a+ corporate overview - aplusii.com · remarks: all amounts are in us $ only. benefitstable 01 1...
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Your Health First
EASY CARE + BENEFITS TABLEIndividuals and Familieseffective 1/1/2020
www.aplusii.comFor more than a decade we've been taking care of our clients and their families when they need it most.
Remarks: All amounts are in US $ only.
BENEFITS TABLE
01
PLAN 1CORE PLAN1
1.1 Maximum Annual Reimbursement $200,000 $400,000 $200,000 $400,000
PLAN 2 PLAN 3
1.2 Hospital room and board*Standard Ward Room *Standard Ward Room *Standard Ward Room *Standard Ward Room
1.3 Intensive Care Unit
1.8 Day-care treatment and Day Surgery
1.9 Internal prosthetic devices
1.4 Doctor's fees (including surgeon's & anaesthetist's fees)
Full Refund Full Refund Full Refund Full Refund
1.5
Medical Treatment, laboratory tests, x-rays, MRI, PET and CT scansUse of operating & recovery room prescriptions drugs & dressings• When received as an In-patient or Day-patient
1.6Organ & Bone Marrow transplants• Donor costs (e.g. Search, removal, acquisition) not covered
Not Covered Up to $100,000 Not Covered Up to $100,000
1.12 Ancillary charges (Purchase or rental of crutches or wheelchairs)
Full RefundUp to 15 days
Full RefundUp to 15 days
Full RefundUp to 15 days
Full RefundUp to 15 days
1.7 Reconstructive surgery following an accident (*)
Full Refund Full Refund Full Refund Full Refund
PLAN 4
PLAN 1Cancer Care
1.13In-patient, Day-patient and Outpatient Treatment (eg. Chemotherapy,Radiotherapy), excluding all experimental treatments
Not Covered Full Refund Not Covered Full Refund
PLAN 2 PLAN 3 PLAN 4
PLAN 1Pre and Post-Hospital Care
1.10
General practitioners & specialist consultations, prescribed drugs and dressing, physiotherapy and chiropracty including basic laboratory tests, x-ray and ultrasounds
• Within 30 days before hospitalization and within 60 days following hospital discharge
Up to $500 Up to $1000 Up to $500 Up to $1000
PLAN 2 PLAN 3
1.11 Rehabilitation and convalescence rest care
Up to $500 per year Up to $1000 per year Up to $500 per year Up to $1000 per year
PLAN 4
*Only for Zone 3:Plan 1 and Plan 3 : up to US$ 100 per nightPlan 2 and Plan 4 : up to US$ 150 per night
02
PLAN 1Chronic Medical Conditions
1.14Stabilisation of Acute exacerbations / episodes of chronicmedical conditions Not Covered
Covered within the limitsin the in-patient, daycareand out-patient sections
Not Covered
Covered within the limitsin the in-patient, daycareand out-patient sections
PLAN 2 PLAN 3
1.15 Maintenance, routine checkups, prescribed drugs and dressings Up to $2,500 per year Up to $5,000 per year
Full Refund Full Refund Full Refund Full Refund1.16
Accidental Damage to teeth (Treatment received in an emergencyward of a hospital within 5 days of incurring an accidental damageto sound and natural teeth)
1.17 Local road ambulance charges
PLAN 4
PLAN 1Additional Benefits PLAN 2 PLAN 3
Not Covered $50,000 Lifetime Limit Not Covered $50,000 Lifetime Limit1.18 Hospice and Palliative care when diagnosed as terminal
PLAN 4
Outpatient Care - Applicable excess applies 'per visit' $10 Co-payment/visit $10 Co-payment/visit
Full Refund Full Refund Full Refund Full Refund
1.19 Kidney Dialysis Not Covered Full Refund Not Covered Full Refund
2
2.1 Maximum Annual Reimbursement $2,000 $4,0002.2 GP & Specialist consultations2.3 Prescribed drugs & dressings
2.5 Emergency ward Treatment2.4 Laboratory tests, X-rays, Diagnostic tests and procedures
2.7 Physiotherapy (Max $100 per visit)
2.6 MRI, PET, CT scans Tests• When received as an Outpatient. This benefit does not apply to scans
received as an admitted Day-patient or In-patient.
