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Xplorer Premier Quote Results
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Covered Individuals: 1
Trip Dates:
*****
/25 -
*****
/26
edit plan
Plan Selection/Cost:
Elite Plan
1,000 Plan
2,000 Plan
5,000 Plan
10,000 Plan
$4573
$3053
$2655
$2113
$1839
10,000 Plan
Deductible U.S. (In Network) $10,000
Deductible U.S. (Out of Network) $10,000
Deductible Outside the U.S. $10,000
Coinsurance Maximum (Inside the U.S. only) $10,000
Quote (per month) $1,839.00
Options:
Prescription Drug Upgrade: No question mark
+ Add Rx Upgrade
Dental/Vision Benefits: No question mark
+ Add Dental/Vision
U.S. Benefits: question mark
Comprehensive/Full U.S. Benefits
What is covered under the Basic U.S. Benefits rider?
What is covered under the Prescription Drug rider?
What is covered under the Dental/Vision rider?
10,000 Plan
$1,839.00 total
per month
Medical Limit: Unlimited
$10,000 Deductible U.S. (In Network)
Optional RX Upgrade: Not Included
Optional Dental/Vision Benefits: Not Included
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You may also like to visit the FAQs or Expand To View Benefits table below.
Quoted prices include a $3.50 per person annual membership fee for the Global Citizens Association (GCA). If you are already a member, your membership will be extended for 12 months. Members may request a pro-rated adjustment of current membership fees. Please contact GCA at
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GeoBlue is the trade name of Worldwide Insurance Services, LLC (Worldwide Services Insurance Agency, LLC in California and New York), an independent licensee of the Blue Cross and Blue Shield Association. GeoBlue is the administrator of coverage provided under insurance policies issued by 4 Ever Life International Limited, Bermuda, an independent licensee of the Blue Cross Blue Shield Association.