Gateway Accident & Health Insurance Plans: Gateway Visit America / Rates

Premium Rates Per Person

Adult Rates: Age	15 Days only⁽¹⁾	Monthly
18-29	$32	$53
30-39	$41	$69
40-49	$59	$99
50-59	$81	$136
60-69	$101	$168
Child Rates (for child(ren) under age 18):
Each Dependent Child	$17	$28
Each Child Alone⁽²⁾	$27	$45
$100,000 Additional AD&D
(Optional)⁽³⁾	$10	$15

⁽¹⁾Minimum Term of Insurance is 15 days, maximum is 12 months. For any Term of Insurance more than 15 days, full Monthly rates apply.

⁽²⁾Use these rates for child(ren) who are insured independently and are not included with parent(s) on this Application.

⁽³⁾Available only to persons age 18 and older. If purchased, must be included for both Insured and Spouse, if applicable.