2.9Traditional Chinese Medical Practitioner (Including Medicine)• Must be registered Traditional Chinese Medical practitioner
2.8Complementary Medicine Practitioners• Defined as Chiropractor / Osteopath / Acupuncturist / Homeopath
Full Refund Full Refund
Not Covered Max 10 visits / policy year
Not Covered
Not Covered
Full RefundUp to $750 / policy year(Up to a combined max.of 10 visits per year)
Not Covered Not Covered
BENEFITS TABLE
03
ALL PLANSMedical Evacuation and Repatriation Services (Prior Approval from Insurer compulsory) *
3.1Evacuation / RepatriationEmergency medical evacuation to the nearest hospital or emergency medical repatriation
Full Cover
3.5Early ReturnOne economy class return airfare
Full Cover
3.3
Compassionate Visit by a relative of the Insured(Applicable when hospitalisation excesses 5 consecutive days)One economy class return airfareAccommodation for compassionate visit by a relative accompanying the insured
Full Cover$125 / day (Max 7 days)
3.2 Transportation of mortal remains or burial at the place of death Full Cover
3.6 Temporary replacement colleague (transport costs)
* This service is provided by AXA AssistanceFor complete terms and conditions and explanation of benefits, refer to Chapter III of the General Conditions
Full Cover
3.4Return of minor children (<19, unmarried and at school) if left alone when Insured is hospitalised.One-way economy class airfare per eligible child
Full Cover
BENEFITS TABLE
LEARN MORE AT WWW.APLUSII.COM
For more information, contact us:
Business Development Team [email protected]+852 2891 3608
Headquarters1704 Westlands Centre 20 Westlands Road Quarry Bay, Hong Kong
Your Health First
EASY CARE +
PREMIUM TABLEIndividuals and Families
effective 1/1/2020
Deductible 0 250 500 1,000 5,000 Deductible 0 250 500 1,000 5,000 Deductible 0 250 500 1,000 5,000
0 773 750 736 688 580 0 511 500 490 462 399 0 386 379 372 354 311
1 761 738 722 672 572 1 498 491 481 455 393 1 380 372 366 348 307
2 744 722 705 664 559 2 492 482 471 445 385 2 374 366 359 342 302
3 733 711 687 647 551 3 479 473 463 437 380 3 368 360 354 336 298
4 710 688 678 631 538 4 471 463 455 429 373 4 361 354 348 332 294
5 694 673 660 623 524 5 466 455 445 421 366 5 355 348 342 327 290
6‐18 653 634 626 583 497 6‐18 442 432 423 401 351 6‐18 340 333 328 313 278
19 701 681 669 628 534 19 469 460 450 425 370 19 359 352 345 330 292
20 721 699 678 638 539 20 479 466 457 432 376 20 364 356 351 333 295
21 730 709 696 646 551 21 485 473 463 438 380 21 369 360 355 338 298
22 746 722 710 657 558 22 487 480 470 444 384 22 373 365 358 341 302
23 754 732 711 665 565 23 495 486 478 450 391 23 378 370 363 345 306
24 769 747 726 685 580 24 501 495 484 457 395 24 382 374 369 351 309
25 783 760 736 689 586 25 512 501 491 463 401 25 389 380 373 355 313
26 802 778 752 709 596 26 522 512 503 474 408 26 396 386 380 360 317
27 814 789 777 722 613 27 534 523 512 483 417 27 403 394 386 368 322
28 832 806 791 746 624 28 544 534 523 494 424 28 411 402 394 374 329
29 853 826 815 758 636 29 557 546 534 504 433 29 419 408 402 381 333
30 861 835 816 769 647 30 562 550 539 508 436 30 422 412 405 383 336
31 893 865 841 783 657 31 578 563 550 519 445 31 431 420 412 392 342
32 902 876 860 799 671 32 586 574 563 529 454 32 438 428 420 398 348
33 921 907 878 816 686 33 599 587 574 540 462 33 446 436 428 405 354
34 948 919 904 841 704 34 615 600 587 551 471 34 456 445 436 413 359
35 917 889 873 811 686 35 599 583 571 537 460 35 533 521 510 484 422
