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Student Health Advantage | Premiums

All premium rates are effective as of 6/1/2016. Rates include surplus lines tax where applicable. A dependent child is your child shown on the Application Form over 14 days and under 19 years of age, traveling with the individual or the group member as a dependent, and for whom premium has been paid.

All rates are monthly and in $USD

Standard Plan Rates

U.S. Citizens

Age Student Spouse Dep. Child
Under 19 $52 $301 $62
19-23 $58 $301 $62
24-30 $76 $330 $62
31-40 $115 $439 $62
41-50 $187 $451 $62
51-64 $249 $439 $62

Non U.S. Citizens

Age Student Spouse Dep. Child
Under 19 $66 $346 $82
19-23 $87 $346 $82
24-30 $101 $383 $82
31-40 $181 $510 $82
41-50 $295 $527 $82
51-64 $394 $510 $82

Platinum Plan Rates

U.S. Citizens

Age Student Spouse Dep. Child
Under 19 $88 $516 $95
19-23 $97 $516 $95
24-30 $128 $565 $95
31-40 $193 $753 $95
41-50 $314 $773 $95
51-64 $417 $753 $95

Non U.S. Citizens

Age Student Spouse Dep. Child
Under 19 $111 $594 $126
19-23 $146 $594 $126
24-30 $169 $656 $126
31-40 $303 $873 $126
41-50 $496 $902 $126
51-64 $662 $873 $126

student health advantage