Visitors with Pre-Existing conditions


0- 17
18- 29
30- 39
40- 49
50- 59
60- 69
79- 79
80+
0- 17
"Premium for Ages 01-17"Maximum New SicknessCoverageNew Sickness DeductibleMaximum Pre- Existing CoveragePre-Existing Deductible30 Days Premium
MINIMUM PURCHASE REQUIRED 1 MONTH. *ACUTE ONSET DEFINITION FOR PRE-EXISTING
AXIS Plan*$25,000$75$1,000$75$24.83
Fixed Benefits$250$1,500$250$22.30
Teladoc$500$1,750$500$20.74
First Health$50,000$75$1,500$75$31.11
$250$2,000$250$27.44
$500$2,500$500$25.53
$75,000$75$2,500$75$37.38
$250$3,500$250$32.58
$500$4,500$500$30.31
$100,000$75$3,500$75$43.66
$250$4,500$250$37.72
$500$5,500$500$35.10
$1,000$6,500$1,000$31.05
$150,000$75$4,500$75$56.21
$250$5,500$250$48.00
$500$6,500$500$44.67
$1,000$7,500$1,000$39.51
$250,000$500$7,000$500$63.81
$1,000$9,000$1,000$56.43
$5,000$13,000$5,000$29.75
$10,000$15,000$10,000$17.28
AXIS Network Plan*$150,000$250$25,000$1,500$112.39
FirstHealth PPO Network Benefits$500$25,000$1,500$94.64
Teladoc Benefit
MINIMUM PURCHASE REQUIRED 3 MONTHS (90 days), BROAD PRE-EX NEW AND PRE-EX CONSIDERED THE SAME
CHUBB Premier Plan$100,000$75$20,000$1,000$62.88
Fixed Benefits$75$40,000$5,000$61.98
$250$20,000$1,000$54.33
$250$40,000$5,000$53.56
$150,000$75$30,000$1,000$81.26
$75$60,000$5,000$80.10
$250$30,000$1,000$69.15
$250$60,000$5,000$68.16
CHUBB Network (80/20)**(recommended)$150,000$500$25,000$1,500$118.30
18- 29
"Premium for Ages 18-29"Maximum New SicknessCoverageNew Sickness DeductibleMaximum Pre- Existing CoveragePre-Existing Deductible30 Days Premium
MINIMUM PURCHASE REQUIRED 1 MONTH. *ACUTE ONSET DEFINITION FOR PRE-EXISTING
AXIS Plan*$25,000$75$1,000$75$26.97
Fixed Benefits$250$1,500$250$24.01
Teladoc$500$1,750$500$22.34
First Health$50,000$75$1,500$75$35.19
$250$2,000$250$30.87
$500$2,500$500$28.72
$75,000$75$2,500$75$43.41
$250$3,500$250$37.73
$500$4,500$500$35.10
$100,000$75$3,500$75$51.63
$250$4,500$250$44.59
$500$5,500$500$41.48
$1,000$6,500$1,000$36.71
$150,000$75$4,500$75$68.07
$250$5,500$250$58.31
$500$6,500$500$54.24
$1,000$7,500$1,000$48.00
$250,000$500$7,000$500$79.76
$1,000$9,000$1,000$70.58
$5,000$13,000$5,000$37.24
$10,000$15,000$10,000$21.58
AXIS Network Plan*$150,000$250$25,000$1,500$120.41
FirstHealth PPO Network Benefits$500$25,000$1,500$101.40
Teladoc Benefit
MINIMUM PURCHASE REQUIRED 3 MONTHS (90 days), BROAD PRE-EX NEW AND PRE-EX CONSIDERED THE SAME
CHUBB Premier Plan$100,000$75$20,000$1,000$74.35
Fixed Benefits$75$40,000$5,000$73.28
$250$20,000$1,000$64.21
$250$40,000$5,000$63.29
$150,000$75$30,000$1,000$86.59
$75$60,000$5,000$85.35
$250$30,000$1,000$74.09
$250$60,000$5,000$73.03
CHUBB Network (80/20)**(recommended)$150,000$500$25,000$1,500$126.75
30- 39
"Premium for
Ages 30-39"
Maximum New SicknessCoverageNew Sickness DeductibleMaximum Pre- Existing CoveragePre-Existing Deductible30 Days Premium
MINIMUM PURCHASE REQUIRED 1 MONTH. *ACUTE ONSET DEFINITION FOR PRE-EXISTING
AXIS Plan*$25,000$75$1,000$75$30.87
Fixed Benefits$250$1,500$250$27.44
Teladoc$500$1,750$500$25.53
First Health$50,000$75$1,500$75$39.11
$250$2,000$250$34.30
$500$2,500$500$31.91
$75,000$75$2,500$75$47.34
$250$3,500$250$41.16
$500$4,500$500$38.29
$100,000$75$3,500$75$55.58
$250$4,500$250$48.02
$500$5,500$500$44.67
$1,000$6,500$1,000$39.53