36 940 911 889 826 699 36 602 592 580 545 466 36 540 527 518 490 427
37 957 928 908 844 704 37 613 602 589 554 473 37 548 536 525 497 433
38 973 944 926 861 721 38 626 614 602 565 483 38 560 546 536 507 441
39 1,004 974 956 889 738 39 639 628 614 578 492 39 571 558 546 517 448
40 1,008 979 957 889 738 40 644 630 615 580 494 40 571 559 547 518 448
41 1,054 1,022 1,005 933 778 41 677 662 647 607 517 41 597 584 571 540 467
42 1,116 1,082 1,064 989 825 42 714 694 678 636 540 42 625 609 597 563 486
43 1,179 1,143 1,109 1,031 860 43 746 727 711 666 564 43 652 636 623 587 506
44 1,244 1,206 1,173 1,092 903 44 778 762 746 697 589 44 681 664 650 612 525
45 1,308 1,269 1,232 1,146 958 45 824 804 786 735 621 45 716 698 684 642 550
46 1,389 1,347 1,317 1,223 1,012 46 873 849 828 775 652 46 753 734 717 674 575
47 1,475 1,431 1,391 1,295 1,075 47 918 895 875 817 686 47 792 771 754 708 603
48 1,548 1,502 1,466 1,363 1,121 48 971 944 921 861 721 48 832 810 792 742 631
49 1,643 1,594 1,559 1,449 1,197 49 1,028 994 970 905 758 49 874 851 831 779 660
50 1,751 1,699 1,644 1,529 1,261 50 1,088 1,056 1,031 962 802 50 925 900 879 823 696
51 1,884 1,808 1,779 1,638 1,349 51 1,152 1,121 1,095 1,020 851 51 980 952 930 869 729
52 2,003 1,944 1,880 1,747 1,433 52 1,225 1,192 1,162 1,083 901 52 1,030 1,001 978 915 769
53 2,133 2,069 2,004 1,865 1,530 53 1,299 1,264 1,234 1,148 953 53 1,090 1,058 1,034 966 812
54 2,252 2,185 2,136 1,966 1,631 54 1,389 1,343 1,309 1,218 1,009 54 1,154 1,120 1,094 1,021 856
55 2,399 2,327 2,275 2,094 1,730 55 1,464 1,424 1,388 1,292 1,069 55 1,221 1,185 1,157 1,079 903
56 2,532 2,456 2,401 2,209 1,822 56 1,529 1,499 1,462 1,359 1,122 56 1,283 1,245 1,216 1,133 946
57 2,672 2,592 2,534 2,331 1,911 57 1,620 1,578 1,538 1,428 1,180 57 1,347 1,308 1,276 1,190 991
58 2,796 2,711 2,652 2,459 2,010 58 1,702 1,661 1,618 1,503 1,239 58 1,415 1,373 1,340 1,248 1,040
59 2,974 2,884 2,820 2,595 2,105 59 1,789 1,747 1,703 1,580 1,304 59 1,487 1,443 1,408 1,310 1,090
60 3,215 3,119 3,049 2,806 2,298 60 1,925 1,885 1,836 1,704 1,402 60 1,600 1,552 1,513 1,408 1,169
61 3,367 3,267 3,193 2,938 2,409 61 2,032 1,987 1,936 1,796 1,476 61 1,683 1,633 1,592 1,481 1,226
62 3,556 3,449 3,368 3,100 2,532 62 2,141 2,095 2,040 1,892 1,554 62 1,772 1,719 1,676 1,557 1,288
63 3,784 3,671 3,584 3,297 2,695 63 2,264 2,209 2,151 1,995 1,637 63 1,867 1,809 1,764 1,639 1,356
64 3,965 3,845 3,760 3,459 2,819 64 2,389 2,330 2,269 2,102 1,725 64 1,966 1,906 1,857 1,725 1,425
65 4,220 4,094 3,997 3,677 2,988 65 2,515 2,457 2,393 2,217 1,818 65 2,071 2,007 1,956 1,817 1,498
66 4,423 4,289 4,188 3,854 3,165 66 2,662 2,592 2,525 2,338 1,915 66 2,182 2,114 2,060 1,912 1,575
67 4,705 4,564 4,458 4,100 3,315 67 2,813 2,734 2,663 2,466 2,018 67 2,298 2,227 2,170 2,013 1,657
68 4,932 4,783 4,670 4,297 3,493 68 2,968 2,885 2,810 2,602 2,126 68 2,421 2,348 2,287 2,121 1,744
69 5,210 5,053 4,935 4,540 3,726 69 3,144 3,044 2,964 2,744 2,242 69 2,554 2,473 2,409 2,234 1,835
70 6,295 6,124 5,951 4,921 4,636 70 3,891 3,662 3,434 3,319 2,861 70 3,548 3,319 3,205 2,976 2,861
Zone 1Worldwide cover excluding, USA, Canada and Caribbean
Island
Zone 2EEC countries (excluding UK), and Africa (excluding South
Africa)
Zone 3Bangladesh, Brunei, Burma/Myanmar, Cambodia, India, Indonesia, Laos, Malaysia, Philippines, Sri Lanka, Taiwan,
Thailand, Vietnam
Plan 1
Deductible 0 250 500 1,000 5,000 Deductible 0 250 500 1,000 5,000 Deductible 0 250 500 1,000 5,000
