| Daily Rate | Contact your school for information |
| Yearly Rate | Contact your school for information |
| Minimum Policy Premium | Contact your school for information |
| Maximum Sum Insured | $2,000,000 |
| Physician and Hospital Fees | Included |
| Ambulance | Included |
| Prescription Drugs | Up to 30-day supply |
| Other Professional Services | Up to $500 per practitioner for licensed osteopath, naturopath, chiropractor, chiropodist, podiatrist, or acupuncturist |
| Maternity | $25,000, including childbirth |
| 1 General Checkup - Applicable to annual plans | Included up to $175 |
| 1 Eye Exam - Applicable to annual plans | Included up to $100 |
| Pre-Existing Medical Condition Coverage | Included for emergency care of pre-existing medical conditions. Limited to $10,000 for insured persons over age 50. |