$150,000$75$4,500$75$72.05
$250$5,500$250$61.74
$500$6,500$500$57.43
$1,000$7,500$1,000$50.82
$250,000$500$7,000$500$82.95
$1,000$9,000$1,000$73.40
$5,000$13,000$5,000$38.73
$10,000$15,000$10,000$22.48
AXIS Network Plan*$150,000$250$25,000$1,500$147.71
FirstHealth PPO Network Benefits$500$25,000$1,500$124.38
Teladoc Benefit
MINIMUM PURCHASE REQUIRED 3 MONTHS (90 days), BROAD PRE-EX NEW AND PRE-EX CONSIDERED THE SAME
CHUBB Premier Plan$100,000$75$20,000$1,000$80.01
Fixed Benefits$75$40,000$5,000$78.87
$250$20,000$1,000$69.15
$250$40,000$5,000$68.16
$150,000$75$30,000$1,000$102.74
$75$60,000$5,000$101.27
$250$30,000$1,000$87.92
$250$60,000$5,000$86.66
CHUBB Network (80/20)**(recommended)$150,000$500$25,000$1,500$155.48
40- 49
"Premium for
Ages 40-49"
Maximum New SicknessCoverageNew Sickness DeductibleMaximum Pre- Existing CoveragePre-Existing Deductible30 Days Premium
MINIMUM PURCHASE REQUIRED 1 MONTH. *ACUTE ONSET DEFINITION FOR PRE-EXISTING
AXIS Plan*$25,000$75$1,000$75$34.75
Fixed Benefits$250$1,500$250$30.87
Teladoc$500$1,750$500$28.72
First Health$50,000$75$1,500$75$43.02
$250$2,000$250$37.73
$500$2,500$500$35.10
$75,000$75$2,500$75$51.28
$250$3,500$250$44.59
$500$4,500$500$41.48
$100,000$75$3,500$75$59.55
$250$4,500$250$51.45
$500$5,500$500$47.86
$1,000$6,500$1,000$42.36
$150,000$75$4,500$75$76.08
$250$5,500$250$65.17
$500$6,500$500$60.62
$1,000$7,500$1,000$53.66
$250,000$500$7,000$500$86.14
$1,000$9,000$1,000$76.26
$5,000$13,000$5,000$40.22
$10,000$15,000$10,000$23.34
AXIS Network Plan*$150,000$250$25,000$1,500$176.37
FirstHealth PPO Network Benefits$500$25,000$1,500$148.52
Teladoc Benefit
MINIMUM PURCHASE REQUIRED 3 MONTHS (90 days), BROAD PRE-EX NEW AND PRE-EX CONSIDERED THE SAME
CHUBB Premier Plan$100,000$75$20,000$1,000$85.74
Fixed Benefits$75$40,000$5,000$84.51
$250$20,000$1,000$74.09
$250$40,000$5,000$73.03
$150,000$75$30,000$1,000$114.30
$75$60,000$5,000$112.66
$250$30,000$1,000$97.80
$250$60,000$5,000$96.40
CHUBB Network (80/20)**(recommended)$150,000$500$25,000$1,500$185.65
50- 59
"Premium for Age 50-59"Maximum New SicknessCoverageNew Sickness DeductibleMaximum Pre- Existing CoveragePre-Existing Deductible30 Days Premium
MINIMUM PURCHASE REQUIRED 1 MONTH. *ACUTE ONSET DEFINITION FOR PRE-EXISTING
AXIS Plan*$25,000$75$1,000$75$43.03
Fixed Benefits$250$1,500$250$36.02
Teladoc$500$1,750$500$33.51
First Health$50,000$75$1,500$75$56.94
$250$2,000$250$48.02
$500$2,500$500$44.67
$75,000$75$2,500$75$70.85
$250$3,500$250$60.02
$500$4,500$500$55.83
$100,000$75$3,500$75$84.76
$250$4,500$250$72.02
$500$5,500$500$66.99
$1,000$6,500$1,000$59.29
$150,000$75$4,500$75$112.58
$250$5,500$250$96.02
$500$6,500$500$89.31
$1,000$7,500$1,000$79.05
$250,000$500$7,000$500$133.95
$1,000$9,000$1,000$118.57
$5,000$13,000$5,000$62.49
$10,000$15,000$10,000$36.30
AXIS Network Plan*$150,000$250$25,000$1,500$262.64
FirstHealth PPO Network Benefits$500$25,000$1,500$221.17
Teladoc Benefit
MINIMUM PURCHASE REQUIRED 3 MONTHS (90 days), BROAD PRE-EX NEW AND PRE-EX CONSIDERED THE SAME
CHUBB Premier Plan$100,000$75$20,000$1,000$122.05
Fixed Benefits$75$40,000$5,000$120.30
$250$20,000$1,000$103.72
$250$40,000$5,000$102.24
$150,000$75$30,000$1,000$152.91
$75$60,000$5,000$150.73
$250$30,000$1,000$128.42