0 1,132 1,097 1,069 993 827 0 720 692 683 639 543 0 523 510 500 471 407
1 1,097 1,065 1,043 969 809 1 699 679 669 627 532 1 513 501 491 463 401
2 1,070 1,038 1,017 945 789 2 690 667 654 614 523 2 504 492 482 456 394
3 1,044 1,012 991 921 778 3 671 653 641 602 512 3 495 483 473 446 386
4 1,030 1,000 979 910 759 4 660 641 628 589 503 4 485 473 463 438 380
5 1,003 973 952 886 739 5 641 628 614 576 492 5 475 463 455 431 373
6‐18 945 918 889 826 697 6‐18 605 588 581 545 467 6‐18 450 441 432 408 356
19 1,003 971 942 888 746 19 646 625 613 575 491 19 474 462 455 429 373
20 1,012 981 964 896 747 20 654 634 623 585 498 20 481 469 460 435 378
21 1,030 1,000 981 912 759 21 667 645 633 594 506 21 488 476 467 441 382
22 1,052 1,021 1,003 932 776 22 671 653 644 603 513 22 496 483 474 447 389
23 1,070 1,038 1,020 949 789 23 683 664 653 612 521 23 503 491 481 454 393
24 1,089 1,055 1,037 965 802 24 694 673 664 623 529 24 510 498 487 460 398
25 1,106 1,072 1,051 977 819 25 710 685 675 633 538 25 519 506 496 467 404
26 1,133 1,098 1,079 1,004 841 26 729 699 691 648 549 26 530 517 506 478 411
27 1,168 1,132 1,111 1,033 853 27 739 723 708 663 561 27 540 527 517 486 419
28 1,200 1,166 1,141 1,050 878 28 762 739 723 677 573 28 552 538 527 497 427
29 1,229 1,191 1,154 1,088 898 29 779 755 739 692 586 29 564 549 539 507 436
30 1,246 1,209 1,183 1,089 911 30 778 762 748 699 592 30 570 555 544 511 440
31 1,275 1,237 1,198 1,115 937 31 802 779 764 715 605 31 583 568 555 523 448
32 1,301 1,261 1,239 1,153 951 32 825 797 783 733 618 32 594 580 567 533 457
33 1,340 1,321 1,274 1,184 969 33 837 814 801 749 631 33 608 592 580 545 466
34 1,374 1,334 1,306 1,214 994 34 853 831 819 765 645 34 621 605 592 557 475
35 1,327 1,287 1,261 1,173 965 35 832 809 796 744 627 35 712 694 678 638 546
36 1,352 1,311 1,285 1,195 984 36 849 821 809 755 636 36 723 704 689 648 554
37 1,378 1,336 1,308 1,217 1,008 37 859 844 823 769 648 37 735 715 700 658 563
38 1,403 1,361 1,334 1,239 1,028 38 889 864 842 788 662 38 752 732 716 673 574
39 1,455 1,412 1,377 1,280 1,047 39 905 883 862 805 676 39 768 748 732 687 586
40 1,455 1,412 1,383 1,286 1,052 40 907 885 864 806 677 40 769 750 733 688 587
41 1,544 1,497 1,448 1,349 1,115 41 953 930 910 849 712 41 809 786 769 722 613
42 1,635 1,587 1,534 1,428 1,177 42 1,013 978 958 894 749 42 848 825 806 756 642
43 1,707 1,656 1,622 1,492 1,243 43 1,061 1,026 1,007 940 785 43 890 865 846 793 671
44 1,804 1,750 1,714 1,577 1,302 44 1,116 1,076 1,058 987 823 44 932 906 886 830 700
45 1,920 1,864 1,824 1,679 1,379 45 1,173 1,136 1,121 1,045 869 45 985 958 936 876 737
46 2,043 1,982 1,919 1,785 1,473 46 1,244 1,214 1,187 1,105 918 46 1,040 1,010 987 923 776
47 2,171 2,106 2,040 1,877 1,547 47 1,327 1,282 1,256 1,168 969 47 1,097 1,066 1,041 971 816
48 2,280 2,212 2,166 1,993 1,645 48 1,403 1,352 1,326 1,234 1,023 48 1,132 1,076 1,053 1,025 859
49 2,418 2,347 2,298 2,114 1,733 49 1,486 1,427 1,402 1,302 1,078 49 1,157 1,145 1,133 1,078 902
50 2,576 2,498 2,431 2,262 1,855 50 1,562 1,516 1,493 1,387 1,147 50 1,296 1,258 1,229 1,145 956
51 2,774 2,663 2,598 2,413 1,991 51 1,664 1,613 1,590 1,476 1,219 51 1,377 1,282 1,259 1,214 1,012
52 2,941 2,853 2,779 2,557 2,094 52 1,778 1,724 1,692 1,570 1,295 52 1,387 1,311 1,287 1,222 1,026
53 3,151 3,057 2,966 2,729 2,226 53 1,899 1,830 1,801 1,670 1,374 53 1,395 1,330 1,298 1,226 1,054
