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bupa secure care premium rates - ASA International Insurance

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BUPA SECURE CARE PREMIUM RATES, EFFECTIVE JANUARY 1, 2013ZONE 6Deductibles Plan 1 (a) Plan 2 Plan 3 Plan 4 Plan 5 Plan 6In country ofresidenceOut of countryof residenceUS$0 US$1,000 US$2,000 US$5,000 US$10,000 US$20,000US$1,000 US$2,000 US$3,000 US$5,000 US$10,000 US$20,000Age Annual Semiannual Annual Semiannual Annual Semiannual Annual Semiannual Annual Semiannual Annual Semiannual1 Child US$963.00 US$510.39 US$865.00 US$458.45 US$509.00 US$269.77 US$434.00 US$230.02 US$374.00 US$198.22 US$275.00 US$145.752 Children 1,577.00 835.81 1,457.00 772.21 757.00 401.21 686.00 363.58 592.00 313.76 437.00 231.613+ Children 2,309.00 1,223.77 2,142.00 1,135.26 1,089.00 577.17 995.00 527.35 859.00 455.27 633.00 335.4918-24 2,120.00 1,123.60 1,792.00 949.76 1,406.00 745.18 1,079.00 571.87 934.00 495.02 710.00 376.3025-29 2,353.00 1,247.09 1,975.00 1,046.75 1,582.00 838.46 1,203.00 637.59 1,041.00 551.73 787.00 417.1130-34 2,716.00 1,439.48 2,262.00 1,198.86 1,862.00 986.86 1,396.00 739.88 1,209.00 640.77 914.00 484.4235-39 3,006.00 1,593.18 2,493.00 1,321.29 2,082.00 1,103.46 1,554.00 823.62 1,344.00 712.32 1,012.00 536.3640-44 3,392.00 1,797.76 2,797.00 1,482.41 2,378.00 1,260.34 1,758.00 931.74 1,521.00 806.13 1,143.00 605.7945-49 3,928.00 2,081.84 3,219.00 1,706.07 2,784.00 1,475.52 2,046.00 1,084.38 1,767.00 936.51 1,328.00 703.8450-54 4,297.00 2,277.41 3,512.00 1,861.36 3,067.00 1,625.51 2,243.00 1,188.79 1,940.00 1,028.20 1,453.00 770.0955-59 5,075.00 2,689.75 4,130.00 2,188.90 3,661.00 1,940.33 2,659.00 1,409.27 2,297.00 1,217.41 1,719.00 911.0760 5,351.00 2,836.03 4,320.00 2,289.60 3,912.00 2,073.36 2,816.00 1,492.48 2,430.00 1,287.90 1,818.00 963.5461 6,025.00 3,193.25 4,863.00 2,577.39 4,402.00 2,333.06 3,171.00 1,680.63 2,738.00 1,451.14 2,049.00 1,085.9762 6,697.00 3,549.41 5,409.00 2,866.77 4,897.00 2,595.41 3,527.00 1,869.31 3,043.00 1,612.79 2,278.00 1,207.3463 7,369.00 3,905.57 5,951.00 3,154.03 5,387.00 2,855.11 3,880.00 2,056.40 3,349.00 1,774.97 2,509.00 1,329.7764 8,041.00 4,261.73 6,493.00 3,441.29 5,881.00 3,116.93 4,236.00 2,245.08 3,658.00 1,938.74 2,738.00 1,451.1465 8,073.00 4,278.69 6,502.00 3,446.06 5,937.00 3,146.61 4,262.00 2,258.86 3,680.00 1,950.40 2,750.00 1,457.5066 8,103.00 4,294.59 6,510.00 3,450.30 5,991.00 3,175.23 4,285.00 2,271.05 3,696.00 1,958.88 2,759.00 1,462.2767 9,007.00 4,773.71 7,234.00 3,834.02 6,657.00 3,528.21 4,766.00 2,525.98 4,109.00 2,177.77 3,068.00 1,626.0468 9,911.00 5,252.83 7,960.00 4,218.80 7,328.00 3,883.84 5,242.00 2,778.26 4,523.00 2,397.19 3,378.00 1,790.3469 10,363.00 5,492.39 8,322.00 4,410.66 7,660.00 4,059.80 5,483.00 2,905.99 4,728.00 2,505.84 3,531.00 1,871.4370 10,435.00 5,530.55 8,338.00 4,419.14 7,790.00 4,128.70 5,540.00 2,936.20 4,775.00 2,530.75 3,549.00 1,880.9771 11,743.00 6,223.79 9,385.00 4,974.05 8,765.00 4,645.45 6,235.00 3,304.55 5,376.00 2,849.28 3,996.00 2,117.8872 13,050.00 6,916.50 10,428.00 5,526.84 9,743.00 5,163.79 6,930.00 3,672.90 5,978.00 3,168.34 4,443.00 2,354.7973 14,358.00 7,609.74 11,476.00 6,082.28 10,718.00 5,680.54 7,626.00 4,041.78 6,574.00 3,484.22 4,890.00 2,591.7074 15,665.00 8,302.45 12,520.00 6,635.60 11,694.00 6,197.82 8,321.00 4,410.13 7,174.00 3,802.22 5,336.00 2,828.0875 and up 17,113.00 9,069.89 13,645.00 7,231.85 12,828.00 6,798.84 9,101.00 4,823.53 7,846.00 4,158.38 5,831.00 3,090.43Additional coverageMaternitycomplicationsUS$225.00 US$119.25 US$225.00 US$119.25 US$225.00 US$119.25 US$225.00 US$119.25 US$225.00 US$119.25 US$225.00 US$119.25TransplantProcedures250.00 132.50 250.00 132.50 250.00 132.50 250.00 132.50 250.00 132.50 250.00 132.50(a)Deductible Plan 1 (US$0/US$1,000) is only available for renewals as of January 1, 2013.Argentina, Colombia, Panama, Paraguay7

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