$250$60,000$5,000$126.58
CHUBB Network (80/20)**(recommended)$150,000$500$25,000$1,500$278.46
60- 69
"Premium for
Ages 60-69"
Maximum New SicknessCoverageNew Sickness DeductibleMaximum Pre- Existing CoveragePre-Existing Deductible30 Days Premium
MINIMUM PURCHASE REQUIRED 1 MONTH. *ACUTE ONSET DEFINITION FOR PRE-EXISTING
AXIS Plan*$25,000$75$1,000$75$51.24
Fixed Benefits$250$1,500$250$42.87
Teladoc$500$1,750$500$39.88
First Health$50,000$75$1,500$75$65.10
$250$2,000$250$54.88
$500$2,500$500$51.05
$75,000$75$2,500$75$78.96
$250$3,500$250$66.89
$500$4,500$500$62.22
$100,000$75$3,500$75$92.82
$250$4,500$250$78.90
$500$5,500$500$73.39
$1,000$6,500$1,000$64.96
$150,000$75$4,500$75$120.54
$250$5,500$250$102.92
$500$6,500$500$95.73
$1,000$7,500$1,000$84.74
$250,000$500$7,000$500$140.41
$1,000$9,000$1,000$124.30
$5,000$13,000$5,000$65.50
$10,000$15,000$10,000$38.03
AXIS Network Plan*$150,000$250$25,000$1,500$380.29
FirstHealth PPO Network Benefits$500$25,000$1,500$320.25
Teladoc Benefit
MINIMUM PURCHASE REQUIRED 3 MONTHS (90 days), BROAD PRE-EX NEW AND PRE-EX CONSIDERED THE SAME
CHUBB Premier Plan$100,000$75$20,000$1,000$133.65
Fixed Benefits$75$40,000$5,000$131.74
$250$20,000$1,000$113.60
$250$40,000$5,000$111.98
$150,000$75$30,000$1,000$164.73
$75$60,000$5,000$162.38
$250$30,000$1,000$138.30
$250$60,000$5,000$136.32
CHUBB Network (80/20)**(recommended)$150,000$500$25,000$1,500$400.31
79- 79
"Premium for
Ages 70-79"
Maximum New SicknessCoverageNew Sickness DeductibleMaximum Pre- Existing CoveragePre-Existing Deductible30 Days Premium
MINIMUM PURCHASE REQUIRED 1 MONTH. *ACUTE ONSET DEFINITION FOR PRE-EXISTING
AXIS Plan*$25,000$250$1,500$250$145.09
Fixed Benefits$500$1,750$500$134.97
Teladoc$50,000$250$2,000$250$161.21
First Health$500$2,500$500$149.97
$75,000$250$3,500$250$177.33
$500$4,500$500$164.96
$100,000$250$4,500$250$193.45
$500$5,500$500$179.96
$1,000$6,500$1,000$159.25
AXIS Network Plan*$75,000$250$20,000$1,500$919.70
FirstHealth PPO Network Benefits$500$20,000$1,500$774.49
Teladoc Benefit
MINIMUM PURCHASE REQUIRED 3 MONTHS (90 days), BROAD PRE-EX NEW AND PRE-EX CONSIDERED THE SAME
CHUBB Premier Plan$100,000$250$15,000$1,000$373.09
Fixed Benefits$250$25,000$5,000$367.56
$500$15,000$1,000$317.52
$500$25,000$5,000$312.82
CHUBB Network (80/20)**(recommended)$75,000$500$20,000$1,500$968.11
80+
"Premium for
Ages 70-79"
Maximum New SicknessCoverageNew Sickness DeductibleMaximum Pre- Existing CoveragePre-Existing Deductible30 Days Premium
MINIMUM PURCHASE REQUIRED 1 MONTH. *ACUTE ONSET DEFINITION FOR PRE-EXISTING
AXIS Plan*$25,000$250$1,500$250$145.09
Fixed Benefits$500$1,750$500$134.97
Teladoc$50,000$250$2,000$250$161.21
First Health$500$2,500$500$149.97
$75,000$250$3,500$250$177.33
$500$4,500$500$164.96
$100,000$250$4,500$250$193.45
$500$5,500$500$179.96
$1,000$6,500$1,000$159.25
AXIS Network Plan*$75,000$250$20,000$1,500$919.70
FirstHealth PPO Network Benefits$500$20,000$1,500$774.49
Teladoc Benefit
MINIMUM PURCHASE REQUIRED 3 MONTHS (90 days), BROAD PRE-EX NEW AND PRE-EX CONSIDERED THE SAME
CHUBB Premier Plan$100,000$250$15,000$1,000$373.09
Fixed Benefits$250$25,000$5,000$367.56
$500$15,000$1,000$317.52
$500$25,000$5,000$312.82
CHUBB Network (80/20)**(recommended)$75,000$500$20,000$1,500$968.11