54 3,331 3,231 3,165 2,911 2,382 54 2,021 1,944 1,913 1,776 1,461 54 1,398 1,356 1,322 1,230 1,067
55 3,545 3,438 3,367 3,099 2,545 55 2,146 2,076 2,035 1,886 1,550 55 1,483 1,437 1,402 1,304 1,078
56 3,744 3,633 3,557 3,272 2,688 56 2,252 2,186 2,145 1,988 1,632 56 1,561 1,513 1,475 1,371 1,133
57 3,956 3,838 3,759 3,459 2,807 57 2,381 2,303 2,262 2,096 1,719 57 1,643 1,593 1,553 1,442 1,192
58 4,178 4,053 3,969 3,651 2,984 58 2,515 2,424 2,384 2,208 1,809 58 1,729 1,677 1,635 1,517 1,252
59 4,410 4,277 4,188 3,854 3,121 59 2,640 2,553 2,513 2,327 1,906 59 1,821 1,765 1,720 1,597 1,315
60 4,862 4,717 4,619 4,249 3,449 60 2,925 2,819 2,764 2,559 2,094 60 1,999 1,937 1,887 1,751 1,441
61 5,139 4,985 4,883 4,491 3,633 61 3,086 2,973 2,917 2,700 2,207 61 2,108 2,043 1,991 1,845 1,516
62 5,430 5,267 5,159 4,746 3,859 62 3,252 3,135 3,080 2,850 2,328 62 2,224 2,154 2,098 1,946 1,598
63 5,738 5,567 5,452 5,015 4,085 63 3,414 3,306 3,252 3,008 2,456 63 2,345 2,272 2,212 2,051 1,682
64 6,063 5,880 5,760 5,299 4,314 64 3,646 3,488 3,432 3,175 2,591 64 2,473 2,395 2,334 2,162 1,772
65 6,406 6,214 6,086 5,599 4,542 65 3,809 3,680 3,624 3,353 2,733 65 2,609 2,527 2,461 2,280 1,868
66 6,770 6,569 6,432 5,918 4,792 66 4,024 3,907 3,826 3,539 2,884 66 2,754 2,666 2,596 2,405 1,969
67 7,155 6,939 6,796 6,253 5,079 67 4,271 4,122 4,041 3,736 3,043 67 2,904 2,813 2,738 2,536 2,074
68 7,561 7,334 7,183 6,609 5,346 68 4,502 4,351 4,267 3,945 3,213 68 3,066 2,967 2,890 2,674 2,187
69 7,987 7,748 7,588 6,981 5,668 69 4,738 4,593 4,506 4,165 3,390 69 3,235 3,132 3,049 2,822 2,305
70 8,698 8,469 8,240 7,668 6,638 70 6,295 5,723 5,494 5,150 4,349 70 4,120 3,891 3,548 3,434 3,205
ZoZonene 11WorldWorldwwididee covercover eexxcluding,cluding, USA,USA, CanadaCanada andand CaribbeCaribbeanan
IslandIsland
ZoZonene 22EECEEC cocountuntrieriess (e(exxccludingluding UK),UK), andand AfricaAfrica (exc(excludingluding SoSouthuth
Africa)Africa)
Zone 3Bangladesh, Brunei, Burma/Myanmar, Cambodia, India, Indonesia, Laos, Malaysia, Philippines, Sri Lanka, Taiwan,
Thailand, Vietnam
Plan 2
Deductible 0 250 500 1,000 5,000 Deductible 0 250 500 1,000 5,000 Deductible 0 250 500 1,000 5,000
0 1,591 1,512 1,464 1,301 940 0 987 952 918 823 608 0 709 679 657 594 450
1 1,574 1,495 1,432 1,273 919 1 974 933 900 809 597 1 696 667 646 584 444
2 1,538 1,462 1,415 1,258 900 2 950 916 882 792 587 2 684 656 634 573 437
3 1,486 1,428 1,368 1,230 879 3 939 898 865 777 576 3 671 644 623 563 429
4 1,461 1,395 1,343 1,194 868 4 915 879 848 762 567 4 657 632 610 552 422
5 1,440 1,368 1,324 1,166 852 5 891 861 831 747 555 5 645 620 599 543 416
6‐18 1,338 1,272 1,230 1,095 793 6‐18 840 810 780 702 525 6‐18 609 585 565 513 396
19 1,466 1,393 1,349 1,200 868 19 917 880 848 762 567 19 658 632 611 552 422
20 1,493 1,420 1,374 1,222 881 20 933 895 863 775 575 20 669 642 621 562 429
21 1,524 1,447 1,401 1,247 894 21 954 910 878 788 584 21 678 652 631 571 435
22 1,552 1,474 1,427 1,271 916 22 969 926 893 801 593 22 690 663 641 580 441
23 1,580 1,502 1,454 1,295 925 23 988 942 908 815 603 23 701 673 651 588 447
24 1,611 1,529 1,481 1,319 943 24 993 959 924 828 612 24 713 685 662 597 454
25 1,639 1,557 1,509 1,343 954 25 1,014 975 940 842 622 25 725 696 672 607 460
26 1,674 1,590 1,539 1,370 971 26 1,032 992 957 857 632 26 737 708 684 617 467
27 1,705 1,619 1,569 1,397 988 27 1,059 1,010 973 873 642 27 750 719 694 626 473
28 1,738 1,651 1,599 1,423 1,014 28 1,075 1,028 990 887 652 28 762 730 705 636 480
