Patriot Exchange Program

Standard PlanBasic Plan

The table below outlines the Standard Plan and Basic Plan which is available in BWU coverage.


Notes - if you have any queries about our programs, please contact our office. We are plesure to give you answers and informations to your questions!

 

Please complete the form in order to begin your Patriot Exchange Program application.
Or click folowing link :

Patriot Exchange Program Link: https://purchase.imglobal.com/Quote/patriot_exchange/pre-quote?imgac=472427


Patriot Exchange Program Standard Premium/Basic Chart

 

A. Outlines of the Patriot Exchange Program Standard Premium Plan

 $50,000 per illness/injury $250,000 per illness/injury $500,000 per illness/injury
Under 25 $48.62 $60.36 $63.66
$51.05 with add on  $63.37 with add on  $66.84 with add on 
25 - 49 $63.37 $78.59 $82.90
$66.53 with add on  $82.52 with add on  $87.04 with add on 
50 - 64 $135.70 $168.27 $177.53
$142.49 with add on  $176.68 with add on  $186.41 with add on 

 

 

 

 

B. Outlines of the Patriot Exchange Program Basic Plan

Under 25 $29.72 $31.20
25 - 49 $38.73 $40.66
50 - 64 $82.92 $87.06

 

C. Patriot Exchange Program Standard

Plan Maximum Benefit $500,000 $250,000 $50,000
Coinsurance
Deductible $100 per illness / injury
Medical Benefits
Hospital Room & Board Up to semi-private room rate
Hospital Intensive Care Usual, Reasonable, and Customary Charge
Physical Therapy Usual, Reasonable, and Customary Charge - 1 visit perday
Student Health Center $5 co-pay per visit
Presciption Drugs Usual, Reasonable, and Customary Charge
Eligible Medical Expenses Usual, Reasonable, and Customary Charge
Emergency Room Usual, Reasonable, and Customary Charge
Emergency Room Illness with In-patient Admission Usual, Reasonable, and Customary Charge
Emergency Room Illness without In-patient Admission Additional $250 deductible
Accidental Dental $500
Sudden & Unexpected Pain $350
International Emergency Care
Emergency Medical Evacuation $50,000 lifetime maximum
Emergency Reunion $15,000
Return of Mortal Remains $25,000
Political Evacuation Up to $10,000
Additional Benefits
Accidental Death $25,000
Dismemberment $25,000 two limbs / $12,500 one limb
Terrorism Coverage Up to $50,000 lifetime maximum
Incidental home Country Coverage Up to a cumulative two weeks
Optional Add-On Plan
Optional Add-On Plan Loss/theft of Baggage $250
Loss/theft of Valuables $250
Loss/theft of Personal Papers $250
Legal Assistance Binder Fee $500 when served with summons
Personal Liability
Injury to third party Damage to third person property $2,000 limit after $100 deductible
$500 limit after $100deductible / secondary to any oher insurance in force
Limited High School Sports Coverage Usual, Reasonable, and Customary Charge
Optional Rider
Adventure Sports Rider Age 0 - 49
50 - 59
60 - 64
$50,000
$30,000
$15,000

 

D. Patriot Exchange Program Basic

Benefits $10,000
Plan Maximum Benefit $10,000 with a 1,000,000 lifetime maximum
Coinsurance No Coinsurance
Deductible $100 per illness / injury
Medical Benefits
Hospital Room & Board Up to semi-private room rate
Hospital Intensive Care Usual, Reasonable, and Customary Charge
Physical Therapy Usual, Reasonable, and Customary Charge - 1 visit perday
Student Health Center $5 co-pay per visit
Presciption Drugs Usual, Reasonable, and Customary Charge
Eligible Medical Expenses Usual, Reasonable, and Customary Charge
Emergency Room Usual, Reasonable, and Customary Charge
Emergency Room Illness with In-patient Admission Usual, Reasonable, and Customary Charge
Emergency Room Illness without In-patient Admission Additional $250 deductible
Accidental Dental No coverage
Sudden & Unexpected Pain No coverage
International Emergency Care
Emergency Medical Evacuation $25,000 lifetime maximum
Emergency Reunion $5,000 lifetime maximum
Return of Mortal Remains $7,500
Political Evacuation Up to $10,000
Additional Benefits
Accidental Death $5,000
Dismemberment $5,000 two limbs / $2,500 one limb
Terrorism Coverage Up to $50,000 lifetime maximum
Incidental home Country Coverage Up to a cumulative two weeks
Optional Add-On Plan
Baggage Loss/theft of Baggage $250
Loss/theft of Valuables $250
Loss/theft of Personal Papers $250
Legal Assistance Binder Fee $500 when served with summons
Personal Liability
Injury to third party Damage to third person property $2,000 limit after $100 deductible
$500 limit after $100deductible / secondary to any oher insurance in force
Limited High School Sports Coverage Usual, Reasonable, and Customary Charge
Optional Rider
Adventure Sports Rider Age 0 - 49
50 - 59
60 - 64
$50,000
$30,000
$15,000

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Description of Coverage