VA Tech Trail Blazer

 

  • Rates Starting at $65 per month
    Unlimited Lifetime Maximum
    $500,000 Maximum per Accident or Sickness
    Medical Evacuation benefit 100% of Cost

Rates (per month)

$65
Benefits Coverage
Annual/Lifetime Maximum Unlimited
Maximum per Covered Accident or Sickness $500,000
Deductible $200 per Accident or Sickness
In-Network Coinsurance Single:  80% of the first $25,000 of in network PPO eligible Charges; 100% of Covered Expenses thereafter                                                      
Out of Network Coinsurance 70% of Eligible Usual and Customary Charges
Pre-Existing Condition Limitation 6 months (Credit provided for prior continuous coverage)
   
Copays:  
Prescription Drugs $15 Generic $30 All Other
Maximum for Dental Treatment $250 per tooth (Injury Only)
AD&D $10,000
Emergency Evacuation/Repatriation of Remains 100% of Actual Cost
Emergency Reunion $2,500
Family Reunion $2,500