29 1,770 1,682 1,629 1,450 1,031 29 1,093 1,046 1,008 903 663 29 775 742 717 647 487
30 1,804 1,715 1,660 1,460 1,042 30 1,117 1,065 1,026 918 674 30 788 755 729 657 495
31 1,839 1,746 1,692 1,487 1,065 31 1,127 1,084 1,044 933 685 31 801 768 741 669 501
32 1,873 1,780 1,724 1,515 1,082 32 1,145 1,104 1,063 950 696 32 815 780 753 678 509
33 1,908 1,813 1,756 1,542 1,105 33 1,169 1,122 1,082 967 708 33 828 794 765 690 518
34 1,948 1,849 1,769 1,577 1,125 34 1,191 1,143 1,101 984 719 34 842 806 779 701 524
35 1,985 1,885 1,804 1,607 1,150 35 1,212 1,164 1,120 1,002 730 35 857 821 792 713 532
36 2,022 1,920 1,839 1,637 1,166 36 1,237 1,183 1,140 1,019 742 36 870 835 804 725 540
37 2,060 1,957 1,872 1,667 1,182 37 1,251 1,205 1,159 1,035 754 37 886 848 818 736 548
38 2,099 1,994 1,908 1,700 1,204 38 1,275 1,226 1,180 1,054 767 38 901 863 832 749 557
39 2,138 2,032 1,944 1,731 1,220 39 1,308 1,248 1,202 1,072 779 39 917 878 846 760 565
40 2,178 2,070 1,980 1,764 1,248 40 1,321 1,271 1,222 1,091 793 40 931 893 861 773 573
41 2,301 2,185 2,091 1,841 1,318 41 1,399 1,337 1,286 1,147 831 41 979 937 903 811 600
42 2,399 2,279 2,207 1,943 1,378 42 1,467 1,404 1,351 1,204 870 42 1,027 982 946 848 626
43 2,518 2,418 2,316 2,038 1,458 43 1,549 1,475 1,420 1,263 911 43 1,076 1,029 991 888 652
44 2,666 2,533 2,453 2,159 1,521 44 1,611 1,549 1,489 1,325 953 44 1,128 1,077 1,038 928 681
45 2,831 2,688 2,577 2,291 1,625 45 1,707 1,638 1,575 1,401 1,006 45 1,191 1,137 1,095 980 715
46 3,002 2,852 2,734 2,406 1,716 46 1,808 1,731 1,665 1,479 1,059 46 1,256 1,199 1,155 1,032 752
47 3,151 2,993 2,898 2,552 1,789 47 1,911 1,830 1,759 1,562 1,117 47 1,325 1,266 1,218 1,088 790
48 3,336 3,170 3,069 2,701 1,904 48 2,017 1,933 1,857 1,650 1,177 48 1,398 1,334 1,283 1,145 830
49 3,531 3,355 3,248 2,859 2,013 49 2,118 2,040 1,960 1,740 1,238 49 1,472 1,406 1,351 1,205 870
50 3,802 3,612 3,435 3,050 2,151 50 2,271 2,172 2,086 1,851 1,315 50 1,565 1,493 1,436 1,279 921
51 4,016 3,816 3,696 3,252 2,289 51 2,399 2,311 2,220 1,968 1,395 51 1,663 1,587 1,526 1,358 975
52 4,288 4,074 3,945 3,472 2,420 52 2,569 2,458 2,361 2,093 1,481 52 1,766 1,684 1,619 1,440 1,032
53 4,569 4,340 4,167 3,668 2,580 53 2,744 2,615 2,510 2,223 1,570 53 1,874 1,788 1,718 1,527 1,092
54 4,865 4,620 4,438 3,905 2,750 54 2,909 2,777 2,667 2,361 1,665 54 1,991 1,897 1,823 1,619 1,156
55 5,175 4,917 4,723 4,157 2,926 55 3,074 2,952 2,833 2,506 1,766 55 2,112 2,013 1,934 1,717 1,222
56 5,460 5,187 4,983 4,386 3,066 56 3,254 3,111 2,986 2,642 1,859 56 2,224 2,120 2,036 1,806 1,284
57 5,759 5,471 5,256 4,626 3,241 57 3,414 3,279 3,146 2,783 1,955 57 2,342 2,230 2,142 1,899 1,348
58 6,071 5,769 5,543 4,878 3,423 58 3,613 3,456 3,316 2,931 2,058 58 2,465 2,349 2,255 1,999 1,416
59 6,413 6,093 5,857 5,153 3,599 59 3,804 3,640 3,493 3,087 2,164 59 2,595 2,472 2,374 2,103 1,488
60 7,340 6,973 6,703 5,899 4,099 60 4,341 4,160 3,991 3,525 2,465 60 2,960 2,819 2,706 2,395 1,689
61 7,697 7,366 7,081 6,232 4,342 61 4,563 4,392 4,214 3,721 2,600 61 3,124 2,974 2,854 2,526 1,779
62 8,190 7,781 7,479 6,582 4,581 62 4,820 4,639 4,449 3,928 2,743 62 3,295 3,137 3,011 2,663 1,873
63 8,712 8,276 7,899 6,952 4,849 63 5,104 4,898 4,698 4,146 2,894 63 3,479 3,311 3,177 2,810 1,974
64 9,133 8,676 8,342 7,341 5,098 64 5,415 5,172 4,960 4,377 3,051 64 3,671 3,493 3,353 2,963 2,080
65 9,596 9,181 8,796 7,740 5,380 65 5,719 5,463 5,238 4,621 3,219 65 3,875 3,687 3,537 3,126 2,191
