 7,494 7,099 6,813 6,545 6,340 5,977 5,389 5,028 4,964 4,628 4,204 3,777 3,542 3,210
     
    65-69 14,886 13,053 13,533 11,866 13,057 11,391 12,111 10,438 9,529 8,658 8,334 7,552 6,956 6,315
     
    70 - 74 Please contact IMG or your agent for premium information concerning this age bracket
    Rates expire on 31-Oct-20