66 10,210 9,700 9,293 8,176 5,710 66 6,078 5,769 5,531 4,879 3,397 66 4,088 3,891 3,734 3,298 2,310
67 10,710 10,247 9,815 8,637 5,999 67 6,385 6,092 5,841 5,151 3,585 67 4,316 4,107 3,940 3,480 2,434
68 11,395 10,824 10,369 9,123 6,344 68 6,705 6,434 6,169 5,440 3,782 68 4,556 4,334 4,158 3,672 2,567
69 12,119 11,512 11,028 9,704 6,718 69 7,106 6,795 6,514 5,745 3,991 69 4,809 4,576 4,388 3,875 2,706
70 13,242 12,876 12,361 10,529 7,897 70 8,927 7,783 7,554 7,096 5,265 70 5,951 5,723 4,807 4,692 3,662
Zone 1Worldwide cover excluding, USA, Canada and Caribbean
Island
Zone 2EEC countries (excluding UK), and Africa (excluding South
Africa)
Zone 3Bangladesh, Brunei, Burma/Myanmar, Cambodia, India, Indonesia, Laos, Malaysia, Philippines, Sri Lanka, Taiwan,
Thailand, Vietnam
Plan 3
Deductible 0 250 500 1,000 5,000 Deductible 0 250 500 1,000 5,000 Deductible 0 250 500 1,000 5,000
0 2,434 2,313 2,240 1,971 1,399 0 1,491 1,423 1,369 1,220 881 0 1,040 993 958 859 633
1 2,380 2,262 2,190 1,928 1,368 1 1,458 1,394 1,341 1,196 864 1 1,019 975 940 842 622
2 2,328 2,211 2,141 1,884 1,337 2 1,424 1,365 1,314 1,171 848 2 1,000 956 921 826 610
3 2,274 2,160 2,093 1,842 1,321 3 1,389 1,337 1,286 1,147 831 3 979 937 903 811 600
4 2,234 2,122 2,056 1,808 1,283 4 1,357 1,308 1,259 1,122 815 4 959 918 885 794 588
5 2,195 2,084 1,994 1,777 1,260 5 1,339 1,280 1,232 1,098 798 5 939 899 866 778 576
6‐18 2,048 1,946 1,861 1,658 1,181 6‐18 1,243 1,198 1,154 1,030 751 6‐18 881 843 814 733 546
19 2,230 2,119 2,027 1,806 1,272 19 1,350 1,299 1,250 1,115 810 19 952 911 878 789 585
20 2,273 2,160 2,065 1,841 1,294 20 1,386 1,322 1,273 1,135 823 20 968 927 894 802 594
21 2,318 2,203 2,107 1,854 1,322 21 1,403 1,346 1,296 1,155 837 21 985 943 908 815 603
22 2,364 2,246 2,148 1,890 1,356 22 1,439 1,371 1,320 1,177 852 22 1,003 959 925 830 612
23 2,409 2,288 2,189 1,926 1,377 23 1,462 1,397 1,344 1,197 865 23 1,021 977 941 843 623
24 2,455 2,331 2,230 1,962 1,404 24 1,491 1,423 1,368 1,219 880 24 1,038 993 957 859 632
25 2,501 2,376 2,273 2,000 1,432 25 1,521 1,448 1,393 1,241 896 25 1,056 1,010 974 873 642
26 2,522 2,396 2,319 2,042 1,449 26 1,538 1,475 1,420 1,263 911 26 1,076 1,029 991 888 652
27 2,571 2,442 2,366 2,082 1,470 27 1,579 1,503 1,446 1,286 927 27 1,095 1,047 1,008 903 664
28 2,621 2,491 2,412 2,122 1,512 28 1,607 1,530 1,472 1,310 943 28 1,115 1,066 1,027 919 674
29 2,672 2,539 2,458 2,163 1,535 29 1,630 1,559 1,499 1,335 961 29 1,134 1,085 1,045 936 686
30 2,725 2,587 2,506 2,205 1,562 30 1,663 1,589 1,527 1,359 977 30 1,155 1,105 1,064 951 696
31 2,777 2,638 2,556 2,249 1,599 31 1,689 1,617 1,555 1,384 993 31 1,175 1,124 1,082 968 708
32 2,831 2,690 2,605 2,291 1,624 32 1,730 1,649 1,584 1,409 1,012 32 1,197 1,143 1,101 984 720
33 2,884 2,739 2,654 2,335 1,652 33 1,759 1,679 1,614 1,435 1,029 33 1,219 1,164 1,121 1,003 732
34 2,946 2,798 2,710 2,386 1,693 34 1,788 1,712 1,644 1,462 1,047 34 1,241 1,185 1,141 1,020 744
35 3,003 2,853 2,763 2,431 1,706 35 1,828 1,742 1,675 1,489 1,066 35 1,263 1,206 1,161 1,038 755
36 3,061 2,909 2,815 2,478 1,750 36 1,864 1,775 1,705 1,515 1,084 36 1,285 1,229 1,182 1,055 768
37 3,120 2,963 2,871 2,526 1,771 37 1,897 1,807 1,737 1,542 1,104 37 1,308 1,250 1,203 1,073 780
38 3,179 3,021 2,925 2,574 1,811 38 1,935 1,841 1,768 1,572 1,122 38 1,332 1,273 1,224 1,093 794
39 3,240 3,079 2,981 2,623 1,846 39 1,972 1,874 1,802 1,600 1,142 39 1,357 1,296 1,246 1,112 806
40 3,302 3,137 3,038 2,673 1,873 40 2,007 1,909 1,834 1,630 1,162 40 1,381 1,319 1,268 1,132 821
41 3,489 3,316 3,210 2,826 1,975 41 2,095 2,013 1,934 1,717 1,222 41 1,453 1,387 1,335 1,190 861
42 3,683 3,499 3,387 2,981 2,086 42 2,214 2,120 2,036 1,806 1,284 42 1,528 1,458 1,403 1,250 902
43 3,867 3,674 3,558 3,131 2,188 43 2,339 2,229 2,141 1,898 1,348 43 1,605 1,531 1,473 1,311 944
44 4,096 3,891 3,729 3,281 2,310 44 2,434 2,344 2,251 1,995 1,414 44 1,684 1,608 1,547 1,376 988
45 4,351 4,134 3,961 3,486 2,442 45 2,604 2,484 2,386 2,114 1,496 45 1,784 1,702 1,636 1,454 1,043
46 4,618 4,387 4,205 3,701 2,595 46 2,739 2,631 2,526 2,238 1,580 46 1,887 1,799 1,729 1,537 1,098
47 4,848 4,605 4,460 3,925 2,722 47 2,909 2,785 2,673 2,367 1,670 47 1,995 1,903 1,828 1,623 1,158
48 5,137 4,880 4,726 4,159 2,894 48 3,102 2,945 2,827 2,502 1,763 48 2,107 2,009 1,930 1,714 1,220
49 5,439 5,166 5,002 4,403 3,061 49 3,246 3,113 2,987 2,643 1,860 49 2,225 2,121 2,037 1,807 1,285
50 5,859 5,566 5,341 4,701 3,251 50 3,451 3,319 3,185 2,816 1,979 50 2,369 2,259 2,169 1,923 1,364
51 6,202 5,892 5,707 5,022 3,487 51 3,673 3,536 3,394 3,000 2,105 51 2,522 2,403 2,307 2,045 1,448
52 6,615 6,284 6,087 5,356 3,730 52 3,934 3,766 3,613 3,193 2,238 52 2,684 2,557 2,455 2,175 1,537
53 7,051 6,699 6,487 5,709 3,973 53 4,198 4,009 3,846 3,398 2,378 53 2,854 2,718 2,609 2,311 1,631
54 7,511 7,135 6,909 6,081 4,206 54 4,448 4,265 4,093 3,614 2,527 54 3,035 2,890 2,773 2,455 1,729
55 7,995 7,595 7,354 6,472 4,472 55 4,733 4,537 4,351 3,842 2,684 55 3,225 3,069 2,946 2,607 1,834
56 8,439 8,016 7,763 6,831 4,745 56 4,988 4,786 4,591 4,052 2,828 56 3,399 3,237 3,105 2,747 1,931
57 8,903 8,458 8,191 7,208 4,994 57 5,297 5,048 4,842 4,272 2,980 57 3,584 3,410 3,273 2,894 2,032
58 9,407 8,937 8,560 7,533 5,274 58 5,553 5,325 5,105 4,505 3,140 58 3,777 3,595 3,449 3,049 2,138
59 9,925 9,428 9,031 7,947 5,526 59 5,871 5,613 5,383 4,750 3,308 59 3,981 3,788 3,634 3,212 2,250
60 11,242 10,681 10,231 9,003 6,213 60 6,651 6,355 6,092 5,372 3,736 60 4,499 4,282 4,107 3,627 2,536
61 11,880 11,285 10,811 9,514 6,615 61 6,980 6,714 6,437 5,674 3,944 61 4,752 4,521 4,337 3,828 2,674
62 12,553 11,926 11,423 10,052 7,018 62 7,409 7,093 6,800 5,994 4,163 62 5,018 4,773 4,578 4,041 2,821
63 13,358 12,690 12,201 10,736 7,426 63 7,871 7,494 7,184 6,333 4,396 63 5,299 5,041 4,834 4,267 2,976
64 14,032 13,331 12,769 11,237 7,837 64 8,249 7,918 7,590 6,690 4,641 64 5,597 5,325 5,105 4,505 3,140
65 14,830 14,089 13,496 11,877 8,270 65 8,773 8,366 8,020 7,067 4,900 65 5,912 5,623 5,392 4,757 3,312
66 15,672 14,889 14,261 12,551 8,690 66 9,256 8,839 8,472 7,464 5,174 66 6,243 5,938 5,694 5,022 3,495
67 16,562 15,733 15,071 13,263 9,243 67 9,776 9,339 8,952 7,886 5,464 67 6,595 6,272 6,013 5,303 3,688
68 17,499 16,625 15,924 14,013 9,682 68 10,356 9,868 9,458 8,331 5,770 68 6,966 6,623 6,350 5,599 3,891
69 18,618 17,686 16,942 14,908 10,302 69 10,942 10,425 9,993 8,801 6,093 69 7,357 6,995 6,706 5,913 4,108
70 19,800 19,228 18,541 16,023 11,445 70 11,674 11,445 11,216 10,072 7,096 70 8,355 8,012 7,668 6,981 5,265
Zone 1Worldwide cover excluding, USA, Canada and Caribbean
Island
Zone 2EEC countries (excluding UK), and Africa (excluding South
Africa)
Zone 3Bangladesh, Brunei, Burma/Myanmar, Cambodia, India, Indonesia, Laos, Malaysia, Philippines, Sri Lanka, Taiwan,
Thailand, Vietnam
Plan 4
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